A Hospital located in the San Fernando Valley is looking to add a Hospital Patient Account Rep to the team. The Hospital Patient Account Rep will be responsible for overseeing billing and collection processes within a hospital setting. The Hospital Patient Account Rep will also be responsible for managing Medicare managed care, commercial, PPO/HMO and Medical managed care.<br><br>Responsibilities:<br>• Conduct hospital billing and collection processes with accuracy and efficiency<br>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care<br>• Provide training for Collector I positions<br>• Appeals and denials management.<br>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role<br>• Oversee the management of insurance correspondence and maintain accurate records<br>• Monitor patient accounts and take appropriate action to collect insurance payments.
<p>We are looking for a skilled Medical Billing Specialist to join our team in Dallas, Texas. In this contract position, you will play a key role in ensuring accurate and efficient billing processes for healthcare providers. This opportunity is ideal for professionals with strong medical billing experience who thrive in fast-paced environments and are committed to maintaining compliance with industry standards. TMHP Or EVV software knowledge is required for this position. </p><p><br></p><p>Responsibilities:</p><p>• Manage the full cycle of medical billing, including coding verification, charge entry, claim submission, and reconciliations.</p><p>• Accurately submit government claims while adhering to established billing guidelines and compliance standards.</p><p>• Review and correct errors on claims prior to submission deadlines to ensure timely processing.</p><p>• Track and complete billing within a 5-7 day payment cycle to maintain efficiency.</p><p>• Collaborate with internal teams to address inquiries and ensure seamless billing operations.</p><p>• Analyze claim denials and implement corrective actions to resolve discrepancies.</p><p>• Verify insurance coverage and eligibility to streamline claim submissions.</p><p>• Utilize electronic billing systems and tools such as Epaces to optimize workflows.</p><p>• Ensure proper application of CPT codes and ICD standards during billing processes.</p><p>• Maintain detailed records and documentation for compliance and audits.</p>
<p>We are seeking an experienced and detail-oriented <strong>Accounts Receivable Manager</strong> to join our client’s team and oversee the billing and collections process in a fast-paced healthcare environment. In this role, you will be responsible for maintaining accurate and organized <strong>resident admission files</strong> on a weekly basis, processing <strong>monthly billings</strong> for each payor class and related co-insurances, and preparing <strong>resident statements</strong> as required. You will handle <strong>Medicaid and Medicare claims</strong>, correcting and re-billing any denied claims in a timely manner to ensure prompt payment to the facility. Additionally, you will review and track all billable ancillary supplies, as well as check and prepare vendor bills to ensure proper payment. This position requires a strong commitment to accuracy, timeliness, and compliance with all applicable regulations. <strong>Other duties may apply</strong> as needed to support the financial health of the organization.</p><p>If you thrive in a detail-driven role, enjoy problem-solving, and have a passion for ensuring smooth revenue cycle operations, we’d love to hear from you.</p><p><br></p><p>For immediate consideration please call Allison Brown at 508.205.2121</p>
We are looking for a skilled Medical Billing Specialist to join our team in Santa Barbara, California. This long-term contract position offers an excellent opportunity for someone with expertise in medical billing and coding to contribute to a dynamic healthcare environment. The ideal candidate will play a vital role in ensuring patient eligibility, securing authorizations, and maintaining accurate billing processes.<br><br>Responsibilities:<br>• Verify patient health plan eligibility and benefits for scheduled radiology procedures, ensuring timely and accurate assessments.<br>• Initiate, track, and secure prior authorizations or pre-certifications for radiology services, including reviewing codes for alignment with medical necessity.<br>• Address patient inquiries regarding billing, assist with payments, and resolve claims discrepancies by escalating complex issues when necessary.<br>• Process appeals for denied claims and prepare zero-balance bills upon patient request.<br>• Collaborate effectively with patients, physician offices, insurance companies, and internal staff to ensure smooth communication and resolution of billing-related matters.<br>• Document all interactions and updates in electronic health records and billing systems with precision.<br>• Stay informed on changes in insurance policies, payer guidelines, and coding practices related to radiology services.<br>• Ensure compliance with organizational standards and regulations throughout all billing and authorization processes.
We are looking for a detail-oriented Collections Specialist to join our team in Indianapolis, Indiana. In this contract role, you will play a vital part in managing accounts receivable, ensuring timely payment posting, and establishing effective payment arrangements. This position is ideal for someone with strong organizational skills and a focus on maximizing cash flow from outstanding accounts.<br><br>Responsibilities:<br>• Process and post payments accurately using accounting software systems.<br>• Contact clients to negotiate and establish payment arrangements for overdue accounts.<br>• Utilize tools such as Accurint and CRM systems to track and manage collections activities.<br>• Respond to inbound calls professionally to address billing inquiries and resolve payment issues.<br>• Handle claim administration tasks to ensure proper documentation and follow-up.<br>• Monitor accounts receivable to identify and prioritize collection efforts.<br>• Collaborate with internal teams to streamline billing functions and optimize collection processes.<br>• Maintain accurate records of all collections and payment activities.<br>• Analyze accounts to identify discrepancies and take corrective actions as needed.<br>• Ensure compliance with company policies and relevant financial regulations.
<p>A prestigious healthcare non-profit organization is seeking a talented Medical Revenue Cycle Director to join their organization. The revenue cycle director will be responsible for managing a team of 6 that will support billing, collections, and coding operations for their facilities that include outpatient, urgent cares, and ambulatory surgery centers. The revenue cycle director will implement productivity metrics, KPI's, and assist in creating automated processes for their department. The revenue cycle director will implement and maintain policies and procedures for the department.</p><p><br></p><p>Responsibilities</p><ul><li>5+ years of revenue cycle leadership experience from both a professional and facility setting.</li><li>This position is accountable for the development, operations, and optimization their ambulatory surgery center and urgent care processes within Revenue Cycle</li><li>Manage a team of 6 and responsible for implementing change management initiatives and policies and procedures throughout the enterprise system.</li><li>Partners with the system level leadership on Revenue Cycle process improvement, training, technology innovation, analytics, compliance, and vendor management</li><li>Audit Ambulatory Surgery Center and Factor charges to ensure accuracy and appropriateness. Ensures that any errors identified by coder are corrected and pre-scrubbed in a timely manner to ensure clean claims.</li><li>Bachelor’s degree is a plus and systems experience with EPIC or Athena is preferred.</li></ul><p><br></p>
Are you an experienced Medical Billing Specialist looking for a rewarding direct permanent opportunity? Join a team of healthcare professionals dedicated to providing exceptional patient care and operational efficiency. In this role, you will leverage your expertise to: <br> Code charges and bill for medical procedures. Research and resolve billing issues, including identifying refunds, credits, and write-offs. Submit claims electronically or by mail and follow up on unpaid claims and denials for timely reconciliation. Collaborate with staff, physicians, and offices to gather updated patient demographic and billing information. Conduct insurance investigations to obtain patient benefits and eligibility, authorizations, and referrals. What We’re Looking For: 5+ years of proven experience in medical billing or a similar field. Proficiency with ICD-10 and CPT coding standards and third-party platforms like PEAR, NaviNet, and Availity. Surgical Center experience preferred but not required. Strong communication skills and ability to work as part of a team. High attention to detail and proficiency with Microsoft Office and medical billing systems. This direct permanent position offers more than just a job – it’s an opportunity to be a vital part of a growing team dedicated to healthcare excellence. Apply now to take the next step in your career!
<p>We are seeking a highly skilled and detail-oriented <strong>Medical Biller</strong> to ensure timely and efficient processing of medical claims and support in optimizing revenue.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As a <strong>Medical Biller</strong>, your duties will include:</p><ul><li>Preparing and submitting medical claims to insurance companies, government payers, and patients in compliance with healthcare regulations.</li><li>Reviewing and verifying accuracy of patient insurance information, ensuring claims are complete and error-free.</li><li>Monitoring the progress of submitted claims and following up on delayed or denied claims, resolving discrepancies appropriately.</li><li>Generating patient invoices and explaining charges while ensuring clarity for patients regarding financial obligations.</li><li>Ensuring proper coding of procedures, diagnoses, and services using CPT, ICD-10, and HCPCS codes.</li><li>Collaborating with healthcare providers and other administrative staff to resolve complex billing issues.</li><li>Handling adjustments for payments, posting refunds or corrections, and reconciling account balances.</li><li>Staying informed of changes in regulations, policies, and industry standards related to medical billing.</li><li>Maintaining compliance with HIPAA regulations to safeguard patient information.</li></ul><p><br></p>
<p>We are looking for a detail-oriented Patient Access Specialist to join our team in Bangor, Maine. In this long-term contract role, you will play a vital part in ensuring seamless patient admissions and maintaining compliance with organizational and regulatory standards. This position requires exceptional customer service skills and the ability to handle administrative tasks with precision and professionalism. The schedule is Monday through Friday 9:30am-6:00pm and rotating Saturdays. Additionally, on call responsibilities once training is completed. OR Scheduled Shift: Monday - Friday 7:00a-3:30p</p><p><br></p><p>Responsibilities:</p><p>• Facilitate patient admissions by assigning accurate medical record numbers, verifying medical necessity, and ensuring compliance with organizational policies.</p><p>• Deliver clear and compassionate communication to patients while providing instructions, collecting insurance details, and processing physician orders.</p><p>• Meet assigned point-of-service goals by pre-registering patient accounts and verifying demographic and insurance information through inbound and outbound calls.</p><p>• Collect patient financial liabilities, including point-of-service payments and past-due balances, while offering payment plan options as needed.</p><p>• Explain and obtain signatures for consent forms and distribute educational materials to patients, such as Medicare notices and observation forms.</p><p>• Verify insurance eligibility and enter accurate benefit data to support the billing process and maintain a high clean-claim rate.</p><p>• Screen medical necessity using appropriate tools to inform patients of potential coverage issues and distribute required notices.</p><p>• Conduct quality audits of patient accounts to ensure accuracy, compliance, and timely completion of all necessary documentation.</p><p>• Utilize reporting systems to correct errors and provide statistical data to leadership for continuous improvement.</p>
We are looking for a detail-oriented Medical Accounts Receivable Specialist to join our team in Scranton, Pennsylvania. In this long-term contract role, you will play a critical part in overseeing accounts receivable processes, ensuring accuracy in billing and payment activities, and maintaining efficient communication with patients, facilities, and internal teams. This position requires a strong understanding of medical billing procedures and the ability to identify and resolve discrepancies effectively.<br><br>Responsibilities:<br>• Monitor and follow up on outstanding accounts receivable to ensure aged receivables remain within acceptable timeframes.<br>• Investigate and resolve rejected claims by payers, processing necessary corrections in the billing system.<br>• Identify and address payment posting errors, communicating effectively with relevant staff to implement corrections.<br>• Respond to patient and facility inquiries regarding account balances and payment statuses.<br>• Analyze billing and coverage issues, collaborating with front office and billing teams to address unmet requirements.<br>• Research and recommend accounts for bad debt write-offs while preparing refund requests for outstanding credit balances.<br>• Recognize payment trends and report findings to supervisors, providing insights related to payers, diagnosis codes, and other relevant factors.<br>• Develop corrective action plans to resolve facility errors and ensure operational accuracy.<br>• Train team members to meet productivity goals and monitor their progress.<br>• Generate comprehensive reports to update stakeholders on billing department performance.
<p>Our client is seeking a highly motivated and detail-oriented <strong>Eligibility Specialist</strong> for a remote, contract-to-hire position. The Eligibility Specialist will play a crucial role in ensuring the financial clearance of patient accounts, focusing on eligibility verification, resolving claim discrepancies, and guaranteeing the timely submission of clean claims to insurance companies. This is a fast-paced role that demands precision, analytical skills, and exceptional communication abilities.</p><p><br></p><p><strong>Key Responsibilities</strong></p><p><strong>1. Eligibility Verification</strong></p><ul><li>Conduct detailed reviews of patient insurance coverage and benefits for laboratory services.</li><li>Collaborate with teammates, clinics, patients, and insurance companies to verify coverage details and address any discrepancies.</li><li>Maintain accurate and comprehensive documentation of eligibility information in the revenue cycle management (RCM) system.</li></ul><p><strong>2. Claim Error Processing</strong></p><ul><li>Analyze and promptly resolve claim errors identified in the RCM system, including billing and coding discrepancies.</li><li>Work closely with team members to ensure compliance with policies, procedures, and medical necessity requirements.</li><li>Address and reconcile discrepancies to prepare clean claims for timely submission.</li></ul><p><strong>3. Additional Duties</strong></p><ul><li>Assist in other related tasks as assigned by leadership.</li></ul>
• Build and maintain strong relationships with key customers throughout the Accounts Receivable process.<br>• Engage with our valued customers via outbound phone calls and email to collect on payments owed.<br>• Perform account reconciliations as needed to ensure accounting records are aligned.<br>• Partners with our branch managers and regional managers to align on appropriate payment strategies for past due accounts<br>• Achieve accounts receivable KPI’s, including daily call volume, and accounts receivable percent over 60 days.<br>• Understands and communicates the account receivables policy.<br>• Effectively resolves issues in a positive, professional manner.<br>• Communicate effectively in a prompt courteous and customer-oriented manner<br>• Drive innovative solutions on past-due accounts where standard accounts receivable procedures have failed<br>• Analysis of any changes in payment patterns and recommend customers for credit evaluation.<br>• Refers uncollectable past due accounts to Credit Manager for review of possible collection or bade debt write off<br>• Ensures accurate customer files and customer billing information is up to date<br>• Responds to bankruptcy notices, returned checks, uncashed checks and bank credit card disputes<br>• Other duties as assigned.<br>Qualifications<br><br>• 2+ years of experience as a Credit Analyst, Accounts Receivable Specialist, or related field.<br>• You are detail-oriented, have a passion for customer service and strong interpersonal skills<br>• You want to be a great team player and possess the ability to collaborate and adapt in partnering with stakeholders across the business.<br>• You are self-motivated, goal-oriented, possess the ability to learn quickly and work effectively in a fast-paced work environment.<br>• Experience in handling a large volume, small dollar portfolio<br>• Excellent communication and interpersonal skills, including the ability to negotiate satisfactory business resolutions<br>• You are self-motivated, customer-centric, and highly organized.<br>• Experience reconciling AR accounts a plus.<br>• Experience training, mentoring other team members a plus.<br>• Ability to handle confidential or sensitive information with discretion<br>• Microsoft office: Excel and Word<br>• Experience with Davisware Global Edge is a plus<br>• Must pass a pre-employment drug screen and criminal background check
We are looking for a skilled Collections Specialist to join our team on a contract basis. In this role, you will play a vital part in managing and resolving outstanding accounts while ensuring compliance with debt collection laws. This position offers flexibility and the opportunity to work remotely, based in Alexandria, Virginia.<br><br>Responsibilities:<br>• Prepare detailed reports on account aging, collection progress, and other financial data to support decision-making.<br>• Update and maintain accurate records of payments, account statuses, and customer communications.<br>• Address billing discrepancies and handle customer inquiries regarding overdue payments.<br>• Ensure adherence to ethical standards and compliance with relevant debt collection regulations.<br>• Collaborate with customers and internal teams to resolve billing issues and maintain cash flow.<br>• Apply expertise in commercial and consumer collections to recover outstanding balances efficiently.<br>• Implement and refine collection processes to improve overall efficiency.<br>• Utilize Excel to manage and analyze collection data effectively.
<p>We are looking for a dedicated Revenue Billing Cycle Manager to oversee and optimize the revenue cycle processes for our healthcare organization in Hilo, Hawaii. This role requires a strategic thinker who can lead teams effectively, analyze financial data, and ensure compliance with industry regulations. If you have a strong background in revenue management and are passionate about improving operational efficiency, we encourage you to apply by calling us at 808-531-8056. Preference will be given to applicants currently residing in Hawaii due to the nature of the job requirements.</p><p><br></p><p>Responsibilities:</p><p>• Lead and manage all aspects of the revenue cycle, including patient registration, coding, claims submission, payer relations, and collections.</p><p>• Supervise and mentor a team of 30 or more staff members, fostering growth and collaboration.</p><p>• Analyze financial data to identify trends and implement strategies for revenue cycle optimization.</p><p>• Ensure compliance with healthcare regulations and standards throughout all billing and financial processes.</p><p>• Collaborate with internal and external stakeholders to address billing issues and improve operational workflows.</p><p>• Utilize advanced software systems like Sunquest, XiFin, and Epic to streamline revenue management operations.</p><p>• Develop and oversee budgets, ensuring efficient allocation of resources.</p><p>• Monitor accounts receivable and auditing processes to maintain financial accuracy and transparency.</p><p>• Implement solutions to resolve denials and improve claims management.</p><p>• Conduct regular performance reviews and provide actionable feedback to enhance team productivity.</p>
We are looking for a detail-oriented and proactive Collections Specialist to join our team in Kennesaw, Georgia. In this long-term contract position, you will play a critical role in managing accounts receivable, resolving billing discrepancies, and maintaining positive relationships with clients. The ideal candidate will possess strong negotiation skills and a commitment to adhering to industry regulations.<br><br>Responsibilities:<br>• Negotiate payment plans and settlements with customers to resolve outstanding balances effectively.<br>• Maintain detailed and accurate records of all collection efforts, including customer communications and payment agreements.<br>• Investigate and address billing discrepancies or disputes promptly to ensure customer satisfaction.<br>• Partner with internal teams, such as Accounting and Customer Service, to resolve client concerns and guarantee accurate invoicing.<br>• Monitor aging accounts receivable reports and prioritize collection activities based on delinquency levels.<br>• Report regularly to management on the progress of collections, highlighting any challenges or risks.<br>• Ensure compliance with all applicable collections laws, including the Fair Debt Collection Practices Act, during all interactions.<br>• Identify and implement process improvements to enhance the efficiency and effectiveness of collection operations.
We are looking for an experienced Collections Specialist to join our team in DFW Airport, Texas. In this Contract-to-Permanent position, you will play a crucial role in managing and resolving both commercial and consumer accounts, ensuring timely payments and maintaining accurate records. This opportunity is ideal for professionals with a strong background in credit and billing collections.<br><br>Responsibilities:<br>• Handle commercial and consumer collection accounts, ensuring timely resolution of outstanding balances.<br>• Communicate effectively with clients to address billing discrepancies and negotiate payment terms.<br>• Monitor account activity and proactively identify overdue payments.<br>• Maintain detailed and accurate records of all collection activities.<br>• Collaborate with internal teams to verify account information and resolve disputes.<br>• Prepare and generate reports on collection performance and account statuses.<br>• Follow established protocols and compliance standards in all collection efforts.<br>• Develop strategies to improve recovery rates and reduce outstanding debt.<br>• Provide exceptional customer service while addressing payment concerns.<br>• Stay updated on industry best practices and regulations related to collections.
<p>We are looking for a dedicated Collections Specialist to join our team on a contract basis. In this role, you will leverage your expertise in accounts receivable and collections to ensure accurate and timely payment processing. If you have a strong analytical mindset and enjoy collaborating to resolve financial discrepancies, this position offers an excellent opportunity to contribute to a dynamic environment.</p><p><br></p><p>Responsibilities:</p><p>• Oversee the collection of outstanding invoices from exhibitors and vendors, ensuring prompt payment for convention-related supplies and equipment.</p><p>• Conduct follow-ups after events to secure payment for issued invoices related to completed shows.</p><p>• Investigate and resolve payment discrepancies by reviewing invoices and cross-referencing payment records.</p><p>• Analyze unpaid invoices from past events and develop strategies to recover outstanding balances.</p><p>• Coordinate with internal teams to gather necessary documentation and ensure billing accuracy.</p><p>• Maintain comprehensive records of collection activities, including communications and payment updates.</p><p>• Engage professionally with clients to negotiate payment arrangements or address disputes.</p><p>• Identify process improvements to optimize collection efforts and implement best practices.</p><p>• Provide management with regular reports on collection status and outstanding accounts.</p><p>• Assist in the transition to new billing systems or workflows when required.</p>
We are looking for a motivated Collections Specialist to join our team in Winston-Salem, North Carolina. In this Contract-to-permanent position, you will play a key role in managing and optimizing collections processes, ensuring timely payments, and maintaining strong customer relationships. This opportunity is ideal for professionals with expertise in both consumer and commercial collections within the telecom industry.<br><br>Responsibilities:<br>• Handle consumer and commercial collections, ensuring prompt and accurate payment processing.<br>• Manage billing collections and resolve discrepancies to maintain account accuracy.<br>• Execute B2B collections strategies to recover outstanding balances effectively.<br>• Monitor and track cash collections, ensuring adherence to company policies.<br>• Utilize collections management tools to streamline workflows and improve efficiency.<br>• Communicate professionally with clients to address payment issues and negotiate solutions.<br>• Review credit histories and assess risk to determine appropriate collection actions.<br>• Collaborate with internal teams to support accurate reporting and account reconciliation.<br>• Analyze collection data to identify trends and recommend process improvements.<br>• Ensure compliance with industry regulations and company guidelines.
We are looking for a skilled Collections Specialist to join our team on a contract basis in Saint Louis, Missouri. The ideal candidate will play a vital role in managing various collections processes, ensuring timely payments, and maintaining accurate financial records. This position requires strong attention to detail and excellent communication skills to handle both commercial and consumer accounts effectively.<br><br>Responsibilities:<br>• Manage and oversee the collections process for commercial and consumer accounts.<br>• Communicate with clients to resolve payment delays and negotiate payment arrangements.<br>• Post payments accurately and update financial records in the system.<br>• Utilize NetSuite to track collections activities and maintain account information.<br>• Ensure compliance with company policies and regulations during all collection activities.<br>• Collaborate with billing teams to identify discrepancies and reconcile accounts.<br>• Prepare detailed reports on collection status and outstanding balances.<br>• Work closely with credit teams to assess risk and recommend actions for delinquent accounts.<br>• Monitor aging accounts and follow up consistently to reduce outstanding balances.
<p>We are looking for a <strong>Medical Accounts Receivable Specialist</strong> to join our team in <strong>Hillsborough, New Jersey.</strong> This long-term contract position offers an opportunity to contribute to the healthcare industry by managing financial operations and ensuring the accuracy of accounts. If you excel in accounts receivable processes and enjoy working in a fast-paced environment, this role is for you.</p><p><br></p><p><strong>Medical A/R Specialist Responsibilities:</strong></p><p>• Process and reconcile accounts receivable transactions with accuracy and efficiency.</p><p>• Manage cash applications, ensuring payments are correctly allocated and recorded.</p><p>• Oversee collections for commercial accounts, addressing outstanding balances and resolving discrepancies.</p><p>• Handle billing functions to ensure timely and accurate invoicing for services rendered.</p><p>• Monitor daily cash activity to maintain accurate financial records and reporting.</p><p>• Communicate effectively with clients and internal teams to address account-related inquiries.</p><p>• Analyze account data to identify trends and implement process improvements.</p><p>• Collaborate with the finance team to support month-end closing activities.</p><p>• Maintain compliance with healthcare industry regulations and company policies.</p>
<p>We are looking for a dedicated Collections Specialist to join our team in Milwaukie, Oregon. This long-term contract position offers an excellent opportunity to contribute to a dynamic environment. The ideal candidate will excel in managing accounts receivable processes, communicating effectively with stakeholders, and maintaining a positive team-oriented approach.</p><p><br></p><p>Responsibilities:</p><p>• Monitor delinquent accounts and recommend corrective actions to address outstanding balances.</p><p>• Handle inbound customer inquiries professionally while providing accurate billing information.</p><p>• Collaborate with team members to ensure seamless communication and support for collection efforts.</p><p>• Utilize CRM systems to track customer interactions and maintain accurate financial records.</p><p>• Execute effective collection strategies to recover overdue payments and minimize financial risk.</p><p>• Perform detailed account reconciliations to ensure accuracy of receivables.</p><p>• Maintain compliance with company policies and industry regulations during all collection activities.</p><p>• Build strong relationships with vendors and clients to foster trust and streamline payment processes.</p><p>• Generate reports on collection activities and provide insights to improve operational efficiency.</p><p>• Assist in resolving disputes related to billing and payment discrepancies</p>
<p>We are looking for a skilled Collections Specialist to join our team. In this role, you will manage and maintain accounts by ensuring timely collections from both commercial and consumer clients. This position requires a strong understanding of credit and billing practices to effectively handle collection processes.</p><p><br></p><p>Responsibilities:</p><p>• Oversee and manage the collection of outstanding payments on commercial and consumer accounts.</p><p>• Communicate with clients to resolve billing discrepancies and negotiate payment terms.</p><p>• Maintain detailed records of collection activities and ensure compliance with company policies.</p><p>• Collaborate with internal teams to address and resolve credit-related issues.</p><p>• Analyze account histories to identify patterns and minimize future delinquencies.</p><p>• Prepare reports on collection activities and account statuses for management review.</p><p>• Ensure adherence to all relevant laws and regulations in the collection process.</p><p>• Proactively follow up on overdue accounts to achieve collection targets.</p><p>• Recommend process improvements to enhance the efficiency of the collections workflow</p>
<p>We are looking for a dedicated Billing Clerk to join our team in Colorado Springs, Colorado. In this role, you will play a vital part in ensuring accurate and efficient billing processes for a healthcare organization specializing in treatments for medication-resistant depression. The ideal candidate is detail-oriented, organized, and possesses excellent communication skills to maintain seamless workflows and patient satisfaction.</p><p><br></p><p><strong>Job Description</strong></p><p>As a Medical Biller, you will play a critical role in managing all aspects of the revenue cycle process. This position blends technical billing expertise with empathetic patient interaction, making it vital for ensuring the financial health of our organization while maintaining high-quality patient experiences.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Claim Management</strong>: Handle charge and code input, prior authorizations, scrubbing, timely submission of claims, secondary billing, and coordination of benefits.</li><li><strong>Payment Posting</strong>: Post patient and insurance payments using ERA and paper EOBs; identify payment discrepancies and patterns like downcoding or out-of-network adjustments by insurance companies.</li><li><strong>Appeals and Denials</strong>: Manage insurance denials through appeals and coordinate coverage by assessing patient eligibility and prior authorization details. Utilize portals such as Availity, Zelis, One Healthcare, Cigna HCP, Medicare/WPS, and others.</li><li><strong>Patient Interaction</strong>: Communicate with patients about copays, outstanding balances, payment plans, and refunds or credits, often engaging with individuals who may have severe depression.</li><li><strong>Communication Tracking</strong>: Document all communications with patients and insurance companies, ensuring HIPAA compliance.</li><li><strong>Reporting and Analysis</strong>: Generate and maintain reports from practice management systems like NextGen and update the billing escalation tracker in Excel (pivot table proficiency required).</li><li><strong>Audit Support</strong>: Assist with insurance and internal audits and handle accompanying records requests.</li><li><strong>Process Improvement</strong>: Identify opportunities to shift to automated processes wherever possible, including transitioning paper claims, checks, and EOBs to electronic formats.</li></ul>
We are looking for a detail-oriented and proactive Collections Specialist to join our services team in Minneapolis, Minnesota. This role is centered on delivering exceptional client service while managing financial processes and ensuring the efficient handling of accounts receivable. The ideal candidate will thrive in a collaborative environment and possess strong organizational and analytical skills.<br><br>Responsibilities:<br>• Conduct credit evaluations for new client intake and secure approval for credit relationships.<br>• Develop and implement monitoring systems and generate detailed reports for accounts receivable and client financial data.<br>• Collaborate with attorneys to assess accounts receivable and establish tailored action plans for each client.<br>• Document collection efforts and follow-up activities in the firm's accounting system.<br>• Process discounted accounts receivable transactions in compliance with established policies.<br>• Prepare and distribute monthly accounts receivable statements and client communication regarding collections.<br>• Provide regular updates on financial statuses to office leadership and partners.<br>• Investigate unallocated credits or payments and coordinate resolutions for accurate account reconciliation.<br>• Manage routine reviews and resolutions of dormant trust accounts to ensure compliance.<br>• Process client refunds by preparing necessary approvals and submitting them to accounts payable.
We are looking for a skilled and detail-oriented Collections Specialist to join our team in Independence, Ohio. In this Contract-to-permanent position, you will play a key role in managing business-to-business (B2B) collections while ensuring accurate records and prompt follow-ups. This hybrid role offers a mix of in-office and remote work, providing flexibility after the initial training period.<br><br>Responsibilities:<br>• Conduct B2B collections to ensure timely payments and resolve outstanding balances.<br>• Maintain and update customer records to ensure accuracy and compliance.<br>• Follow up on purchase orders and address any discrepancies or delays.<br>• Utilize Centra, the in-house software, to manage collection processes and workflows.<br>• Collaborate with internal teams to address payment-related issues and streamline operations.<br>• Communicate professionally with clients to negotiate payment terms and resolve disputes.<br>• Prepare regular reports on collection activities and payment statuses.<br>• Ensure adherence to company policies and regulatory requirements during all collection activities.<br>• Contribute to process improvements and recommend strategies for better efficiency.
