We are seeking a Customer/1 Billing Subject Matter Expert (SME) / Designer with deep expertise in customer service and service order management. Job Title: Customer/1 Billing SME / Designer.
p>Responsible for all aspects of claim submission for services rendered at Capital Health through the Revenue Cycle life cycle to all payers, including but not limited to pre and post claim review, claim (277) rejections, denial review, and claim resubmission. Reviews hospital billing reports for corrections needed in order to have the accounts final bill – these includes but are not limited to: Late Charge report, 72-hour report, etc. to ensure claims are billed timely and accurately (hospital only).
Additionally, will be exposed to physician information including physician numbers assigned by governmental agencies and insurance carriers.Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. Responsibilities of the Patient Accounting Billing Specialist I include regular and consistent billing for all payers and follow-up work on Client, NMDP, Bluebird Bio, and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed.
p>We empower family caregivers through our innovative Caregiver-Enabled Dementia Program, leveraging technology, AI, data, and personalized coaching to improve health outcomes, reduce hospitalizations, and generate significant cost savings for value-based healthcare organizations. Ceresti Health is a tech-enabled dementia care provider pioneering a differentiated model of care to improve family caregiver outcomes and strengthen their ability to sustain high-quality care.
You'll collaborate closely with developers, support teams, and product stakeholders to validate new features, improve existing functionality, and champion best -in-class user experiences. Key Responsibilities • Test new features across the eLation suite, including verifying required functionality, assessing usability, and recommending improvements.
p style="min-height:1.5em">Anticipates most efficient resources and activities needed to secure payment of open claims and invoices including use of online payor policy research, electronic submission tools, or appropriate escalation or triage. The Billing Specialist will also demonstrate proficiency in multiple applicable software systems in addition to growth in areas supporting physician services including physician-administered drugs, imaging, and other ancillaries.
Serving Southeastern and Central Ohio, ISBH provides a comprehensive range of behavioral health and related services, collaborating with local partners to promote healthy individuals and strong communities. The Billing Specialist is responsible for processing client billing and supporting revenue cycle operations to ensure accurate and timely reimbursement for behavioral health and related services.
p style="text-align:left">In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. Work Shift: Day Shift (United States of America)
Scheduled Weekly Hours: 20
Department: Physician Billing Dept
.
Maven is looking to hire a Senior Associate, Billing Specialist who will lead the resolution of complex financial and benefits billing escalations, serving as a key expert to ensure accurate member financial tracking and provide equitable solutions for members, employers, and insurers. Founded in 2014 by CEO Kate Ryder, Maven has raised more than $425 million in funding from top healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital.
Guided by our core values of love, excellence, trust, accountability, mutual respect, and fun, we strive to foster a culture of compassionate care within our teams and the communities we serve. • Unbilled Claims Management: Maintain a cumulative list of all unbilled claims; provide daily updates and documentation until all prior-month claims are successfully released.
Establishes and maintains comprehensive Excel spreadsheets for cash application and reconciliation to daily bank statements to ensure the bank and internal financial systems are in sync. 10% Conducts user acceptance testing for vendor change requests and for scheduled system releases to identify defects and ensure proper resolution prior to sign off for production.
In addition, this role focuses on performing the following Billing related duties: Bills patients for administered care, handles incoming payments, calculates patient intake costs, and tracks accounts receivable to ensure accuracy. Regular interaction with other departments of the provider organization using electronic system tools to resolve accounts, including Patient Access, Revenue Integrity, Coding, Medical Records, Utilization Review, Hospital Departments, Physician’s Offices, and other administrative teams.
These include but are not limited to medical coding, insurance verification, ensuring the accuracy of the information housed in the practice management system, preparing deposits, collecting, posting, and managing account payments, submitting accurate claims, and following up on accounts. - Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information, handles carrier correspondence, manages EOBs, and keys payments received into the system.
p>Responsible for all aspects of claim submission for services rendered at Capital Health through the Revenue Cycle life cycle to all payers, including but not limited to pre and post claim review, claim (277) rejections, denial review, and claim resubmission. Reviews hospital billing reports for corrections needed in order to have the accounts final bill – these includes but are not limited to: Late Charge report, 72-hour report, etc. to ensure claims are billed timely and accurately (hospital only).
Additionally, will be exposed to physician information including physician numbers assigned by governmental agencies and insurance carriers.Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. Responsibilities of the Patient Accounting Billing Specialist I include regular and consistent billing for all payers and follow-up work on Client, NMDP, Bluebird Bio, and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed.
Responsible for all aspects of claim submission for services rendered at Capital Health through the Revenue Cycle life cycle to all payers, including but not limited to pre and post claim review, claim (277) rejections, denial review, and claim resubmission. Reviews hospital billing reports for corrections needed in order to have the accounts final bill – these include but are not limited to: Late Charge report, 72-hour report, etc. to ensure claims are billed timely and accurately (hospital only).
Responsible for all aspects of claim submission for services rendered at Capital Health through the Revenue Cycle life cycle to all payers, including but not limited to pre and post claim review, claim (277) rejections, denial review, and claim resubmission. Reviews hospital billing reports for corrections needed in order to have the accounts final bill – these include but are not limited to: Late Charge report, 72-hour report, etc. to ensure claims are billed timely and accurately (hospital only).
strong>Why Should You Apply?
If you share this passion and commitment, let's talk about how you can join us in our mission and build your future with us! . We work hard to protect clients, customers, and teammates from fire hazards by installing, maintaining, and inspecting fire suppression systems.
With healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers. The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers.
p>We solve that through one partnership: nine specialty labs matched to specific case types, no-cost digital scanning equipment, a portal to track every case and manage every invoice in one place, and a clinical support team on every case. This role is responsible for ensuring accurate, timely billing for dental lab work and restorative products, while maintaining strong financial records and supporting accounts receivable and payable processes.
p/>Proactively follow up on delayed payments by contacting patients and third-party payers determining the cause for delay and supplying additional data as required.
Performs all routine follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays.
This may include direct supervision of employees with responsibilities such as performance reviews, hiring and termination decisions, training, coaching, and mentoring, and/or leadership of external vendors, subcontractors, or contracted service teams with accountability for work quality, performance, and project execution. As we've expanded - bringing more than 30 businesses into the Marmic family in just the past few years - we've built a culture where skilled technicians and industry experts can thrive, share their knowledge, and create lasting careers.
To learn more about recruitment fraud and how to report it, please refer to https://www.parsons.com/fraudulent-recruitment/. This position will be posted for a minimum of 3 days and will continue to be posted for an average of 30 days until a qualified applicant is selected or the position has been cancelled.
This role is responsible for reviewing and evaluating complex medical bills, including those associated with multiple surgical procedures and diagnostic services such as EMGs, to ensure accurate reimbursement in accordance with State Fee Schedules, clinical documentation, and billing guidelines. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact.
p>We are seeking a detail-oriented Physician Billing Specialist II who thrives in both team-based and independent work environments and can effectively manage responsibilities in a fast-paced setting. Key responsibilities include accurate data entry, managing pre-accounts receivable (Pre-A/R) work queues, and performing additional duties as assigned.
A growing healthcare organization is expanding its Revenue Cycle team due to new practice acquisitions and is seeking experienced Billing Specialists with strong Accounts Receivable and denial management experience. Although the title is Billing Specialist, this role functions primarily as an AR Follow-Up Specialist focused on resolving denied claims, managing insurance follow-ups, and ensuring accurate reimbursement.
p>The Billing Specialist will work closely with finance teams, clients, and internal departments to support efficient billing processes and maintain accurate financial records. This role focuses on preparing invoices, maintaining billing records, processing transactions, and ensuring accurate and timely billing operations.
Representatives are responsible for maintaining knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies Guidehouse works with. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Reviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature. Identifies, reviews, and interprets third party payments, adjustments and coding denials for all professional services.
You Are: Hands-on experience building integrations across CPQ, billing platforms (Metronome, Orb, Chargebee, or similar), and ERP systems — not just configuring them, but engineering the data flows between them.
Treat billing-critical systems like production infrastructure: version-controlled, tested, deployed through a proper CI/CD pipeline, and monitored with observability tooling.
Anatomy is bringing together the best of Healthcare and Fintech expertise to create seamless and purpose-built solutions that healthcare providers can build their business on. Financial is a San Mateo, CA-based company, backed by leading investors including Canapi Ventures, Lightspeed, Live Oak Bank, and Meridian Street Capital.
li>Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim. Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims, either in the office or at the client site.
In addition, this position will provide support for provider and facility payer credentialing and enrollment, including provider attestations, and updating Electronic Practice Management system around provider effective dates for payers. Ability to work independently, take initiative, set priorities in accordance with the needs and mission of the clinic, multi-task, and problem solve in a fast-paced work environment.
style="min-height:1.5em">Optimization and Enhancements: Identify opportunities for system improvements across hospital billing processes; recommend configuration changes to enhance billing accuracy, reimbursement, and operational efficiency. The salary range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs.
Ability to effectively work and communicate with patients, co-workers, and management both in person and remote virtual chat environments. Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.
With over 80 points of access across the region, including Hamilton Medical Center and Bradley Medical Center, we offer the opportunity to be part of something bigger: a connected, mission-driven team changing lives every day. As northwest Georgia and southeast Tennessee’s leading healthcare system, we are committed not only to the health of our communities, but also to the growth, support, and success of our team members.
The salary range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skills, experience, training, licensure and certifications, practice area, and other business and organizational needs. This role is ideal for an experienced Epic analyst who brings deep in-system knowledge and has supported a variety of Epic initiatives including implementations, upgrades, optimizations, and/or Community Connect engagements.