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Job Description INTRODUCTION Company Overview: This position is available with Upstate HomeCare, a BioMatrix company. BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone’s contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners. Schedule: Monday Through Friday From 8:30am Eastern Standard Time To 5pm Eastern Standard Time Work schedule is subject to change based on business needs. Location: Upon successful completion of on-site training, it is anticipated that an incumbent in this role will work in a hybrid capacity from one of the noted locations on Mondays, Wednesdays, & Fridays while working from home on Tuesdays & Thursdays. Work location is subject to change based on business needs. Job Description: Directly provides efficient management and collections of patient/customer accounts aligning with prevailing company, state, federal and payer standards. QUALIFICATION REQUIREMENTS • High school diploma or GED required, • Minimum of two (2) years of billing experience required, • Demonstrates strong computer literacy and aptitude as evidenced by proficiency and/or training with applicable software systems, • Knowledge of NYS Medicaid, Medicare Part B, and third-party payers, • Good written and verbal communication, • Prioritization skills, • Alignment to given instructions, • Associate’s degree in Health Care Service, Medical Sales, or a related field preferred, • Providing excellent customer service by:, • Being courteous and prompt in response to customer/staff inquiries, • Explaining financial responsibilities with customer and/or caregiver, • Providing accurate information to customer and/or caregiver and/or staff, • Documenting customer account issues/concerns (when applicable) and forwarding to the appropriate manager, • Improves departmental/company productivity and efficiency by:, • Making corrections and updating patient account files, • Accurately submitting claims to correct carriers on a regular schedule, • Reviewing and resubmitting aged claims well in advance of time limits, • Handling denials in manners most advantageous to quick resolution and payment, • Working aged claims as instructed, monitoring progress weekly, negotiating payer commitments, • Volunteering or initiating assistance in other activities (not listed in JD) when it is beneficial to the department/company, • Minimizing claims aged beyond 90 days, • Follows departmental/company policies and procedures by:, • Understanding and following Confidentiality Policy, • Serving as company resource on processing/reimbursement issues, • Maintaining a safe, clean and organized work area, • Understanding and following complaint procedures, • Monitoring that appropriate signatures & justification accompany service orders, • Following applicable Medicare, Medicaid regulations, • Following state and insurance carrier regulations, • Following regulations set forth in company contracts, • Shows teamwork, initiative and accountability by:, • Volunteering to assist co-workers, • Staying current with industry/coverage changes, • Ensuring completion of required in-services, testing and/or immunizations, • Complying with applicable memo’s and policy changes as issued, • Presenting solutions in conjunction with problems, • Exhibits exceptional work ethics by:, • Not being wasteful or abusing branch/region resources (vehicles, buildings, equipment, supplies, phones, utilities, time at work and time absent from work, etc.), • Presenting fair and honest reports of expenses (travel, gas, on call, etc.), • Following through timely with commitments, • Allowing others to speak without interruption, • Asking clarifying questions and showing consideration of others comments, • Using proper grammar, a respectful tone and language free of prejudice, harassment, profanity or ill will connotations, • Answering calls within three rings and properly introducing self in a pleasant and clear voice, • Returning phone messages promptly, responding calmly to angry or upset referrals/customers and avoiding personal calls (or minimizes) to allow customer access to business lines Communication Skills • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings., • This position requires constant sitting with occasional walking, standing, kneeling or stooping., • This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms., • This position requires constant talking and hearing., • Specific vision abilities required by this job include close vision and the ability to adjust focus., • This position must occasionally lift and/or move up to 20 pounds, • Required to move/lift physical hardware. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at or 954.385.7322 x 1425. While performing the duties of this job, the employee is occasionally required to stand; walk; 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; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER • Will participate in legal and ethical compliance training each year., • Will consistently behave in compliance with the BioMatrix, LLC’s legal and ethical policies and procedures., • Will abide by the policies of BioMatrix, LLC as set forth in the Compliance Manual., • Will not participate in any conduct considered to be unethical or illegal. EXPECTATION FOR ALL EMPLOYEES Supports the organization's mission, vision, and values by exhibiting the following behaviors: integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins. GENERAL INFORMATION: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate. Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include: visitors, patients, employees, or others). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region. Offering flexible working hours and full remote work, candidates must reside in New York State in order to make periodic visits to the office. This direct hire role is part of a Billing team that manages the full lifecycle of medical claims from charge entry and claim submission to payment posting, denial management, and patient billing. Duties and Responsibilities • Track claim status using payer portals and billing software; resolve rejections and denials., • Prepare and submit appeals, including documentation and provider narratives., • Identify and report trends in denials, underpayments, and billing errors., • Generate and review reports, including aging summaries and outstanding claims., • Verify insurance coverage, benefits, and prior authorizations., • Respond to patient and insurance inquiries by phone or email., • Assist with A/R follow-up and collection activities., • Maintain HIPAA compliance and confidentiality of patient health and financial information., • Apply knowledge of CPT, ICD-10, and HCPCS coding standards., • Post insurance and patient payments, adjustments, and credits. Qualification Requirements • Associate degree or certification in billing/coding, • Minimum 2 years of specialty medical billing experience with a strong knowledge of healthcare insurance process and procedures for commercial, Medicare, Medicaid, and workers’ comp (orthopedic, neurologic, surgical or related strongly preferred), • Proficiency with CPT, ICD-10, and HCPCS coding., • Experience with EMR systems (e.g., Medent, Epic, or similar)., • Proficiency in Microsoft Word, Excel, Outlook, and Teams. Preferences • Strong analytical and problem-solving skills., • Excellent communication and organizational skills., • Ability to work independently in a fast-paced environment. Why this role stands out: • Direct hire with a stable, multi-specialty practice, • Fully remote (must live in NY State for occasional office visits), • Flexible hours for better work-life balance, • Competitive pay: $25–$27/hour

Minimum 2 years of specialty medical billing experience with a strong knowledge of healthcare insurance process and procedures for commercial, Medicare, Medicaid, and workers comp (orthopedic, neurologic, surgical or related strongly preferred). Fully remote (must live in NY State for occasional off

AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region.Offering flexible working hours and full remote work, candidates must reside in New York State in order to make periodic visits to

Administrative Assistant / Customer Support / Remote] - Anywhere in U.Up to $86K per year + Benefits - As a Customer Service Specialist at Sungrow, you will: Support the Sungrow Service team with quotes and order execution; Manage incoming customer inquiries and resolve issues promptly and professio

AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region.Offering flexible working hours and full remote work, candidates must reside in New York State in order to make periodic visits to

Customer Service / Remote] - Anywhere in U.Medical, dental & vision / 401k / PTO - As a Customer Support Specialist at Vori Health, you will: Respond to and resolve incoming messages, calls, and tickets from patients and team members, using discretion and responding in a timely and hospitable manner

Trinity Health - 301 Prospect Ave [Medical Office Assistant] As an Administrative Assistant at Trinity Health, you'll: Assist department managers with various administrative functions, including copies, letters, preparing binders, etc; Greet and direct visitors & family members; Process payments for

AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region.Offering flexible working hours and full remote work, candidates must reside in New York State in order to make periodic visits to

Billing / Remote] - Anywhere in U.Competitive pay - As a Collections and Payments Specialist at Nira Medical, you will: Interact with third party payors and patients for the purpose of collecting past due health insurance claims; Achieve daily accomplishments that produce progress towards monthly, q

AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region.Offering flexible working hours and full remote work, candidates must reside in New York State in order to make periodic visits to

Customer Service / Remote] - Anywhere in U.Up to $42K per year / Health care coverage / Retirement plan / PTO - As a Collections Specialist at TPx Communications, you will: Review accounts promptly to identify past due balances and determine appropriate collections actions; Follow department policie

AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region.Offering flexible working hours and full remote work, candidates must reside in New York State in order to make periodic visits to

Customer Service / Remote] - Anywhere in U.Up to $42K per year / Health care coverage / Retirement plan / PTO - As a Collections Specialist at TPx Communications, you will: Review accounts promptly to identify past due balances and determine appropriate collections actions; Follow department policie

AP Executive Staffing is hiring a Medical Billing Specialist for our customer, a multi-specialty practice with multiple locations throughout the Western New York region.Offering flexible working hours and full remote work, candidates must reside in New York State in order to make periodic visits to

Billing / Remote] - Anywhere in U.Competitive pay - As a Collections and Payments Specialist at Nira Medical, you will: Interact with third party payors and patients for the purpose of collecting past due health insurance claims; Achieve daily accomplishments that produce progress towards monthly, q

Customer Service / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k / PTO - As a Call Center Rep at Inizio Engage, you will: Answer incoming calls and respond to customer inquiries with professionalism and empathy; Accurately enter and update customer information in the data

Customer Service / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Support Specialist at Sendoso, you will: Communicate with customers through various channels such as email, phone, and live chat; Provide exceptional customer service by addressing inqu

CSR / Remote] - Work from Anywhere in U.Company Match / Paid Vacation / Health Insurance (Available Immediately) - As a Call Center Representative at 160 Driving Academy, you will: Answer incoming calls and respond to customer inquiries manage a high volume of customer calls with professionalism and

Collections / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k match / PTO - As an Accounts Receivable Associate at IMS Legal Strategies, you will: Maintain regular contact with clients to foster professional, courteous relationships and ensure timely payment; Investigate an

Customer Service / Remote] - Anywhere in U.Competitive pay - As a Customer Support Specialist at foreUP, you will: Monitor and respond to customer inquiries via phone and email; Provide excellent customer service by resolving issues and answering questions in a timely and professional manner; Utiliz

Customer Service / Remote] - Anywhere in U.Medical, dental & vision / 401k match / PTO - As a Call Center Rep at you will: Handle a high volume of inbound and outbound calls in a professional and timely manner; Maintain a positive and empathetic attitude towards customers; Listen actively to custome

Customer Service / Remote] - Anywhere in U.Competitive pay + bonuses / Medical, dental & vision / 401k / PTO - As a Call Center Specialist at Wider Circle, you will: Conduct outbound calls to prospective members, introducing them to our programs; Build rapport with members to understand their needs

Collections / Billing / Remote] - Anywhere in U.Competitive pay - As an Accounts Receivable Rep at nimble solutions, you will: Receive client inquiries and address them in a timely manner as they relate to unpaid insurance claims; Check payer portals for insurance claim statuses; Call payers to unde

Customer Service / Remote] - Anywhere in U.Up to $25 per hour - As a Customer Support Associate at Fanatics, you will: Liaise between Fanatics Collectibles and Collectors by supporting all inquiries and issues; Model exemplary service through web message, voice, and email channels; Apply good judgem

Customer Support / Remote] - Anywhere in U.Competitive pay / Health, dental & vision / 401k match / PTO - As a Customer Service Rep at Diana Health, you will: Answer and triage incoming phone calls and app messages from our current patients; Provide excellent customer service by addressing inquiries

Billing / Collections / Remote] - Anywhere in U.Up to $28 per hour / Medical, dental & vision / 401k / PTO - As an Accounts Receivable Specialist at Prompt Therapy Solutions, you will: Prepare and submit claims to various insurance companies, adhering closely to specific payer guidelines and contrac

Customer Service / Remote] - Anywhere in U.Up to $26 per hour - As a Customer Experience Rep at Solace, you will: Learn the Solace systems, tools, and technology; Use the resources we supply to provide world-class CS to our clients and advocates; Help us to gather and track feedback in order to work

Customer Service / Remote] - Anywhere in U.K per year / Medical, dental & vision / 401K / PTO - As a Customer Support Specialist at Second Nature, you will: Respond to customer service emails, calls and chats with a customer centric attitude; Resolve issues with urgency, notifying the customer if it

Northwell Health - 400 East Main Street [Medical Office Assistant] As a Receptionist at Northwell Health, you'll: Perform a variety of duties relative to admission, discharge and/or transfer of patients; Perform a variety of clerical duties required to maintain accurate charts; Perform a variety of

Collections / Billing / Remote] - Anywhere in U.Competitive pay - As an Accounts Receivable Rep at nimble solutions, you will: Receive client inquiries and address them in a timely manner as they relate to unpaid insurance claims; Check payer portals for insurance claim statuses; Call payers to unde

Customer Service / Remote] - Anywhere in U.Health, dental & vision / 401k matching / PTO - As a Member Service Specialist at Workit Health, you will: Go above and beyond to provide world-class member experience to individuals interested in signing up for the program, and throughout the members journ

Trinity Health - 301 Prospect Ave [Medical Office Assistant] As a Receptionist at Trinity Health, you'll: Perform various functions of a secretarial nature including answering and routing of phone calls, sorting incoming staff/resident mail, typing and copying reports; Answer/route all incoming phon

Customer Service / Remote] - Anywhere in U.Competitive pay / Flexible schedule - As a Customer Service Coordinator at Honeydew, you will: Serve as the primary point of contact for patients, providing guidance, support, and information about their care plans; Answer patient inquiries related to appoi

Customer Support / Remote] - Anywhere in U.Competitive salary and benefits / Flexible hours - As a Customer Service Agent at Trust Wallet, you will: Provide exceptional customer service to our clients through various communication channels such as email, live chat, and calls; Assist customers with t

Customer Service / Remote] - Anywhere in U.Medical, Dental, and Vision / PTO / 401k Match - As a Device Support Specialist at Modivcare, you will: Troubleshoot and resolve technical issues for customers using Modivcare devices; Provide excellent customer service by assisting with inquiries and conce

Accounting Assistant / Remote] - Anywhere in U.Up to $22 per hour - As a Bookkeeper at Kickstart Accounting, Inc.Manage and record financial transactions accurately and efficiently; Maintain and reconcile bank accounts and credit card statements.Prepare and submit monthly, quarterly, and annual fina

Customer Service / Remote] - Anywhere in U.Competitive pay / Health Insurance - As a Customer Experience Specialist at Bump Health, you will: Provide exceptional customer service to clients through various channels such as phone, email, and chat; Utilize company resources and systems to accurately t

Customer Service / Remote] - Anywhere in U.Competitive pay - As a Customer Support Rep at Entrepreneur Babes, you will: Respond to customer inquiries and concerns in a timely and professional manner; Communicate with customers through various channels such as email, phone, and chat; Provide product

Call Center / Remote] - Anywhere in U.Up to $25 per hour / Medical, dental & vision / 401k match / PTO / Tues-Sat 8a-4:30p CST - As a Customer Service Advocate at iRhythm Technologies, you will: Answer inbound calls in our Contact Center; Verify and investigate patient insurance, estimate benefit co

Customer Service / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k / PTO - As a Call Center Rep at Inizio Engage, you will: Answer incoming calls and respond to customer inquiries with professionalism and empathy; Accurately enter and update customer information in the data

Customer Service / Fully Remote] - Anywhere in U.Up to $23 per hour / Medical, dental & vision / 401K - As a Call Center Rep you'll: Handle inbound calls, conducting initial screenings and assessments to gather vital information; Provide compassionate support to individuals in crisis, offering appro

Customer Service / Remote] - Anywhere in U.Up to $26 per hour - As a Customer Experience Rep at Solace, you will: Learn the Solace systems, tools, and technology; Use the resources we supply to provide world-class CS to our clients and advocates; Help us to gather and track feedback in order to work

Accounting Assistant / Remote] - Anywhere in U.K+ per year / Medical, dental & vision / 401k match / PTO - As an Accounts Payable Specialist at The Voleon Group, you will: Manage and process invoices accurately and efficiently; Maintain vendor records and resolve any discrepancies; Communicate with

Customer Support / Remote] - Anywhere in U.Competitive pay / Benefits - As a Customer Service Rep at Bush & Bush Law Group, you will: Manage incoming calls, emails, and messages from clients and provide timely and accurate responses to their inquiries; Collect and document essential information from

Customer Service / Fully Remote] - Anywhere in U.Competitive salary / Flexible hours - As a Customer Support Agent you'll: Manage day-to-day therapist questions and requests through a shared mailbox and member support across multiple channels (SMS, phone, emails); Provide support to therapists to en

Customer Service / Remote] - Anywhere in U.Up to $64,250 per year / Health, dental & vision / 401k match / PTO - As a Customer Support Rep at Manulife John Hancock, you will: Assist customers with inquiries and provide solutions to their concerns; Maintain a high level of professionalism and custome

Customer Support / Remote] - Anywhere in U.Competitive pay / Health, dental & vision / 401k match / PTO - As a Customer Service Rep at Diana Health, you will: Answer and triage incoming phone calls and app messages from our current patients; Provide excellent customer service by addressing inquiries