Billing Clerk MRA Recruiting ServicesBilling ClerkIxiona, WIFull timeTo perform this job successfully, an individual should have knowledge of writing simple correspondences to customers, basic knowledge of accounting practices, the ability to answer billing related questions via phone and/or email, knowledge and experience with Database software, Spreadsheet software and Word Processing software. As one of the largest employer associations in the nation, MRA helps its member organizations thrive by offering the most comprehensive assortment of HR services, information, education, and resources to help build successful workplaces and a powerful workforce.
Billing Support Specialist ApartmentIQBilling Support SpecialistMadison, WIRemoteYou will be responsible for overseeing the invoicing process, ensuring accurate and timely invoicing, collaborating with internal teams to resolve any discrepancies, as well as working directly with customers to ensure accuracy. Data Quality Assurance: Regularly audit customer profiles for accurate billing addresses, contact information, and delivery routing to prevent returned invoices and payment delays.
Billing Specialist - Dental Clinic Experience Required Dental Health Associates of MadisonBilling Specialist - Dental Clinic Experience RequiredFitchburg, WICommunity Impact : Join a practice that actively gives back to the community through initiatives such as Tri 4 Schools, the Oregon Kids Triathlon, All City Swim, Big Brothers Big Sisters, Boys & Girls Club, the UW-Madison Carbone Cancer Center, Gilda's Club, and many other meaningful causes. As a doctor-owned dental practice with seven clinics in the Madison area, we offer a unique opportunity to develop your career while collaborating with experienced dentists and leadership teams.
Billing Specialist Community Health Systems of WisconsinBilling SpecialistBeloit, WIJOB SUMMARY: Processes insurance; gathers charge information; completes billing process; files insurance claims; performs collection and follow up work. Analyzes patient denials for possible re-submission and reports to Revenue Cycle Manage denial trends.
Pharmacy Technician - Billing Specialist Guardian Pharmacy LLCPharmacy Technician - Billing SpecialistMadison, WI$21–$24 / hourWho We Are and What We're About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
Pharmacy Technician - Billing Specialist Guardian Pharmacy Services ManagementPharmacy Technician - Billing SpecialistMadison, WisconsinOur core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
Billing and Accounts Receivable Assistant Three Pillars Senior Living CommunitiesBilling and Accounts Receivable AssistantWIPrepare and submit accurate, inclusive monthly billings for all services rendered by Three Pillars (Private statements, Medicare B billing, Long Term Care Insurance, Service and Assistance, and Mobile Meals). Rated the BEST Senior Care Community in Wisconsin, we''re seeking compassionate team members who embrace our core values: Respect, Commitment, Fulfillment, Empathy, and Fun!
Billing Analyst ORBIS CorporationBilling AnalystOconomowoc, WIFull timeWhat You'll DoAs a Billing Analyst, your responsibilities will include: Analyze and prepare customer invoices, ensuring accuracy and alignment with accounts receivable records. Perform month‑end close activities, including billing analysis, sales tax reporting, and journal entries.
Title Clerk/Deal Billing Clerk Kayser FordTitle Clerk/Deal Billing ClerkMadison, WisconsinKayser began selling and servicing cars back in 1925 and has since grown to sell Chrysler, Dodge, Jeep, Ram, Chevrolet, Buick, GMC, Isuzu Trucks, Ford and Lincoln brands in eight locations: Sauk Prairie, Pulaski, Oconto Falls, Watertown, Janesville and Madison. Process all payoffs, registrations for new and pre-owned vehicles, all license plate issuing and transfers and obtain all dealer titles, and help train other employees in this task.
Patient Financial Services Specialist II - On Site Beloit Health SystemPatient Financial Services Specialist II - On SiteBeloit, WIFull timeThe position requires proper account documentation in facility's billing system and pursuit of aged account resolution under the minimal supervision of team lead and/or departmental leaders. The mission of Beloit Health System, Inc. is to be the leader in regional health and wellness services that delivers high quality value and satisfaction to our patients and communities we serve.
Revenue Integrity Audit Specialist SSM HealthRevenue Integrity Audit SpecialistMadison, WisconsinMaintains current knowledge of Charge Description Master (CDM), Charge Preference List (CPL) and Flowsheet Charging to provide support for assigned health ministry to produce a bill/claim by attending coding conferences, workshops, and self-guided learning. Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
NewPOOL II Intake Specialist - Oconomowoc - Weekends and PMs - New Grads Encouraged to Apply! Rogers Memorial HospitalPOOL II Intake Specialist - Oconomowoc - Weekends and PMs - New Grads Encouraged to Apply!Oconomowoc, WIPhysical/Mental Demands: Ability to be flexible with work assignments, including schedule changes, caseload volume changes, changes in required documentation, program additions, and changes in policy and procedure. Intake Specialists work within a collaborative team including physicians, providers, other intake specialists and many other members of a multidisciplinary team.
Digital Release Specialist MoxeDigital Release SpecialistMadison, WI$16–$18 / hourProvides excellent customer service by remaining attentive and respectful, ensuring full understanding of customer requests, following through as promised, and proactively identifying and addressing client concerns or issues. The associate is expected to rigorously protect patient privacy, ensuring that access to medical information is granted only to authorized parties and that all disclosures strictly adhere to the request, supporting documentation, organizational policy, and HIPAA regulations.
Referral & Auth. Specialist (Remote); 1.0 FTE; Day Shift UnityPoint HealthReferral & Auth. Specialist (Remote); 1.0 FTE; Day ShiftMadison, WIRemoteThe Referral and Authorization Specialists play a key role in ensuring that Meriter's Financial Clearance process is fully complete so that our organization secures optimal reimbursement for services. Works directly with referring providers in obtaining shared authorizations and has great working relationships with members of various hospital departments.
Behavioral Health Patient Insurance Verifier (Oconomowoc, WI Only) Rogers Memorial HospitalBehavioral Health Patient Insurance Verifier (Oconomowoc, WI Only)Oconomowoc, WisconsinMaintain high-level multitasking by actively working in multiple systems at once, verifying benefits, completing portal checks, correcting registration or demographic errors, and documenting results in Cerner, all while navigating multiple monitors and continuing productive work during insurance hold times. As the first step in the patient’s financial experience, this position verifies behavioral health benefits, determines patient financial responsibility, and communicates coverage information effectively to internal teams to support timely and accurate admissions and claims.
Account Representative (Medical RCM EDI Software) Quadax, Inc.Account Representative (Medical RCM EDI Software)Madison, WIPart timeAbility to maintain a professional relationship with multiple clients while being personable, to establish better lines of communication. Contact different insurance payers while researching reasons why medical claims did not pay or pass edits.
Office Specialist ATI Physical Therapy IncOffice SpecialistOconomowoc, WILeverage your healthcare office experience and expertise in billing, coding, and insurance authorizations in a front office role where you'll support patient intake, scheduling, and accurate claims-while serving as a key point of contact for clinic operations. Individual is responsible for the clinical administrative functions of patient intake, scheduling, and registration, and clinic-based activities required to ensure accurate billing and claims.
NewRemote HCC Coding Specialist for Risk Adjustment Highmark HealthRemote HCC Coding Specialist for Risk AdjustmentMadison, WIRemote$27.02–$41.85 / hourThe role supports remote patient monitoring projects, with minimal travel required, offering a pay range of $27.02 to $41.85 per hour.#J-18808-Ljbffr. This role involves delivering risk adjustment coding for Medicare Advantage and ACA projects, ensuring compliance with CMS guidelines.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerOconomowoc, WI5+ years’ experience pharmaceutical and/or biotech experience and 2+ years’ relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement. Provide information to HCP on how the products are covered under the benefit design and educate key private and public payer coverage and changes that impact the products access for patients.
Application Analyst | Epic Resolute - PB/ HB Gundersen Health SystemApplication Analyst | Epic Resolute - PB/ HBWIAdditional Employee Discounts and Perks Other benefits include a Wellness program with incentives, employer-paid life insurance and AD&D, optional short-term and long-term disability coverage, an employee assistance program, identity theft protection, pet insurance, Inspire & Celebrate colleague recognition and rewards program, a discount program, and more! Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan's Upper Peninsula.
Experience Specialist; Child and Adolescent Psych; 1.0FTE, Day/PM Shift UnityPoint HealthExperience Specialist; Child and Adolescent Psych; 1.0FTE, Day/PM ShiftMadison, WIIn addition to the registration and insurance verification duties, the Experience Specialist is responsible for scheduling all patient appointments in EPIC Cadence and answering a multiline phone and triaging calls to appropriate clinic staff, and creating patient call back messages routed to clinic staff. This position is responsible for querying databases, utilizing many different methods, searching for existing medical record numbers on all patients, in order to provide continuity of patient care within one medical record number that is assigned to each patient.
Biller & Insurance Specialist - 1.0 FTE Prairie Ridge Health Inc.Biller & Insurance Specialist - 1.0 FTEColumbus, WIPart timeExperience paper and electronic billing for Medicare, Medicaid, managed care, commercial insurances and workers compensation; including knowledge of hospital and professional claim forms strongly preferred. They are responsible for interactions with all Payers regarding timely and accurate claims filings, follow-up, appeals and applicable claims re-submissions.
Accounts Payable Specialist Adams, Inc.Accounts Payable SpecialistElkhorn, WIWe’re looking for an Accounts Payable Specialist to support our Finance team by processing vendor invoices, maintaining accurate financial records, and helping ensure smooth day‑to‑day operations. This is a great opportunity for someone who enjoys detail‑oriented work, values teamwork, and wants to grow with a stable, well‑established company.
Office Specialist ATI Physical TherapyOffice SpecialistOconomowoc, WisconsinFull timeQualifications: Minimum Education Required: • High School diploma or equivalent Minimum Experience Required: • 1 or more years in an administrative position Preferred: • Previous health care office experience • Previous medical billing and coding • Knowledge of benefit verification and authorization Knowledge Skills and Abilities • The ability to communicate effectively and professionally • Proficient with Microsoft Office Suite • Bilingual language skills in some clinics preferred Virtual Employee?: Overview: Leverage your healthcare office experience and expertise in billing, coding, and insurance authorizations in a front office role where you’ll support patient intake, scheduling, and accurate claims—while serving as a key point of contact for clinic operations.
Staff Accountant – Accounts Payable Focus Adams, Inc.Staff Accountant – Accounts Payable FocusElkhorn, WIApproximately 50% of this role is dedicated to accounts payable operations, including monitoring the company’s capital outflow, facilitating vendor payments, and ensuring the accuracy and completeness of all payables transactions. The Staff Accountant – Accounts Payable Focus will support the Finance team in maintaining accurate financial records and tracking the organization’s assets, liabilities, and related financial activities.
Administrative Assistant City of Janesville WisconsinAdministrative AssistantJanesville, WIRemote$23.72–$26.09 / hourBehaviors: Establish and maintain effective working relationships with the general public, adult riders, Transit Management, division employees, student riders and their families, city employees, social workers, non-profit agencies, vendors, community groups, and other governmental agencies. Serves as primary contact for social service agencies purchasing fare materials on behalf of their clients, including communicating procedures, reviewing forms for accuracy and completeness, fulfilling orders, managing voucher payments and liaising with clients, guardians, social workers, and third-party payee administrators.
Account Representative (Medical RCM EDI Software) Quadax Careers & CultureAccount Representative (Medical RCM EDI Software)Madison, WisconsinAbility to maintain a professional relationship with multiple clients while being personable, to establish better lines of communication. Contact different insurance payers while researching reasons why medical claims did not pay or pass edits.
Pre-Payment Review Nurse Consultant- Wisconsin Gainwell Technologies LLCPre-Payment Review Nurse Consultant- WisconsinMadison, WIRemote$86,000–$105,000 / yearGainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Skill in using computer‑accessible databases to support audit activities and technology used for pre‑payment review audits, including reviewing and analyzing computer‑generated reports.
Revenue Cycle Specialist Cherry Tree DentalRevenue Cycle SpecialistMadison, WIFull timeThis role plays a critical part in supporting efficient clinic operations by ensuring accurate patient and insurance information prior to treatment and managing full revenue cycle to optimize reimbursement and cash flow. **While this role will primarily be remote, it will require occasional travel to Cherry Tree Dental clinical sites, work locations, and schools, therefore candidates should be within a reasonable distance of Madison, WI.** .
Rehab Clerical Aide Advocate Health and Hospitals CorporationRehab Clerical AideLake Geneva, WisconsinLicensure, Registration, and/or Certification Required: Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) needs to be obtained within 6 months unless department leader has determined it is not required. Responsible for direct patient contact activities under the supervision of the licensed provider such as patient positioning and transfers, preparation and application of therapeutic modalities, follow through on routine patient exercises or start up on exercise equipment, assisting with crutch walking and gait training.
Accounting Specialist CFSAccounting SpecialistCottage Grove, WI$22–$25 / hourThis is a well-rounded accounting role where you’ll take ownership of key processes while supporting the broader team. Gain exposure to a larger corporate accounting function as the team continues to integrate.
Special Education Data Specialist Wisconsin Association of School Personnel AdministratorsSpecial Education Data SpecialistMadison, WIThe Data Specialist works closely with the Special Education Billing and Records Associate to coordinate billing, training, and record-keeping, and ensures accurate and timely transfer of documentation. The Special Education Data Specialist provides oversight, management, and implementation of the Medicaid School-Based Services (SBS) billing system and special education documentation systems.
NewClerical Rehab Aide Advocate Health and Hospitals CorporationClerical Rehab AideHartford, WisconsinResponsible for direct patient contact activities under the supervision of the licensed provider such as patient positioning and transfers, preparation and application of therapeutic modalities, follow through on routine patient exercises or start up on exercise equipment, assisting with crutch walking and gait training. Performs reception/clerical duties which includes answering phones, taking messages, transferring calls, greeting, registering and scheduling patients, billing, faxing, photocopying, assembling patient medical records, opening, sorting and routing incoming mail.
Rad Tech Clinic Advocate Health and Hospitals CorporationRad Tech ClinicOconomowoc, WisconsinHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.
Hospital Operations Supervisor National Veterinary AssociatesHospital Operations SupervisorOconomowoc, WINVA, a community of approximately 1,400 premier locations consisting primarily of general practice veterinary hospitals in addition to equine hospitals and pet resorts, and Ethos Veterinary Health, which consists of 145 world-class specialty and emergency hospitals, are rooted in a culture of compassion and innovation. For positions based in Colorado, NVA provides eligible employees with paid sick and safe leave and public health emergency leave in accordance with the requirements of Colorado's Healthy Families and Workplaces Act.
Pharmacy Intern SSM HealthPharmacy InternMadison, WisconsinAssures medications are available for patients by assisting in inventory control including: ordering, checking in orders, stocking shelves, updating the computerized inventory system, rotating stock, processing recalls and conducting quarterly inspections of all areas where drugs are stored in the pharmacy for outdated and unusable medications and quarantining them in a separate are from useable stock. Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Master Social Worker - MSW Fresenius Medical Care AG & Co KGaAMaster Social Worker - MSWJanesville, WISupports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice.
Comprehensive Community Services - Human Services Professional I - Youth/Family Service Facilitator Rock County WisconsinComprehensive Community Services - Human Services Professional I - Youth/Family Service FacilitatorJanesville, WI$29.35–$32.46 / hourComprehensive Community Services - Human Services Professional I - Youth/Family Service FacilitatorSalary: $29.35 - $32.46 Hourly Location: WI 53546, WI Job Type: Full Time Job Number: RC-0805150 Department: HSD-B Comprehensive Community Services Opening Date: 03/18/2026 Closing Date: 4/5/2026 5:00 PM Central DescriptionBenefitsPosition Summary and Job Duties Under the direction of the CCS Program Manager and CCS supervisor, work involves providing comprehensive, person-centered, team based, community treatment to adults and families living with mental illness, substance abuse or co-occurring disorder receiving services through the Comprehensive Community Services. Bereavement Leave (Policy 5.04): In the event of a death an employee may be excused from work without loss of pay for up to a maximum of thirty-two (32) hours annually for the purpose of attending a persons wake, visitation, memorial service, funeral, or make necessary arrangements regarding the persons death, within a reasonable time after the occurrence.
Patient Access Specialist Mercy Health System CorporationPatient Access SpecialistJanesville, WisconsinRegisters new and returning patients via multiline phone lines, and various Mercy systems/applications for visits within the Mercyhealth System ensuring that all required elements are gathered to ensure payment for the service provided. Contacts insurance companies or employer groups via phone, web portals, electronic applications, or other appropriate means to determine eligibility and benefits for necessary services to obtain financial resolution and guarantee payment on account.
Precertification Specialist 1 Mercy Health System CorporationPrecertification Specialist 1Janesville, WisconsinPartnering - Shows commitment to the Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other's views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals. Service - Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions.
Patient Access Specialist 1 Mercy Health System CorporationPatient Access Specialist 1Janesville, WisconsinRegisters new and returning patients via multiline phone lines, and various Mercy systems/applications for visits within the Mercyhealth System ensuring that all required elements are gathered to ensure payment for the service provided. Contacts insurance companies or employer groups via phone, web portals, electronic applications, or other appropriate means to determine eligibility and benefits for necessary services to obtain financial resolution and guarantee payment on account.
Resident Financial Counselor (Senior Living) Lindengrove IncResident Financial Counselor (Senior Living)WIWe own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart, management support and consulting. Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution).
NewManufacturing Engineering Manager - Welding & Fabrication Oshkosh CorporationManufacturing Engineering Manager - Welding & FabricationMadison, WI$92,600–$154,400 / yearPushing/Pulling 30llbs.* **Non-Physical Demands:** Frequent: Analysis/Reasoning, Communication/Interpretation, Math/Mental Computation, Reading, Sustained Mental Activity (i.e. auditing, problem solving, grant writing, composing reports); Occasional: Writing.* **Environmental Demands:** Frequent: Task Changes, Tedious/Exacting Work; Occasional: Work Alone, High Volume Public Contact, Dust, Temperature Extremes, Loud Noises, Physical Danger, Toxic Substances (i.e. solvents, pesticides, etc.)* **Work Schedule:** Routine shift hours. Seven (7) or more years of relevant experience.**STANDOUT QUALIFICATIONS:*** Experience in leading engineering teams of manufacturing, fabrication, or weld engineers* Experience working in an union environment* Experience prioritizing and managing projects**CORE COMPETENCIES:*** **Internal Contacts:** Contact with peers and others involving explanation of information (these contacts may be within or outside department or division), and the gathering of factual information; may include the communication of sensitive or confidential information.*
Order Fulfillment Specialist/UPS I Nucor CorporationOrder Fulfillment Specialist/UPS IHartford, WisconsinGather parts for shipment ensuring the type and quantity of parts match the order, inspect product and remove defective parts, record and document parts for shipment, package parts according to the order, utilize small package shipment systems as provided by carriers to create tracking labels, create supporting shipping documentation, move order to delivery area. Duties include preparing and crating orders by processing requests according to the bill of materials; pulling parts; preparing parts for shipment or assembly kits; verify accuracy of order; and complete associated electronic transactions in warehouse management system prior to parts leaving the area.
Patient Registrar Mercy Health System CorporationPatient RegistrarLake Geneva, WisconsinIdentifies patients in need of immediate care by visual assessment at time of registration, prioritizes patient registration by severity of complaint, and monitors waiting area for changing patient conditions and alerts triage RN to the need to re-evaluate patients. Provide helpful assistance in anticipating and responding to the needs of our patients, visitors and customers and staying calm under pressure to deal effectively with difficult people.
Patient Registrar - 2nd Shift Mercy Health System CorporationPatient Registrar - 2nd ShiftJanesville, WisconsinIdentifies patients in need of immediate care by visual assessment at time of registration, prioritizes patient registration by severity of complaint, and monitors waiting area for changing patient conditions and alerts triage RN to the need to re-evaluate patients. Provide helpful assistance in anticipating and responding to the needs of our patients, visitors and customers and staying calm under pressure to deal effectively with difficult people.
Patient Registrar, Registration Mercy Health System CorporationPatient Registrar, RegistrationLake Geneva, WisconsinIdentifies patients in need of immediate care by visual assessment at time of registration, prioritizes patient registration by severity of complaint, and monitors waiting area for changing patient conditions and alerts triage RN to the need to re-evaluate patients. Provide helpful assistance in anticipating and responding to the needs of our patients, visitors and customers and staying calm under pressure to deal effectively with difficult people.
Registrar Mercy Health System CorporationRegistrarLake Geneva, WisconsinIdentifies patients in need of immediate care by visual assessment at time of registration, prioritizes patient registration by severity of complaint, and monitors waiting area for changing patient conditions and alerts triage RN to the need to re-evaluate patients. Provide helpful assistance in anticipating and responding to the needs of our patients, visitors and customers and staying calm under pressure to deal effectively with difficult people.
Revenue Operations Analyst II, Marshfield Exact Sciences CorpRevenue Operations Analyst II, MarshfieldMadison, WI$38,000–$65,000 / yearExact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. This position will support the Revenue Operations Specialist and Revenue Operations Supervisor as needed and function as a subject matter expert (SME) for specific workflows and/or client processes as outlined in the essential duties.
Patient Financial Services - Follow Up 1 Mercy Health System CorporationPatient Financial Services - Follow Up 1Janesville, WisconsinReviews claim adjustment reason codes or explanations of benefits received by the payer to determine what reasons for denials records are indicating for appropriate follow-up. After denial review, evaluates next steps and takes action to call payer, follows up with a resubmission or dispute/appeal/reconsideration as required by payer, or works internally to receive payment on account.