Trabajos coding and billing en Atlanta, GeorgiaCrear alertas

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we’re building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive. About Senior Health: One Medical Seniors is a network of primary care practices where we take the time to know our patients as true individuals, and proactively provide the care, support, and inspiration they need to live their best life. We created a high-impact relationship based care model that particularly benefits adults on Medicare and those who might need more attention. Our care model changes everything - the team, outcome-focused payment, customer service, and the technology that supports our care. Our practices offer smaller panel sizes, no billing or coding, and the opportunity to lead systemic change in health care delivery while working with a true team. One Medical Seniors wants to restore humanity to healthcare, for both patients and team members. We are seeking Primary Care Physicians to join our growing, outpatient practices in Atlanta, GA. Our Team Physicians work closely with the Medical Directors to play a critical role in both care delivery and ongoing practice innovation. Rediscover the "joy in practice" while working in a value-based care environment with a team to support you in delivering high quality patient care. What you'll likely work on • Provide best in class comprehensive primary care in an outpatient setting., • Partner with the care team and leverage One Medical Seniors coaching and integrated behavioral health models to engage our geriatric patient population in care and drive behavior change., • Utilize our proprietary Electronic Health Record to plan care for individual patients and maximize impact on the population., • State of the art practice setting designed for a team-based practice model, • Leadership that values your input and understands the importance of work/life balance, • Weekly protected time during the work day, to gather with fellow One Medical Senior providers for team building and shared discussion of challenging cases., • At least 2 years of primary care experience required., • Currently licensed or ability to obtain licensure in the state of Georgia., • The ability to build successful relationships with team members and communicate effectively both 1-on-1 and in groups., • Can thrive in a fast-growing, mission driven organization focused on using data to improve patient outcomes. One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities. Subject to applicable law, proof of COVID 19 vaccination is required for employees and contractors who interact with patients, access a shared office space or engage with other team members, except where a medical or religious accommodation applies. One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster () and Right to Work Poster () for additional information. One Medical offers a robust benefits package designed to aid your health and wellness. All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member's date of hire: Taking care of you today • Paid sabbatical for every five years of service, • Free One Medical memberships for yourself, your friends and family, • Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues, • Competitive Medical, Dental and Vision plans, • Pre-Tax commuter benefits, • 401K match, • Credit towards emergency childcare, • Company paid maternity and paternity leave, • Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance, • Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%., • UpToDate Subscription - An evidence-based clinical research tool, • Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education, • Rounds - Providers end patient care one hour early each week to participate in this shared learning experience One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the ___ and ___ for additional information.

Independent Primary Care group seeks an Internal Medicine Physician in Suwannee, Georgia Live right near Atlanta with excellent work life balance! About the group: • Privately owned medical practice established in 2008, • Distinguished Primary Care facility in Suwanee, GA, • Dedicated to delivering healthcare of the highest standard, complemented by an exceptional patient experience, • Currently 5 Primary Care Physicians, 7 APP's, and 28 Employees About the Role: • Internal Medicine Physician, • Location: Suwanee, GA, • Excellent schools, amenities, and a very safe area of Atlanta to work and live., • Our practice is dedicated to treating adult patients, with a focus on both chronic and acute illnesses. With an emphasis on preventative care., • Patients will be adolescent and adults in age. This practice does not provide pediatric services., • Wide range of diagnostic procedures, such as ultrasounds, sleep studies, DEXA scans, spirometry, electrocardiography, blood pressure monitoring, and phlebotomy., • EMR: eClinicalWorks and Dragon Medical One for dictation., • Work Schedule: Monday to Friday, 8:00 AM to 5:00 PM - structured within a 4.5 day work week., • Weekends & Holidays: The office is closed to prioritize and maintain work life balance., • Patient Volume: The schedule accommodates 2 new or 3 established patients per hour. (Est. 20 per day), • Call Responsibilities: Very Minimal - Phone Only and Prescreened by a phone service., • Hospitals: Affiliated with 3 hospital systems in the local area, • Supportive Environment: Be part of a team of dedicated receptionists, schedulers, medical assistants, nurses, medical billing, and administrative staff. Compensation and Benefits: • Generous Base Salary and productivity bonuses - Earn $300,000 - $400,000 / year!, • Physician Keeps 30% of all annual billings above 900K, • Signing Bonus: $25,000 Sign On, • Relocation Assistance: Support for relocation expenses provided., • Health Insurance: Comprehensive health, dental, and vision plans allowance., • Life and Disability Insurance, Professional Liability Insurance, • 401K plan with employer matching contributions (6%), • Assistance available for student loan repayment., • Reimbursement for maintaining medical licenses, board certifications, professional memberships, and DEA registration., • Continuing Medical Education (CME) Generous allowance provided., • Paid Time Off (PTO) Ample PTO for vacation and sick leave., • Paid Major Holidays, Enjoy time off on major holidays., • Excellent schools and communities available for raising a family in the Metro Atlanta area. Candidate Background: • Board Eligible or Board Certified - Internal Medicine Physician, • Ability to hold a Georgia State Medical License, • Open to experienced or new grad physicians, • Commitment: Preference will be given to candidates with ties to the area seeking long-term employment., • Professionalism: Essential qualities include demonstrated bedside manners, excellent customer service skills, flexibility, and compassion., • Coding & Billing Proficiency: Knowledge of ICD codes and adherence to E/M coding guidelines are essential., • This is not a visa sponsorship role Contact: Raymond Stiles (843 574 8233)

Software Engineering Manager About IRIS Software Group IRIS Software Group is a leading global provider of business software and services, and one of the UK’s largest privately held software companies. For over 45 years, we’ve helped organisations make better business decisions by delivering integrated software solutions that reduce administrative burden, streamline operations, and free up time for high-value work. Today, we support more than 100,000 customers across 135 countries. Our solutions are trusted by over 50 of the Top 100 CPA firms in North America, 54 of the Top 100 US accounting firms, and 93 of the Top 100 UK firms. • Nearly 1 million UK employees are managed through our HR software, • 1 in 6 UK employees are paid via IRIS payroll solutions, • We are the largest third-party online tax filer with the UK Government, • Over 12,000 schools and academies use our education platforms, • Almost 4 million UK families connect to schools through our apps In 2024, we received multiple industry recognitions, including the Payroll Innovation Award (Global Payroll Association Awards), Best EdTech Product (Global EdTech Awards), and Microsoft Security Partner of the Year. We are proud to be recognized as a Great Place to Work, including accolades for Best Workplaces in Tech, Wellbeing, and for Women. The Role IRIS is seeking a Software Engineering Manager to lead engineering delivery for our Practice Management platform within our US Accountancy portfolio. This is a people-first leadership role focused on driving delivery excellence, architectural direction, and operational reliability across core Practice Management capabilities — including client management, workflows, billing, and firm operations. You will lead a team of engineers, partner closely with senior technical leaders, and ensure the platform evolves to meet the needs of modern US accounting firms. Key Responsibilities Technical Leadership & Architecture • Provide technical direction and architectural oversight (no direct coding requirement), • Partner with Staff and Principal Engineers to define and evolve system architecture, • Ensure systems are scalable, secure, and aligned with modern SaaS and service-oriented principles, • Establish and uphold standards for:, • API design and integrations, • Data modeling and workflow systems, • Observability, monitoring, and incident response, • Guide architectural decisions and ensure consistency across services and platforms, • Own system reliability, performance, and long-term maintainability Team Leadership & Development • Lead, mentor, and grow a team of software engineers, • Foster a culture of accountability, ownership, and continuous improvement, • Set clear expectations for delivery, quality, and operational excellence, • Manage performance, provide feedback, and support career development, • Drive effective sprint planning, execution, and delivery tracking, • Build a collaborative, inclusive, and high-performing team environment Product & Strategic Alignment • Partner with Product Management to deliver Practice Management capabilities tailored to US accounting firms, • Translate business priorities into actionable engineering plans and milestones, • Develop strong domain knowledge across:, • Client lifecycle management, • Time and billing, • Practice workflows and job tracking, • Ensure alignment with compliance requirements and business goals, • Contribute to roadmap planning and sequencing to maximize impact, • Collaborate cross-functionally to support integrations across tax, payroll, and document management platforms What We’re Looking For Experience • 5+ years in software engineering, including significant experience in engineering management or team leadership, • Proven experience delivering and operating SaaS platforms at scale, • Experience in business-critical domains such as accounting, ERP, or Practice Management strongly preferred, • Strong understanding of:, • Distributed systems and service-oriented architectures, • Event-driven and asynchronous systems, • Microservices-based platforms, • Experience designing and operating API-driven systems (RESTful services, integrations, data exchange patterns), • Familiarity with complex data modeling and workflow systems (billing, client management, job tracking), • Experience across the full software development lifecycle, • Knowledge of DevOps practices including CI/CD, monitoring, alerting, and incident management Key Competencies • Strong execution and delivery mindset, • Ability to operate effectively in cross-functional environments (Product, Design, Business), • Clear communicator with both technical and non-technical stakeholders, • Balances technical excellence with business outcomes, • Committed to team health, accountability, and continuous improvement If you’re a people-focused engineering leader who thrives at the intersection of architecture, delivery, and business impact, we’d love to hear from you.

A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Bi

Job Description Summary #LI-Remote This is a field-based and remote opportunity supporting the Regional Accounts Associate Director Team in an assigned region. Novartis is unable to offer relocation support for this role. Please only apply if this location is accessible to you. Company will not sponsor visas for this position. The Gene Therapies Regional Director leads a dynamic team of Regional Accounts Associate Directors, driving impactful strategies in the evolving field of gene therapy. It focuses on shaping and executing customer engagement plans in close collaboration with the GTx leadership team, fostering innovative solutions across a flat, fast-paced organization. The position champions strong partnerships, both internally and externally, while guiding efforts in account management, access, and case support for targeted neuromuscular centers. Success in this role calls for exceptional clinical insight and business acumen to inspire the team and maintain trusted relationships with key thought leaders. Job Description Key Responsibilities: • Lead and inspire a team of hybrid rare disease Account Managers by fostering a strong, inclusive culture, supporting individual growth, and driving impactful field strategies., • Coach for excellence by guiding professional development and ensuring the team operates with integrity, professionalism, and alignment to ethical standards., • Understand customer needs at every level, from department leaders to the C-suite, using insights to anticipate trends and deliver meaningful solutions., • Shape strategic direction by developing and executing pre-launch and launch plans that align with organizational goals and enhance patient access and account support., • Build trusted relationships with key neuromuscular centers and stakeholders to create a seamless experience for accounts and patients., • Collaborate across functions by partnering with internal teams such as Novartis Patient Services, Trade, Access, and Manufacturing to optimize customer engagement and site-of-care experience., • Drive cross-functional partnerships to remove barriers, create innovative solutions, and strengthen collaboration across roles and departments., • Champion change by introducing improvements that benefit both internal teams and external partners in a structured, thoughtful manner., • Communicate effectively by anticipating strategic shifts, sharing updates proactively, and encouraging teams to adapt with confidence and clarity., • Solve complex challenges with creativity and resilience, turning ambiguity into actionable solutions that support business and patient outcomes. Essential Requirements: • Bachelor's degree required from 4-year college or university., • 10+ years' experience of diverse commercial pharmaceutical, biotech, healthcare, or similarly structured industries with large, geographically dispersed sales teams; inclusive of at least 2 different types of cross-functional roles and / or experiences. We also welcome candidates from other complex sales environments such as medical devices, diagnostics, life sciences services, insurance, consumer health, or B2B sectors, especially where strong field leadership and customer engagement are central to success., • 5+ years' experience of field commercial leadership with strong critical thinking and enterprise attitude (e.g., including but not limited to brand management, market access, or account leadership experience)., • 2+ years' experience in high-cost buy-and-bill models, with strong knowledge of distribution pathways, site-of-care revenue cycles, and billing and coding practices., • 2+ years' experience leading complex, cross-functional projects that require national alignment and collaboration., • Recent U.S. experience (within the last 5 years) with a deep understanding of the U.S. healthcare ecosystem and its dynamics., • Proven track-record of attracting, developing, and retaining diverse talent and building dedicated teams, with strong cross-functional leadership abilities to collaborate effectively with various groups and cross-functional partners., • Candidate must reside within region, or within a reasonable daily commuting distance of 100 miles from the region border. Ability to travel 60-80% over a broad geography is required, with the ability to drive and/or fly within the territory. Must have a valid driver's license. Desirable Requirements: • Proven experience in second-line leadership or large-scale team management, with strong strategic thinking and an enterprise mindset; background in Medical and/or Access roles is highly valued., • Expertise in rare diseases, including reimbursement strategies, high-cost buy-and-bill models, site onboarding, and engagement with senior decision-makers across the healthcare enterprise; understanding of macroeconomic factors influencing clinical and financial decisions is a plus. Driving is an Essential Function of this Role: Meaning it is fundamental to the purpose of this job and cannot be eliminated. Because driving is an essential function of the role, you must have a fully valid and unrestricted driver's license to be qualified for this role. The company provides reasonable accommodations for otherwise qualified individuals with medical restrictions if an accommodation can be provided without eliminating the essential function of driving. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. As required by applicable law, Novartis will consider requests for reasonable accommodation for those unable to be vaccinated. This requirement is subject to applicable state and local laws and may not be applicable to employees working in certain jurisdictions. Please send accommodation requests to ___. For Field Roles with a Dedicated Training Period: The individual hired for this role will be required to successfully complete certain initial training, including home study, eight (8) or fewer hours per day and forty (40) or fewer hours per week. Novartis Compensation Summary: The salary for this position is expected to range between $185,500 and $344,500 per year. The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors. Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards. US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves. EEO Statement: The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. Accessibility and reasonable accommodations The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or to perform the essential functions of a position, please send an e-mail to or call +1(877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message. Salary Range $185,500.00 - $344,500.00 Skills Desired Accountability, Commercial Excellence, Competitive Intelligence, Complexity Management, Compliance, Cross-Functional Collaboration Leadership, Customer Engagement, customer relationship management, Enterprise Sales, health care industry, Integrated Marketing, Key Account Management, Market Development, problem solving techniques, Professional Ethics, Revenue Growth, Sales Strategy, Selling Skills, Strategic Leadership, Value Propositions

The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. 3M Experience Needed Essential Job Duties: The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment., 2. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed., 3. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type., 4. Maintain a high level of accuracy in code assignment to prevent claim denials, billing errors, and potential legal issues., 5. Review medical records, including patient histories, examination findings, diagnoses, and treatment plans, to extract pertinent information for code assignment., 6. Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details., 7. Complies with AHIMA standards of ethical coding and coding compliance guidelines, including adherence to HIPAA (Health Insurance Portability and Accountability Act) privacy regulations., 8. Utilizes coding references, software tools, and electronic health records (EHR) to facilitate accurate and efficient code assignment., 9. Participate in ongoing education, training, and certification programs to enhance coding proficiency and maintain credentials. • Medical, dental & vision, • Critical Illness, Accident, and Hospital, • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available, • Life Insurance (Voluntary Life & AD&D for the employee and dependents), • Short and long-term disability, • Health Spending Account (HSA), • Transportation benefits, • Employee Assistance Program We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview At Zelis, the DRG Clinical Dispute Reviewer role is responsible for the resolution of facility and provider disputes as they relate to DRG validation. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief Medical Officer in managing disputes related to clinical claim reviews. This position is a production-based role with production and quality metric goals. What you'll do: * Review provider disputesforDRGCoding andClinicalValidation(MS and APR) * Reviewandsubmitexplanation of dispute rationale back to providersbased on dispute findings within the designatedtimeframeto ensure client turnaround times are met. * Accountable for daily management ofclaim dispute volume, adhering to client turnaround time, and department Standard Operating Procedures * Serve assubject matter expert fortheExpert ClaimReviewTeamonday-to-dayactivitiesincludingtroubleshooting and review fordata accuracy. * Serve as a subject matter expert for content andbill reviews and provide support whereneededforinquiriesandresearch requests. * Create andpresenteducation toExpert ClaimReview Teamsand otherdepartmentsdispute findings. * Researchandanalysisof content forDRGreviews. * Use of strong coding and industry knowledge to create andmaintainclaimreview content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policiesand Dispute Rationales * Perform regulatory research from multiple sourcesto keep abreast of compliance enhancements andadditionalbill reviewopportunities. * Support for client facing teams as needed relating to client inquiriesrelated to provider disputes. * Utilize the most up-to-date approved Zelis medical coding sources forclaimreviewmaintenance. * Communicate and partner with CMO andmembers ofExpert ClaimReview Product and Operations teamsregardingimportant issuesand trends. * Ensure adherence to quality assurance guidelines. * Monitor, research, and summarize trends, coding practices, and regulatory changes. * Actively contributenew ideasand support ad hoc projects, including time-sensitive requests. * Ensure adherence to quality assurance guidelines. * Maintain awareness of and ensure adherence to ZELIS standardsregardingprivacy. What you'll bring to Zelis: * 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claimspreferred * Current, activeInpatient Coding Certification required (ie. CCS,CIC,RHIA, RHIT,CPC or equivalent credentialing). * Registered Nurse licensurepreferred * Bachelor's Degree Preferred in business,healthcare,or technologypreferred. * Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers * Experience and working knowledge of Health Insurance, Medicareguidelinesand various healthcareprograms * Understanding of hospital coding and billing rules * Clinical skills to evaluateappropriate MedicalRecord Coding * Experience performing regulatory research from multiple sources, formulating an opinion,and presenting findings inanorganized,concise manner. * Background and/or understanding of the healthcare industry. * Knowledge of National Medicare and Medicaid regulations. * Knowledge of payer reimbursement policies. * Creative problem-solving skills,leveraginginsightsand input from other parts of an organization. * Consistentlydemonstrateabilityto act and react swiftly to continuous challenges and changes. * Excellent analytical skills with data and analytics related solutions. * Excellent communication skills. * Strong organization and project/process management skills. * Strong initiative, self-directedand self-motivation. * Good negotiation, problem solving,planningand decision-making skills. * Ability to manage projects simultaneously and achieve goals. * Excellent follow through, attention to detail, and time management skills. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $127,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis clients. Conduct reviews on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence based clinical criteria and client specific coverage policies. What you'll do: • Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc., • Implement and conduct quality assurance program to ensure accurate results to our clients, • Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures, • Serve as the Subject Matter Expert on DRG validation to team members and other departments within the organization, • Prepare and conduct training for new team members, • Identify new DRG coding concepts to expand the DRG product, • Meet and/or exceed all internal and department productivity and quality standards, • Must remain current in all national coding guidelines including Official Coding Guidelines, AHA Coding Clinic and AMA CPT Assistant, • Recommend efficiencies and process improvements to improve departmental procedures, • Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you'll bring to Zelis: • Registered Nurse licensure preferred, • Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT), • 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred, • Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers, • Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs, • Strong understanding of hospital coding and billing rules, • Clinical and critical thinking skills to evaluate appropriate coding, • Strong organization skills with attention to detail, • Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships., • Demonstrated thought leadership and motivation skills, a self-starter with an ability to research and resolve issues Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $120,650.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Job DescriptionBenefits: • Competitive salary, • Health insurance About the Role This position ensures all service jobs are billed accurately, job costing is precise, and financial workflows are synchronized with QuickBooks, FieldEdge, and Operations. Key Responsibilities Billing & Job Costing • Bill 100% of service jobs within 2448 hours., • Ensure accurate labor, materials, and margin tracking., • Reconcile service job costing weekly.Financial Reporting, • Provide weekly service profitability reporting to the CFO and CEO., • Track variances, unbilled work, and profitability concerns., • Support collections by ensuring proper documentation.Systems Alignment, • Ensure FieldEdge and QuickBooks match on coding, invoicing, and job costing., • Work closely with the Bookkeeper to maintain clean financial data.Qualifications, • 24 years bookkeeping, finance, or A/R experience, • Strong analytical and documentation skills, • Experience with QuickBooks Online and service management systems, • Experience in electrical or trades service a plus

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At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview As part of the Price Optimization division, this role is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. What you will do: • Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc., • Perform readmission reviews, including evaluating prior and current admissions to determine preventability, relatedness, and compliance with readmission policies., • Based on the evidence presented in the medical records, determine, and record the appropriate (revised) Diagnosis Codes, Procedure Codes and Discharge Status Code applicable to the claim., • Using the revised codes, regroup the claim using provided software to determine the 'new DRG', • Where the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review, • Document all aspects of audits including uploading all provider communications, clinical rationale, and/or financial research, • Identify new DRG coding concepts to expand the DRG product., • Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures, • Meet and/or exceed all internal and department productivity and quality standards, • Recommend new methods to improve departmental procedures, • Achieve and maintain personal production and savings quota, • Maintain awareness of and ensure adherence to Zelis standards regarding privacy What you will bring: • RN or LVN required, • Inpatient Coding Certification required (CCS, CIC) within 4 - 6 months of hire date, • 1 -3 years reviewing and or auditing ICD-10 CM, MS-DRG and APPR-DRG claims preferred, • Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs, • Experience performing readmission reviews, including evaluating relatedness, preventability, and compliance with readmission policies, • Understanding of hospital coding and billing rules, • Clinical skills to evaluate appropriate Medical Record Coding, • Experience conducting root cause analysis and identifying solutions, • Strong organization skills with attention to detail, • Outstanding verbal and written communication skills Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $79,000.00 - $99,750.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ___. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

Full-Time OB/Gyn Hospitalist Near Atlanta, GA Job ID: J-238924 Are you looking to optimize your work/life balance while making a meaningful impact on patients' lives? We have an excellent permanent job opportunity for a part-time or full-time OB/Gyn hospitalist to join our dedicated team near Atlanta, GA. Our program is designed to ensure manageable caseloads and provide the necessary resources and support for our clinicians. Position Highlights: Work/Life Balance: Enjoy a wonderful work/life balance with flexible scheduling options. Shift Details: Full-Time: 5-8 shifts per month (24-hour in-house shifts) Part-Time: 2-4 shifts per month (24-hour in-house shifts) Compensation: Excellent pay with a competitive compensation package. Employee Model: Full benefits package available (minimum 5 shifts to qualify). Professional Liability Insurance: Paid coverage with tail insurance included. Flexibility: No restrictions; you are free to work when and where you want during your time off. Backup Support: Structured and consistent emergency backup system in place. Requirements: Board Certification: Must be board certified by ABOG or AOBOG. Skills: Current delivery and GYN surgery skills are required. Experience: 2025 Residents Accepted: No Accepts New Grads: No Accepts Visa Candidates: No Benefits: Scheduling Flexibility: Customize your schedule with flexible 24-hour in-house shifts. Professional Growth: Dedicated educational programs and resources to support your career development. Team Support: Work in a supportive environment with a team-oriented approach. No Billing or Coding Responsibilities: Focus on patient care without the administrative burden. Comprehensive Benefits Package: Enjoy excellent health insurance and other comprehensive benefits. Why Join Our Team: Clinician-Led Organization: We prioritize our clinicians' well-being and professional growth. Integrated Hospital-Based Services: Be part of a leading organization dedicated to providing high-quality care. Professional Development: Access to world-class development tools, educational resources, and CME opportunities. Community Impact: Make a difference in the lives of patients and communities we serve. About the Location: Located near Atlanta, GA, this opportunity offers a balance of professional and personal satisfaction. The area boasts a rich cultural heritage and provides a variety of recreational activities, including dining, shopping, and exploring nearby attractions. It is an ideal location for individuals looking to practice high-quality medicine while enjoying the benefits of living in a vibrant and dynamic community. Application: If you are a board-certified OB/Gyn hospitalist looking for a rewarding career opportunity with a reputable healthcare organization, we encourage you to apply. Join our team and contribute to providing exceptional patient care while advancing your career. We look forward to discussing this exciting opportunity with you! Apply today and become part of our mission to provide excellent care and improve the quality of life for our patients.

Nationally recognized coding credential (e. Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance.

The ideal candidate will possess comprehensive knowledge of the revenue cycle process specific to physician practices, including billing, coding, collections, and reimbursement. They will be responsible for optimizing revenue generation, ensuring compliance with regulatory requirements, and implemen

Basic understanding of medical ICD 10 codes and CPT medical billing codes. The candidate should have knowledge of insurance regulations and medical coding with the goal of maximizing accurate third-party billing. The Medical Billing & Coding Specialist assures accurate and complete information is co

At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing guidelines.

Job Description Job Description: Full Charge Bookkeeper Position Summary We are seeking a detail-oriented and highly organized Full Charge Bookkeeper to oversee the day-to-day financial operations of the business. This role is responsible for managing the full accounting cycle, including accounts receivable, accounts payable, payroll processing, accrual accounting, and month-end close activities. The ideal candidate is proactive, accurate, and comfortable working independently while maintaining strong communication with leadership, clients, and vendors. Key Responsibilities Accounts Receivable Management * Generate and distribute customer invoices accurately and timely * Monitor accounts receivable aging and follow up on outstanding balances * Apply customer payments and reconcile discrepancies * Maintain accurate customer account records * Communicate professionally with clients regarding billing inquiries and collections Accounts Payable & Bill Pay * Process vendor invoices and maintain organized payable records * Execute payments via: * Check * ACH * Wire transfers * Verify approvals and ensure proper coding of expenses * Maintain vendor files and W-9 documentation * Monitor cash flow and payment schedules Month-End Close & Reconciliation * Perform monthly bank and credit card reconciliations * Reconcile balance sheet accounts and investigate variances * Prepare and post journal entries * Maintain accurate general ledger records * Assist in preparation of monthly financial reports Accrual Accounting * Record accruals and deferrals in accordance with accrual-based accounting principles * Ensure revenue and expenses are recognized in the proper accounting period * Maintain supporting schedules for prepaid expenses, accrued liabilities, and revenue recognition * Support year-end financial reporting and CPA requests Payroll Processing * Process payroll accurately and on schedule * Maintain payroll records and employee data * Ensure compliance with federal, state, and local payroll regulations * Manage payroll tax filings and payments * Coordinate with payroll providers as needed Benefits Administration * Administer employee benefits including health insurance, retirement plans, and other programs * Manage employee enrollments, changes, and terminations * Reconcile benefit invoices and payroll deductions * Serve as liaison between employees and benefits providers Qualifications * Associate’s or Bachelor’s degree in Accounting, Finance, or related field preferred * 3+ years of full-charge bookkeeping or accounting experience * Strong knowledge of accrual accounting principles * Experience processing payroll and managing benefits administration * Proficiency in ERP Systems * Advanced proficiency in Microsoft Excel * Strong attention to detail and organizational skills * Ability to manage multiple priorities and meet deadlines * Excellent communication and problem-solving skills Work Environment * Ability to work independently and collaboratively * High level of confidentiality handling financial and employee information Powered by JazzHR theX2ECaik

At Zelis, the Itemized Bill Review Facility Reviewer is responsible for analyzing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing guidelines.

Job DescriptionJob Description: The Appeals Specialist is a vital member of the MYMB System of Care. The Appeals Specialist is responsible for managing and resolving insurance claim denials by submitting timely, accurate, and compliant appeals. This role requires strong knowledge of payer guidelines, medical documentation, and revenue cycle processes to ensure maximum reimbursement and reduce claim denials. Schedule: In Office M-F 8:30am - 5pm Type: Full-time Work Location: In Office / In Person – Winters Chapel Road, Doraville, GA 30360 Education: • High school diploma or equivalent (required), • Strong understanding of insurance guidelines, CPT, ICD-10, and HCPCS coding, • Familiarity with Medicare, Medicaid, and commercial payer appeal processes, • Strong analytical and problem-solving skills, • Excellent written and verbal communication skills, • High attention to detail and accuracy, • Ability to manage multiple appeals and deadlines simultaneously, • Strong organizational and time-management skills, • Paid training, • Health insurance offered after 60 days, • Accrued PTO offered after 90 days, • Dental, vision, life insurance offered after 90 days, • Opportunity to grow into a leadership role xKMqD0YDNd

Job DescriptionJob Description: The Collections Specialist is a vital member of the MYMB System of Care. The Collections Specialist is under the supervision of the Collections Supervisor. The Collections Specialist is responsible for collections of outstanding accounts receivable dollars from the existing client base and all other aspects of collections, resolving customer billing problems and reducing accounts receivable. Pay: $17/hour Schedule: In Office M-F 8:30am - 5pm Type: Full-time Work Location: In Office / In Person - Winters Chapel Road, Atlanta, GA 30360 Education: • High School Diploma/GED – BS degree preferred., • Current (five-years) of no felonies or substance abuse convictions.Experience:, • Must have two-years of continuous sobriety prior to hire, if a recovering alcoholic or drug addict and participate in a self-help program., • 1 year of collections experience in the healthcare field preferred; preferably in the mental health and substance abuse field., • Strong problem solving, follow through, and analytical skills required., • Excellent English; verbal and written communication skills required., • Ability to work independently and to adapt to a fast changing environment., • Proficiency in Microsoft Office including Excel, Word and other medical collections software., • Must have attention to detail with an eye for accuracy., • Creative, self-disciplined and capable of identifying and completing critical tasks independently and with a sense of urgency required., • Thorough Identification and resolution of problematic claims issues., • Resubmission of claims to insurance payers for payment and/or adjustment., • Review of accounts based on insurance payer and services provided to patients to determine accurate contractual payment amounts., • Resolve client-billing problems and rescue accounts receivable delinquency, applying good customer service in a timely manner., • Collect customer payments in accordance with payment due dates., • Review and monitor assigned accounts and all applicable collection reports., • Provide timely follow-up on payment arrangements., • Mail correspondence to customers to encourage payment of delinquent accounts., • Fax documents to client accounts for effective follow up., • Paid training, • Health insurance offered after 90 days, • Accrued PTO offered after 90 days, • Dental, vision, life insurance offered after 90 days, • Opportunity to grow into a leadership role Q7DNlBL8kq

Job DescriptionDescription: The Full Charge Bookkeeper is responsible for the accurate, timely, and complete day-to-day accounting operations of the firm using Deltek VantagePoint. This role owns the full transactional accounting cycle, including Accounts Payable, Accounts Receivable, project setup support, payroll posting, and reconciliations, to ensure financial data is accurate, audit-ready, and aligned with project and firm performance goals. The individual in this role partners closely with the Accountant Project Manager, Project Managers, Consultants, and firm Leadership to support project financial integrity, cash flow, and operational efficiency, while upholding a consistent, collaborative, design-driven approach to work. Duties/Responsibilities: Accounts Payable (A/P) • Enter and code all vendor and consultant bills into Deltek VantagePoint, • Create and manage purchase orders (POs), • Set up and maintain vendor and consultant records, • Ensure proper project, phase, and task coding for all A/P transactions, • Reconcile vendor and consultant statements and resolve discrepancies, • Prepare and process billing in VantagePoint, • Generate and send accurate, timely invoices, • Perform A/R follow-up and maintain aging, • Communicate with clients regarding billing questions, • Support project setup in VantagePoint (projects, phases, tasks), • Ensure correct billing terms, labor categories, and rate structures, • Assist Project Managers in maintaining accurate financials, • Review and book employee and consultant timesheets, • Ensure accuracy and completeness of time entries, • Post payroll entries to the General Ledger, • Post all accounting transactions accurately and timely, • Perform credit card reconciliations, • Reconcile vendor and consultant statements, • Maintain organized, audit-ready documentation, • Maintain structured documentation, digital files, and financial records consistent with company standards, • Support operational efficiency by identifying workflow, systems, and process improvements, • Exercise sound judgment, discretion, professionalism, and confidentiality in all financial-related communicationsRequirements: Skills & Abilities: • Hands-on experience with Deltek VantagePoint (required), • Strong understanding of project-based accounting, • Excellent organizational, analytical, and decision-making skills, • High attention to detail, accuracy, and follow-through, • Ability to work independently under the direction of the Accountant Project Manager, • Advanced proficiency in Microsoft Excel or Google Sheets, • 3+ years experience as a Full Charge Bookkeeper or similar role, • Experience with A/P, A/R, payroll posting, reconciliations, and project accounting, • Experience with Deltek VantagePoint, • Experience in architecture, engineering, interior design, or consulting (Preferred), • Experience supporting time & expense, billing workflows, and financial operations (Preferred)

Job Description Intown Golf Club (IGC) is the premier private social club and lifestyle brand for golf enthusiasts. IGC is headquartered in Atlanta and opened its first location there in 2021. IGC has opened multiple clubs since including Charlotte, Columbus, Houston, Nashville, and Philadelphia. Raleigh is slated to open in late 2026. IGC is targeting 2-4 club openings per year in its national expansion. We are seeking a results-driven and experienced Financial Controller with a background in multi-unit and hospitality operations to oversee our accounting operations and ensure the sound financial management of our growing organization. As the Financial Controller, you will play a critical role in managing accounting and finance-related activities to support our continued success and growth. You will report directly to the CFO. Responsibilities: • Prepare accurate and timely financial reports, including monthly, quarterly, and annual reports for internal and external stakeholders., • Record financial transactions, post debits and credits, manage billing, invoicing, expenses, reimbursements, and assist in payroll administration., • Efficiently manage daily, weekly, and monthly member payment processing, including membership initiations, membership dues, as well as charges for services and goods., • Oversee the general ledger, reconcile accounts, and analyze financial results to identify risks and opportunities., • Monitor results against annual budgets and forecasts, providing insights into variances and coding errors., • Ensure timely and accurate tax reporting, including monthly sales tax remittances and annual tax filing., • Own treasury and cash management activities., • Conduct internal audits and financial risk assessments, proactively implementing intervention strategies to safeguard financial integrity., • Resolve accounting and reconciliation issues promptly and maintain inventory and cost control procedures., • Handle ad-hoc duties and special projects as assigned., • Act as a brand ambassador for Intown Golf Club, representing our organization with professionalism and passion. Additionally, the Financial Controller will be responsible for the following: • Managing the accounting team, training new team members to maintain a high-performing and skilled department., • Establishing, implementing, and communicating the strategic direction of accounting operations within the organization., • Assisting the CFO and Director of Finance to manage and develop financial reporting, budgeting, and forecasting activities to provide valuable insights into the company's financial performance across all clubs and corporate departments., • Identifying opportunities to reduce costs and conducting financial analysis on a monthly and yearly basis to support data-driven decision-making., • Advising and assisting in the implementation of accounting and budgeting policies to maintain compliance and financial integrity., • Managing deferred revenue and overseeing treasury and cash flow management., • Working with managers from various departments to train them on their department financials and support their financial understanding., • Identifying financial strengths and weaknesses, as well as potential risks and opportunities, to support strategic planning and growth initiatives., • Recommending and implementing new processes and technologies to streamline accounting and finance operations for increased efficiency. Qualifications: • Bachelor's degree in Finance or Accounting preferred., • Minimum of five (5) years of experience as a financial administrator or in a similar role within multi-unit and hospitality settings., • CPA certification is preferred, and knowledge of Clubessential and/or Restaurant365 is a plus., • Strong analytical skills and the ability to interpret large amounts of financial data., • In-depth knowledge of accounting standards and industry regulations., • Excellent verbal and written communication skills., • Meticulous attention to detail and organizational skills., • Strong decision-making abilities and interpersonal skills., • Prior experience in a high-growth, fast-paced, and operationally intensive business within the hospitality industry is heavily preferred., • Proven leadership skills with the ability to motivate and lead a team., • Familiarity with G-Suite and its various applications (Docs, Sheets, Calendar, etc.). Benefits: • Competitive benefits package, including medical, dental, and vision insurance., • 100% Company paid life insurance., • Paid time off to maintain a healthy work-life balance., • A collaborative environment that encourages initiative and leadership., • The opportunity to work with highly talented individuals who are passionate about their craft.

Job Description Reach is a Dinova product that connects restaurant brands with consumer credit card holders through card-linked offer campaigns delivered via publisher partnerships. The Product Operations Manager owns the technical operations execution — building and maintaining the processes, data pipelines, integrations, and automations that make the product run. The Tech Ops Manager works directly with the Manager, Program and Partnerships who owns external relationships, prioritization, and go-to-market strategy daily to coordinate across every Dinova department standing up a reliable, scalable operational infrastructure. This person is operationally minded and hands-on technical: they lead integrations with internal systems like Salesforce and NetSuite, write and maintain Python scripts and SQL queries, monitor API integrations, and build reporting dashboards—using AI coding tools like Claude to accelerate that work. We are unable to offer work sponsorship for this role. Who we are Dinova, now a part of Buyers Edge Platform, is a leading digital procurement network and solutions provider for the foodservice industry. Dinova operates a preferred business dining program that connects corporations and their employees with a network of over 24,000 restaurants. Our mission is to deliver dining savings to corporations and drive business growth for restaurants through innovative solutions. As part of Buyers Edge Platform, a company revolutionizing the foodservice industry with technology, purchasing power, and collaborative partnerships, we are dedicated to empowering stakeholders across the entire foodservice ecosystem. This role is integral to expanding our reach and impact with business diners and corporate credit card holders. Your impact: Program and Partnership & Operational Ownership • Lead technical execution for the Reach team: the Manager, Program and Partnerships owns external relationships, prioritization, and strategy; this role owns the systems, data pipelines, integrations, and automations that make the product run day-to-day., • Coordinate with the Salesforce team to configure and maintain Salesforce for Reach workflows: build custom objects, fields, page layouts, validation rules, flows, and reports that support campaign setup, merchant onboarding, and billing tracking., • Own the operational relationship with data partners: monitor daily pipeline health, validate inbound campaign and transaction data, and ensure offer activations, redemptions, and settlement records are flowing accurately., • Execute the end-to-end campaign workflow—offer configuration, data submission to publisher systems, activation confirmation, live monitoring, and campaign closure—with automated QC checks at each stage to catch errors before they reach production., • Build and maintain Metabase (or equivalent) dashboards that give the PM, Sales, and Account teams self-service visibility into campaign performance, diner acquisition, offer redemption rates, and incremental spend., • Coordinate with Sales, Account Management, Finance, IT, and Operations to build and maintain the processes and systems each team depends on to support Reach—acting as the operational infrastructure layer that connects the PM's strategy to execution across the organization. About you: Skills: • Experience with Salesforce configuration and integration: custom objects, fields, validation rules, flows, page layouts, and reports—you configure it yourself, not just describe what needs to happen., • SQL proficiency: writes queries against relational databases to extract, validate, and transform data for reporting and reconciliation pipelines., • Python scripting: comfortable writing and maintaining scripts for data processing, API calls, automation, and reporting—with or without AI assistance., • API integration experience: has worked with REST APIs, understands authentication patterns, can read API documentation, and can troubleshoot integration failures at the data level., • Data pipeline monitoring and validation: experience building or operating scheduled data workflows; knows how to set up error alerting and data quality checks so failures surface before they cause downstream damage., • BI/reporting tool proficiency: Metabase, Tableau, Looker, or equivalent—can build and maintain dashboards without a dedicated analyst., • Daily AI tool usage: uses Claude, ChatGPT, or similar LLMs as a coding and operations accelerant—prompting for Python scripts, Salesforce configurations, SQL queries, and debugging—not as a novelty but as a standard part of the workflow., • Cross-functional operator: comfortable working across Sales, Finance, IT, and Product to gather requirements and build systems those teams depend on., • 3–6 years in a technical operations, systems operations, or product operations role where hands-on configuration and scripting were core responsibilities (not just oversight)., • Demonstrated experience with Salesforce administration at the configuration level (custom fields, flows, objects, reports)—admin certification a plus., • Experience with SQL and Python in an operational context (data validation, reporting pipelines, API integrations, or automation scripts)., • Experience in card-linked offers, digital advertising, fintech/payments, or restaurant/hospitality operations., • Experience with REST API integrations and data pipeline monitoring., • Experience building dashboards in Metabase, Tableau, Looker, or similar., • Great benefits from day one. We offer medical, dental, vision, FSA, company-paid life insurance, and more—plus a 401(k) with company match., • Grow with us. Enjoy strong training, development, and competitive pay., • Work-life balance. Our flexible PTO policy lets you take time when you need it—no accrual required. We welcome all. We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state or local laws and ordinances.

Job DescriptionMount Yonah Medical Billing is a growing 3rd party billing company specializing in substance abuse and mental health billing. We are looking for dedicated individuals to join our team! We are located in Atlanta, GA (Dunwoody). The VOB Specialist is responsible for confirming benefits for patients seeking treatment services from our clients. This is the type of job where the day goes by quickly and you will rarely be idle. If you enjoy detail-oriented work that will always keep you busy, please apply! Schedule: In Office M-F 8:30am - 5pm Type: Full-time Education: • High School Diploma/GED – AA degree preferred., • Must have two-years of continuous sobriety prior to hire, if a recovering alcoholic or drug addict and participate in a self-help program., • Minimum of one year of administrative experience; preferably with medical billing experience; preferably in the mental health and substance abuse field., • Knowledge of insurance submittals procedures and medical forms and coding., • Strong problem solving, follow through and analytical skills required., • Excellent English; verbal and written communication skills required., • Ability to work independently and to adapt to a fast-changing environment., • Proficiency in Microsoft Office including Excel, Word and other medical collections software., • Must have attention to detail with an eye for accuracy., • Creative, self-disciplined and capable of identifying and completing critical tasks independently and with a sense of urgency required., • Thoroughly read through and analyze VOB relative to the treatment requested, • Call private insurance companies to confirm eligibility of benefits, • Review and monitor assigned accounts and all applicable collection reports., • Input VOB data in the system with accuracy and understanding of how to obtain approved claims, • Paid training, • Health insurance offered after 60 days, • Accrued PTO offered after 90 days, • Dental, vision, life insurance offered after 90 days, • Opportunity to grow into a leadership role, • Bonus structure after 90 days Powered by JazzHR uQMFNP6DwE

Job Description SUMMARY: We are seeking a qualified and dedicated Coding Specialist to join our Central Billing Office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our Coder, your daily duties will include entering and coding patient services and charges into our EMR system and generating invoices to mail out to patients. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents or patients will form a large part of the job. DUTIES: • Remain HIPAA and OSHA compliant., • Translate patient information and alphanumeric medical code entries., • Electronic “clean” claims submissions to Insurance Carriers., • Collect, post, and manage patient account payments., • Sort and file paperwork., • Analyzing and correcting coding errors., • Ensure healthcare facilities are reimbursed for all procedures., • Follow Up on accepted or denied claims., • Review denied claims for denial reasons and provide resolution., • Investigate insurance fraud and report if found., • Collect information regarding patient treatments, diagnosis, and related procedures to ensure proper coding. Qualifications: • A minimum of 2 years’ experience as a Medical Coder ., • Knowledge of unfair debt collection practices and insurance guidelines., • Understanding of primary code classifications: ICD-10 CM, ICD-10-PCS, CPT and HCPCS, • Computer proficiency and medical billing software, • Must have the ability to multitask and manage time effectively., • Excellent written and verbal communication skills., • Outstanding problem-solving and organizational abilities., • Productivity Driven. EDUCATION AND EXPERIENCE: • High School, Associate Degree or 1-3 years of Billing and Coding experience, • Professional Certification preferred Ortho Sport and Spine Physicians is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status, military service, or any other characteristic protected by federal law or Georgia law.

Job Description Position: Medical Practice Manager with potential growth to Director of Operations Location: Atlanta, GA (with Florida expansion oversight) Reports to: Owner/Managing Director Compensation: $60,000 - $80,000 Company Overview: Senior Healthcare Services is dedicated to improving the lives of seniors and providing exceptional geriatric podiatry and optometry services across Georgia in Long Term Care facilities. There is an active planned expansion of services into Florida. We're a growth-oriented practice committed to operational excellence and exceptional patient care. Position Summary: We need an experienced healthcare operations leader who can lead and expand our group practice. Experience in podiatry and optometry, as well as the Long Term Care industry, highly preferred. This is not a traditional practice manager role - we need someone who can own revenue cycle management, drive operational efficiency, and execute our Florida expansion while maintaining quality patient care. You'll have full operational authority and direct impact on practice profitability. Core Responsibilities: Revenue Cycle Management (40% of role) • Own the complete revenue cycle from charge capture through collections, • Manage relationship with billing company/staff and hold them accountable to metrics, • Reduce days in A/R to industry standard (target: 35 days or below), • Implement and manage Patient A/R collections program, • Achieve 95%+ net collection rate on commercial insurance, 85%+ on Medicare, • Conduct monthly denial analysis and implement corrective actions, • Audit charge capture to ensure we're billing for all services rendered, • Review and optimize payer contracts; lead renegotiation efforts, • Implement pre-authorization processes to reduce denialsDaily Operations Management (30% of role), • Oversee administrative staff and communications with Providers and Facilities, • Optimize provider schedules to maximize productivity and patient access, • Manage patient flow to minimize wait times and maximize satisfaction, • Implement systems for quality improvement and patient safety, • Handle patient complaints and service recovery, provide in-service visits at facilities, • Manage vendor relationships and office supplies/equipment, • Ensure compliance with OSHA, HIPAA, CMS, and state regulationsFinancial Operations (15% of role), • Partner with admin staff to ensure accurate coding and billing, • Monitor key metrics: revenue per provider, overhead ratio, staffing costs, • Manage accounts payable and cash flow in coordination with CFO consultant, • Prepare monthly operational reports for ownership, • Identify cost savings opportunities without compromising care qualityGrowth & Expansion (15% of role), • Lead Florida expansion execution: marketing, credentialing, licensing, location setup, • Coordinate provider recruitment and onboarding, • Develop operational playbooks for new locations, • Build scalable systems that support multi-location growth, • Market analysis and payer landscape research for new marketsRequired Qualifications: Must-haves: • 5+ years healthcare practice management experience, • 3+ years revenue cycle management experience in physician practices, • Proven track record improving collections and reducing A/R days, • Deep understanding of medical billing, coding, and payer contracts, • Experience with podiatry, optometry, or specialty practice (preferred), • Multi-location practice experience or expansion project involvement, • Strong leadership and staff management skills, • Proficiency with practice management software and EHR systems, • Strong Software Expertise in EHR systems, data management, Emerging Tech/AI, and Google WorkspaceStrongly preferred:, • Certified Medical Practice Executive (CMPE) or similar certification, • Experience with Georgia and Florida credentialing/licensing, • Background in practice turnarounds or operational improvements, • Data-driven decision maker with strong analytical skills, • Experience negotiating payer contracts

Job Description Job Summary: The Office Manager plays a crucial role in ensuring a seamless and positive experience for patients. This position is responsible for overseeing the day-to-day operations of the back office and is focused on providing excellent customer service. The Office Manager leads a team of medical assistants, coordinates patient scheduling, and manages administrative tasks to create a welcoming and Office environment for all patients. Reports to the Director of Satellites. Duties/Responsibilities: • Greet and assist patients, visitors, and vendors in a friendly and professional manner., • Ensure all interactions in the back office are conducted with empathy, courtesy, and patience., • Manage patient inquiries, concerns, and complaints promptly and effectively., • Maintain a high level of customer service to enhance the overall patient experience., • Train, and manage clinical staff, • Provide support, and feedback to staff, fostering a positive and productive work environment., • Enforce office policies and procedures for the medical assistants., • Oversee the appointment scheduling process and collaborate with clinical staff to optimize patient flow and minimize wait times., • Assist in rescheduling or accommodating urgent patient requests., • Maintain confidentiality and accuracy of patient records and information., • Oversee the check-in and check-out process, ensuring complete and accurate documentation., • Facilitate insurance verifications, prior authorizations, and billing inquiries., • Manage clinical inventory and supplies, ensuring that all necessary materials are readily available., • Coordinate with providers and assist in meeting Quality Health Metrics and HEDIS Metrics., • Oversees Vaccine inventories., • Coordinate with other departments within the medical office to address patient needs., • Organizes schedules for medical assistants and Providers., • Performs other related duties as assigned. Required Skills/Abilities: • Communication and converse clearly over the telephone and in person., • Knowledge of data entry skills. Job Title: Office Manager Rev. 2023, • Must be articulate and personable., • Ability to use mature judgment in the performance of duties., • Organization and time management skills to manage a variety of tasks effectively. Education and Experience: • Bachelor's degree in business administration or a related field preferred., • Previous experience in a medical office setting and customer service is highly desirable., • Strong leadership and supervisory skills., • Excellent communication and interpersonal skills., • Proficiency in using office software, electronic health records, and scheduling systems., • Ability to work under pressure and maintain composure during busy periods., • Knowledge of medical billing and coding procedures (preferred but not required). Physical Requirements: • Frequent exposure to communicable diseases and other conditions common in a clinic environment., • Prolonged periods of sitting and standing., • Occasional lifting and carrying of office supplies or materials.

Job Description Revenue Cycle Manager Department: Revenue Position Summary: The Revenue Cycle Manager is responsible for overseeing revenue cycle management including coding, billing, collections, and denial management as well as financial reporting within the organization. This position is responsible for ensuring claims, denials, and appeals are efficiently processed, and resolving billing-related issues. The Revenue Cycle Manager will minimize bad debt, improve cash flow, and effectively manage accounts receivables. This role will also manage Provider credentialing. The Revenue Cycle Manager will be the main contact for the Practice Management vendor, Medicaid contacts, clinically integrated networks and Clearing House vendor. They will be responsible for setting the annual practice fee schedule. This position is to stay apprised of coding and revenue trends; and is responsible for coding education to clinical and coding/billing staff. In addition, this position will manage all Revenue Cycle Management staff including billers, coders, team assistants, and the RCM supervisor; this will include day to day supervision as well as development opportunities, training, and mentorship. Supervision Received: Director of Finance/Partners at Pediatric Ear Nose and Throat of Atlanta Supervision Exercised: Coders, Billers, Team Assistant, and RCM Supervisor Classification: Full-Time Required Education and Qualifications: • A bachelor’s degree and 3-5 years of related work experience, • Knowledge of third-party payer requirements including federal, state, and private health care plans and authorization process, • Proven experience in healthcare billing, including Medicaid., • Knowledge of basic insurance policies, procedures, and reimbursement practices with Medicaid and commercial coding, • Experience supervising staff, • Prior experience with process development and execution, • Excellent communication and interpersonal skills, • 3 years healthcare experience at the management level, • Certified coder, coding auditor, or coding education experience Essential Functions: • Oversee and manage entire revenue cycle including billing, coding, collections, and denial management, • Manage relationships with external vendors for practice management software and clearinghouse vendor, • Communicate professionally with various payers, • Manage, develop, and mentor all revenue department staff, including billers and coders and RCM/Admissions Supervisor, • Teams with the operations team to oversee the registration process and manage the registration process team, • Responsible for management and maintenance of billing and practice management software platform, • Provide up to date education for clinical, billing, and coding staff on coding trends, • Develops, evaluates, implements, and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies, • Reconcile all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements, • Manage and update the charge master based on the current CMS fee schedule and negotiated contracts, • Conduct monthly analysis of Medicaid/Third Party Payers, • Oversees the processing of credentialing and provider enrollment applications, initial, and re-enrollment status with all Medicaid, Medicare, and Commercial Payors, • Responsible for the generation and management of revenue, registration and credentialing metric reports, • Review and resolve issues related to claim generation and rejected/denied billings, • Commit to highest level of business and patient confidentiality possible adhering to all HIPAA and security guidelines when accessing and sharing patient information, • Technical expert for practice management system (eg. Mod Med), • Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations, • Maintains appropriate internal controls over accounts receivable, RCM process, • Monitors accounts sent for collection and reimbursements from insurance companies and other third-party payers, • Reviews, monitors, and evaluates third party reimbursement and researches variances, • Participates in the development of coding and billing strategies, evaluating process relative to revenue cycle, and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid, government and specific 3rd Party Payors), • Working understanding and ability to perform the task of staff members under your supervision, • All other duties as assigned Lifting Requirements Sedentary- generally, lifting not more then 50 lbs. maximum and occasionally lifting and/or carrying such articles as reports, files and small items. Travel Requirement Local; Metropolitan Atlanta Career Path Additional training/education or equivalent experience, as well as business need, are required for movement into higher level jobs. Disclaimer Must perform the essential duties and responsibilities with or without reasonable accommodation. The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and /or skills required. This job description is not an employment agreement and /or an expressed or implied contract. Management has the right to alter this job description at any time without notice.

Job Description WABE informs, inspires, reflects and empowers greater Atlanta. Formally called Atlanta Educational Telecommunications Collaborative, Inc. (AETC), WABE is a non-profit, public media service and NPR and PBS affiliate for metro Atlanta and presents content via WABE90.1FM, WABE TV, WABE.org and numerous podcasts and digital offerings. For more information on the content, programming and opportunities, please visit Financial Accounting Manager Seeking a dynamic, experienced, and detail-oriented Financial Accounting Manager to join our Finance team. Reporting to the SVP of Finance, this role will primarily work closely with the WABE Studios production team and will be responsible for all production and associated reporting, preparing show financial statements, verifying financial records and account reconciliations. Production Accounting Duties and Responsibilities: • Serve as the primary liaison between Finance and the WABE Studios Production team., • Oversee all production accounting functions, including payroll accounting, accounts payable approval, cost tracking, and financial compliance., • Monitor production budgets, analyze expenditure reports, and forecast final costs., • Review and process production contracts, deal memos, start paperwork, and time sheets., • Manage production payroll and ensure accurate labor cost allocation., • Oversee the production accounts payable workflow, including invoice review, approval, and coding., • Process bill‑backs of corporate costs for WABE Studios., • Prepare and maintain weekly cost reports and production financial statements., • Reconcile production‑related balance sheet accounts and ensure timely resolution of variances., • Calculate Georgia Film Tax Credits for each production and prepare detailed cost breakdowns., • Lead the Film Tax Credit audit process for all productions., • Work closely with the Georgia Film Office to ensure all qualified credits are received., • Review and audit production expense reports to ensure compliance with company policy and state requirements., • Prepare production company information for inclusion in monthly reporting, including revenue recognition., • Provide production financial analyses as requested by management Finance and Accounting Duties and Responsibilities: • Verify and post general ledger activity., • Reconcile account balances and bank statements; maintain the general ledger., • Perform balance sheet account reconciliations, ensuring accuracy and timely resolution of discrepancies., • Assist with the month‑end and year‑end close processes., • Support the annual financial audit and provide documentation as needed., • Develop and document procedures to strengthen internal controls., • Recommend process improvements to enhance integration of financial systems., • Participate in financial forecasting and provide financial insights to managers and senior leadership., • Provide timely and accurate responses to financial inquiries., • Stay current on financial technology and regulatory changes to support innovation and compliance. Requirements: A successful Financial Accounting Sr. Manager combines excellent analytical skills with a thorough knowledge of accounting principles to analyze financial reports and forecasts. The ideal candidate also has experience collaborating and/or managing a team. • Film & Tax credit auditing experience, • BS degree in Accounting or Finance, • Minimum of 4-5 years of combined production and accounting experience., • Experience with general ledger functions and the month-end/year-end close process., • Billing and revenue recognition experience., • Experience in Film or TV production and knowledge of audit, tax, union, guild, and relevant government regulations., • Strong knowledge and understanding of the production process and experience with budgets and weekly cost reports., • Hands-on experience with accounting and financial reporting software such as Abila MIP, Hyperion/Tableau, • Advanced Excel skills such as Power Query, XLOOKUP’s, Pivot tables, macros, etc., • Accuracy and attention to detail., • Must be positive, hardworking, deadline and goal oriented., • Aptitude for numbers and quantitative skills., • Strong organizational skills and able to handle multiple requests in order of priority., • Respects and maintains confidentiality. Competencies: • Change/Adaptability/Flexibility--- Adapts to change, is open to new ideas, takes on new responsibilities, handles pressure, and adjusts plans to meet changing needs., • Communication--- Communicates well both verbally and in writing, shares information and ideas with others throughout the organization as appropriate, has active listening skills., • Leadership and Initiative --- Focused on results, sets challenging goals, prioritizes tasks, overcomes obstacles, accepts accountability, sets high standards and takes responsibility. Provides leadership and motivation., • Collaboration Across Creative Environments — Works effectively with teams who may not be financially oriented and may operate on non‑traditional schedules. Work Environment & Physical Demands: The physical demands and work environment 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. Individuals may need to sit or stand as needed. May require walking primarily on a level surface for periodic periods throughout the day. Reaching above shoulder heights, below the waist or lifting as required (up to 5 lbs.), filing documents or store materials throughout the workday. Proper lifting techniques required. For the most part ambient room temperatures, lighting and traditional office equipment as found in a typical office environment. EOE

Job Description The Professional Coding Auditor & Educator works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities: • Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission, • Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges, • Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete, • Identifies inconsistencies in medical reports and works with healthcare staff to improve charge capture and error correction, • Meets daily production standards, • High School diploma or equivalent, • Active CPC or CCS Certification from AAPC or AHIMA required, • 3+ years of hands-on auditing experience (not just coding) required, • Professional billing experience in an urgent care or multi-specialty environment required, • Direct experience educating physicians/providers on documentation and coding requirements required, • Experience using coding resources/tools (e.g., AMA guidelines, payer policies, online resources) to support audit decisions required, • Knowledge of insurance payers, the AR/revenue billing lifecycle and appealing denied claims, • Strong Critical thinking, • Experience in billing software and EMR systems, Epic experience a plus, • Extremely organized with a strong attention to detail, • Motivated, dependable, and flexible with the ability to handle periods of stress and pressure, • Stay up to date on coding changes and updates, • Ability to work within a team environment and maintain a positive attitude #INDmisc

Job Description100% Remote! Pay: $18-22/hour We are looking for Medical Billing Specialists with experience in back-end A/R follow-up, resolution of aged accounts, and working denials for Hospital and/or Physician Billing. Our team assists healthcare providers and hospital entities with the remediation of 3rd party accounts receivable, and a variety of revenue outsource capabilities. The primary role is to resolve assigned accounts by following up with commercial and government payers on denied, underpaid, or otherwise unresolved accounts and collecting insurance claim balances for the client. This position will require in-depth research and problem solving to get the resolution on these claims, while maintaining productivity and quality outputs for the assigned client. Some of the additional benefits you will have working with us include: • Permanent position, • Flex Schedule, • Excellent Health, Dental, Vision, Life Packages, • PTO, paid sick leave, paid holidays, • Opportunity for career growth Responsibilities:, • Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to:, • Performing account follow-up activities on high-dollar accounts receivable, • Research items requiring further assistance, • Possesses an understanding of the healthcare revenue cycle and applies this knowledge to assist team with achievement of quality control standards, • Demonstrates the ability to professionally communicate with colleagues, payers, and clients (if necessary), • Ensures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc., • Identifies and communicates A/R trends, payer behavior, workflow inconsistencies or other barriers to account resolution to team and engagement leadership, • Researches and documents any correspondence received related to assigned accounts, • Assess accounts for balance accuracy, confirm correct payer billed, coding accuracy, denials, and outstanding insurance requests, • Provide documentation appropriately and submit corrections; or if payer error, escalate for re-processing in a professional and timely manner, • Identify billing or coding issues and requests re-bills, secondary billing, or corrected bills as needed, • Contacts third party payers and government agencies to resolve outstanding account balances, • Maintains departmental productivity and quality standards, • Must possess general PC aptitude and keyboarding ability -- must be able to type at a minimum of 40 wpm required, • Ability to multitask in several applications and systems simultaneously and demonstrates competency with Microsoft Suite and assorted internet browsers requiredEducation and Experience:, • A minimum of 1-2 years in Healthcare Provider Revenue Cycle experience required, • High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred, • Hands-on experience using Epic, Cerner, Invision, Soarian, McKesson, Allscripts, Meditech, and other industry recognized Revenue Cycle Management Systems required, • Hands-on knowledge of UB-04 and/or HCFA 1500 billing and account follow up, CPT and ICD-10 coding and terminology for hospital and/or ambulatory/physician billingPhysical Requirements:, • While performing the duties of this job, the employee is frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects. The employee must have the ability to sit for long periods of time.

Job DescriptionSenior eDiscovery Project ManagerEmployment Type: Full-Time Department: Legal CGS is seeking a Senior eDiscovery Project Manager to join our team supporting the legal organization within a large Federal agency. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success- Respond to client requests and provide consultation to clients to service all client eDiscovery needs - Create fields, choices, layouts, and views in Relativity- Create batches of records for review in Relativity- Create Production sweeps and sets in Relativity- Develop, modify, and implement workflows, essential resources needed to progress work through the system, and tools being utilized- Initiate work on behalf of clients by crafting and submitting work orders for tasks associated with data processing, review, and production- Conduct quality checks to ensure accuracy and completeness of job instructions and of final work product- Communicate expectations for scope and deadlines to internal and external stakeholders- Establish informed project schedules based on a solid understanding of project activities, sequences of events, dependencies, work effort, duration of tasks across departments, and associated resource requirements based on the complexity of work and the size of the queue- Participate in project tasks including kick-off call preparation and completion, and documentation of workflows, standards, and project closure tasks such as final billing and data destruction- Maintain an understanding of e-discovery, market competitors, and the tools used to support the industry Qualifications- 5 (five) years of eDiscovery/litigation support experience with a focus on client solutions- 3 (three) years of progressive more responsible experience on major lit support projects- 2 years in Relativity, beyond document review coding- Excellent communication, presentation, and interpersonal skills with both eDiscovery technical teams and non-technical business leaders and team player- Ability to work in a fast-paced environment agile work environment- Experience and familiarity with eDiscovery Services covering all realms of the EDRM (File to Trial)- Must be a U.S. Citizen - The ability to obtain a U.S. Government security clearance (active clearance preferred)- BS/BA degree or equivalent work experience (JD highly preferred)- Experience with Government software policies and procedures- Client-facing communication experience- Federal Agency issued security clearance Ideally, you will also have:- Client-facing communication experience- Federal Agency issued security clearance Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: For more information about CGS please visit or contact:Email: #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Reach is a Dinova product that connects restaurant brands with consumer credit card holders through card-linked offer campaigns delivered via publisher partnerships. The Operations Manager owns the technical operations execution — building and maintaining the processes, data pipelines, integrations, and automations that make the product run. The Ops Manager works directly with the Manager, Program and Partnerships who owns external relationships, prioritization, and go-to-market strategy daily to coordinate across every Dinova department standing up a reliable, scalable operational infrastructure. This person is operationally minded and hands-on technical: they lead integrations with internal systems like Salesforce and NetSuite, write and maintain Python scripts and SQL queries, monitor API integrations, and build reporting dashboards—using AI coding tools like Claude to accelerate that work. We are unable to offer work sponsorship for this role. Who we are Dinova, now a part of Buyers Edge Platform, is a leading digital procurement network and solutions provider for the foodservice industry. Dinova operates a preferred business dining program that connects corporations and their employees with a network of over 24,000 restaurants. Our mission is to deliver dining savings to corporations and drive business growth for restaurants through innovative solutions. As part of Buyers Edge Platform, a company revolutionizing the foodservice industry with technology, purchasing power, and collaborative partnerships, we are dedicated to empowering stakeholders across the entire foodservice ecosystem. This role is integral to expanding our reach and impact with business diners and corporate credit card holders. Your impact: Program and Partnership & Operational Ownership • Lead technical execution for the Reach team: the Manager, Program and Partnerships owns external relationships, prioritization, and strategy; this role owns the systems, data pipelines, integrations, and automations that make the product run day-to-day., • Coordinate with the Salesforce team to configure and maintain Salesforce for Reach workflows: build custom objects, fields, page layouts, validation rules, flows, and reports that support campaign setup, merchant onboarding, and billing tracking., • Own the operational relationship with data partners: monitor daily pipeline health, validate inbound campaign and transaction data, and ensure offer activations, redemptions, and settlement records are flowing accurately., • Execute the end-to-end campaign workflow—offer configuration, data submission to publisher systems, activation confirmation, live monitoring, and campaign closure—with automated QC checks at each stage to catch errors before they reach production., • Build and maintain Metabase (or equivalent) dashboards that give the PM, Sales, and Account teams self-service visibility into campaign performance, diner acquisition, offer redemption rates, and incremental spend., • Coordinate with Sales, Account Management, Finance, IT, and Operations to build and maintain the processes and systems each team depends on to support Reach—acting as the operational infrastructure layer that connects the PM's strategy to execution across the organization. About you: Skills: • Experience with Salesforce configuration and integration: custom objects, fields, validation rules, flows, page layouts, and reports—you configure it yourself, not just describe what needs to happen., • SQL proficiency: writes queries against relational databases to extract, validate, and transform data for reporting and reconciliation pipelines., • Python scripting: comfortable writing and maintaining scripts for data processing, API calls, automation, and reporting—with or without AI assistance., • API integration experience: has worked with REST APIs, understands authentication patterns, can read API documentation, and can troubleshoot integration failures at the data level., • Data pipeline monitoring and validation: experience building or operating scheduled data workflows; knows how to set up error alerting and data quality checks so failures surface before they cause downstream damage., • BI/reporting tool proficiency: Metabase, Tableau, Looker, or equivalent—can build and maintain dashboards without a dedicated analyst., • Daily AI tool usage: uses Claude, ChatGPT, or similar LLMs as a coding and operations accelerant—prompting for Python scripts, Salesforce configurations, SQL queries, and debugging—not as a novelty but as a standard part of the workflow., • Cross-functional operator: comfortable working across Sales, Finance, IT, and Product to gather requirements and build systems those teams depend on., • 3–6 years in a technical operations, systems operations, or product operations role where hands-on configuration and scripting were core responsibilities (not just oversight)., • Demonstrated experience with Salesforce administration at the configuration level (custom fields, flows, objects, reports)—admin certification a plus., • Experience with SQL and Python in an operational context (data validation, reporting pipelines, API integrations, or automation scripts)., • Experience in card-linked offers, digital advertising, fintech/payments, or restaurant/hospitality operations., • Experience with REST API integrations and data pipeline monitoring., • Experience building dashboards in Metabase, Tableau, Looker, or similar., • Great benefits from day one. We offer medical, dental, vision, FSA, company-paid life insurance, and more—plus a 401(k) with company match., • Grow with us. Enjoy strong training, development, and competitive pay., • Work-life balance. Our flexible PTO policy lets you take time when you need it—no accrual required. We welcome all. We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state or local laws and ordinances.

Job DescriptionDescription: Soleo Health is seeking a Billing Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion billing experience required. • Competitive Wages, • 401(k) with a Match, • Referral Bonus, • Paid Time Off, • Great Company Culture, • Annual Merit Based Increases, • No Weekends or Holidays, • Paid Parental Leave Options, • Affordable Medical, Dental, and Vision Insurance Plans, • Company Paid Disability and Basic Life Insurance, • HSA and FSA (including dependent care) Options The Billing Specialist will primarily be responsible for insurance and self-pay billing, excluding Medicare. This role is also responsible for submitting electronic and paper claims. Follows up with clearing house vendors on accepted and working rejections. Responsibilities include: • Preparation of accurate medical claims based on contracted agreements for services to various payers (e.g. Commercial Payers, Government Payers, Employer/ Institutional Payers)., • Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules., • Creates and submits secondary electronic pharmacy and medical claims in a timely manner., • Billing of manufacturer copays, which includes entering the necessary information into portal or billing via paper at time of initial billing., • Monitors billing requirements pursuant to contracts with third party payers or government programs., • Answer insurance/billing questions from branch staff and help educate., • Review information from electronic medical records in patient account (IE: auth, benefit verification, orders, accounts receivable, etc.) to ensure preparation and submission of clean claims., • Perform routine revenue review of claims billed within the current month., • Answering incoming calls and triage if necessary., • Create claim batches and process them via electronic submission., • Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections, and resubmit., • Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers., • Daily review and follow up of unbilled delivery tickets in billing review and ready to bill queues., • Accurately notate patient accounts to reflect all actions made including marginal, split claim notes, missing COGS, etc., • Coordinates with the pharmacy team daily to ensure any PBM issues are addressed and resolved, accepted into revenue and billed timely, • Effectively utilize time and resources to meet performance goals., • Provides exceptional Customer service to internal and external customers., • Ensures compliance with federal, state, and local governments, third party contracts, and company policies., • Clearly communicate any billing related issues to all appropriate parties including: Intake, collections, RBL, and manager., • Monitoring the unbilled-pending invoices queues and communicate to the branch on missing or needed documents or information., • 8:30a-5p, Monday-FridayRequirements:, • 2 years or more of home infusion billing required, • High School Diploma or equivalent, • Knowledge of HCPC coding and medical terminology, • Experience providing customer service to internal and external customers, • Must be computer literate, • Must be dependable. Excellent phone and email communication skills. Soleo’s Core Values: • Improve patients’ lives every day, • Be passionate in everything you do, • Encourage unlimited ideas and creative thinking, • Make decisions as if you own the company, • Do the right thing Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords:billing representative, accounts receivable, collections, claims, medical coding and billing

Job DescriptioneDiscovery Project ManagerEmployment Type: Full-Time, Experienced Department: eDiscovery Management CGS is seeking an eDiscovery Project Manager to join our team supporting the legal organization within a large Federal agency. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Respond to client requests and provide consultation to clients to service all client eDiscovery needs.- Create fields, choices, layouts and views in Relativity.- Create batches of records for review in Relativity.- Create Production sweeps and sets in Relativity.- Develop, modify and implement workflows, essential resources needed to progress work through the system, and tools being utilized.- Initiate work on behalf of clients by crafting and submitting work orders for tasks associated with data processing, review, and production.- Conduct quality checks to ensure accuracy and completeness of job instructions and of final work product.- Communicate expectations for scope and deadlines to internal and external stakeholders.- Establish informed project schedules based on a solid understanding of project activities, sequences of events, dependencies, work effort, duration of tasks across departments, and associated resource requirements based on the complexity of work and the size of the queue.- Participate in project tasks including kick-off call preparation and completion, and documentation of workflows, standards, and project closure tasks such as final billing and data destruction.- Maintain an understanding of e-discovery, market competitors, and the tools used to support the industry. Qualifications:- 5 (five) years of eDiscovery/litigation support experience with a focus on client solutions.- 3 (three) years of progressive more responsible experience on major lit support projects.- 2 years in Relativity, beyond document review coding.- Excellent communication, presentation, and interpersonal skills with both eDiscovery technical teams and non-technical business leaders and team players.- Ability to work in a fast-paced environment and agile work environment.- Experience and familiarity with eDiscovery Services covering all realms of the EDRM (File to Trial).- Must be a U.S. Citizen.- The ability to obtain a U.S. Government security clearance (active clearance preferred).- BS/BA degree or equivalent work experience (JD highly preferred). Ideally, you will also have:- Experience with Government software policies and procedures.- Client-facing communication experience.- Federal Agency issued security clearance. Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: For more information about CGS please visit: or contact:Email: #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Are you an RN looking for a career opportunity in healthcare technology? Do you have experience in adult health? Vatica Health is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant, you will collect, review and analyze patient data to improve care coordination, quality metrics, and medical cost savings. The ideal candidate has a track record of critical thinking strong attention to detail, expertise in navigating various electronic medical record (EMR) systems and building strong work relationships with providers and office staff. And of course, a GREAT PERSONALITY! As this role is considered hybrid, you will have the opportunity to work remotely from home and have expectations to go onsite to practices locally. The distance to commute to a providers office is typically no more than 60 miles, but can be more if the need arises. While this posting location may be noted as Atlanta, GA; we welcome applicants from ALL MARKETS to apply. Responsibilities • Create detailed and comprehensive patient medical records. Research and gather information from multiple sources and consolidate into one comprehensive and detailed view. Use clinical judgement and data to reconcile conflicting information from various sources., • Build strong relationships with providers and staff; ability to embed yourself in multiple practices and be a contributing and valuable member of each team, • Become an expert in our technology, train and support providers and practice staff on process., • Follow-up: ability to persuade and persist with providers to meet deadlines., • Share best practices and clinical knowledge with your fellow Clinical Consultants Requirements • Minimum of 3 years of recent adult health clinical experience as a Registered Nurse (RN)- preferably in critical care (i.e., ICU/CCU/MICU) and/or ED), • Proficiency with Diagnosis, Billing, and Quality Measures Coding a plus, • Excellent interpersonal skills that include the ability to effectively communicate with physicians, advanced practice providers and medical office personnel such as Practice and Billing Manager, both verbally and written, • Understanding of health insurance benefit structure; especially Medicare and Medicaid, • Must be technically savvy; this is critical to the role. Understanding and interest in software and technology a must, • Solid clinical skills, • Flexible, energetic self-starter with the ability to work in a non-structured environment, • Willingness to travel/commute to various locations for training and support; comfortable with a work from home setting, • Strong ability to organize, prioritize, make decisions and work independently, • Must possess and have proven problem resolution skills, • Excellent organizational skills with the ability to multi-task VATICA HEALTH ADVANTAGES • Every single person at Vatica Health is working to fight the good fight every single day. What we do matters, a lot. If you are looking for a job that has real meaning and you’d like to work with people who care deeply about what they do, we’ve got that., • We work hard (see point above), but we don’t forget to have fun. “I want a job that is dull,” said no one ever., • We believe in fostering a culture of servant leadership – command and control is so 1990s. We look for brilliant people that are great at what they do because they love what they are doing., • We know that teams are exponentially more successful than the sum of their individuals. Our teams value what each member brings to the table and also values continuous improvement of each team member as well as the whole team., • Competitive salary based on your experience and skills – We believe the top talent deserves the top dollar, • Bonus Potential (based on role and is discretionary) – If you go above and beyond, you should be rewarded, • 401k match– We want to empower you to prepare for your future, • Comprehensive Medical, Dental, and Vision insurance plans, • Tax-free Dependent Care Account and Flexible Spending Account, • 4 weeks of PTO (Everyone deserves a vacation now and then), • M-F work week (No working weekends, overnights, on call shifts, or holidays) We believe family comes first!, • Reimbursement for RN license and Continuing Education Credits, • Strong supportive teams- There is always a helping hand when you need it! The salary for a position is typically determined by multiple factors such as the individual's qualifications, experience, skills, and location. The projected compensation range for the position may vary based on these factors and could range from $65,000 to $85,000 (annualized USD). However, this estimate represents just one aspect of our total compensation package offered. Are you up to the challenge? What are you waiting for? Apply today!

Job DescriptionMount Yonah Medical Billing is a growing 3rd party billing company specializing in substance abuse and mental health billing. We are looking for dedicated individuals to join our team! We are located in Atlanta, GA (Dunwoody). Type: Full-time Schedule: Monday - Friday 8:30am - 5pm Payment Poster Job Description: The Payment Poster oversees the intake of payments. Your responsibilities will include accepting payments, processing billing statements, and conducting audits for each billing cycle. The ideal candidate for this position is efficient, has high attention to detail, understands the importance of accuracy and checking your work, and is industrious. This is the type of job where the day goes by quickly and you will rarely be idle. If you enjoy detail-oriented work that will always keep you busy, please apply! Payment Poster Responsibilities • Review denials and partially paid claims and help resolve discrepancies, • Follow up on pending claims to ensure they are paid and/or corrected, • Collect delinquent accounts, • Create insurance and client aging reportsPayment Poster Qualifications, • Associate's Degree or higher required, • Successful completion of a program in medical billing and coding will be considered in lieu of degree requirement, • Current Certified Medical Reimbursement Specialist (CMRS) certification preferred not necessary, • Experience in medical, hospital and/or mental health billing and collections strongly preferred, • Must have ability to handle multiple and changing priorities and meet deadlines, • Must be detail-oriented, • Must be able to work with a team as needed and independently as neededWhy you should join our team:, • Healthcare, • PTO accrual, • Paid holidays, • Fast-growing company with opportunities for growth and advancement, • Bonus structure after 90 days Powered by JazzHR s19XD44z8w

Job DescriptionCompany Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Job Description As outlined below, provide quality improvement focused work for all delegated entities and support for ACO quality reporting for all contracted ACOs. WHAT YOU’LL BE DOING • Work in a partially remote environment, collaborating with team members virtually each day., • Serve as a Subject Matter Expert (SME) on quality improvement measures, customer needs, and payer‑specific quality initiatives across commercial and government programs., • Travel to provider offices to support quality efforts, including completing on‑site eye exams (training provided), scanning records, and coordinating medical record management., • Conduct proactive patient outreach to identify and close quality gaps—educating patients, scheduling screenings, supporting treatment plan adherence, and improving outcomes., • Collect and abstract quality data using EMRs, claims information, and provider engagement., • Use multiple platforms daily, including EMR systems, payer portals, vendor tools, GuideHealth applications, and Microsoft 365 (Excel, Word, PowerPoint, Teams)., • Work with various health data sources, including patient lists, gap lists, and medical records., • Apply all available quality resources—NCQA/HEDIS® specifications, coding materials, and Guides—to ensure accuracy and completeness., • Prioritize tasks to meet strict reporting timelines and quality program requirements., • Communicate performance trends, barriers, and improvement strategies to internal teams and external partners., • Follow established QI workflows, processes, and best practices., • Collaborate daily with customers, payers, and internal teams., • Participate in payer and departmental trainings, webinars, and support calls., • Represent GuideHealth professionally and build positive working relationships with providers and staff. Qualifications WHAT YOU'LL NEED TO HAVE • Associate degree or higher, or a clinical license/certification (CMA, LPN)., • 1–3 years of healthcare experience, including EMR use, medical terminology, chart review, and familiarity with quality measures or billing/coding., • Minimum 2 years of Medicare Advantage quality data abstraction and patient outreach experience., • Strong technical ability—comfortable working with health data, Excel, PowerPoint, and multiple digital systems., • Excellent verbal and written communication skills., • High attention to detail, strong organization, and the ability to meet strict deadlines., • Ability to work collaboratively across teams and with external partners., • Certified/licensed professional-CMA, LPN, • Knowledge or experience in quality improvement initiatives and data submissions required by various health insurance payers., • Extensive experience with quality database entries and reporting., • Experience in interpreting and reporting quality information, as well as training staff., • Use your skills to make a meaningful impact in healthcare., • Work with a great team in an awesome work environment., • Competitive compensation., • Great benefits like flextime time off. Additional Information The base pay range for this role is between $28-$32 per hour paid bi-weekly ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us. While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements.

Job Description Key Responsibilities Billing & Invoicing (High-Volume) • Prepare, review, and process invoices and client statements accurately and timely in a high-volume environment., • Support billing workflows that intersect with court e-filing activities, including tracking filing-related costs, documentation, and invoice support., • Work with internal teams to ensure court-related transactions are recorded correctly and are easy to retrieve for audits, disputes, or case review., • Partner directly with the Director of Accounting to build and standardize billing processes:, • Create checklists and SOPs, • Define quality controls and approval steps, • Identify bottlenecks and implement improvements, • Maintain accurate billing records, logs, and status tracking (invoice lifecycle, exceptions, outstanding items)., • Prepare routine and ad hoc reporting related to billing volume, turnaround time, error trends, and follow-ups., • Respond professionally to internal and external inquiries regarding invoice status and documentation., • Perform monthly credit card and bank account reconciliations, ensuring all transactions are accurately recorded for invoicing. Resolve and report all discrepancies in a timely manner., • Track, report, and resolve outstanding/uncashed checks; partner with Litigation Department Supervisors to determine course of action (reissue, stop payment, void, or other firm-approved resolution) and document outcomes. Required Qualifications • High school diploma or equivalent required; associate’s or bachelor’s degree in Accounting/Finance/Business preferred., • 2+ years of billing, accounting support, or revenue-cycle experience (law firm experience preferred)., • Ability to thrive in a high-volume, deadline-driven environment with strong attention to detail., • Strong written and verbal communication skills and comfort working cross-functionally., • Proficiency with Microsoft Office, especially Excel (filters, sorting, basic formulas; more advanced skills are a plus)., • Strong organizational skills, ability to prioritize, and a consistent follow-through mindset. Preferred Qualifications • Prior law firm billing experience, • Court e-filing process experience (e.g., familiarity with typical e-filing workflows, filing fee handling, and related documentation)., • Experience helping build or improve administrative/accounting processes (SOP writing, checklists, workflow documentation).

Job Description Patient Advocate Specialist Children’s Healthcare of Atlanta ChasmTeam is partnering with a growing national company to build a team that provides real benefits to patients! We are seeking hard-working, self-starters who enjoy a challenge as we work together to help patients. The Patient Advocate plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience—all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy • Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program., • Assess family dynamics and adapt communication style to effectively meet their needs., • Obtain necessary authorizations and documentation from patients/families., • Foster trust with patients while maintaining appropriate professional boundaries., • Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details)., • Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions., • Collaborate seamlessly with the Patient Financial Assistance team to finalize enrollments., • Clarify how employer-provided health insurance works in coordination with Medicaid., • Verify and update ongoing patient eligibility for HIPP to maintain continuity., • Utilize CRM/case management system to manage referrals and patient records., • Upload, scan, and securely transmit required documentation., • Record patient interactions meticulously in compliance with privacy and legal standards., • Represent the organization as the on-site contact at the hospital., • Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners., • High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management., • Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification., • Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or related field., • Training in motivational interviewing, trauma-informed care, or medical billing/coding., • Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy., • Three to five years’ experience in patient-facing roles within a healthcare setting. Technical Skills-Preferred • Proficiency with CRM or case management systems., • Knowledge of Medicaid/Medicare eligibility and benefits coordination., • Ability to interpret medical billing and insurance documents., • Active listening and empathetic communication., • De-escalation tactics for emotionally distressed patients., • Cultural awareness and sensitivity in communication., • Mission-Driven Advocacy – Consistently puts patient needs first., • Ego Resilience – Thrives amid adversity and changing demands., • Empathy – Provides compassionate support while ensuring professionalism., • Urgency – Balances speed and sensitivity in patient interactions., • Detail Orientation – Ensures accuracy and completeness in documentation., • Cultural Competence – Demonstrates respect and understanding of diverse experiences., • Adaptability – Successfully operates in evolving policy and procedural environments. Why Join Us? As a Patient Advocate, you’ll make a real difference—helping patients navigate complex health and insurance systems, securing critical benefits, and enabling focus on healing and well-being. Join a mission-driven, supportive team where your work matters and your growth is encouraged. Full benefits offered, including Health, Dental, Vision, 401(k) with company match, STD/LTD, Life Insuranc,e and more.

Job DescriptionCompany Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Job Description As outlined below, provide quality improvement focused work for all delegated entities and support for ACO quality reporting for all contracted ACOs. WHAT YOU’LL BE DOING ● Work in a fully remote environment and virtually engage with company and team in your daily work. ● Serve as a Subject Matter Expert (SME) across Medicare Advantage STAR, Commercial, Medicaid, and MSSP ACO quality measures, services, customers, and quality improvement initiatives under various commercial and governmental payers. ● Conduct proactive patient outreach initiatives to identify and address quality gaps across Medicare Advantage, Commercial, Medicaid, and MSSP populations, engaging patients to educate them on preventive care measures, schedule necessary screenings or appointments, and support adherence to treatment plans and medications to improve health outcomes. ● Support ACO quality reporting and performance improvement activities, including MSSP reporting requirements and payer-specific submissions. ● Collect and abstract quality data using multiple data sources including EMR systems, claims data, provider outreach, payer portals, and patient engagement workflows. ● Manage daily work using multiple systems and applications — EMR platforms, payer/vendor portals, Guidehealth applications, Microsoft 365 (Excel, Word, PowerPoint), Outlook, and Teams. ● Work with patient lists, gap lists, sourced health data, medical records, and performance dashboards related to Medicare, Commercial, Medicaid, and MSSP populations. ● Leverage all quality-related resources to ensure accuracy and completeness of work — measure specifications (NCQA/HEDIS®, CMS, MSSP), coding guidance, project workflows, and quick-reference materials. ● Prioritize daily work to meet various quality reporting deadlines, including STAR Ratings, Medicaid quality programs, Commercial payer initiatives, and MSSP ACO reporting timelines. ● Communicate quality performance trends, barriers, and improvement strategies internally and with customers, providers, and payers. ● Follow all established policies and procedures for QI workflows to ensure compliance and success across multiple payer programs. ● Collaborate with customers, payers, providers, and internal teams to drive quality performance improvement. ● Participate in departmental, payer-sponsored, and ACO-related trainings, webinars, and support calls throughout the year. ● Communicate professionally and build strong working relationships with co-workers, customers, providers, and care teams. WHAT SUCCESS LOOKS LIKE IN 3 MONTHS • Complete QI Department training, orientation and shadowing., • Have a solid understanding of QI department scope of work and assigned customer., • Begin to take QI responsibility for assigned customer while partnering w/ a seasoned QI co-worker., • Moving towards independence w/ QI ownership of assigned IPA w/ periodic support from QI team., • Taking lead or co-lead on QI portion of customer meetings and meeting preparations., • Fully independent with minimal direction and support needed. Qualifications WHAT YOU'LL NEED TO HAVE • Associate degree or greater in related field, • Minimum 1-3 years of experience in healthcare setting; time spent working/charting/data abstraction via EMR system/s, knowledge of medical terminology, quality measures, medical billing/coding., • Minimum 2 years’ experience in Medicare Advantage Quality data abstraction and patient outreach, • Tech savvy in managing the technical side of this position-working with health data, working in excel and PowerPoint, navigating multiple systems and applications., • Highly skilled in verbal and written communications., • Strong attention to detail, organized and ability to meet hard deadlines., • Certified/licensed professional-CMA, LPN, • Knowledge or experience in quality improvement initiatives and data submissions required by various health insurance payers., • Extensive experience with quality database entries and reporting., • Experience in interpreting and reporting quality information, as well as training staff., • Proficiency in Electronic Medical Record (EMR) software and cloud platformS Additional Information All your information will be kept confidential according to EEO guidelines. ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us. While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest. To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.

Job Description Independent Primary Care group seeks an Internal Medicine Physician in Suwannee, Georgia Live right near Atlanta with excellent work life balance!! About the group: • Privately owned medical practice established in 2008, • Distinguished Primary Care facility in Suwanee, GA, • Dedicated to delivering healthcare of the highest standard, complemented by an exceptional patient experience, • Currently 5 Primary Care Physicians, 7 APP's, and 28 Employees About the Role: • Internal Medicine Physician, • Location: Suwanee, GA, • Excellent schools, amenities, and a very safe area of Atlanta to work and live., • Our practice is dedicated to treating adult patients, with a focus on both chronic and acute illnesses. With an emphasis on preventative care., • Patients will be adolescent and adults in age. This practice does not provide pediatric services., • Wide range of diagnostic procedures, such as ultrasounds, sleep studies, DEXA scans, spirometry, electrocardiography, blood pressure monitoring, and phlebotomy., • EMR: eClinicalWorks and Dragon Medical One for dictation., • Work Schedule: Monday to Friday, 8:00 AM to 5:00 PM - structured within a 4.5 day work week., • Weekends & Holidays: The office is closed to prioritize and maintain work life balance., • Patient Volume: The schedule accommodates 2 new or 3 established patients per hour. (Est. 20 per day), • Call Responsibilities: Very Minimal - Phone Only and Prescreened by a phone service., • Hospitals: Affiliated with 3 hospital systems in the local area, • Supportive Environment: Be part of a team of dedicated receptionists, schedulers, medical assistants, nurses, medical billing, and administrative staff. Compensation and Benefits: • Generous Base Salary and productivity bonuses - Earn $300,000 - $400,000 / year!, • Physician Keeps 30% of all annual billings above 900K, • Signing Bonus: $25,000 Sign On, • Relocation Assistance: Support for relocation expenses provided., • Health Insurance: Comprehensive health, dental, and vision plans allowance., • Life and Disability Insurance, Professional Liability Insurance, • 401K plan with employer matching contributions (6%), • Assistance available for student loan repayment., • Reimbursement for maintaining medical licenses, board certifications, professional memberships, and DEA registration., • Continuing Medical Education (CME) Generous allowance provided., • Paid Time Off (PTO) Ample PTO for vacation and sick leave., • Paid Major Holidays, Enjoy time off on major holidays., • Excellent schools and communities available for raising a family in the Metro Atlanta area. Candidate Background: • Board Eligible or Board Certified - Internal Medicine Physician, • Ability to hold a Georgia State Medical License, • Open to experienced or new grad physicians, • Commitment: Preference will be given to candidates with ties to the area seeking long-term employment., • Professionalism: Essential qualities include demonstrated bedside manners, excellent customer service skills, flexibility, and compassion., • Coding & Billing Proficiency: Knowledge of ICD codes and adherence to E/M coding guidelines are essential., • This is not a visa sponsorship role Contact: Raymond Stiles (843 574 8233)

Job DescriptionDescription: Join Our Team! Atlanta Autism Center is hiring an ABA Billing Specialist. The ABA Billing Specialist will be responsible for credentialing, shared billing tasks, and overseeing authorizations. The Billing Specialist is responsible for all claims submissions, collections, and payment postings in a timely manner. Responsible for follow-up with third-party payers and clients. Also responsible for keeping A/R to a minimum as set forth in established goals. Additional tasks in full job description. We are currently hiring for this position at the following center locations: Lawrenceville, Norcross, Flowery Branch, Alpharetta, Loganville and Covington Essential Duties and Responsibilities: • Perform job tasks on-site, • Develops and implements billing processes, policies and procedures in collaboration with VPO and Leadership Team, • Documents and creates SOPs for all Billing processes for training, • Collects and verifies all patient insurance information needed to complete the billing process on a monthly basis, • Completes all necessary insurance forms, schedules peer reviews, and other tasks needed to process claims in a timely manner as required by all third-party payers, • Daily reconciliation of sessions to ensure all sessions have been converted and authorizations correctly linked, • Works with Practice Managers to ensure notes are converted, billing entries are accurate and completed in a timely manner for submission, • Transmits daily all electronic claims to third-party payers. Researches and resolves any electronic claim delays within 24 hours, • Proactively follows up on pending claims within a few days of submitting, • Submits any paper claims and supporting documentation as required by payers, • Resolves patient complaints and requests regarding insurance billing in a courteous manner, initiates accurate account adjustment/ pmt arrangements, • Follows all billing problems to conclusion, • Submits secondary and tertiary insurances, • Follows up on denials and resubmits insurance claims as required, • Maintains confidentiality in regard to patient account status and the financial affairs of the clinic as required by HIPAA and signed confidentiality agreement, • Communicates effectively to payers and/or claims clearinghouse to ensure accurate and timely electronically filed claims as per department guidelines, • Responsible for monthly billing cycle/ patient statements, • Reconciles with administration for month end, • Follows all guidelines as set forth by HIPAA, • Credentialing and Authorizations as needed, • Trains and supervises billing staff, • Organizes and maintains order and cleanliness of Billing, • Record retention as required by law, • Generates reports and delivers to VPO as requested Requirements: • ABA Billing experience, eClinical, EMR and ECW, • Familiarity and experience with CentralReach, • Knowledge of office procedures, • Ability to speak clearly and concisely. Ability to read, understand, and follow oral and written instruction, • Basic medical terminology, • Ability to interpret an EOB and knowledge of computerized billing systems, • Ability to develop goals, prioritize, organize and make most efficient use of time, • Ability to communicate with patients in a courteous yet stern manner to collect on delinquent accounts, • Candidates must be available to work on-site, as this is not a remote position Non-Discrimination Statement The Atlanta Autism Center (AAC) is an equal opportunity employer. We are committed to building a diverse and inclusive workplace and do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by applicable federal, state, or local laws. AAC complies with applicable laws regarding accommodations for qualified individuals with disabilities. We encourage individuals of all backgrounds to apply.

Job DescriptionCompany Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. Job Description As outlined below, provide quality improvement focused work for all delegated entities and support for ACO quality reporting for all contracted ACOs. WHAT YOU’LL BE DOING • Work in a partially remote environment, collaborating with team members virtually each day., • Serve as a Subject Matter Expert (SME) on quality improvement measures, customer needs, and payer‑specific quality initiatives across commercial and government programs., • Travel to provider offices to support quality efforts, including completing on‑site eye exams (training provided), scanning records, and coordinating medical record management., • Conduct proactive patient outreach to identify and close quality gaps—educating patients, scheduling screenings, supporting treatment plan adherence, and improving outcomes., • Collect and abstract quality data using EMRs, claims information, and provider engagement., • Use multiple platforms daily, including EMR systems, payer portals, vendor tools, GuideHealth applications, and Microsoft 365 (Excel, Word, PowerPoint, Teams)., • Work with various health data sources, including patient lists, gap lists, and medical records., • Apply all available quality resources—NCQA/HEDIS® specifications, coding materials, and Guides—to ensure accuracy and completeness., • Prioritize tasks to meet strict reporting timelines and quality program requirements., • Communicate performance trends, barriers, and improvement strategies to internal teams and external partners., • Follow established QI workflows, processes, and best practices., • Collaborate daily with customers, payers, and internal teams., • Participate in payer and departmental trainings, webinars, and support calls., • Represent GuideHealth professionally and build positive working relationships with providers and staff. Qualifications WHAT YOU'LL NEED TO HAVE • Associate degree or higher., • 1–3 years of healthcare experience, including EMR use, medical terminology, chart review, and familiarity with quality measures or billing/coding., • Minimum 2 years of Medicare Advantage quality data abstraction and patient outreach experience., • Strong technical ability—comfortable working with health data, Excel, PowerPoint, and multiple digital systems., • Excellent verbal and written communication skills., • High attention to detail, strong organization, and the ability to meet strict deadlines., • Ability to work collaboratively across teams and with external partners., • Knowledge or experience in quality improvement initiatives and data submissions required by various health insurance payers., • Clinical license/certification (CMA, LPN)., • Extensive experience with quality database entries and reporting., • Experience in interpreting and reporting quality information, as well as training staff., • Use your skills to make a meaningful impact in healthcare., • Work with a great team in an awesome work environment., • Competitive compensation., • Great benefits like flextime time off. Additional Information The base pay range for this role is between $28-$32 per hour paid bi-weekly ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us. While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest. To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.

Job Description We are seeking a detail-oriented and experienced Insurance A/R Specialist to join our growing Pediatric ENT practice in Atlanta, GA. The ideal candidate will have a strong background in medical billing, insurance collections, and accounts receivable, with a focus on maximizing reimbursement and ensuring timely follow-up with payers. Key Responsibilities: • Review, analyze, and work insurance claims to ensure timely and accurate payment, • Perform detailed follow-up on unpaid or underpaid claims, including appeals and resubmissions, • Maintain accurate records of payments, denials, and communications with insurance companies, • Resolve any discrepancies related to insurance claims and patient accounts, • Ensure compliance with payer guidelines and regulations, • Work closely with clinical and administrative staff to resolve billing and coding issues, • Generate reports on accounts receivable status and trends Qualifications: • Previous experience in medical billing, particularly in insurance A/R, is required (ENT experience is a plus), • Strong understanding of insurance guidelines, including commercial payers, Medicaid, and Medicare, • Proficiency with electronic medical records (EMR) and billing systems, • Excellent problem-solving skills with the ability to work independently, • Strong communication and interpersonal skills, • Detail-oriented and highly organized, • Familiarity with pediatric healthcare and ENT services is a plus Benefits: • Paid federal holidays off, • Medical, dental, and vision insurance, • 401(k) plan with company matching, • Competitive salary and opportunities for growth Why Join Us: • Be a part of a dedicated team providing specialized care to pediatric patients in a respected ENT practice, • Opportunities for professional development in a supportive and collaborative environment If you are an experienced Insurance A/R Specialist looking to contribute to a compassionate, patient-focused pediatric practice, we encourage you to apply!

Diagnoses and treats both acute and chronic conditions such as diabetes, hypertension, kidney disease and other chronic medical conditions. The APP practices in a clinic as part of a collaborative team that may include, but is not limited to, Family Practice and/or Internal Medicine Physicians, RN C