Accounts Receivable Specialist - Lafayette Home Office
Accounts receivable specialist job at UnitedHealth Group
Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As a Collection Specialist, you will take charge of preparing and processing a variety of insurance claims with precision. Each day, you ensure accuracy by actively verifying data through direct communication with agencies and external partners-keeping everything on track and moving forward.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Prepare and process various insurance claims, including electronic submissions for multiple payers
+ Verify claim data daily through communication with agencies and external personnel
+ Research and correct error claims to ensure clean claim production and submission
+ Review accounts receivable daily and follow up on delinquent accounts per established procedures
+ Recommend corrective actions based on account review findings
+ Investigate and respond to inquiries from payors and agencies regarding accounts receivable activity
+ Maintain and update accounts receivable schedules to track issues and resolutions for reporting
+ Resolve customer requests, inquiries, and concerns promptly and respectfully You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ 1+ years of medical billing and collections experience
+ Excellent oral and written communication skills
+ Solid organizational, analytical, and math skills
+ Basic proficiency in PC applications, including Microsoft Word and Excel
**Preferred Qualifications:**
+ Home Health billing and collections experience
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Collection Specialist
Accounts receivable specialist job at UnitedHealth Group
Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As a Collection Specialist, you will take charge of preparing and processing a variety of insurance claims with precision. Each day, you ensure accuracy by actively verifying data through direct communication with agencies and external partners-keeping everything on track and moving forward.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Prepare and process various insurance claims, including electronic submissions for multiple payers
+ Verify claim data daily through communication with agencies and external personnel
+ Research and correct error claims to ensure clean claim production and submission
+ Review accounts receivable daily and follow up on delinquent accounts per established procedures
+ Recommend corrective actions based on account review findings
+ Investigate and respond to inquiries from payors and agencies regarding accounts receivable activity
+ Maintain and update accounts receivable schedules to track issues and resolutions for reporting
+ Resolve customer requests, inquiries, and concerns promptly and respectfully You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ 1+ years of medical billing and collections experience
+ Excellent oral and written communication skills
+ Solid organizational, analytical, and math skills
+ Basic proficiency in PC applications, including Microsoft Word and Excel
**Preferred Qualifications:**
+ Home Health billing and collections experience
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
Substance Abuse Specialist
New York, NY jobs
Licensed Behavioral Health Clinicians provide supportive counseling, advocacy, education, and care management to help patients and their families navigate mental illness, access community resources, and manage symptoms to help them remain safely in the community This is a senior, master's level, licensed social services role that provides direct care as part of a team. Join us in building on our 130-year history and become a part of the Future of Care that is strengthening communities with high quality, integrated behavioral health programs. VNS Health Behavioral Health team members provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life and mental well-being. We deliver care wherever our clients are, including outpatient clinics, clients' homes, and the community. Our short- and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults. As part of our fast-growing Behavioral Health team, you'll have an opportunity to develop and advance your skills, whether you're early in your career or an experienced professional.
What We Provide
Attractive sign-on bonus and referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, CEU credits, and advancement opportunities
Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals
What You Will Do
Utilizes approved assessments to identify clients/members needs and family needs; develops initial and ongoing clinical plan of care. Updates plan at specified intervals, and as needed based on changes in client/member condition or circumstances
Performs and maintains effective care management for assigned caseload of clients/members. Leads the care coordination for complex psychiatric clinical cases. Tracks and monitors progress; maintains detailed, accurate and timely progress notes and other documentation
Provides supportive counseling and/or supportive therapy as well as ongoing mental health services
Collaborates and refers to appropriate agencies as required. Addresses any client/member concerns to ensure satisfaction with overall services provided and uses motivational interviewing techniques to foster behavioral changes
Develops inventory of resources that meet the clients/members needs as identified in the assessment
Provides linkage, coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case conferences with all providers serving the clients/members
Provides information and assistance through advocacy and education to clients/members and family on availability and eligibility of entitlements and community services. Arranges transportation and accompanies clients/members to appointments as necessary
Assists clients/members and/or families in the development of a sustainable network of community-based supports, utilizing identified strengths and tools designed to prevent future participant crises and/or reduce the negative impact if a crisis does occur
Participates in initial and ongoing trainings as necessary to maintain and enhance clinical and professional skills
Maintains updated case records in program EMR. Maintains case records in accordance with program policies/procedures, VNS Health standards and regulatory requirements
Participates and consults with team supervisor in case conferences, staff meetings, utilization review and discharge planning meetings to determine if client/member requires an alternate level of care or is appropriate for discharge
Participates in 24/7 on-call coverage schedule and performs on-call duties, as required
Acts as liaison with other community agencies
Provides short term counseling (coping skills, trauma informed, decision making) and Risk Health Assessment/Safety Planning
Collects and reports data, as required while adhering to productivity standards
Leads and participates in “Network Meetings” with client, client/ member's personal support network and other team members using the Open Dialogue Model
Qualifications
Master's Degree in Social Work, Psychology, Mental Health Counseling, Family Therapy or related degree
Minimum of two years of mental health work experience providing direct services to clients/members with Serious Mental Illness (SMI), developmental disabilities, substance use disorders and/or chronic medical conditions required
Effective oral/written/interpersonal communication skills required
Bilingual skills may be required as determined by operational needs
License and current registration to practice as a Mental Health Counselor, Marriage and Family Therapist , Social Worker, Clinical Social Worker or related license in New York State
Valid NYS ID or NYS driver's license may be required as determined by operational needs.
Pay Range
USD $63,800.00 - USD $79,800.00 /Yr.
About Us
VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 “neighbors” who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
Auto-ApplyPremium Accountant, Accounts Receivable
Remote
WHO WE ARE
Relation Insurance is a leading, innovative company with a strong commitment to excellence and a passion for delivering cutting-edge solutions to our clients. As a key player in the insurance market, we pride ourselves on our dynamic culture, collaborative environment, and continuous drive for success. With a rich history and a bright future ahead, we are looking for exceptional individuals to join our team and contribute to our ongoing growth and success.
WHAT WE'RE LOOKING FOR
The Premium Accountant is responsible for making sure that premiums are handled in a smooth, timely manner from when it is received for processing to the booking and closing of transmittals. The Premium Accountant facilitates the process of Return Premium processing to Customers or Finance Companies. The Premium Accountant creates monthly Accounts Receivable analysis on outstanding over 90 items.
A GLIMPSE INTO YOUR DAY
Reviews all Banking Transactions for appropriate documentation.
Accurately applies Cash Receipts in accordance with Customer payment.
Responds to all internal and external requests and inquiries in a timely manner.
Partners with internal Account Managers to clear Cash on Account and collaborates to research and respond to discrepancies with Customer payments and invoicing.
Processes refunds of premium and correspondence relating to refunds.
Reconciles carrier statements, researches and corrects discrepancies on Net Return Premium.
Partners with the Accounting team on month end closing.
Maintains files and documentation thoroughly and accurately, in accordance with company policy and accepted accounting practices.
Oversees Trust Bank Accounts.
Creates and maintains correspondence for the payment of administrative fees, commissions, access fees and overpayments.
May train new employees regarding Relation Accounting processes and procedures.
Identifies and recommends process improvements as needed.
Performs other projects, duties, and tasks, as assigned.
WHAT SUCCESS LOOKS LIKE IN THIS ROLE
High school diploma or equivalent required.
Two-year associate's degree in accounting, finance, economics, business, statistics or related field preferred.
Minimum 2 years of experience in finance and accounting.
Intermediate knowledge of accounting rules, regulations, policies and procedures that is reflective of the financial service industry.
Working knowledge of Microsoft applications especially Word and Excel.
Working knowledge of rules and regulations associated with HIPAA.
Advanced analytical and mathematical skills.
Advanced interpersonal skills; strong oral and written communication.
Ability to prioritize multiple projects, meetings and deadlines.
Willingness to adhere to all principles of confidentiality.
WHY CHOOSE RELATION?
Competitive pay.
A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more.
Career advancement and development opportunities.
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Note: The above is not all encompassing of the full position description.
Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Relation, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is presented within this posting.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
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$70,000.00 - $90,000.00
Auto-ApplyWarranty Resolution Specialist
Charlotte, NC jobs
Join us to create change and have an impact in homes around the world.
At Electrolux, a leading global appliance company, we strive every day to shape living for the better for our consumers, our people, and our planet. We share ideas and collaborate so that together, we can develop solutions that deliver enjoyable and sustainable living.
Come join us as you are. We believe diverse perspectives make us stronger and more innovative. In our global community of people from 100+ countries, we listen to each other, actively contribute, and grow together.
Where you'll be:
This position will be based in the Charlotte, NC HQ; hybrid work policy model.
All About the Role:
We are looking for a Warranty Resolution Specialist to join our team. In this role, you will serve as the primary contact for sales and service teams to resolve warranty-related issues. You'll balance customer satisfaction with company policies by providing timely, accurate resolutions, documenting outcomes, and identifying trends for long-term improvement. This role is ideal for someone with experience in customer service or claims who thrives on problem-solving and cross-functional collaboration.
Key Responsibilities:
Act as the main point of contact for sales and service teams to resolve warranty concerns
Collaborate with internal teams to investigate and resolve warranty claims promptly
Provide claim resolutions that align with company policies while maintaining customer satisfaction
Identify recurring warranty trends and recommend process improvements
Maintain accurate documentation of warranty cases and resolutions
Escalate and communicate high-priority issues to leadership for timely action
Manage multiple priorities effectively in a fast-paced environment
Minimum Qualifications
High school diploma or GED
2+ years of experience in customer service, warranty, or claims resolution.
Proficiency with Microsoft Office; experience with ticketing or case management software preferred.
Familiarity with warranty resolution processes and policies.
Benefits highlights:
Discounts on our award-winning Electrolux products and services
Family-friendly benefits
Insurance policy plan
Extensive learning opportunities and flexible career path
Please be advised that we are unable to offer visa sponsorship for this position at this time.
Find more on: Electrolux Group North America:
************************************************************** Electrolux Group Careers: ********************************************
Electrolux Home Products, Inc. is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age, race, color, religion, sex, national origin, sexual orientation, disability, or veteran status. If you need assistance or an accommodation during the application process because of a disability, it is available upon request through ******************************. The company is pleased to provide such assistance, and no applicant will be penalized as a result of such a request.
#LI-OG1
Auto-ApplyInvoicing Specialist
Orland Park, IL jobs
Company:Marsh McLennan AgencyDescription:
Invoicing Specialist
Our not-so-secret sauce.
Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 11,000 of the industry's brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as an Invoicing Specialist at Horton, a Marsh McLennan Agency (MMA).
MMA provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With 200 offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC).
What You Do
Billing
Processes agency billed transactions for designated scenarios including commercial insurance policy renewals and service fees, as well as correction requests to resolve premium, commission, and/or payment company errors
Identifies and reports incorrect details within requests that may result in accounting issues
Collaborates with client service teams to support client premium allocation needs
Assists in identifying solutions based on billing needs
Helps resolve discrepancies with account managers as directed
Completes billing for Surplus Lines when applicable
Process Management
Serves as a resource for client service teams by answering questions related to agency billed transactions
Demonstrates understanding of both client needs and impact on accounting, while leveraging troubleshooting issues or identifying solutions for more complex scenarios
Assists in the development or improvement of procedures specific to agency billing under the guidance of senior team members
Achieves desired metrics for both the volume and timeliness of completed work
Data Integrity & Quality
Researches incorrect items within the agency management system to assists client service teams and/or Accounting when corrections are necessary
Maintains accurate and complete transactions in agency management systems
Consistently achieves data integrity and meets activity timeliness, quality metrics, and goals
Utilizes internal resources for identified processes to ensure efficiency and consistency in execution of all tasks
Peer Relationships
Provides feedback and shares information at team meetings
Develops effective working relationships with other team members and client service teams
Communicates effectively with other team members and client service teams to provide timely information for service execution
Your Education and Experience
Required
Detail-oriented with good organizational and time management skills
Strong interpersonal skills and high sense of urgency
Proficiency with Microsoft Office, including Microsoft Excel
Preferred
Prior experience with Applied Epic
Prior insurance industry experience is helpful, but not required
AS/BA in Accounting or related field, preferred
Valuable benefits.
We value and respect the impact our colleagues make every day both inside and outside our organization. We've built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work.
Some benefits included in this role are:
Generous time off, including personal and volunteering
Tuition reimbursement and professional development opportunities
Hybrid work
Charitable contribution match programs
Stock purchase opportunities
To learn more about a career at MMA, check us out online: *************************** or flip through our recruiting brochure: **********************
Follow us on social media to meet our colleagues and see what makes us tick:
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Who
you
are is who
we
are.
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams.
Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
The applicable base salary range for this role is $46,500 to $81,400.The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
Auto-ApplyAccounts Receivable/Accounts Payable Specialist
Lancaster, PA jobs
Job Description
Are you a detail-oriented professional with a passion for accuracy and efficiency in financial operations? Horst Insurance, one of Central Pennsylvania's leading insurance agencies, is seeking a qualified and experienced Accounts Receivable and Payable Specialist to join our operations team. If you thrive in a fast-paced environment and excel at balancing numbers with precision, we want to hear from you!
About Horst Insurance
Horst Insurance is dedicated to providing legendary insurance services to its clients. From our team approach to providing unique services and resources, Horst Insurance has one simple goal, to become our client's trusted insurance advisor. Horst Insurance provides commercial and personal insurance services and employee group benefits to over 7,500 businesses and families in Pennsylvania, Maryland, and Delaware.
What You'll Do
Manage daily deposits (including wires and cash), prepare deposit sheets, and generate monthly Accounts Receivable reports.
Enter direct bill transactions into the agency management system based on carrier commission statements.
Record agency bill transactions in the agency management system using client cash receipts.
Conduct annual direct bill reconciliation review for the agency.
Offer backup support for various accounting tasks.
Assist with system-related issues as needed.
Handle all agency payable items promptly, staying mindful of deadlines and potential repercussions for delayed or missed payments.
Ensure timely execution of daily, month-end, and year-end closing processes within the agency management system.
What You'll Bring
Attention to detail
Ability to prioritize and multi-task
Strong written and verbal communication skills
Problem solving
Maintain confidentiality of sensitive information
Flexibility
Two years of experience in accounting or related field
Benefits
Medical, vision and dental
401(k) with employer match
Paid holidays and sick time
Tuition assistance program
Company paid short-term disability and life insurance
Job Posted by ApplicantPro
Accounts Receivable Specialist Workers Compen
Plano, TX jobs
About Legent Health
At Legent Health, our mission is simple yet profound: “To provide first-class health care that puts YOU first.”
Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.”
Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do:
Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience.
Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all.
Leadership: We strive to be a trusted leader through innovation, clear communication, and unwavering dedication to excellence across our employees and partners.
Joining Legent Health means being part of a team that lives these principles every day, as we build a future focused on compassionate, quality care.
About the Role
The AR Specialist - Texas Workers' Compensation will manage the complete revenue cycle for workers' compensation surgical claims at our specialty surgical facilities, focusing on spine, orthopedic, ENT, and pain management procedures. This role serves as the primary liaison between our facility and workers' compensation carriers, employers, adjusters, and case managers to expedite claim resolution and optimize reimbursement for services rendered.
POSITION'S ESSENTIAL RESPONSIBILITIES:
Primary Claims Management:
Manage surgical workers' comp claims from authorization through payment - Track all workers' compensation surgical cases from initial scheduling through final reimbursement
Collaborate with Verification of Benefits team - Assist in reviewing compensability determinations, confirming active claim status, and identifying red flags that could impact payment
Partner with coding team on documentation - Review operative reports and clinical documentation to ensure medical necessity is clearly established and services are appropriately coded
Expedite claim resolution - Proactively follow up on unpaid claims and work directly with adjusters to resolve payment delays
Relationship Management:
Build strategic relationships with adjusters at major carriers to facilitate faster claim processing
Coordinate with nurse case managers to ensure surgical procedures are properly authorized
Engage with employer representatives when appropriate to clarify coverage issues or expedite approvals
Serve as facility liaison - Act as primary point of contact for all workers' compensation stakeholders
Revenue Optimization:
Maximize reimbursement under Texas fee schedules for surgical procedures, implants, and ancillary services
Appeal underpayments and denials - Identify payments below fee schedule requirements or incorrect surgical reimbursement calculations
Manage stop-loss and outlier provisions for high-cost surgical cases
Track implant and device costs - Ensure proper billing for surgical implants, biologics, and high-cost medical devices
Preauthorization and Compliance:
Navigate preauthorization requirements - Work with clinical teams to obtain all required authorizations before surgery
Manage concurrent review requirements for procedures requiring ongoing authorization
Handle peer-to-peer reviews - Facilitate physician discussions to support medical necessity
Ensure timely filing compliance within Texas-mandated timeframes
Specialized Surgical Focus:
Spine procedures - Manage complex spine surgery claims including fusions, disc replacements, and neurostimulator implants
Orthopedic surgery - Handle joint replacements, arthroscopic procedures, and fracture repairs
Pain management - Process claims for epidural injections, nerve blocks, and spinal cord stimulator trials/implants
ENT surgical claims - Manage sinus surgeries and other ENT procedures related to workplace injuries
Reporting and Analysis:
Track carrier-specific payment patterns and denial reasons
Identify process improvement opportunities based on denial patterns
Maintain detailed account notes documenting all payer interactions
Provide regular updates to leadership on workers' comp AR performance
POSITION REQUIREMENTS:
Exceptional relationship-building skills with adjusters, case managers, and employer representatives
Strong collaborative approach working with internal teams (verification, coding, clinical)
Expert knowledge of surgical reimbursement and Texas workers' comp fee schedules
Negotiation and advocacy skills to professionally advocate for appropriate reimbursement
Understanding of surgical procedures in spine, orthopedic, ENT, and pain management
Workers' comp billing expertise including preauthorization and carrier-specific requirements
Problem-solving orientation to identify payment issues and develop solutions
Excellent communication skills with external partners and internal teams
Detail-oriented with strong follow-through and systematic claim tracking
Technology proficiency with practice management systems and workers' comp portals
Customer service mindset understanding employers and adjusters as customers
Experience in multi-specialty surgical facilities with high-dollar spine and orthopedic cases (Preferred)
Established relationships with major Texas workers' comp carriers and TPAs (Texas Mutual, Travelers, Sedgwick, Gallagher Bassett, CorVel) (Preferred)
Knowledge of specific surgical authorization requirements for complex procedures (Preferred)
Experience with both in-network and out-of-network negotiations (Preferred)
Understanding of ODG (Official Disability Guidelines) and Milliman care guidelines (Preferred)
Certification in healthcare revenue cycle (CRCR) or workers' compensation (CWCP) (Preferred)
Bilingual (English/Spanish) to communicate with diverse injured worker populations (Preferred)
EDUCATION AND EXPERIENCE REQUIREMENTS:
Minimum 3-5 years of workers' compensation billing experience in a surgical facility setting (ASC or hospital outpatient preferred)
Proven experience working surgical workers' comp claims for spine, orthopedic, or pain management procedures
Demonstrated success building relationships with adjusters and case managers
Experience collaborating with clinical teams for documentation and authorizations
Track record of successful claim resolution including appeals and negotiations
Understanding of surgical fee schedules including implant pass-through calculations
Why Join Legent Health?
Legent Health fosters an environment where team members are empowered to deliver exceptional care while growing professionally within a supportive, values-driven culture.
We Offer:
Competitive salary and performance incentives
Comprehensive benefits package
Paid time off and wellness programs
Career development and training opportunities
Equal Employment Opportunity (EEO) Statement
Legent Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other legally protected characteristic.
I-9 and E-Verify Compliance:
Employment eligibility will be verified through the U.S. Department of Homeland Security's E-Verify system. All applicants must provide valid documentation to establish identity and authorization to work in the United States, as required by federal law.
Auto-ApplyAccounts Receivable Accounting Specialist
Springfield, MO jobs
Why Jencap? We are one of the largest wholesale insurance intermediaries in the United States with expertise in wholesale brokerage, binding authority, and program management. The common thread woven throughout our success story is our collaborative and driven team of people. Our teams are empowered and work together to find solutions. We have a passion culture - with teamwork, collaboration and a focus on growing individuals and giving them the tools & development opportunities to have a successful career.
Jencap Partners is comprised of our corporate operations and service teams who support our staff in their commitment to achieve greatness and exceed the expectations of our agency partners. The goal of corporate functions is to provide the necessary infrastructure, expertise, and services that enable our business to thrive, while also contributing to the overall success, efficiency, and sustainability of the organization. We act as partners, aligning support strategies to achieve Jencap's broader objectives.
We are looking for a proactive and detail-oriented accounting professional to join our dynamic team. The ideal candidate brings a solid understanding of accounting principles, strong organizational skills, and a customer-first mindset. This role combines financial accuracy with relationship management, ensuring seamless cash application and responsive support for our agents and customers.
Our company thrives in a fast-paced, evolving environment, and we value individuals who are adaptable, eager to learn, and capable of working independently while contributing to a collaborative team culture.
The Accounting Specialist will work a hybrid schedule from our Springfield, MO office.
Responsibilities:
Review aging reports, identify past-due accounts, and follow up with agents/customers in line with established collection procedures
Support continuous improvement of AR processes and documentation
Respond to inquiries from agents and customers via phone and email with professionalism and empathy
Provide clear, solution-oriented communication to resolve issues quickly
Navigate and learn industry-specific software platforms
Assist with ad hoc projects and tasks to support the AR team and broader finance function
Requirements:
Solid knowledge of accounting principles and practices
Strong written and verbal communication skills
Analytical problem-solving ability with a focus on solutions
Excellent organizational skills and attention to detail
Ability to manage multiple priorities in a fast-paced environment
Self-motivated with initiative to drive tasks to completion
Strong interpersonal skills with the ability to collaborate across teams
Ability to work independently while adhering to company policies and procedures
Proficiency in Microsoft Excel and familiarity with other Microsoft 365 tools preferred
Minimum of 3 years of accounting experience (accounts receivable focus preferred)
Previous customer service or client-facing experience strongly preferred
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Discretionary incentive compensation may be awarded. Jencap also offers a range of benefits and programs, based on eligibility, which currently include but are not limited to; comprehensive health care coverage, a 401k plan, and tuition reimbursement. Jencap is an emerging and rapidly growing leader in the industry and as such, we approach talent acquisition as an opportunity to identify the best talent. Therefore, the level of the role and compensation may vary depending upon the best available candidate.
Want the opportunity to build something new? Expand your knowledge and stretch your experience through new and emerging risks? Have your voice heard, your skills properly applied, and to add tangible value to an organization? You're in the right place.
Jencap is dynamic, bold, tenacious, and trusted in the industry. Here, you are not just one of the many, you are one of us. We truly are better together.
Jencap is an Equal Opportunity Employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin or citizenship status, sexual orientation, gender identity or expression, pregnancy, marital or familial status, disability status, medical condition, genetic information, military or veteran status, political affiliation, or any other characteristic protected by law. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard, as we believe that that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients.
Auto-ApplyAccounts Receivable Accounting Specialist
Springfield, MO jobs
Job Description
Why Jencap? We are one of the largest wholesale insurance intermediaries in the United States with expertise in wholesale brokerage, binding authority, and program management. The common thread woven throughout our success story is our collaborative and driven team of people. Our teams are empowered and work together to find solutions. We have a passion culture - with teamwork, collaboration and a focus on growing individuals and giving them the tools & development opportunities to have a successful career.
Jencap Partners is comprised of our corporate operations and service teams who support our staff in their commitment to achieve greatness and exceed the expectations of our agency partners. The goal of corporate functions is to provide the necessary infrastructure, expertise, and services that enable our business to thrive, while also contributing to the overall success, efficiency, and sustainability of the organization. We act as partners, aligning support strategies to achieve Jencap's broader objectives.
We are looking for a proactive and detail-oriented accounting professional to join our dynamic team. The ideal candidate brings a solid understanding of accounting principles, strong organizational skills, and a customer-first mindset. This role combines financial accuracy with relationship management, ensuring seamless cash application and responsive support for our agents and customers.
Our company thrives in a fast-paced, evolving environment, and we value individuals who are adaptable, eager to learn, and capable of working independently while contributing to a collaborative team culture.
The Accounting Specialist will work a hybrid schedule from our Springfield, MO office.
Responsibilities:
Review aging reports, identify past-due accounts, and follow up with agents/customers in line with established collection procedures
Support continuous improvement of AR processes and documentation
Respond to inquiries from agents and customers via phone and email with professionalism and empathy
Provide clear, solution-oriented communication to resolve issues quickly
Navigate and learn industry-specific software platforms
Assist with ad hoc projects and tasks to support the AR team and broader finance function
Requirements:
Solid knowledge of accounting principles and practices
Strong written and verbal communication skills
Analytical problem-solving ability with a focus on solutions
Excellent organizational skills and attention to detail
Ability to manage multiple priorities in a fast-paced environment
Self-motivated with initiative to drive tasks to completion
Strong interpersonal skills with the ability to collaborate across teams
Ability to work independently while adhering to company policies and procedures
Proficiency in Microsoft Excel and familiarity with other Microsoft 365 tools preferred
Minimum of 3 years of accounting experience (accounts receivable focus preferred)
Previous customer service or client-facing experience strongly preferred
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Discretionary incentive compensation may be awarded. Jencap also offers a range of benefits and programs, based on eligibility, which currently include but are not limited to; comprehensive health care coverage, a 401k plan, and tuition reimbursement. Jencap is an emerging and rapidly growing leader in the industry and as such, we approach talent acquisition as an opportunity to identify the best talent. Therefore, the level of the role and compensation may vary depending upon the best available candidate.
Want the opportunity to build something new? Expand your knowledge and stretch your experience through new and emerging risks? Have your voice heard, your skills properly applied, and to add tangible value to an organization? You're in the right place.
Jencap is dynamic, bold, tenacious, and trusted in the industry. Here, you are not just one of the many, you are one of us. We truly are better together.
Jencap is an Equal Opportunity Employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin or citizenship status, sexual orientation, gender identity or expression, pregnancy, marital or familial status, disability status, medical condition, genetic information, military or veteran status, political affiliation, or any other characteristic protected by law. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard, as we believe that that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients.
SENIOR COLLECTIONS SPECIALIST
Baltimore, MD jobs
Job Purpose: The Senior Collections Specialist's goal is to get the full payment of the debt or to negotiate the best possible payment plan / settlement with the debtor in order to avoid legal collection efforts on all domestic and incoming international cases. All collections are business to business, no consumer collections. He/she will be responsible for the collection activities on all files : domestic, import, pre-legal and solvent.
Key Responsibilities and Duties
* - Collect on all domestic cases and International incoming from service users (other business units) cases
* - Comply with organizational standards and operational guidelines - Ensure the terms and conditions of the internal Service Level Agreement are followed and provide feedback
* - Assess and define the adequate collection action plans during the pre-legal phase from the opening to closing
* - Perform direct collection actions to get payment of the debts, acquire debtor acknowledgement of the debt and / or agree on payment plans / settlements that are within the guidelines outlined with the debtors
* - Obtain appropriate approval(s) for any payment plans / settlements that are outside of the guidelines
* - Utilize your expert judgment to determine if the payment plan / settlement offer from the debtor is the best possible outcome for the policy holder, client or service user
* - Document any dispute of the debt by the debtor, take actions to resolve said dispute in the pre-legal phase (when possible) and collect the non disputed portion of the debt
* - Monitor and confirm expected payments made directly to the policyholder, client, service users (other business units) so that they can be appropriately recorded on the case
* - Inform appropriate stakeholder on the debt collection process and relevant developments / status of the collection - Advise policyholders, brokers, clients and service users on appropriate next steps of the pre-legal collection process and answer all questions
Total Compensation Range:
$48,000 - $52,000 base + comission
Placement within the range provided above is based on the individual's relevant experience, skills for the role, and location. Salary ranges are only one component of our total compensation package.
Benefits:
We value your goals and needs, at work and in life. As an associate, you'll be supported with resources, benefits, and work-life balance so you can thrive in ways that matter to you.
Featured employee benefits to enrich your life:
* Competitive compensation
* Annual bonus eligibility and/or commission structure opportunities
* 401(k) discretionary match of up to 6%
* Flexible work schedules
* Health and wellness benefits
* Paid time off for vacation, illness, Birthday Day Off and Volunteer Day Off
* Tuition Reimbursement
* Family care resources, including fertility and adoption benefits
Learn more about our benefits here:
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Our policies may change as our working lives evolve. Yet, our commitment to supporting our associates' well-being and addressing the needs of our clients, business, and communities is unwavering.
Commitment to Diversity, Equity, and Inclusion
We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love, or what you believe in. We therefore welcome applications regardless of race, ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
Note: Diversity of minds is an integral part of Allianz' company culture. One means to achieve diverse teams is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company encourages its employees to have motivation in gaining varied skills from different positions and to collect experiences from across Allianz Group.
#LI-BP1 #LI-REMOTE
86122 | Customer Services & Claims | Professional | Non-Executive | Allianz Trade | Full-Time | Permanent
Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.
We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
Join us. Let's care for tomorrow.
Note: Having different strengths, experiences, perspectives and approaches is an integral part of Allianz' company culture. One means to achieve this is a regular rotation of Allianz Executive employees across functions, Allianz entities and geographies. Therefore, the company expects from its employees a general openness and a high motivation to regularly change positions and collect experiences across Allianz Group.
Accounts Receivable Specialist
Jonesboro, AR jobs
Job Description
Colson Group USA is an operating unit of Colson Groupthe largest manufacturer of caster and wheel products in the world. The brands of Colson Group USA have been technological leaders in caster innovation for over 350 combined years. This drive has led to some of the most trusted, advanced, and highest-quality mobility solutions available in the world today. Colson Group's unique and proprietary global footprint provides available services and capabilities unmatched by any other manufacturer.
Colson Group USA is seeking a full-time Accounts Receivable Specialist . The positionwill be responsible for all daily billing and cash applications for each of our North American plants. In addition, execute other various assignments under the direction of the Credit Manager with emphasis on customer facing issues. This person will work closely with other cross functional teams to provide our each of our customers with excellent service.
Primary Responsibilities:
Cash application for all customers on a daily basis
Billing for each North American Plant each day
Communicate directly with customers and other cross functional team members
Responsible for all AR month end close processes
Balance Sheet reconciliations related to AR accounts each month
Investigate cash and billing discrepancies
Assist in yearly audit
Work and contribute to a team setting to accomplish overall departmental and individual goals.
Other Duties and Projects as assigned
Requirements:
Bachelor of Science or Associates Degree in Accounting Preferred
1+ years financial work experience
Advanced Excel Skills
Detailed Oriented
Ability to handle multiple tasks and meet deadlines
Epicor and Manufacturing experience preferred
Accounts Receivable Specialist
Overland Park, KS jobs
Lockton Affinity, in Overland Park, KS is seeking an Accounts Receivable Specialist to join our Accounting team. The Accounts Receivable Specialist supervises the overall collection of accounts receivable; to ensure timely payment of accounts receivable to prevent financial losses.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
* Collects past due accounts receivable by emailing, writing, and telephoning customers
* Makes positive contribution to customer satisfaction and constantly strives to improve service to the customer.
* Communicates in a positive manner to contribute to a cohesive, pleasant work environment.
* Follows up on problem accounts; obtains information from customers or associate assigned to account or other departments to resolve issues
* Operates alphanumeric keyboard to enter data into and retrieve data from system, and verifies by sight that keyed data is accurate, complete and conforms to established standards.
* May draft finance agreements and coordinate delivery of document to finance company.
* Handles requests for intent to cancel insurance, reinstatement, and cancellation of insurance for non-payment in compliance with cancellation guidelines.
* Reports and discusses potential trouble accounts to Premium Transaction Supervisor, offers solutions for collection and provides recommendations for handling.
* Oversees follow-through efforts on collections resulting from audits.
* Analyzes receivables reports.
* Makes recommendations to Premium Transaction Supervisor regarding account write-offs.
* May process payments using payment software available.
* Prepare all client refunds.
* Protects the confidentiality of all information learned by performing the duties of the position.
* Could be responsible for month-end closing of assigned agencies.
Accounts Receivable Clerk
Saint John, IN jobs
Job Description
Great news! Schillings is currently looking for an Accounts Receivable Clerk at our Saint John, IN location. We offer competitive pay along with a full package of benefits and opportunities for advancement. Apply today!
Responsibilities:
Processing payments on customer accounts
Operate computers programmed with accounting software to record, store, and analyze information
Searching public records and examine titles to determine the legal condition and ownership of property title, primarily for residential properties on our customers projects
Analyzing records such as mortgages, liens, judgments, easements, vital statistics, and plat and map books, to determine ownership and legal restrictions
Resolve most issues such as missing information, incomplete, inaccurate, or contradictory information contained in the title documentation
Maintain frequent telephone contact with clients regarding questions concerning the status of their receivables
Prepare different types of notices and documents
Maintaining customer files
Assist with Account Payable department when needed
Education/Required Skills:
High School Diploma or GED
Exceptional administration and clerical knowledge
Customer service skills; meet quality standards for service and customer satisfaction
Operate 10 key calculators, computers and copy machine to perform calculations and produce documents
Proficient in Excel, Word, Outlook, and Windows Operating Systems
Proficient in navigating web-based computer applications
Proficient skills as an active listener, verbal and written communications, and good critical thinking skills
Proficient typing and keyboard skills
Ability to multi-task and follow through, organizational skills, and self-motivated
Attention to details
Knowledge of building materials and supplies is beneficial
Knowledge of title insurance and lien waiver process is beneficial
Proficient scoring on all candidate testing
Benefits:
Competitive pay
Medical, Dental, Vision
Life insurance & short-term disability
401k with profit sharing
PTO & Paid Holidays
Sponsored lunch events
Company discounts
MISSION - Give our customers what they want, on time and error-free
Schillings provides equal employment opportunity to all individuals regardless of their race, color, religion, national origin, ancestry, military status, unfavorable discharge from military status, sex, marital status, disability, order of protection status, age, sexual orientation, pregnancy, or any other characteristics protected by federal, state, or local laws. Schillings is a drug-free workplace.
Accounts Receivable Clerk
Saint John, IN jobs
Great news! Schillings is currently looking for an Accounts Receivable Clerk at our Saint John, IN location. We offer competitive pay along with a full package of benefits and opportunities for advancement. Apply today!
Responsibilities:
Processing payments on customer accounts
Operate computers programmed with accounting software to record, store, and analyze information
Searching public records and examine titles to determine the legal condition and ownership of property title, primarily for residential properties on our customers projects
Analyzing records such as mortgages, liens, judgments, easements, vital statistics, and plat and map books, to determine ownership and legal restrictions
Resolve most issues such as missing information, incomplete, inaccurate, or contradictory information contained in the title documentation
Maintain frequent telephone contact with clients regarding questions concerning the status of their receivables
Prepare different types of notices and documents
Maintaining customer files
Assist with Account Payable department when needed
Education/Required Skills:
High School Diploma or GED
Exceptional administration and clerical knowledge
Customer service skills; meet quality standards for service and customer satisfaction
Operate 10 key calculators, computers and copy machine to perform calculations and produce documents
Proficient in Excel, Word, Outlook, and Windows Operating Systems
Proficient in navigating web-based computer applications
Proficient skills as an active listener, verbal and written communications, and good critical thinking skills
Proficient typing and keyboard skills
Ability to multi-task and follow through, organizational skills, and self-motivated
Attention to details
Knowledge of building materials and supplies is beneficial
Knowledge of title insurance and lien waiver process is beneficial
Proficient scoring on all candidate testing
Benefits:
Competitive pay
Medical, Dental, Vision
Life insurance & short-term disability
401k with profit sharing
PTO & Paid Holidays
Sponsored lunch events
Company discounts
MISSION - Give our customers what they want, on time and error-free
Schillings provides equal employment opportunity to all individuals regardless of their race, color, religion, national origin, ancestry, military status, unfavorable discharge from military status, sex, marital status, disability, order of protection status, age, sexual orientation, pregnancy, or any other characteristics protected by federal, state, or local laws. Schillings is a drug-free workplace.
Patient Accounts
Oakton, VA jobs
Capital Area Pediatrics offers accessible, comprehensive pediatric care to families at five practice locations throughout Northern Virginia. For both sickness and health, generations of families have chosen Capital Area Pediatrics to provide outstanding care and an exceptional patient experience. We are currently hiring a full-time Medical Biller to join our team. This is an on-site position located at our Central Business Office in Oakton, Virginia.
Responsibilities
Complete all charge entry duties as assigned on a daily basis according to productivity requirements.
Back-up and assist other billing department staff as required.
Examining documents for missing information and ensuring documents are accurate.
Review provider documentation for support of clinician-selected ICD-10, CPT, and HCPCS codes.
Extracting relevant information from patient records.
Liaising with physicians and other parties to clarify information.
Performing chart audits.
Advising and training physicians and staff on medical coding.
Ensuring compliance with medical coding policies and guidelines.
Support credentialing process.
Performs other duties as assigned.
Knowledge, Skills, and Abilities
Knowledge of medical terminology.
Ability to work autonomously and as part of a team.
Ability to communicate effectively in both oral and written form.
Ability to understand and follow instructions.
Ability to perform in an organized and efficient manner, demonstrating adaptability and flexibility
Ability to provide quality customer service to patients, families, vendors, and other team members
Requirements
Medical Billing/Collections experience required.
Credentialing experience preferred.
Experience working with Electronic Medical Records (EMR) - Athena is a plus!
High school diploma or equivalent required.
Capital Area Pediatrics ("the Company") is a proud Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, pregnancy, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment decisions are based on qualifications, merit, and business needs. The Company does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of the Company and the Company will not be obligated to pay a placement fee.
Auto-ApplyPatient Accounts
Oakton, VA jobs
Job DescriptionCapital Area Pediatrics offers accessible, comprehensive pediatric care to families at five practice locations throughout Northern Virginia. For both sickness and health, generations of families have chosen Capital Area Pediatrics to provide outstanding care and an exceptional patient experience. We are currently hiring a full-time Medical Biller to join our team. This is an on-site position located at our Central Business Office in Oakton, Virginia.
Responsibilities
Complete all charge entry duties as assigned on a daily basis according to productivity requirements.
Back-up and assist other billing department staff as required.
Examining documents for missing information and ensuring documents are accurate.
Review provider documentation for support of clinician-selected ICD-10, CPT, and HCPCS codes.
Extracting relevant information from patient records.
Liaising with physicians and other parties to clarify information.
Performing chart audits.
Advising and training physicians and staff on medical coding.
Ensuring compliance with medical coding policies and guidelines.
Support credentialing process.
Performs other duties as assigned.
Knowledge, Skills, and Abilities
Knowledge of medical terminology.
Ability to work autonomously and as part of a team.
Ability to communicate effectively in both oral and written form.
Ability to understand and follow instructions.
Ability to perform in an organized and efficient manner, demonstrating adaptability and flexibility
Ability to provide quality customer service to patients, families, vendors, and other team members
Requirements
Medical Billing/Collections experience required.
Credentialing experience preferred.
Experience working with Electronic Medical Records (EMR) - Athena is a plus!
High school diploma or equivalent required.
Capital Area Pediatrics ("the Company") is a proud Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, pregnancy, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment decisions are based on qualifications, merit, and business needs. The Company does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of the Company and the Company will not be obligated to pay a placement fee.
Patient Accounts
Oakton, VA jobs
Capital Area Pediatrics offers accessible, comprehensive pediatric care to families at five practice locations throughout Northern Virginia. For both sickness and health, generations of families have chosen Capital Area Pediatrics to provide outstanding care and an exceptional patient experience. We are currently hiring a full-time Medical Biller to join our team. This is an on-site position located at our Central Business Office in Oakton, Virginia.
Responsibilities
Complete all charge entry duties as assigned on a daily basis according to productivity requirements.
Back-up and assist other billing department staff as required.
Examining documents for missing information and ensuring documents are accurate.
Review provider documentation for support of clinician-selected ICD-10, CPT, and HCPCS codes.
Extracting relevant information from patient records.
Liaising with physicians and other parties to clarify information.
Performing chart audits.
Advising and training physicians and staff on medical coding.
Ensuring compliance with medical coding policies and guidelines.
Support credentialing process.
Performs other duties as assigned.
Knowledge, Skills, and Abilities
Knowledge of medical terminology.
Ability to work autonomously and as part of a team.
Ability to communicate effectively in both oral and written form.
Ability to understand and follow instructions.
Ability to perform in an organized and efficient manner, demonstrating adaptability and flexibility
Ability to provide quality customer service to patients, families, vendors, and other team members
Requirements
Medical Billing/Collections experience required.
Credentialing experience preferred.
Experience working with Electronic Medical Records (EMR) - Athena is a plus!
High school diploma or equivalent required.
Capital Area Pediatrics ("the Company") is a proud Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, pregnancy, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment decisions are based on qualifications, merit, and business needs. The Company does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of the Company and the Company will not be obligated to pay a placement fee.
Auto-ApplyCollection Analyst
San Juan, PR jobs
Role Purpose * The Collection Analyst is responsible for the appropriate handling collections of the outstanding balance. The collector must reconcile accounts and assist in creating a repayment plan between the debtor and collector upon agreement, based on Company's policy.
Key Responsibilities
* Register in Meridian the account current reports received from general agencies.
* Oversee critical and unapplied cases monthly.
* Reconcile the general agencies accounts monthly.
* Generate reports of accounts receivable (weekly, monthly, and quarterly).
* Collect account current balances and non-reported policies from general agencies.
* Advise general agencies of necessary actions and strategies for overdue balances.
* Apply collections and payments on a weekly basis.
* Request cancellation notice if applicable.
* Maintain control of policies related to government and condominium business.
* Review and analyze the collection results to accomplish the Company's goals.
* Support and gather information for the audit process.
* Other projects and tasks as assigned.
Requirements
* Bachelor's Degree in Business Administration in Accounting.
* Solid understanding of basic accounting principles.
* Demonstrate flexibility and adaptability to work in a fast moving and challenging environment.
* Proficient in Microsoft Office (Word, Excel, and Power Point) and working knowledge of common application software.
* Intermediate knowledge of the structure and content of the English Language.
Experience
* Five (5) years or more of experience in Accounting - Collections. Insurance industry, preferable.
Auto-ApplyCollection Analyst
Puerto Rico jobs
Role Purpose
The Collection Analyst is responsible for the appropriate handling collections of the outstanding balance. The collector must reconcile accounts and assist in creating a repayment plan between the debtor and collector upon agreement, based on Company's policy.
Key Responsibilities
Register in Meridian the account current reports received from general agencies.
Oversee critical and unapplied cases monthly.
Reconcile the general agencies accounts monthly.
Generate reports of accounts receivable (weekly, monthly, and quarterly).
Collect account current balances and non-reported policies from general agencies.
Advise general agencies of necessary actions and strategies for overdue balances.
Apply collections and payments on a weekly basis.
Request cancellation notice if applicable.
Maintain control of policies related to government and condominium business.
Review and analyze the collection results to accomplish the Company's goals.
Support and gather information for the audit process.
Other projects and tasks as assigned.
Qualifications
Requirements
Bachelor's Degree in Business Administration in Accounting.
Solid understanding of basic accounting principles.
Demonstrate flexibility and adaptability to work in a fast moving and challenging environment.
Proficient in Microsoft Office (Word, Excel, and Power Point) and working knowledge of common application software.
Intermediate knowledge of the structure and content of the English Language.
Experience
Five (5) years or more of experience in Accounting - Collections. Insurance industry, preferable.
Auto-Apply