NewLegal Billing Specialist (E-Billing) JobotLegal Billing Specialist (E-Billing)Boca Raton, FLRemote$70,000–$85,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. If you thrive in a fast-paced environment, are well-versed in legal billing platforms, and excel in managing e-bill submissions and audits, this is an exciting opportunity to bring your skills to a dynamic and supportive team.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorHialeah, FLRemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
A/R Invoicing Specialist Synerfac Technical StaffingA/R Invoicing SpecialistPompano Beach, FL$22–$27 / hourTemporaryContractorJoin an industry-leading manufacturing organization that specializes in chemical solutions, supporting financial operations and billing processes across multiple locations. This role plays a key part in ensuring accurate invoicing, timely payment processing, and overall efficiency within the accounts receivable function.
Oracle Utilities CCS Billing Variance Triage Lead Accenture PlcOracle Utilities CCS Billing Variance Triage LeadMiami, FLYou combine technical depth with sharp communication skills - you can translate variance root cause into clear defect records and present crisp summaries to program leadership. Use SQL to investigate variance root cause at the data level, including rate engine execution differences, interval data discrepancies, NESB logic, and AMI/interval data handling.
Billing Coders – Primary Care Clinic | Sunrise, FL HealthPlus StaffingBilling Coders – Primary Care Clinic | Sunrise, FLSunrise, FloridaThe ideal candidates will be experienced in both medical coding and billing functions—accurately assigning diagnosis and procedure codes, submitting claims, following up on denials, and ensuring timely reimbursements across Medicare, Medicaid, and commercial payers. A well-established Primary Care clinic in Sunrise is looking to hire two Billing Coders to join their team.
Billing Representative II (Auth) - Boynton Beach, Florida NYU Langone Medical CenterBilling Representative II (Auth) - Boynton Beach, FloridaBoynton Beach, FLUtilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe. In this role, the successful candidate performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications, and patient cost estimates.
Billing Representative I (A/R) - Boynton Beach, Florida New York University School of MedicineBilling Representative I (A/R) - Boynton Beach, FloridaBoynton Beach, FLUtilize Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims, for authorizing procedures, or for patient estimates in assigned work queue(s) using payer websites, billing system information and training within expected timeframe. In this role, the successful candidate performs entry-level billing and financial clearance activities, including claim submission, accounts receivable follow-up, insurance authorizations, precertification, preparation of patient estimates, submit appeals as necessary.
Billing Representative III (A/R) - Boynton Beach, Florida New York University School of MedicineBilling Representative III (A/R) - Boynton Beach, FloridaBoynton Beach, FLUtilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe. In this role, the successful candidate performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications, and patient cost estimates.
Billing Representative II (Auth) - Boynton Beach, Florida New York University School of MedicineBilling Representative II (Auth) - Boynton Beach, FloridaBoynton Beach, FLUtilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe. In this role, the successful candidate performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications, and patient cost estimates.
NewBilling Specialist CFSBilling SpecialistBoca Raton, FL$50,000–$60,000 / yearWe are seeking an experienced Revenue Cycle Management (RCM) / Billing Specialist to manage billing operations for a high-volume home care agency serving 100+ clients across private pay, LTC, insurance, and limited Medicaid. Strong experience in home care, home health, or LTC billing preferred.
NewBilling Financial Analyst, CBO Jackson Health SystemBilling Financial Analyst, CBOMiami, FLCBO Billing Financial Analyst performs various interviewing, fact collection and financial evaluation tasks in connection with credit and collection in a large and diversified hospital serving both non-indigent and indigent patients qualifying for various types of specialized assistance programs. Reviews claims for accuracy, performs required edits, and submits claims and rebills to payors daily in paper and/or electronic format to ensure accurate and timely filing of claims and prompt payment.
Billing Representative III (A/R) - Boynton Beach, Florida NYU Langone Medical CenterBilling Representative III (A/R) - Boynton Beach, FloridaBoynton Beach, FLUtilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe. In this role, the successful candidate performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications, and patient cost estimates.
Billing Representative I (A/R) - Boynton Beach, Florida NYU Langone Medical CenterBilling Representative I (A/R) - Boynton Beach, FloridaBoynton Beach, FLUtilize Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims, for authorizing procedures, or for patient estimates in assigned work queue(s) using payer websites, billing system information and training within expected timeframe. In this role, the successful candidate performs entry-level billing and financial clearance activities, including claim submission, accounts receivable follow-up, insurance authorizations, precertification, preparation of patient estimates, submit appeals as necessary.
Billing Representative II (Auth) - Boynton Beach, Florida NYU Langone HealthBilling Representative II (Auth) - Boynton Beach, FloridaBoynton Beach, FLFull timeUtilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe. In this role, the successful candidate performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications, and patient cost estimates.
Billing Representative I (A/R) - Boynton Beach, Florida NYU Langone HealthBilling Representative I (A/R) - Boynton Beach, FloridaBoynton Beach, FLFull timeUtilize Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims, for authorizing procedures, or for patient estimates in assigned work queue(s) using payer websites, billing system information and training within expected timeframe. In this role, the successful candidate performs entry-level billing and financial clearance activities, including claim submission, accounts receivable follow-up, insurance authorizations, precertification, preparation of patient estimates, submit appeals as necessary.
Billing Representative III (A/R) - Boynton Beach, Florida NYU Langone HealthBilling Representative III (A/R) - Boynton Beach, FloridaBoynton Beach, FLFull timeUtilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe. In this role, the successful candidate performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications, and patient cost estimates.
Billing Specialist The Learning Experience - World HeadquartersBilling SpecialistDeerfield Beach, FL$60,000–$65,000 / yearThis role is responsible for managing private pay, subsidy, and agency billing while ensuring accurate invoicing, timely collections, payment reconciliation, and compliance with regulatory requirements. The Learning Experience is seeking a detail-oriented Billing Specialist to support billing, collections, and accounts receivable operations for corporate childcare centers.
Billing Operations Analyst Children of AmericaBilling Operations AnalystDelray Beach, FL$60,000–$65,000 / yearAs we continue to grow, we are seeking a detail-oriented and analytical Operations Analyst to support operational reporting, billing processes, financial accuracy, and business operations across our childcare centers. This role focuses on billing operations, reporting, account analysis, collections, operational support, and cross-functional collaboration to help ensure efficiency, accuracy, and consistency across the organization.
Billing Specialist Answering Service CareBilling SpecialistMargate, FloridaThe Billing Specialist will respond and resolve client inquiries, collect, process and reconcile client payments, support collections strategies to reduce AR aging, and more! This in-office role is ideal for someone with strong analytical abilities, excellent communication skills, and a proven track record in full-cycle B2B billing.
NewMedical Billing Specialist CFSMedical Billing SpecialistBoca Raton, FL$50,000–$60,000 / yearWe are seeking an experienced Medical Billing Specialist to manage billing operations for a high-volume home care agency serving 100+ clients across private pay, LTC, insurance, and limited Medicaid. Strong experience in home care, home health, or LTC billing preferred.
Billing Specialist LUX InfusionBilling SpecialistPlantation, FloridaWhile performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion’s services for individuals with disabilities, including patients, visitors, employees, or others.
Billing Specialist, Revenue Cycle, FT, 8A-4:30P Baptist Health South Florida IncBilling Specialist, Revenue Cycle, FT, 8A-4:30PBoca Raton, FL$16.04–$19.41 / hourResponsible for working/editing daily download of assigned Managed Care/HOM claims, optimizing the timely transmittal of accurate and clean claims daily Billing Specialist I is responsible for identifying and obtaining invalid/missing claim data by communicating with other depts. to secure and/or correct the data which prevents claim transmission Protects payer filing deadlines by utilizing all available resources to resolve held claims assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support.
NewMedical Billing Specialist -(Local Candidates Only) The Hirsh CenterMedical Billing Specialist -(Local Candidates Only)Delray Beach, FloridaThis role works closely with internal team members and assists with coordination alongside our third-party billing partner to help ensure timely and accurate reimbursement. The Medical Billing Specialist supports day-to-day billing operations, including claim submission, payment posting, and follow-up on outstanding claims.
Medical Billing & Collections Specialist-Tier 2 Broward Children's CenterMedical Billing & Collections Specialist-Tier 2Pompano Beach, FLOur comprehensive services range from 24/7 skilled nursing at our pediatric care facility to developmental education programs, therapeutic support, and family-centered services like respite care, social services, and in-home health support. Broward County Non-School Days: We offer our employees childcare when Broward County has non-school days (winter break, spring break, thanksgiving break), with the exception of major holidays (Thanksgiving, Christmas day, etc.).
Billing Specialist Centrum HealthBilling SpecialistDoral, FloridaThe Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
Billing Supervisor (Hospital Billing) - Boynton Beach, Florida NYU Langone Medical CenterBilling Supervisor (Hospital Billing) - Boynton Beach, FloridaBoynton Beach, FLPatient Experience and Access: Drives consistency in every patient and colleague encounter by embodying the core principles of our Billing Department Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off). Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.
Billing Supervisor (Hospital Billing) - Boynton Beach, Florida New York University School of MedicineBilling Supervisor (Hospital Billing) - Boynton Beach, FloridaBoynton Beach, FLPatient Experience and Access: Drives consistency in every patient and colleague encounter by embodying the core principles of our Billing Department Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off). Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.
Billing Supervisor (Hospital Billing) - Boynton Beach, Florida NYU Langone HealthBilling Supervisor (Hospital Billing) - Boynton Beach, FloridaBoynton Beach, FLFull timePatient Experience and Access: Drives consistency in every patient and colleague encounter by embodying the core principles of our Billing Department Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off). Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.
Medicare DME Billing & AR Specialist ValgorithmMedicare DME Billing & AR SpecialistFort Lauderdale, FLThis role focuses exclusively on claim submission, denial management, and accounts receivable follow-up for Medicare and commercial DME claims. We are building a structured Medicare revenue cycle team and are hiring an experienced DME Billing & AR Specialist.
Billing Specialist - 994004 NSUBilling Specialist - 994004Fort Lauderdale, FloridaWorks closely with other departments (e.g., coding, claim analyst, and patient services) to resolve billing issues and improve overall revenue cycle efficiency. Active Listening - Proficient skills in giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
NewBilling Specialist - Shared Services (Florida) Insurance Office of AmericaBilling Specialist - Shared Services (Florida)Hollywood, FLRemote$40,000–$60,000 / yearFull timePlease note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. The Billing Specialist plays a critical role in supporting financial operations while delivering consistent, high‑quality results within established turnaround timelines.
Intake & Billing Specialist NINE ENGINEERING LLCIntake & Billing SpecialistPlantation, FLThe ideal candidate will ensure that project information is properly captured, tracked, and billed in a timely manner while supporting internal project teams and maintaining excellent communication with clients. This role is responsible for managing project intake, coordinating documentation for new work orders, and preparing accurate invoices for clients.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorFL$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Billing Specialist Astor Simovitch LLPBilling SpecialistBoca Raton, FLRemoteWe are looking for someone who is detail-oriented, highly organized, tech-savvy, and comfortable working directly with clients about billing, payment plans, and collections while maintaining professionalism and empathy. Comfortable working in multiple databases and case management systems; experience with law firm case management software is a plus.
Accounts Receivable / Billing Specialist Future Tech Enterprise, Inc.Accounts Receivable / Billing SpecialistFort Lauderdale, FLFull timeKey Responsibilities : As a Project Billing Specialist, you will be responsible for a range of project-related tasks, including, but not limited to: Monitor project billing; ensure invoices are accurate, timely, and in accordance with the contract. We are proud partners with technology innovators such as Dell Technologies, NVIDIA, Dell, Cisco, and others, helping our customers transform operations and drive digital modernization.
Billing Specialist Modernizing Medicine IncBilling SpecialistBoca Raton, FLGenerous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters. From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes: Consistently ranked as a Top Place to Work.
Transportation Brokerage Billing Specialist Patterson CompaniesTransportation Brokerage Billing SpecialistFlorida, FLPosition Summary: The Transportation Brokerage Billing Specialist is responsible for the accurate and timely invoicing of customer shipments, processing billing transactions, maintaining shipment documentation, and supporting accounts receivable and accounts payable functions within a transportation brokerage environment. This position works closely with operations, carriers, customers, and branch personnel to ensure billing accuracy, resolve discrepancies, and support the company's revenue cycle.
Accounting Specialist Billing - Aviation Broward County GovernmentAccounting Specialist Billing - AviationFt. Lauderdale, FL$21.90–$34.96 / hourResponsibilities include preparing correspondence and financial documents; creating and maintaining spreadsheets to capture data and assist in the preparation of financial and operational reports; scanning and verifying documents for quality control; processing payments for recorded documents; ensuring the accurate return of recorded items to owners using established procedures; processing incoming and outgoing e-mail/mail; and responding to customer requests in a timely and professional manner. All Broward County employees must establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, religion, sex, national origin, age, disability, marital status, political affiliation, familial status, sexual orientation, pregnancy, or gender identity and expression.
Offshore Operational Specialist (Central Billing Office) - Boynton Beach, Florida New York University School of MedicineOffshore Operational Specialist (Central Billing Office) - Boynton Beach, FloridaBoynton Beach, FLThe role of the Offshore Operational Specialist at the NYU Grossman School of Medicine Faculty Group Practice involves managing and facilitating daily engagement with offshore partners to ensure the successful execution of tasks outlined in the service level agreement. Knowledge Sharing Sessions: Conduct regular knowledge sharing sessions with offshore teams to disseminate best practices, industry trends, and tips for optimizing workflow processes as well as how to identify trends in the data reviewed.
Sr. Legal Billing & Collections Specialist Mayersohn Law Group, P.A.Sr. Legal Billing & Collections SpecialistFort Lauderdale, Florida$60,000–$70,000 / yearMayersohn Law Group, P.A. is seeking an experienced Legal Billing & Collections Specialist with strong law firm billing experience, hands-on Clio experience, and end-to-end billing cycle management, including collections. Founded by Leah Mayersohn, a former prosecutor with decades of high-stakes trial experience, the firm represents clients in Criminal Law, Family Law, Real Estate, and Commercial Litigation.
Hospice Medicare Billing and Collections Representative Chapters Health System IncHospice Medicare Billing and Collections RepresentativeFL$14.78–$22.11 / hourQualifications: • High School Diploma or GED • Minimum of one (1) year of medical billing and collection experience • Knowledge of third party billing and state and federal collection regulations preferred • Ability to prioritize and multi-task independently with little supervision • Must be self-motivated and service oriented • Excellent written and verbal communication skills • Accurate typing and data entry skills Competencies: • Satisfactorily complete competency requirements for this position. • Handles incoming and outgoing customer service calls to third party payor's, outside providers and patients/guarantors to resolve and achieve account resolution.
Billing Specialist Modernizing MedicineBilling SpecialistBoca Raton, FloridaGenerous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning , Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters. From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes: Consistently ranked as a Top Place to Work .
Offshore Operational Specialist (Central Billing Office) - Boynton Beach, Florida NYU Langone HealthOffshore Operational Specialist (Central Billing Office) - Boynton Beach, FloridaBoynton Beach, FLFull timeThe role of the Offshore Operational Specialist at the NYU Grossman School of Medicine Faculty Group Practice involves managing and facilitating daily engagement with offshore partners to ensure the successful execution of tasks outlined in the service level agreement. Knowledge Sharing Sessions : Conduct regular knowledge sharing sessions with offshore teams to disseminate best practices, industry trends, and tips for optimizing workflow processes as well as how to identify trends in the data reviewed.
Billing Clerk II The Brock GroupBilling Clerk IIPompano Beach, FLWork with other department managers to ensure the capture of all possible revenue· Work with collections and cash apps to ensure payment and proper cash applications· Write up and issue client credits where needed, following proper protocol· Coordinate with payroll to ensure all costs are included in the billing process· Communicates with field supervision and field timekeepers to improve internal processes to meet deadlines · Turns balanced combined payroll into processors for processing · Reports directly to Financial Reporting Manager · Calculate monthly WIP amounts for financial close · Work with the manager on yearly audit items · Other duties as assigned · Maintain and order office supplies, as needed. The Billing Clerk is responsible for creating and sending accurate and timely invoices to customers, resolving discrepancies, and maintaining accurate financial records based on company policies and procedures.
Senior Billing Specialist Relativity ODA LLCSenior Billing SpecialistFlorida, FL$60,000–$90,000 / yearRequired Skills: Accounts Receivable (AR), Billing, Communication, Customer Service, Data Entry, Enterprise Resource Planning (ERP) Systems, Invoices, Microsoft Excel, Payment Processing. The Senior Billing Specialist is a key contributor to the OTC team, responsible for the accurate and timely preparation of customer invoices, contract processing, and billing documentation across a broad range of product lines and billing models.
Customer Retention/Billing Specialist Bob Wylin - State Farm AgencyCustomer Retention/Billing SpecialistBOCA RATON, FLWe are currently seeking a dynamic individual to join our team as a Customer Retention/Billing Specialist - State Farm Agent Team Member. Prepare and process insurance forms, manage client files, and ensure all paperwork is accurately completed and filed.
Billing Specialist Triumph Professional StaffingBilling SpecialistMiami, FLPosition requirements: 3 to 5 years of billing experience in a service industry, preferably in law firm environment. National firm is seeking a Billing Specialist for its downtown Miami office.
Senior Billing Supervisor Contact Government Services LLCSenior Billing SupervisorMiami, FLThis position will entail a wide range of duties including being responsible for the effective hands-on coordination and management of the e-billing and payment cycle workflow related to payment posting charge corrections monthly reconciling of payments to bank deposits for the Firms offices and other duties as assigned. For the past seven years weve been growing our government-contracting portfolio and along the way weve created valuable partnerships by demonstrating a commitment to honesty professionalism and quality work.
Billing and Collections Specialist Kaplan IncBilling and Collections SpecialistFLRemote$31,200–$78,647 / yearOur compensation philosophy is designed to be competitive within the market, reflecting the value we place on the skills, experience, and contributions of our employees, while taking into account labor market trends and total rewards. We are a global company at the intersection of education and technology, focused on collaboration, innovation, and creativity to deliver a best-in-class educational experience and make Kaplan a great place to work.
Billing & Claims Analyst Porter CaresBilling & Claims AnalystPompano Beach, FloridaDriven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. Our organization operates in a payer-contracted services model — delegated services, in-home assessments, HEDIS gap closure, and risk adjustment visits — billed through Athena in a mix of penny-claim/encounter-reporting and full-cost claim arrangements.