UNKNOWN

ADAPTED_NOW

_Directly supporting cCare, the largest private oncology practice in California, our experienced revenue cycle management specialists simplify and optimize the practice’s revenue cycle, from prior authorization through billing and collections._. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.

HOUR

_What Revenue Cycle Management (RCM) contributes to Cardinal Health_ Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero. _Directly supporting cCare, the largest private oncology practice in California, our experienced revenue cycle management specialists simplify and optimize the practice’s revenue cycle, from prior authorization through billing and collections._ The Lead – Pre-submission Billing Team is responsible for overseeing the daily operations of the billing team focused on pre-submission activities. This role ensures accurate and timely charge capture, supports denial prevention strategies, and drives performance through data analysis, team development, and process improvement. The Lead fosters a fast-paced, resolution-driven environment with a strong emphasis on communication, curiosity, and continuous learning. _Essential Functions_ + Monitor and manage daily billing workflows to ensure timely and accurate claim submission. + Organize and prioritize tasks across multiple practices, adapting to dynamic payer requirements and operational needs. + Provide guidance, coaching, and mentorship to billing staff to promote accountability and enthusiasm. + Support staff development through training, feedback, and performance monitoring. + Maintain department coverage and assist with scheduling and PTO coordination. + Analyze denial trends and AR reports using tools like Power BI to identify root causes and improvement opportunities. + Research CPT code denials against LCD/NCD requirements and payer policies. + Collaborate with cross-functional teams to implement clean claim strategies and reduce rework. + Serve as a liaison between billing staff, providers, and center leadership to resolve escalated issues. Communicate payer updates and industry changes to staff and leadership. + Participate in end-of-month closing procedures and support reporting deadlines. + Apply clinical knowledge in Oncology/Hematology, Radiation Oncology, and Urology billing. + Support documentation review and coding accuracy for complex services.Ensure adherence to standard operating procedures and compliance guidelines. _Qualifications_ + 6+ years of experience, preferred + High School Diploma, GED or technical certification in related field or equivalent experience, preferred + 4–8 years of experience in Revenue Cycle Management, preferably in a medical business office. + Bachelor’s degree in business administration, healthcare, or related field (or equivalent experience) preferred + Experience with computerized billing software and interpreting EOBs. + Familiarity with Urology, Chemotherapy, and Radiation billing. + Working knowledge of ICD-10, CPT, HCPCS coding standards. + Strong understanding of managed care contracts, Medicare, and Medicaid. + Preferred experience with GE Centricity and Power BI. + Strong organizational and analytical skills. + Excellent verbal and written communication. + Ability to manage multiple priorities in a fast-paced environment. + Customer service experience in a healthcare setting. Anticipated hourly range: $24.50 - $32.00 USD Hourly Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with myFlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs Application window anticipated to close: 10/15/2025 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy-policy.pdf)

Cardinal Health

Lead Coordinator, Revenue Cycle Management, Billing

Windham Professionals, Inc.

OTHER

FEED

In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry.

Company Overview:
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Summary and Responsibilities:
Acentra Health is looking for a Resolution and Adjustment Specialist (SCA) to join our growing team. Job Summary:The Resolution and Adjustment Specialist conduct bill-specific research and adjudicates claims accurately and promptly in accordance with OWCP policies. ***This position will require work to be performed on-site in Talahassee, FL one week a month, no exceptions***  Responsibility:<ul><li>Independently resolve suspended claims using the resolution screens in accordance with operational procedures</li><li>Apply a “Forcible” disposition when appropriate to override edits and process claims per established guidelines</li><li>Review and analyze claims independently to ensure accuracy and completeness</li><li>Maintain accuracy and consistency throughout the claims‑processing workflow</li><li>Train on and adhere to operational procedures and standard management practices</li><li>Research and resolve medical bill data issues by comparing information with source documents to identify root causes</li><li>Review and process paper and electronic bills submitted for adjustment in accordance with OWCP policies and procedures</li><li>Review and process suspended claims and all related documentation</li><li>Facilitate manual entry of claims into the system as needed</li><li>Perform manual reviews on claims, documents, and attachments to ensure compliance and accuracy</li><li>Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules</li></ul>The list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

Qualifications:
Required Qualifications<ul><li>Hybrid work - one week a month on-site</li><li>Possess a high school diploma or GED</li><li>3+ years of experience conducting research to resolve medical billing issues.</li><li>Demonstrated knowledge of medical terminology, including diagnosis and procedure codes</li><li>Familiarity with medical billing and claim forms, along with common coding schemes (certification preferred)</li><li>Ability to efficiently navigate and operate multiple computer claims systems and software platforms simultaneously</li></ul>Preferred Qualifications<ul><li>Knowledge of claims review and analysis</li><li>Strong computer skills (MS Word and Excel)</li><li>Excellent oral/written communication and organizational skills</li><li>Ability to prioritize and manage time effectively</li></ul> Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team <a href="https://acentra.com/careers/" rel="noopener nofollow noreferrer" target="_blank">Visit us at https://careers.acentra.com/jobs</a> EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay for this position is listed below. "Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." #LI-SF1

Pay Range:
USD $20.85 - USD $26.06 /Hr.

Acentra Health, LLC

Resolution & Adjustment Coordinator-SCA

Adjudication

Analysis Skills

Claims Processing

Communication Skills

Computer Skills

Documentation

Establish Priorities

Federal Government

Government

HIPAA (Health Insurance Portability and Accountability Act)

Healthcare

Healthcare Providers

High School Diploma

Maintain Compliance

Medical Billing

Medical Coding

Medical Research

Medical Terminology

Medical Treatment

Microsoft Excel

Microsoft Word

Operations Processes

Organizational Skills

Presentation/Verbal Skills

Privacy Controls

Problem Solving Skills

Research Skills

Root Cause Analysis

Time Management

Writing Skills

[AW]-iCims

FULL_TIME

YEAR

Payer Relations Managers, HUB, headquarter approved materials) to refer customers to appropriate resource for reimbursement and distribution choices, working within PhRMA guidelines and values at all times. Preferred qualifications to become one of our Pharmaceutical Sales Representatives: Ability to sell pharmaceutical products that utilize the Buy & Bill or Specialty pharmacy modes of distribution.

Pharmaceutical Sales Representative - Primary Care & Specialty (Entry level or Experienced)   We are a fast-growing pharmaceutical and healthcare company that markets a variety of innovative healthcare products. We are currently looking to add many sales professionals to our Pharmaceutical Sales Rep team. Our pharmaceutical products are designed to enhance the patient and provider's practice which includes easing the burden of administration, providing an improved safety profile, and prescription selection.  We strive to improve patient outcomes while reducing overall health care costs. We are in search of an energetic Pharmaceutical Sales Rep to add to our Pharmaceutical Sales Rep team.  They must be as passionate as we are about our vision and commitment to deliver value and service to the healthcare industry in the United States.   Your Responsibilities as one of our Pharmaceutical Sales Reps: <ul style="color:#222222;font-family:'arial' , 'helvetica' , sans-serif;font-size:small;font-style:normal;font-weight:400;white-space:normal;background-color:#ffffff"><li style="color:#000000;background:#ffffff;margin-left:15px">Provide Scientific Knowledge, Business Acumen, and Customer Engagement expertise to specialist customers in support of our pharmaceutical products.</li><li style="color:#000000;background:#ffffff;margin-left:15px">To understand the reimbursement/distribution landscape for specialist customers and identify the appropriate resources (e. g. Payer Relations Managers, HUB, headquarter approved materials) to refer customers to appropriate resource for reimbursement and distribution choices, working within PhRMA guidelines and values at all times.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Maintain knowledge and data, which are constantly changing, with respect to the pharmaceutical products you represent.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Provide product educational programs/in-services to customers.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Work within Compliance guidelines and our industry regulations at all times.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Develop strategies and tactics to generate sales.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Develop and implement strategies specific to each customer within an account (i.e., Office Manager, Physician Assistants, nurses, billers, secretaries, etc.).</li><li style="color:#000000;background:#ffffff;margin-left:15px">Effectively manage allocated resources (i.e., financial).</li><li style="color:#000000;background:#ffffff;margin-left:15px">Provide outstanding customer service by responding to our customers' requests, inquiries and needs.</li></ul>Why You?<ul style="color:#222222;font-family:'arial' , 'helvetica' , sans-serif;font-size:small;font-style:normal;font-weight:400;white-space:normal;background-color:#ffffff"><li style="color:#000000;background:#ffffff;margin-left:15px">You must have strong sales abilities or demonstrated success as a Sales Rep professional</li><li style="color:#000000;background:#ffffff;margin-left:15px">Ability to understand and communicate highly scientific and technical medical information.</li><li style="color:#000000;background:#ffffff;margin-left:15px">Pharmaceutical industry product knowledge education</li><li style="color:#000000;background:#ffffff;margin-left:15px">Excellent communication / interpersonal skills </li><li style="color:#000000;background:#ffffff;margin-left:15px">Passion for excellence / embrace competition</li><li style="color:#000000;background:#ffffff;margin-left:15px">Must be able and willing to drive or operate a vehicle – driving is an essential function of this role as you will cover over 80 physicians within your local territory (no overnight travel required)</li></ul>Preferred qualifications to become one of our Pharmaceutical Sales Representatives: <ul style="color:#222222;font-family:'arial' , 'helvetica' , sans-serif;font-size:small;font-style:normal;font-weight:400;white-space:normal;background-color:#ffffff"><li style="color:#000000;background:#ffffff;margin-left:15px">Ability to sell pharmaceutical products that utilize the Buy & Bill or Specialty pharmacy modes of distribution</li><li style="color:#000000;background:#ffffff;margin-left:15px">Ability to sell HCP administered injectable products</li><li style="color:#000000;background:#ffffff;margin-left:15px">Demonstration of high performance</li><li style="color:#000000;background:#ffffff;margin-left:15px">Strong communication, presentation and influencing skills required</li><li style="color:#000000;background:#ffffff;margin-left:15px">Demonstrated ability to identify unique sales opportunities and to perform tasks beyond designated responsibilities</li><li style="color:#000000;background:#ffffff;margin-left:15px">Demonstrated teamwork and leadership skills</li><li style="color:#000000;background:#ffffff;margin-left:15px">Strong business planning skills and ability to multi-task.</li></ul>Why work for us? Our mission is to improve the quality of human life by enabling our Pharmaceutical Sales Reps to do more, make patients feel better and live longer. Our world-leading business deliver innovative medicines, and consumer healthcare products. We need a talented and motivated pharmaceutical sales workforce to deliver against our strategy. To achieve this, we strive to attract the best sales people and to create an environment that empowers and inspires. You may apply for this position online by selecting the Apply now button.  Powered by JazzHR

Immune Biopharma

BioPharma Sales Rep – Entry/Exp.

Billing

Biotech and Pharmaceutical

Business Plan

Business Skills

Customer Support/Service

Interpersonal Skills

Leadership

Medical Products

Medical Records

Multitasking

Office Management

Patient Care

Pharmaceutical Sales

Pharmacy

Physician Assistant

Product Design

Product Programs

Product Support

Quality Management

Regulations

Reimbursement

Resource Management

Revenue Growth

Sales

Sales Administration

Sales Prospecting

Service Delivery

Strategic Planning

Team Player

Training/Teaching

Willing to Travel

partner JazzHR

3. Works in all phases of provider enrollment, re-enrollment and expirables management ensuring the timely and accurate enrollment (and recredentialing) of providers in commercial and government payers. We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Job Description: Provides ongoing support and coordination as a liaison between the Medical Staff, Medical Directors, and Administration. The position directs the on-going credentialing / privileging process and other administrative functions for the Medical Staff, Medical Director, Administration, and Allied Health Professionals. Essential Functions + Participates in enrollment progress update meetings for assigned market. Provides status information to stakeholders. Keeps detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives and credentialing administrators. + Completes all payer re-credentialing requests and demographic/roster requests. + Completes out-of-State Medicaid individual and facility enrollments timely and accurately for assigned States. + Participates in team work sessions for each market to address Epic hold and denial work queues and communicate issues and trends to leadership. Collaborates with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types. + Coordinates all aspects of provider enrollment with commercial and government (Medicare and Medicaid) professional fee payer contracts for an entire market. Ensures enrollment is completed timely and accurately. Follows-up with managed care organizations and government payers to ensure timely and accurate enrollment. Skills + Computer literacy + Microsoft Office + Communication (oral and written) + Organizational Skills + Attention to Detail + Accountability/ability to work independently + Customer Service + Knowledge of medical billing and collections + Medical terminology Job Essentials 1. Responsible for ensuring timely and accurate facility, medical group, and individual government enrollments for technical and professional fee claim reimbursement. 2. Coordinates all aspects of provider enrollment with Intermountain Health’s commercial and government (Medicare and Medicaid) professional fee payer contracts for an entire market. Ensures enrollment is completed timely and accurately. 3. Works in all phases of provider enrollment, re-enrollment and expirables management ensuring the timely and accurate enrollment (and recredentialing) of providers in commercial and government payers. 4. Accurate data entry of up to date expirables, practice/billing locations and other pertinent information to the payer enrollment database. 5. Participate in review, completion and/or submission of provider enrollment initial and re-enrollment applications for local and national commercial, Medicare, and Medicaid payers via payer online portals or other methods as applicable. 6. Follow up with payers via phone, website, or email requesting network participation and follow up on submitted applications. 7. Assist providers, and client personnel with completion of the application, routinely follow up with insurance carriers to monitor the status of applications and resolve issues. 8. Facilitate completion, set-up and/or re-attestations of CAQH applications. 9. Participates in enrollment progress update meetings for assigned market. Provides status information to stakeholders. Keeps detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives and credentialing administrators. 10. Submits provider change and termination requests to all health plans in a timely manner. Informs commercial and government payers and internal Intermountain stakeholders of provider and clinic updates in assigned market. 11. Collaborates with AR to identify claim denial trends and with Coding to identify trend denials related to CPT codes and specific payer types. 12. Execute large enrollment provider/payer projects. Complete provider enrollment and related duties for organizational clinic acquisitions. Collaborates with Recruitment in the onboarding and off-boarding of providers. Minimum Requirements High School Diploma or Equivalent One year experience in a healthcare revenue cycle setting. Preferred Qualifications One year of experience working with governments payers and/or commercial payers in a revenue service setting. Demonstrated knowledge of working medical billing database work queues. Physical Requirements: Qualifications + High School graduate or equivalent is required + One (1) year previous work experience in healthcare + Preferred previous work experience in a revenue cycle setting + Preferred previous work experience with provider enrollment and/ or credentialing Physical Requirements + Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs. + Frequent interactions verbally and written with providers, colleagues and leadership + Frequent computer use for typing, accessing needed information, etc. + Manual dexterity of hands and fingers. Location: Lake Park Building Work City: West Valley City Work State: Utah Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $21.84 - $33.23 We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits) . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

Intermountain Health

Provider Enrollment Specialist

Intermountain Healthcare

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Lead Coordinator, Revenue Cycle Management, BillingCardinal Health

Resolution & Adjustment Coordinator-SCAAcentra Health, LLC

BioPharma Sales Rep – Entry/Exp.Immune Biopharma

Provider Enrollment SpecialistIntermountain Health

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