Finance Representative jobs at UNC Health Care - 140 jobs
Revenue Cycle Financial Representative
UNC Health Care Systems 4.1
Finance representative job at UNC Health Care
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. * Bilingual is preferred but not required. Position is based at the UNC Main Campus (101 Manning Drive, Chapel Hill, with some work at an offsite office in Chapel Hill, NC.
Summary:
Responsible for performing a variety of complex pre-services, financial counseling and customer service-related functions for patients and/or their representative including pre-service estimates, collection of pre-payments, collection of prior debt, obtaining authorizations, addressing billing questions, establishing payment plans, screening for financial assistance, responding to MyUNCChart inquiries and other Customer Service requests for both hospital and physician services.
Responsibilities:
1. Create Hospital and Physician estimates using the Epic Patient Estimator, review eligibility and benefits utilizing RTE, and obtain authorization requirements.
2. Contact patient pre-service providing benefit and patient liability education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service.
3. Provide estimates to patient shoppers and clinical areas across the healthcare system. Work with clinical areas to create estimate templates, determine workflow and process, and collaborate with ISD for template creation and rollout. Provide payment plans for point-of-service (POS) collections.
4. Train clinical areas on estimate usage and patient scripting for collections, audit and provide feedback on accuracy of estimates utilizing Epic estimate reports. Track and trend collection amounts and template accuracy utilizing hospital and physician EOBs and refine process to enhance accuracy. Screen and assist patients with financial assistance, Medicaid eligibility and/or other funding sources available.
5. Monitor and track routine follow up with Medicaid and financial assistance approvals. Handles HB/PB patient inquiries to address any/all billing questions via inbound calls, MyUNCChart, patient correspondence and patient walk-ins.
6. Fulfills patient requests for itemization of charges, adding/verifying/billing insurance, establishing payment plans, payroll deductions, process adjustments, request refunds, and explain charity care policy and guidelines.
7. Initiate patient outreach on delinquent payment plans, adding accounts to existing payment plans and high risk/balance accounts. Investigate HB and PB Set off Debt Collection Act (SODCA) disputed accounts that have received a NC State Income Tax refund withhold using current and legacy billing and imaging systems. Meets with attorneys to record depositions, collaborate with the attorney general's office and attend/participate in hearings when needed.
8. Work with Patient Relations, Risk Management for HB and PB patients who have escalated complaints or concerns. Oversee HB Client account billing and follow-up which includes validating charges and fee schedules, review and move charges, research and reconcile payments, communicate with multiple departments to answer client questions and collect payments. Work with external customers such as collection agencies, clinics to address any patient concerns
Other Information
Other information:
Education Requirements:
● High school diploma or GED.
Licensure/Certification Requirements:
● No licensure or certification required.
Professional Experience Requirements:
● Two (2) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections).
Knowledge/Skills/and Abilities Requirements:
● Excellent interpersonal, verbal and written communication skills.
● Excellent listening skills, and organizational skills.
● Advanced knowledge of UB-04, HCFA-1500's and Explanation of Benefits (EOB) interpretation.
● Intermediate knowledge of CPT and ICD-9 codes.
● Advanced knowledge of insurance billing, collections and insurance terminology.
● Ability to work in fast pace environment and prioritize and manage multiple tasks.
● Healthcare terminology.
● Customer Service skills.
● Computer knowledge: MS Word, Excel, and Outlook.
● Knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Financial Counseling
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.66 - $26.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC: Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
$18.7-26.5 hourly 60d+ ago
Looking for a job?
Let Zippia find it for you.
Revenue Cycle Financial Representative - Customer Service Call Center
UNC Health Care Systems 4.1
Finance representative job at UNC Health Care
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Responsible for performing a variety of complex pre-services, financial counseling and customer service related functions for patients and/or their representative including pre-service estimates, collection of pre-payments, collection of prior debt, obtaining authorizations, addressing billing questions, establishing payment plans, screening for financial assistance, responding to MyUNCChart inquiries and other Customer Service requests for both hospital and physician services.
Responsibilities:
1. Create Hospital and Physician estimates using the Epic Patient Estimator, review eligibility and benefits utilizing RTE, and obtain authorization requirements.
2. Contact patient pre-service providing benefit and patient liability education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service.
3. Provide estimates to patient shoppers and clinical areas across the healthcare system. Work with clinical areas to create estimate templates, determine workflow and process, and collaborate with ISD for template creation and rollout. Provide payment plans for point-of-service (POS) collections.
4. Train clinical areas on estimate usage and patient scripting for collections, audit and provide feedback on accuracy of estimates utilizing Epic estimate reports. Track and trend collection amounts and template accuracy utilizing hospital and physician EOBs and refine process to enhance accuracy. Screen and assist patients with financial assistance, Medicaid eligibility and/or other funding sources available.
5. Monitor and track routine follow up with Medicaid and financial assistance approvals. Handles HB/PB patient inquiries to address any/all billing questions via inbound calls, MyUNCChart, patient correspondence and patient walk-ins.
6. Fulfills patient requests for itemization of charges, adding/verifying/billing insurance, establishing payment plans, payroll deductions, process adjustments, request refunds, and explain charity care policy and guidelines.
7. Initiate patient outreach on delinquent payment plans, adding accounts to existing payment plans and high risk/balance accounts. Investigate HB and PB Set off Debt Collection Act (SODCA) disputed accounts that have received a NC State Income Tax refund withhold using current and legacy billing and imaging systems. Meets with attorneys to record depositions, collaborate with the attorney general's office and attend/participate in hearings when needed.
8. Work with Patient Relations, Risk Management for HB and PB patients who have escalated complaints or concerns. Oversee HB Client account billing and follow-up which includes validating charges and fee schedules, review and move charges, research and reconcile payments, communicate with multiple departments to answer client questions and collect payments. Work with external customers such as collection agencies, clinics to address any patient concerns
Other Information
Other information:
Education Requirements:
● High school diploma or GED.
Licensure/Certification Requirements:
● No licensure or certification required.
Professional Experience Requirements:
● Two (2) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections).
Knowledge/Skills/and Abilities Requirements:
● Excellent interpersonal, verbal and written communication skills.
● Excellent listening skills, and organizational skills.
● Advanced knowledge of UB-04, HCFA-1500's and Explanation of Benefits (EOB) interpretation.
● Intermediate knowledge of CPT and ICD-9 codes.
● Advanced knowledge of insurance billing, collections and insurance terminology.
● Ability to work in fast pace environment and prioritize and manage multiple tasks.
● Healthcare terminology.
● Customer Service skills.
● Computer knowledge: MS Word, Excel, and Outlook.
● Knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Customer Service Call Center
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.66 - $26.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
$18.7-26.5 hourly 17d ago
Financial Counseling Representative I
R1 RCM 4.8
Remote
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.
** This is a REMOTE role.**
Seeking and paying for medical care is a significant challenge for many Americans. As an R1 Financial Counseling Associate, you will be responsible for counseling uninsured and under-insured patients to attempt to obtain a paying funding source for their medical service(s). You will be expected to accurately and compassionately explain financial options and obligations during financial counseling sessions held directly with patients. In this role, a successful candidate must display excellent customer service, commitment to assisting patients, and attention to detail.
To thrive in this job, you'll need to be able to multi-task, use and navigate multiple systems, and communicate with compassion and authenticity to build trust with patients when discussing sensitive situations. Additionally, you will need to gain and display a thorough understanding of Medicaid and other funding programs to provide patients with clear and concise information.
Previous experience as a financial counselor with a background in medical terminology, understanding State and Federal assistance programs, or relevant healthcare experience is a plus.
Here's what you can expect working as a Financial Counseling Associate:
You will have the opportunity to help patients navigate some of the most difficult times in their lives by reducing financial burdens related to their medical care.
You will see, hear about, and/or be in the presence of illness and injuries. You may need to be up to date on all vaccinations (including but not limited to an annual flu shot), pass a drug test, and pass a background check prior to hire.
This is a fast-paced work environment; you will need to be able to communicate complex coverage enrollment information with patients and assist with their applications effectively and efficiently. R1 training and Financial Counseling leaders are ready to help you gain the knowledge you need to be successful in this role.
We at R1 care about your professional growth and development. Financial Counseling leaders are committed to fostering individual growth, and R1 provides a multitude of career and leadership development courses and programs.
Requirements:
High School Diploma or GED
Excellent customer service skills
Compassionate communication
For this US-based position, the base pay range is $15.35 - $23.13 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
The healthcare system is always evolving - and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team - including offering a competitive benefits package.
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at ************ for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent
To learn more, visit: R1RCM.com
Visit us on Facebook
#tj2022 #healthcare #customerservice #financialcounseling #banking #LI-TJ2022
$15.4-23.1 hourly Auto-Apply 4d ago
Financial Clearance Representative - Remote
McLaren Health Care 4.7
Michigan City, ND jobs
Responsible for ensuring accounts are financially cleared prior to the date of service. Interview patients when scheduled for an elective, urgent, inpatient or outpatient procedure. Essential Functions and Responsibilities: * Financially clears patients for each visit type, admit type and area of service via the Electronic Medical Record- EMR, electronic verification tools.
* Accurately and efficiently performs registration using thorough interviewing techniques, registering patients in appropriate status, and following registration guidelines.
* Starts the overall patient's experience and billing process for outpatient and inpatient services by collecting, documenting, and scanning all required demographic and financial information.
* Responsible for obtaining and verifying accurate insurance information, benefit validation and authorizations.
* Estimates and collects copays, deductibles, and other patient financial obligations.
* Manages all responsibilities within hospital and department compliance guidelines and in accordance with Meaningful Use requirements.
* Applies recurring visit processing according to protocol.
* Performs duties otherwise assigned by management.
Qualifications:
Required:
* High school diploma or equivalent required
* One year experience in patient access, registration, billing or physician office
Preferred:
* One-year experience in insurance verification and authorization using Windows (Excel, Word, Outlook, etc.), an EMR system, Electronic Eligibility System and various websites for third party payers for verification
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Additional Information
* Schedule: Full-time
* Requisition ID: 25005267
* Daily Work Times: Standard Business Hours
* Hours Per Pay Period: 80
* On Call: No
* Weekends: No
$33k-42k yearly est. 58d ago
2026 Summer Intern: Finance Department
Axsome Therapeutics, Inc. 3.6
New York, NY jobs
Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain's biggest problems so patients and their loved ones can flourish. For more information, please visit us at ************** and follow us on LinkedIn and X.
About This Role
Axsome Therapeutics is seeking an intern to support the Finance team. This individual will be responsible for assisting members of the Finance team with a variety of day-to-day tasks, and ongoing projects.
The Finance Intern will report directly to the Assistant Controller and will work cross-functionally.
This role is based at Axsome's HQ in New York City with an on-site requirement of at least three days per week. We are unable to consider candidates who are looking for fully remote roles.
Job Responsibilities and Duties include, but are not limited to, the following:
* Support the creation of budget vs. actual financials schedules in excel using Axsome's approved budget and actual financial results
* Support key balance sheet and expense account analysis; provide explanations for variances vs. last quarter/last year
* Support the creation of quarterly financial trends and results in PowerPoint for management reporting
* Benchmark peer pharmaceutical companies' financial data and financial disclosures
* Support certain monthly/quarterly close processes, including accrual analysis, valuation schedules, general ledger account reconciliations
* Ad Hoc requests supporting the Finance function including product research and disclosure benchmarking
* Additional responsibilities as assigned
Requirements / Qualifications
* Actively enrolled with a minimum 3.0 GPA in an undergraduate or graduate program with a focus on Finance, Accounting, Economics, or Business
* A proactive, creative, and entrepreneurial approach to work
* Interest and/or experience in CNS diseases
* Excellent oral and written communication skills
* Demonstrates strong attention to detail
* Proficient in Microsoft Office Suite (Excel, Word, PowerPoint)
* Organizational and critical thinking skills
* Strong interpersonal skills and the ability to work well in a team environment
* Ability to work on site Monday, Tuesday & Thursday. We are unable to consider candidates who are looking for fully remote roles
Experience and Knowledge
* Basic knowledge of, or previous experience with Microsoft Office, Accounts Payable, Accounts Receivable, and Concur Expense Report
* Interest in Pharmaceutical/Life Sciences industry a plus
* Accomplished background demonstrating teamwork, creativity, leadership, good judgement, and delivering results
Additional Details
The anticipated hourly rate for this role is $18-$25/hour. The salary offer will be based on a variety of factors, including experience, qualifications, and internal equity.
This is a full-time and temporary role beginning in June and concluding in August. Final dates will be confirmed this spring. Successful candidates will be compensated at an hourly rate for the duration of the internship. Interns will work a maximum of 40 hours a week.
Axsome is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, sexual orientation, gender identity, ancestry, citizenship, marital status, physical or mental disability, medical condition, veteran status, genetic information, or any other characteristic protected by federal, state, or local law.
**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** will operate in a fully remote capacity** Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable of higher complexity within assigned work queues for a large multi-facility healthcare system with future expansion anticipated to maximize reimbursement to the health system.
**Job Description:**
**Essential Responsibilities:**
**Utilizes the Epic Hospital Billing System to review and monitor accounts through the Billing, Denial, & Follow-Up work queues**
**Work assigned accounts with higher complexity (high dollars, specific denial records, etc) within Hospital Billing, Denial, & Follow Up various work queues while maintaining established productivity requirements.**
**Contacts insurance carriers or other responsible parties to confirm payment dates, question why a claim was denied or questions why a claim was not processed for payment or denial.**
**Performs all Hospital Billing, Follow-Up, and Denial activities necessary to obtain payment/resolution of claims.**
**Review the entire account to ensure claims were billed properly, payments were applied correctly, and all necessary adjustments were made before moving to the next responsible party and/or adjusting balances and removing them from work queue(s).**
**Gathers all necessary documentation needed to have claims reprocessed/adjudicated**
**Informs and/or transfers to management of any problem accounts and or denial trends that require escalation within 2 days of identification**
**Documents all actions taken within the EPIC account notes section and/or follow up/denial activities note sections. Adheres to all Hospital Billing, Follow up, and Denial departmental policies and procedures/training documents.**
**Complete necessary training sessions required for the Hospital Billing system and demonstrate good working knowledge from those sessions to successfully resolve assigned accounts within Follow Up and Denial work queues**
**Document all inactive periods and make them available upon management's request.**
**Resolves accounts with higher complexity in any Claims Edit work queue and resubmits claims through the Epic Billing System.**
**Works higher level of complexity specific claim edit work queue(s) daily and resubmit claims through the Epic billing system**
**Works higher level of complexity External claim edits from Clearinghouse and resubmits claims through the Epic billing system**
**Handles Paper claims processing including proper documentation of accounts with higher level of complexity**
**Communicates all claims/data problems that cannot be handled to the Supervisor/Manager within one (1) day of identifying the problem.**
**Identifies and researches all incomplete or inaccurate information on claims, demonstrates proper handling and escalation as needed.**
**Handles payer 277 rejections on accounts with higher level of complexity and resubmits claims through Epic Billing system or other means of submission (i.e., email, fax, payer portal, certified mail) and provides trends to management for payer outreach and/or internal billing system updates to ensure timely filing and reimbursement**
**Skills, Knowledge & Abilities:**
*** Demonstrates excellent attention to detail and prioritization of accounts**
*** Demonstrates strong working knowledge of Epic Hospital Billing Follow Up and Denial workflows, considered as Subject Matter Expert (SME) to team and other colleagues**
*** Demonstrates Clear oral and written communication.**
*** Demonstrates Professional telephone & email etiquette.**
*** Demonstrates the ability to interact with insurance carriers, patients, and co-workers in a professional and helpful manner.**
*** Demonstrates higher level use of billing computer and PC skills.**
*** Demonstrates a higher level of problem solving and decision making skills.**
*** Demonstrates ability to resolve account issues to completion and obtain appropriate payment**
*** Demonstrates the ability to work independently and efficiently**
**Preferred Qualifications & Skills:**
**Experience in Revenue Cycle Accounts Receivable**
**Experience working with EPIC**
**Experience:**
**At least five (5) years accounts receivable experience required**
**Education:** High School Diploma / GED Required
**Pay Range:**
$22.05 - $29.68
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
**As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.**
**More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.**
**Equal Opportunity Employer/Veterans/Disabled**
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.
will operate in a fully remote capacity** Under oversight of the Department Manager & Supervisor, the Patient Financial Services Specialist - Hospital Billing will be responsible for efficient & timely billing and collections of hospital outstanding balances on inpatient and outpatient accounts receivable of higher complexity within assigned work queues for a large multi-facility healthcare system with future expansion anticipated to maximize reimbursement to the health system.
Job Description:
Essential Responsibilities:
Utilizes the Epic Hospital Billing System to review and monitor accounts through the Billing, Denial, & Follow-Up work queues
Work assigned accounts with higher complexity (high dollars, specific denial records, etc) within Hospital Billing, Denial, & Follow Up various work queues while maintaining established productivity requirements.
Contacts insurance carriers or other responsible parties to confirm payment dates, question why a claim was denied or questions why a claim was not processed for payment or denial.
Performs all Hospital Billing, Follow-Up, and Denial activities necessary to obtain payment/resolution of claims.
Review the entire account to ensure claims were billed properly, payments were applied correctly, and all necessary adjustments were made before moving to the next responsible party and/or adjusting balances and removing them from work queue(s).
Gathers all necessary documentation needed to have claims reprocessed/adjudicated
Informs and/or transfers to management of any problem accounts and or denial trends that require escalation within 2 days of identification
Documents all actions taken within the EPIC account notes section and/or follow up/denial activities note sections. Adheres to all Hospital Billing, Follow up, and Denial departmental policies and procedures/training documents.
Complete necessary training sessions required for the Hospital Billing system and demonstrate good working knowledge from those sessions to successfully resolve assigned accounts within Follow Up and Denial work queues
Document all inactive periods and make them available upon management's request.
Resolves accounts with higher complexity in any Claims Edit work queue and resubmits claims through the Epic Billing System.
Works higher level of complexity specific claim edit work queue(s) daily and resubmit claims through the Epic billing system
Works higher level of complexity External claim edits from Clearinghouse and resubmits claims through the Epic billing system
Handles Paper claims processing including proper documentation of accounts with higher level of complexity
Communicates all claims/data problems that cannot be handled to the Supervisor/Manager within one (1) day of identifying the problem.
Identifies and researches all incomplete or inaccurate information on claims, demonstrates proper handling and escalation as needed.
Handles payer 277 rejections on accounts with higher level of complexity and resubmits claims through Epic Billing system or other means of submission (i.e., email, fax, payer portal, certified mail) and provides trends to management for payer outreach and/or internal billing system updates to ensure timely filing and reimbursement
Skills, Knowledge & Abilities:* Demonstrates excellent attention to detail and prioritization of accounts* Demonstrates strong working knowledge of Epic Hospital Billing Follow Up and Denial workflows, considered as Subject Matter Expert (SME) to team and other colleagues* Demonstrates Clear oral and written communication.* Demonstrates Professional telephone & email etiquette.* Demonstrates the ability to interact with insurance carriers, patients, and co-workers in a professional and helpful manner.* Demonstrates higher level use of billing computer and PC skills.* Demonstrates a higher level of problem solving and decision making skills.* Demonstrates ability to resolve account issues to completion and obtain appropriate payment* Demonstrates the ability to work independently and efficiently Preferred Qualifications & Skills:Experience in Revenue Cycle Accounts ReceivableExperience working with EPICExperience:At least five (5) years accounts receivable experience required
Education: High School Diploma / GED Required
Pay Range:
$22.05 - $29.68
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled
$22.1-29.7 hourly Auto-Apply 23d ago
Reimbursement Representative
U.S. Renal Care, Inc. 4.7
Remote
USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.
SUMMARY
The Reimbursement Representative performs reconciliation and review of all outstanding Medicare/Commercial patient balances in accordance with US Renal Care reimbursement policies and procedures.
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
Reviews EOB/EOMB's for proper reimbursement.
Resolves electronic claim rejections and Explanation of Benefits denials in a timely manner.
Reviews and researches insurance correspondence and makes necessary corrections to ensure claims payment.
Follows up on unpaid/unresolved account balances, including claims rejected electronically, EOB denial and working A/R aging reports as directed. Provides insurance carriers with requested information to facilitate payment.
Regularly contacts Medicare, Medicaid and /or Commercial payors for resolution to claims not paid or claims not paid according to plan benefits.
Performs claim appeals as required.
Assists with credit balance resolution.
Completes re-bill request as necessary to facilitate timely and proper claims payment.
Follows up on unresolved account balances including RTP's.
Prepares adjustment and write-off requests as necessary.
Performs other duties and responsibilities as required or assigned.
$29k-48k yearly est. 17h ago
Confirmation Representative
Johns Hopkins Medicine 4.5
Baltimore, MD jobs
You were meant for Hopkins. Johns Hopkins Home Care Group is a private, not-for-profit, community health care provider, governed by a community-based board of trustees. We can offer the most advanced, innovative technology with the collaboration and teamwork typically found in a community hospital. Our exceptional employee development programs offer unlimited career growth potential.
What Awaits You?
* Career growth and development
* Diverse and collaborative working environment
* Paid Time Off
* Affordable and comprehensive benefits package
Location:
Johns Hopkins Home Care Group, Baltimore, MD
Role is work from home after initial training period.
Full Time (40 hours)/Day Shift- 8:30am-5pm
Monday-Friday
Position Summary:
* Responsible for reconciling daily orders to ensure delivery completed, POD/shipping details received, and documentation necessary for payment for services rendered by Johns Hopkins Home Care Group confirmed.
* Ensure all data elements are present and reviewed for regulatory purposes prior to confirming.
* Independently troubleshoot and resolve unconfirmed order issues - complete appropriate follow up or route to designated area.
* Upon reconciliation of completed order for POD; Tracking; Shipping - resolution of all message and loading of actual date - complete confirmation step.
* Function as a resource regarding claim submission and coverage requirements.
Minimum Qualifications:
Education:
* High School Dipoloma or equivalent is required
Experience:
* 1 year - data entry/order reconciliation experience
* 1 year - DME billing/customer service
Important Notices:
* Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.
Salary Range: Minimum 15.00/hour - Maximum 24.09/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
$34k-41k yearly est. 13d ago
PACT Representative I
Advocate Health and Hospitals Corporation 4.6
Winston-Salem, NC jobs
Department:
12705 Enterprise Corporate - Patient Access & Care Team: NC/GA Operations
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Remote resident of North Carolina, preferred
Shift Monday-Friday, hours to be determined
Pay Range
$21.85 - $32.80
Major Responsibilities:
Uses facility/provider information and established policies and procedures to seamlessly link the patient experience between PACT and the practice site.
Uses resources and critical thinking skills to assist inbound callers. Makes outbound calls when required or when follow up is deemed necessary.
Has the ability to recognize complex problems and questions and escalates for resolution when needed. Performs basic technical troubleshooting in connection to online applications, systems, or access as requested to resolve issues.
Responsibilities include scheduling patient appointments and coordinating cancellations, reschedules, and additions to schedules. Obtains demographic and insurance information and verifies insurance coverage. Ensures insurance and patient information obtained is complete and accurate, updating information if necessary, applying acquired knowledge of government and third-party payer requirements.
Completes all essential forms, obtains necessary information, such as patient demographic and insurance information. Verifies and updates the medical record with patient information.
Identifies emergent calls based on information provided by caller and department procedures. Follows the process for immediate transfer to Registered Nurse for triaging. Responsible for competency in and adherence to guidelines for emergency situations and critical call handling.
Determines the needs of patients calling the call center which results in routing patients for triage, scheduling, rescheduling, and canceling appointments, submitting medication refill requests for evaluation, and paging providers and facilities as appropriate.
Provides customer service per established departmental standards as measured by patients on post call survey. Asks clarifying questions, presents options or solutions, and understands the level of complexity of the call, escalating only those situations necessary for resolution.
Assists with organizational marketing efforts by providing associated information and referral to customer, while maintaining appropriate records for documentation. Conducts regular reporting and updating of the provider and marketing databases.
Performs additional duties based on department needs.
Maintains knowledge and efficient utilization of all information systems utilized by the department.
Licensure, Registration, and/or Certification Required:
None
Education Required:
High School Graduate
Experience Required:
Typically requires 0 -1 year experience in a call center, healthcare or other applicable customer service-related area
Knowledge, Skills & Abilities Required:
Knowledge of customer service and ability to work with a variety of patients and patient situations. Ability to follow workflows while operating in a structured environment
Basic knowledge of medical terminology is helpful but not required.
Basic understanding of computers and desktop software packages.
Ability to work in a fast-paced environment, handling a variety of customer/patient needs.
Basic multitasking and problem-solving skills, as well as organization and prioritization skills.
Ability to use/manage a multiple-line telephone system.
Demonstrated ability for analysis, logical thinking, accuracy and concern for detail.
Strong verbal communication skills and ability to interact with a diverse customer population.
Ability to provide excellent customer service and follow up. Ability to communicate with customers/patients while researching and documenting the interaction on multiple systems.
Ability to work with a variety of customers and actively listen to successfully determine the customer's needs. Ability to resolve customer issues.
Ability to work a variety of hours based on departmental business needs.
Physical Requirements and Working Conditions:
Must have functional vision, touch, speech, and hearing.
Required to sit most of the workday.
Operates all equipment necessary to perform the job.
Exposed to normal office environment and/or remote work environments
This indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Must live in AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, IL (Only WI/IL Division), LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$21.9-32.8 hourly Auto-Apply 8d ago
CS Representative 1
Genova Diagnostics 4.1
North Carolina jobs
The Client Services Representative is responsible for all aspects of follow-up on each client telephone and electronic encounter. This includes answering incoming and making outgoing calls to physicians, staff and patients, as well as responding to electronic requests. The CSR will work closely with Sales and Marketing staff on relationship building for all company accounts. The CSR works with the department staff and supervisor to assure a high standard of customer service. Also assumes a proactive role for client education.
Essential Duties and Responsibilities:
Responsibilities include but are not limited to the following:
Handle incoming calls as a priority, maintaining customer service levels as decided by the company.
Explore with physicians and their staff whether products match the scope of physician practice. The CSR follows through with placing appropriate orders for sample collection supply kits and educational material.
Educates physicians/staff about tests. The CSR is required to familiarize themselves with symptoms supporting, and treatment for, tests offered by the company. Patient specific cases must be referred to the Medical Education Team.
Understand and explain to physicians and/or staff the impact of interfering substances on particular components within test profiles.
Assist physicians and staff in determining whether a sample is adequate and/or appropriate for testing by understanding laboratory sample requirements and standards for sample acceptance.
Record incident/complaints, and will research problems, and exercise solutions, thoroughly documenting each incident to ensure accountability. The CSR is an active participant in preventing negative issues from recurring.
Must be knowledgeable and remain up to date on company billing policies and procedures, Medicare rules and regulations, state limitations of payment options, health care practitioner licensing limitations, and company licenses and accreditation.
Utilizes various resources for supporting the benefits of company tests, including Internet sites, reference articles and journal publications.
Other
Develops and constantly improves human relations skills to serve internal and external clients.
Maintains accurate information on client accounts and documents in appropriate systems. The CSR will serve as a primary source for client information.
Attends department meetings, and serves on committees/teams as appropriate.
Submits periodic summaries of special projects to the supervisor.
Within the department, the CSR reports to the Client Services Assistant Manager/Manager. In routine follow-up and troubleshooting reports, they will interact directly with all company departments, specifically through other supervisors and group leaders.
$28k-38k yearly est. 15d ago
Revenue Cycle Financial Representative
UNC Health Care 4.1
Finance representative job at UNC Health Care
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. ***Bilingual is preferred but not required.** **Position is based at the UNC Main Campus (101 Manning Drive, Chapel Hill, with some work at an offsite office in Chapel Hill, NC.**
**Summary:**
Responsible for performing a variety of complex pre-services, financial counseling and customer service-related functions for patients and/or their representative including pre-service estimates, collection of pre-payments, collection of prior debt, obtaining authorizations, addressing billing questions, establishing payment plans, screening for financial assistance, responding to MyUNCChart inquiries and other Customer Service requests for both hospital and physician services.
**Responsibilities:**
1. Create Hospital and Physician estimates using the Epic Patient Estimator, review eligibility and benefits utilizing RTE, and obtain authorization requirements.
2. Contact patient pre-service providing benefit and patient liability education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service.
3. Provide estimates to patient shoppers and clinical areas across the healthcare system. Work with clinical areas to create estimate templates, determine workflow and process, and collaborate with ISD for template creation and rollout. Provide payment plans for point-of-service (POS) collections.
4. Train clinical areas on estimate usage and patient scripting for collections, audit and provide feedback on accuracy of estimates utilizing Epic estimate reports. Track and trend collection amounts and template accuracy utilizing hospital and physician EOBs and refine process to enhance accuracy. Screen and assist patients with financial assistance, Medicaid eligibility and/or other funding sources available.
5. Monitor and track routine follow up with Medicaid and financial assistance approvals. Handles HB/PB patient inquiries to address any/all billing questions via inbound calls, MyUNCChart, patient correspondence and patient walk-ins.
6. Fulfills patient requests for itemization of charges, adding/verifying/billing insurance, establishing payment plans, payroll deductions, process adjustments, request refunds, and explain charity care policy and guidelines.
7. Initiate patient outreach on delinquent payment plans, adding accounts to existing payment plans and high risk/balance accounts. Investigate HB and PB Set off Debt Collection Act (SODCA) disputed accounts that have received a NC State Income Tax refund withhold using current and legacy billing and imaging systems. Meets with attorneys to record depositions, collaborate with the attorney general's office and attend/participate in hearings when needed.
8. Work with Patient Relations, Risk Management for HB and PB patients who have escalated complaints or concerns. Oversee HB Client account billing and follow-up which includes validating charges and fee schedules, review and move charges, research and reconcile payments, communicate with multiple departments to answer client questions and collect payments. Work with external customers such as collection agencies, clinics to address any patient concerns
**Other Information**
Other information:
**Education Requirements:**
● High school diploma or GED.
**Licensure/Certification Requirements:**
● No licensure or certification required.
**Professional Experience Requirements:**
● Two (2) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections).
**Knowledge/Skills/and Abilities Requirements:**
● Excellent interpersonal, verbal and written communication skills.
● Excellent listening skills, and organizational skills.
● Advanced knowledge of UB-04, HCFA-1500's and Explanation of Benefits (EOB) interpretation.
● Intermediate knowledge of CPT and ICD-9 codes.
● Advanced knowledge of insurance billing, collections and insurance terminology.
● Ability to work in fast pace environment and prioritize and manage multiple tasks.
● Healthcare terminology.
● Customer Service skills.
● Computer knowledge: MS Word, Excel, and Outlook.
● Knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.
**Job Details**
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Financial Counseling
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.66 - $26.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC: Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
$18.7-26.5 hourly 60d+ ago
Respiratory Anesthesia Representative-Raleigh, North Carolina
About Fisher & Paykel Healthcare At Fisher & Paykel Healthcare, our dedication unites us in a shared mission to improve patient care and outcomes through world-leading healthcare solutions. We call this commitment Care by Design. Our journey began in New Zealand over five decades ago when a visionary doctor and two ingenious engineers pioneered a new approach to respiratory health. Today, we are a leading designer, manufacturer, and marketer of products and systems for acute and chronic respiratory care, anesthesia, and the treatment of obstructive sleep apnea. Our innovative products touch the lives of millions of patients annually while operating in over 120 countries worldwide.
We seek individuals who are passionate about having a lasting, positive impact. We value individuals who prioritize enduring relationships and creative thinking and who are driven to make a difference.
In return, we will support your personal and professional growth with our inclusive work environment, built on a foundation of care and collaboration. Together, we form a team of compassionate individuals dedicated to purposeful work.
Care to join us and make a real impact?
Job Title:
Respiratory Anesthesia Representative-Raleigh, North Carolina (please see map for territory perameters).
Job Overview:
As a Respiratory Anesthesia Representative, you will promote and sell our proprietary heated humidification products for use in hospital operating rooms and procedural areas in the assigned territory. You will become a trusted clinical advisor providing education and technical support to anesthesiologists, CRNAs, physician specialists, and other healthcare professionals.
Candidates must reside in the greater Raleigh area.
Care to join us? Apply today and join our dynamic Fisher & Paykel Healthcare team! You will be a part of a culture motivated by transforming clinical practice and improving patient care and outcomes.
Responsibilities:
* Develop sales and territory management plans with the sales manager to achieve maximum market impact and meet or exceed sales targets
* Develop, cultivate, and maintain relationships with customers and strategic partners within the territory
* Identify potential hospitals and surgery centers through lead generation and strategic prospecting
* Conduct customer visits to introduce FPH hospital products, therapy approaches, and their benefits
* Serve as the product expert, providing in-serving and education to anesthesiologists, CRNAs, physician specialists, and other healthcare professionals
* Install and execute evaluations of FPH hospital products in the operating room and procedural suites with post-sales education and support
* Maintain and grow existing accounts while securing new business opportunities
* Disciplined use of CRM/Salesforce to track opportunities, sales and monitor results
* Attend trade shows and conventions to provide information and education on FPH hospital products
* Must be able to lift a maximum of 40 pounds without limits or restraints
Education and Experience Requirements:
* Experience in managing a large territory
* Bachelor's degree preferred
* 1-2 years of sales experience with a consistent track record of success, preferably in a business-to-business selling model
* Medical device sales, preferably in the OR, are preferred but not required
* Excellent communication, planning, organizational, and problem-solving skills
* Ability to evaluate business opportunities, set priorities, and manage a large territory
* Anesthesia Technologist OR Registered Nurse a plus
* Up to 30% overnight travel
Salary Range:
The anticipated salary range for candidates working in this territory is $123,000 to $134,000 (base + commission). The final salary offered to a successful candidate will depend on several factors, including, but not limited to, the type and length of experience within the job, the type and length of experience within the industry, education, etc. Fisher & Paykel Healthcare is a multi-state employer, and this salary range may not reflect positions in other states.
In return, we will offer you an opportunity to work as part of a dedicated and energetic team at a company with a fantastic culture of commitment to our employees and customers. You'll have an opportunity to participate in a comprehensive benefits package that offers medical, dental, vision, life insurance, paid parental leave, 401k, employee stock purchase plan, and other options to meet the diverse needs of our employees.
US work authorization is a precondition of employment. Fisher & Paykel Healthcare will not consider candidates who require sponsorship for a work-authorized visa.
Company relocation benefits will not be provided for this position.
You will be required to visit your customers. To be granted access, you must comply with each healthcare facility's policies, including submitting to a background screen, vaccination for COVID-19 and the flu, providing copies of immunization records, or meeting other health requirements. You will also attend conferences, meetings, and trade shows and must comply with each host's requirements to attend these in-person events.
Fisher & Paykel Healthcare is an equal opportunity employer. The Company's policy is not to discriminate nor allow any employee to discriminate against any employee or applicant for employment based on race, color, age, religion, sex, national origin, disability, marital status, military status including veterans and disabled veterans, or any other protected status in accordance with all applicable federal, state, and local laws.
Fisher & Paykel Healthcare participates in E-Verify.
Global Privacy Statement | Fisher & Paykel Healthcare (fphcare.com)
Reasonable Accommodations
As an Equal Opportunity Employer, Fisher & Paykel Healthcare is committed to providing reasonable accommodation to applicants with disabilities. If you are interested in applying for employment with Fisher & Paykel Healthcare, and need special assistance or an accommodation to use our website, please contact us at *******************
When contacting us please provide your contact information and the nature of your accessibility issue. We will only respond to requests for reasonable accommodations.
* EEOC - Know Your Rights
$37k-51k yearly est. 13d ago
Check-In Representative - PAS I
Pinehurst Surgical Clinic Pa 4.3
Pinehurst, NC jobs
A Patient Access Representative I (PAS I) is responsible for helping patients gain access to medical treatment facilities. The job description for a patient access representative will include communicating well with members of the public and accurately recording data. Responsible for providing quality and efficient customer service to our patients.
POSITION REQUIREMENTS:
Check-in
Greet patients and their caregivers on arrival
Collect accurate information such as patient demographics and insurance information
Relay information to relevant staff members
Collect copays and balances as required or instructed
Assist patients with questions, concerns, and issues
Give out appropriate paperwork including but not limited to face sheet, MIPS, and PHI
Other duties as assigned by manager, leads, or other superiors to limit downtime
End of Day
Balance daily transactions
Add up all receipts and balance with monies received for the day
Write deposit for monies collected
Print out daily transactions and reports
Requirements
PREFERRED QUALIFICATIONS:
Experience in a clerical position preferred
High school diploma or equivalent
Knowledge of medical terminology and insurance plans is beneficial
Proficiency in Microsoft Office and data entry systems
Knowledge and understanding of billing and payment procedures, rules & regulations of contractual and non-contractual insurance carriers
Ability and understanding of how to use ICD-10, HCPCS, and CPT coding books and or applications
Ability to multitask and maintain strong attention to detail
Ability to speak clearly and concisely with pleasant attitude, and present a neat appearance
PERSONAL CHARACTERISTICS:
Compassionate and patient
Professional demeanor
Excellent communication and interpersonal skills
Strong administrative and organizational skills
Listens well and devotes full attention to patients and medical professionals
Maintain confidentiality
$32k-38k yearly est. 8d ago
2026 Summer Intern: Finance Department
Axsome Therapeutics 3.6
Day, NY jobs
Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain's biggest problems so patients and their loved ones can flourish. For more information, please visit us at ************** and follow us on LinkedIn and X.
About This Role
Axsome Therapeutics is seeking an intern to support the Finance team. This individual will be responsible for assisting members of the Finance team with a variety of day-to-day tasks, and ongoing projects.
The Finance Intern will report directly to the Assistant Controller and will work cross-functionally.
This role is based at Axsome's HQ in New York City with an on-site requirement of at least three days per week. We are unable to consider candidates who are looking for fully remote roles.
Job Responsibilities and Duties include, but are not limited to, the following:
Support the creation of budget vs. actual financials schedules in excel using Axsome's approved budget and actual financial results
Support key balance sheet and expense account analysis; provide explanations for variances vs. last quarter/last year
Support the creation of quarterly financial trends and results in PowerPoint for management reporting
Benchmark peer pharmaceutical companies' financial data and financial disclosures
Support certain monthly/quarterly close processes, including accrual analysis, valuation schedules, general ledger account reconciliations
Ad Hoc requests supporting the Finance function including product research and disclosure benchmarking
Additional responsibilities as assigned
Requirements / Qualifications
Actively enrolled with a minimum 3.0 GPA in an undergraduate or graduate program with a focus on Finance, Accounting, Economics, or Business
A proactive, creative, and entrepreneurial approach to work
Interest and/or experience in CNS diseases
Excellent oral and written communication skills
Demonstrates strong attention to detail
Proficient in Microsoft Office Suite (Excel, Word, PowerPoint)
Organizational and critical thinking skills
Strong interpersonal skills and the ability to work well in a team environment
Ability to work on site Monday, Tuesday & Thursday. We are unable to consider candidates who are looking for fully remote roles
Experience and Knowledge
Basic knowledge of, or previous experience with Microsoft Office, Accounts Payable, Accounts Receivable, and Concur Expense Report
Interest in Pharmaceutical/Life Sciences industry a plus
Accomplished background demonstrating teamwork, creativity, leadership, good judgement, and delivering results
Additional Details
The anticipated hourly rate for this role is $18-$25/hour. The salary offer will be based on a variety of factors, including experience, qualifications, and internal equity.
This is a full-time and temporary role beginning in June and concluding in August. Final dates will be confirmed this spring. Successful candidates will be compensated at an hourly rate for the duration of the internship. Interns will work a maximum of 40 hours a week.
Axsome is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, sexual orientation, gender identity, ancestry, citizenship, marital status, physical or mental disability, medical condition, veteran status, genetic information, or any other characteristic protected by federal, state, or local law.
$18-25 hourly Auto-Apply 21d ago
Revenue Cycle Financial Representative - Customer Service Call Center
UNC Health Care 4.1
Finance representative job at UNC Health Care
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Responsible for performing a variety of complex pre-services, financial counseling and customer service related functions for patients and/or their representative including pre-service estimates, collection of pre-payments, collection of prior debt, obtaining authorizations, addressing billing questions, establishing payment plans, screening for financial assistance, responding to MyUNCChart inquiries and other Customer Service requests for both hospital and physician services.
Responsibilities:
1. Create Hospital and Physician estimates using the Epic Patient Estimator, review eligibility and benefits utilizing RTE, and obtain authorization requirements.
2. Contact patient pre-service providing benefit and patient liability education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service.
3. Provide estimates to patient shoppers and clinical areas across the healthcare system. Work with clinical areas to create estimate templates, determine workflow and process, and collaborate with ISD for template creation and rollout. Provide payment plans for point-of-service (POS) collections.
4. Train clinical areas on estimate usage and patient scripting for collections, audit and provide feedback on accuracy of estimates utilizing Epic estimate reports. Track and trend collection amounts and template accuracy utilizing hospital and physician EOBs and refine process to enhance accuracy. Screen and assist patients with financial assistance, Medicaid eligibility and/or other funding sources available.
5. Monitor and track routine follow up with Medicaid and financial assistance approvals. Handles HB/PB patient inquiries to address any/all billing questions via inbound calls, MyUNCChart, patient correspondence and patient walk-ins.
6. Fulfills patient requests for itemization of charges, adding/verifying/billing insurance, establishing payment plans, payroll deductions, process adjustments, request refunds, and explain charity care policy and guidelines.
7. Initiate patient outreach on delinquent payment plans, adding accounts to existing payment plans and high risk/balance accounts. Investigate HB and PB Set off Debt Collection Act (SODCA) disputed accounts that have received a NC State Income Tax refund withhold using current and legacy billing and imaging systems. Meets with attorneys to record depositions, collaborate with the attorney general's office and attend/participate in hearings when needed.
8. Work with Patient Relations, Risk Management for HB and PB patients who have escalated complaints or concerns. Oversee HB Client account billing and follow-up which includes validating charges and fee schedules, review and move charges, research and reconcile payments, communicate with multiple departments to answer client questions and collect payments. Work with external customers such as collection agencies, clinics to address any patient concerns
**Other Information**
Other information:
**Education Requirements:**
● High school diploma or GED.
**Licensure/Certification Requirements:**
● No licensure or certification required.
**Professional Experience Requirements:**
● Two (2) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections).
**Knowledge/Skills/and Abilities Requirements:**
● Excellent interpersonal, verbal and written communication skills.
● Excellent listening skills, and organizational skills.
● Advanced knowledge of UB-04, HCFA-1500's and Explanation of Benefits (EOB) interpretation.
● Intermediate knowledge of CPT and ICD-9 codes.
● Advanced knowledge of insurance billing, collections and insurance terminology.
● Ability to work in fast pace environment and prioritize and manage multiple tasks.
● Healthcare terminology.
● Customer Service skills.
● Computer knowledge: MS Word, Excel, and Outlook.
● Knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.
**Job Details**
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Customer Service Call Center
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.66 - $26.51 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Performs a variety of complex duties in support of reimbursement from patients and insurance carriers.
Responsibilities:
1. Collect delinquent account payments from patients and carriers. Authorized to expedite garnishment of wages for payment of outstanding charges. Collect payment on delinquent accounts by processing forms, generating correspondence, responding to appeals and presenting case at hearings.
2. Contact insurance carriers to obtain authorizations and referral approvals for services and procedures. Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. Submits requested medical information to insurance carrier.
3. Evaluate accounts, billing, payments, and posting of accurate charges for a highly specialized and complex medical service such as transplant
4. Maintain data tables for systems that support Patient Accounting operations. Evaluate carrier and departmental information and determines data to be included in system tables
5. May serve as a lead worker to provide problem resolution and assistance to lower level positions.
6. Obtain information from patients to verify insurance coverage and financial status in order to obtain proper reimbursement. In cases of acute patient presentation, obtain identity of patient, insurance information, etc. or follow up with patient for information when patient is coherent.
7. Perform other office/administrative support duties. NOTE This duty should not comprise more than 40% of the position's total duties.
8. Post payments and denials to patient accounts, reconcile accounts, research and resolve a variety of problems relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims. Contact patients, physicians and insurance companies to obtain information necessary for account resolution through write-offs, reversals, adjustments, refunds or other methods.
9. Process a variety of forms that may be complicated by legal issues (Psychiatry, patient confidentiality) in accordance with UNCHCS policies and procedures. Input information into variety of systems
10. Research and determine if carrier denial of claim is valid. Abstract information from medical records to support appeal of carrier denials and/or make recommendations to change coding of charges in accordance with ICD-9 and CPT codes. Resolve denials of claims with carriers and patients.
11. Researches, analyzes, resolves and collects patient accounts receivable. Utilizes a variety of systems to analyze insurance and demographic information responds to requests for account information processes a variety of records and reports and contacts third party carriers, patients and employers to resolve outstanding accounts. Accurately documents collection activities performed on outstanding accounts receivable.
12. Serve as a resource for physicians, insurance carriers and patients to resolve questions/ problems pertaining to patient accounts.
13. When dealing with indigent patients, expedite completion of applications for Medicaid and other programs (via GFS) by reviewing applications for accuracy and completeness. Advise patients of programs available to provide coverage and persuades patients to apply. Establish payment plans for patients who have no method of payment when all options are exhausted.
**Other Information**
Other information:
**Education Requirements:**
● High School diploma or GED
**Licensure/Certification Requirements:**
● No licensure or certification required.
**Professional Experience Requirements:**
● Three (3) years of experience in a clerical, accounting or customer service setting
**Knowledge/Skills/and Abilities Requirements:**
● Substantial knowledge of a variety of carrier policies, procedures and practices is required.
**Job Details**
Legal Employer: NCHEALTH
Entity: UNC REX Healthcare
Organization Unit: UNC Homecare Admin
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $17.60 - $24.29 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Durham
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Performs a variety of complex duties in support of reimbursement from patients and insurance carriers.
Responsibilities:
1. Collect delinquent account payments from patients and carriers. Authorized to expedite garnishment of wages for payment of outstanding charges. Collect payment on delinquent accounts by processing forms, generating correspondence, responding to appeals and presenting case at hearings.
2. Contact insurance carriers to obtain authorizations and referral approvals for services and procedures. Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. Submits requested medical information to insurance carrier.
3. Evaluate accounts, billing, payments, and posting of accurate charges for a highly specialized and complex medical service such as transplant
4. Maintain data tables for systems that support Patient Accounting operations. Evaluate carrier and departmental information and determines data to be included in system tables
5. May serve as a lead worker to provide problem resolution and assistance to lower level positions.
6. Obtain information from patients to verify insurance coverage and financial status in order to obtain proper reimbursement. In cases of acute patient presentation, obtain identity of patient, insurance information, etc. or follow up with patient for information when patient is coherent.
7. Perform other office/administrative support duties. NOTE This duty should not comprise more than 40% of the position's total duties.
8. Post payments and denials to patient accounts, reconcile accounts, research and resolve a variety of problems relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims. Contact patients, physicians and insurance companies to obtain information necessary for account resolution through write-offs, reversals, adjustments, refunds or other methods.
9. Process a variety of forms that may be complicated by legal issues (Psychiatry, patient confidentiality) in accordance with UNCHCS policies and procedures. Input information into variety of systems
10. Research and determine if carrier denial of claim is valid. Abstract information from medical records to support appeal of carrier denials and/or make recommendations to change coding of charges in accordance with ICD-9 and CPT codes. Resolve denials of claims with carriers and patients.
11. Researches, analyzes, resolves and collects patient accounts receivable. Utilizes a variety of systems to analyze insurance and demographic information responds to requests for account information processes a variety of records and reports and contacts third party carriers, patients and employers to resolve outstanding accounts. Accurately documents collection activities performed on outstanding accounts receivable.
12. Serve as a resource for physicians, insurance carriers and patients to resolve questions/ problems pertaining to patient accounts.
13. When dealing with indigent patients, expedite completion of applications for Medicaid and other programs (via GFS) by reviewing applications for accuracy and completeness. Advise patients of programs available to provide coverage and persuades patients to apply. Establish payment plans for patients who have no method of payment when all options are exhausted.
Other Information
Other information:
Education Requirements:
● High School diploma or GED
Licensure/Certification Requirements:
● No licensure or certification required.
Professional Experience Requirements:
● Three (3) years of experience in a clerical, accounting or customer service setting
Knowledge/Skills/and Abilities Requirements:
● Substantial knowledge of a variety of carrier policies, procedures and practices is required.
Job Details
Legal Employer: NCHEALTH
Entity: UNC REX Healthcare
Organization Unit: UNC Homecare Admin
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $17.60 - $24.29 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: US:NC:Durham
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
$17.6-24.3 hourly 17d ago
TCL Financial Services Specialist (Hickory, NC)
Partners Behavioral Health Management 4.3
Hickory, NC jobs
Competitive Compensation & Benefits Package!
eligible for -
Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
Public Service Loan Forgiveness Qualifying Employer
See attachment for additional details.
Office Location: Available for Hickory, NC
Closing Date: Open Until Filled
Primary Purpose of Position: This position is responsible for all the Transitions to Community Living (TCL) financial activities.
Role and Responsibilities:
60%: Accounting/General Ledger
Reconciliation of TCL member allowances (includes obtaining, tracking receipts and reconciling between ledgers).
Assure proper coding and payment for TYSR, Barrier, CCT, CLA, Prorated rents, Security Deposits, Hold Fees, and Special Claims
Prepare/Process TCL subsidy payments and adjustments
Securing vendors documents as required
Monthly preparation of journal entries and reconciliations related to TCL
25%: Procurement:
Responsible for TCL purchasing and LME/MCO compliant with statutory requirements controlling purchasing for local governments in NC and LME/MCO policy and procedure
Record and track all TCL purchase requests and assure that budget is available for purchases
Assist staff with TCL purchases
10% Other
Assist auditors during annual fiscal audit as needed
Audit Clive, reconcile and recover funds based on audit
Ensure Bridge clients are set up in Temporary Housing and Expenses are available with means to their budget
5% Reports
Primary responsibility for preparation and submission of accurate FSR amounts and records in a timely manner
Knowledge, Skills and Abilities:
Strong working knowledge of North Carolina governmental purchasing rules and regulations
General knowledge of accounting and auditing principles and practices
Knowledge of and ability to explain and apply the provisions of the standardized accounting practices adopted by State Government
Working knowledge of accounting software
Ability to interpret and analyze accounting data and apply that analysis to the departmental or institutional needs and determine compliance with pertinent guidelines, rules, regulations, and laws
Ability to establish and maintain effective working relationships with representatives of related contact agencies, departmental staff, vendors, and the public
Excellent communication skills, both orally and in writing
High level of accounting and data entry skill
Excellent computer skills and proficiency in Word, Excel, and Outlook
Education and Experience Required:
Associate Degree in Accounting or Business and three (3) years of experience in business or governmental agency; or an equivalent combination of education and experience.
NC residency, or within 40 miles of the NC border, is required.
$27k-31k yearly est. Auto-Apply 23d ago
TCL Financial Services Specialist (Hickory, NC)
Partners Behavioral Health Management 4.3
Hickory, NC jobs
Competitive Compensation & Benefits Package!
eligible for -
Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
Public Service Loan Forgiveness Qualifying Employer
See attachment for additional details.
Office Location: Available for Hickory, NC
Closing Date: Open Until Filled
Primary Purpose of Position: This position is responsible for all the Transitions to Community Living (TCL) financial activities.
Role and Responsibilities:
60%: Accounting/General Ledger
Reconciliation of TCL member allowances (includes obtaining, tracking receipts and reconciling between ledgers).
Assure proper coding and payment for TYSR, Barrier, CCT, CLA, Prorated rents, Security Deposits, Hold Fees, and Special Claims
Prepare/Process TCL subsidy payments and adjustments
Securing vendors documents as required
Monthly preparation of journal entries and reconciliations related to TCL
25%: Procurement:
Responsible for TCL purchasing and LME/MCO compliant with statutory requirements controlling purchasing for local governments in NC and LME/MCO policy and procedure
Record and track all TCL purchase requests and assure that budget is available for purchases
Assist staff with TCL purchases
10% Other
Assist auditors during annual fiscal audit as needed
Audit Clive, reconcile and recover funds based on audit
Ensure Bridge clients are set up in Temporary Housing and Expenses are available with means to their budget
5% Reports
Primary responsibility for preparation and submission of accurate FSR amounts and records in a timely manner
Knowledge, Skills and Abilities:
Strong working knowledge of North Carolina governmental purchasing rules and regulations
General knowledge of accounting and auditing principles and practices
Knowledge of and ability to explain and apply the provisions of the standardized accounting practices adopted by State Government
Working knowledge of accounting software
Ability to interpret and analyze accounting data and apply that analysis to the departmental or institutional needs and determine compliance with pertinent guidelines, rules, regulations, and laws
Ability to establish and maintain effective working relationships with representatives of related contact agencies, departmental staff, vendors, and the public
Excellent communication skills, both orally and in writing
High level of accounting and data entry skill
Excellent computer skills and proficiency in Word, Excel, and Outlook
Education and Experience Required:
Associate Degree in Accounting or Business and three (3) years of experience in business or governmental agency; or an equivalent combination of education and experience.
NC residency, or within 40 miles of the NC border, is required.