<p>We are looking for an experienced Billing Representative to join a remote team. In this role, you will play a vital part in ensuring accurate and timely billing processes, contributing to the financial stability of the organization. This is a short-term contract position offering the opportunity to collaborate with a diverse team while advancing your career in the healthcare industry.</p><p><br></p><p>Responsibilities:</p><ul><li>Prepare, review, submit, and resubmit professional and facility claims to Medicare, Medicare Advantage (Managed Care), Medicaid, Medicaid Managed Care, and other commercial and third-party payers in accordance with payer-specific billing guidelines.</li><li>Analyze claim denials, rejections, and underpayments; identify errors; implement corrective actions; and route issues to appropriate internal departments to ensure timely and accurate resolution.</li><li>Perform root cause analysis of claim rejections and denials, track trends by payer, service line, and billed services, and provide feedback to support process improvement.</li><li>Collaborate with clinical, coding, registration, and other internal and external departments to validate demographic, insurance, authorization, and coding accuracy, including updates related to CPT, HCPCS, and ICD-10 changes.</li><li>Accurately document claim research, resolution actions, and follow-up steps within billing and account management systems.</li><li>Maintain strict compliance with hospital policies, federal and state regulations, payer requirements, and HIPAA privacy standards at all times.</li><li>Meet or exceed established productivity and performance metrics by effectively managing assigned work queues and daily workloads.</li><li>Meet or exceed quality standards by ensuring claims are submitted clean, accurate, and complete.</li><li>Respond promptly and professionally to billing-related inquiries and email requests to support timely account resolution.</li><li>Perform additional revenue cycle and billing-related duties as assigned.</li></ul>
We are looking for a skilled Revenue Cycle Management Specialist to oversee and enhance revenue operations within a healthcare setting in Minneapolis, Minnesota. This Contract to permanent position requires a proactive leader who can ensure smooth billing, coding, collections, and patient financial services while maintaining compliance with regulatory standards. The ideal candidate will have a strong background in revenue cycle processes and a commitment to driving efficiency and accuracy in all aspects of financial management.<br><br>Responsibilities:<br>• Lead and manage the revenue cycle team, including billing, coding, collections, and patient financial services.<br>• Develop and implement policies and procedures to ensure compliance with healthcare regulations and payer requirements.<br>• Analyze and monitor key performance indicators (KPIs) such as denial rates, cash collections, and accounts receivable days.<br>• Investigate and resolve issues impacting revenue cycle performance, including claim denials and underpayments.<br>• Ensure accurate charge capture, coding, and timely submission of medical claims.<br>• Collaborate with finance and operations teams to forecast revenue and manage cash flow effectively.<br>• Prepare and present detailed reports on revenue cycle performance to leadership teams.<br>• Conduct audits and quality assurance checks to ensure compliance with federal, state, and payer regulations.<br>• Implement strategies to minimize errors and mitigate financial risks.<br>• Stay updated on industry standards and adapt processes to align with evolving regulations.
<p><strong>Position Summary</strong></p><p>The Collections/Cash Applications Administrator is responsible for managing the accurate and timely application of payments, resolving payment discrepancies, and overseeing collection activities to ensure optimal cash flow. This role plays a critical part in maintaining the financial health of the organization by ensuring patient accounts and insurance payments are processed efficiently and in compliance with healthcare regulations.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li><strong>Cash Applications:</strong></li><li>Accurately post patient and insurance payments to the appropriate accounts in the billing system.</li><li>Reconcile daily deposits and electronic remittance advice (ERA) with bank statements.</li><li>Research and resolve unapplied or misapplied payments promptly.</li><li><strong>Collections:</strong></li><li>Monitor aging reports and follow up on outstanding balances with patients and insurance carriers.</li><li>Initiate collection calls, send statements, and manage payment plans in accordance with company policies.</li><li>Escalate delinquent accounts for further action or third-party collections when necessary.</li><li><strong>Dispute Resolution:</strong></li><li>Investigate and resolve payment discrepancies, denials, and underpayments.</li><li>Collaborate with billing and coding teams to correct claim errors and resubmit as needed.</li><li><strong>Compliance & Reporting:</strong></li><li>Ensure adherence to HIPAA and healthcare compliance standards.</li><li>Prepare and maintain accurate reports on cash posting, collections activity, and account status for management review.</li><li><strong>Customer Service:</strong></li><li>Provide professional and empathetic communication with patients regarding account balances and payment options.</li><li>Respond to inquiries from insurance companies and internal departments promptly.</li></ul><p><br></p>
<p>We are looking for a detail-oriented Billing Specialist to join our team on a contract-to-hire basis in Plymouth, Minnesota. This role focuses on ensuring accuracy and efficiency in billing operations within the manufacturing industry. The ideal candidate will thrive in a fast-paced environment, demonstrating strong organizational skills and the ability to work collaboratively.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and issue accurate billing statements in a timely manner.</p><p>• Manage billing collections and ensure payments are received according to established deadlines.</p><p>• Utilize computerized billing systems to process invoices and resolve discrepancies.</p><p>• Maintain detailed records of billing activities and transactions.</p><p>• Collaborate with internal teams to streamline billing processes and address client inquiries.</p><p>• Review and verify billing data for completeness and accuracy.</p><p>• Generate reports related to billing operations and present findings to management.</p><p>• Identify and propose improvements to enhance billing efficiency.</p><p>• Respond to customer questions and concerns regarding invoices and payments.</p><p>• Ensure compliance with company policies and industry regulations in all billing operations.</p>
<p>We are looking for a detail-oriented Budget Authorization Specialist to join our team in Richfield, Minnesota. In this Contract to permanent position, you will play a vital part in managing and verifying service authorizations while ensuring compliance with relevant policies and procedures. This position offers the opportunity to collaborate with various stakeholders and contribute to the success of a non-profit organization.</p><p><br></p><p>Responsibilities:</p><p>• Review and validate requests for program service authorizations, ensuring all required documentation is accurate and complete.</p><p>• Submit authorization requests to external entities such as county case workers, support planners, and insurance providers.</p><p>• Communicate effectively with program leaders, staff, and external parties to gather necessary information for authorizations.</p><p>• Monitor and follow up on authorization statuses, addressing issues promptly to ensure timely processing.</p><p>• Analyze denials to identify reasons and prepare appeals when necessary to secure approvals.</p><p>• Maintain detailed records of authorization requests, addendums, denials, and correspondence.</p><p>• Update and manage tracking systems to reflect authorization statuses and generate relevant reports.</p><p>• Evaluate authorization metrics to identify trends and propose areas for improvement.</p><p>• Prepare detailed reports and summaries on authorization activities for management review.</p><p>• Stay informed about regulations and policies to ensure organizational compliance and assist in audits.</p>
We are looking for a detail-oriented Billing Analyst to join our team in Minnetonka, Minnesota. In this role, you will play a crucial part in managing and resolving outstanding accounts while ensuring accurate billing and collections processes. This position offers an opportunity to collaborate with various specialists and provide exceptional customer service to patients.<br><br>Responsibilities:<br>• Respond to incoming patient inquiries regarding balances and insurance coverage by phone.<br>• Collaborate with Claims and Eligibility Specialists to provide patients with accurate information related to their insurance.<br>• Coordinate with the Business Office Manager to address accounts over 150 days old and determine collection actions.<br>• File appeals for denied or rejected insurance claims to ensure proper reimbursement.<br>• Conduct follow-ups on outstanding claims through calls and insurance provider portals.<br>• Deliver high-quality work in managing accounts receivable assignments.<br>• Maintain excellent customer service standards while assisting patients and resolving billing issues.<br>• Perform additional tasks as needed to support the business office operations.
