Trabajos medical billing coding en Sterling Heights, MichiganCrear alertas

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? 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. Highlights : • Complete in as short as a few weeks to a few months, • Online and in-person options available, • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to those who qualify. Take the first step towards your new career path today!

Job DescriptionCompany Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all. Job Description Under minimal supervision, this role is responsible for managing insurance accounts receivable for Henry Ford Health (HFH). The position ensures the accuracy and completeness of patient financial, insurance, and demographic information in accordance with established policies and procedures, enabling compliant claim submissions to third-party payers. Responsibilities include resolving payer denials, following up on claims requiring additional payer response, and overseeing the billing and collection of payments across all HFH hospitals, outpatient clinics, and employed physician practices. Qualifications REQUIRED: • High school diploma or equivalent, • Minimum two (2) years of experience in an office or healthcare-related environment, • Strong verbal and written communication skills to effectively interact with colleagues, supervisors, and managers, • Ability to work independently with minimal supervision, • Excellent organizational and time management skills to prioritize tasks and meet third-party payer requirements PREFERRED: • Prior experience in a healthcare revenue cycle role, • Familiarity with medical terminology, • Understanding of CPT/HCPCS codes and revenue coding, • Knowledge of insurance guidelines, claim submission, denial management, and routine follow-up processes, • Completion of college coursework in accounting, business, or healthcare administration

Job DescriptionMedical Biller — Integrated Autism Centers About Us: Integrated Autism Centers provides high-quality autism diagnostic and therapy services (ABA, speech, and occupational therapy) to children and families across Metro Detroit. We're looking for a sharp, dependable Medical Biller to own our revenue cycle from authorization to payment. The Role: This is a high-trust, full-time position for someone who knows their way around insurance billing and takes pride in clean claims and a healthy A/R. You'll be the point person for our billing operations — submitting claims, chasing denials, tracking authorizations, and making sure every service we deliver gets paid. The ideal candidate is detail-obsessed, persistent with payers, and comfortable owning the full billing cycle with minimal hand-holding. Key Responsibilities: • Claims Submission: Prepare and submit clean claims for ABA, speech, and OT services to commercial payers and Medicaid; verify CPT codes, modifiers, units, and documentation before submission., • Denials & Appeals: Work denials and rejections promptly; prepare appeals and resubmissions, communicate with payers, and resolve issues to keep revenue flowing., • Insurance Authorizations: Submit, track, and follow up on authorizations and reauthorizations; monitor expiration dates and unit utilization to keep services uninterrupted., • Payment Posting & Reconciliation: Post ERAs/EOBs, reconcile payments against expected reimbursement, and flag underpayments or contract discrepancies., • A/R Management: Monitor aging reports, follow up on outstanding claims, and keep days-in-A/R low; provide regular reporting to leadership on collections and claim status., • Eligibility & Benefits Verification: Verify patient coverage and benefits at intake and re-verify as needed; communicate patient responsibility clearly to families., • Payer Documentation Requests: Gather and submit clinical documentation in response to payer records requests and pre-payment reviews, working with clinical staff to meet deadlines. What We're Looking For: • 1+ years of medical billing experience; ABA, behavioral health, or pediatric therapy billing strongly preferred., • Working knowledge of CPT/ICD-10 coding, modifiers, and payer-specific billing rules; familiarity with BCBSM, Blue Care Network, HAP, UHC/Optum, Priority Health, and Michigan Medicaid is a strong plus., • Experience with practice management/EMR systems and clearinghouses (CentralReach experience a plus)., • Strong follow-through and persistence — comfortable getting payers on the phone and staying on a claim until it's resolved., • Excellent attention to detail and organizational skills; able to manage multiple payers, deadlines, and priorities at once., • Clear written and verbal communication with families, staff, and insurance companies., • Discretion and reliability when handling PHI and confidential financial information; understanding of HIPAA requirements.

Job Description We are seeking a detail-oriented and knowledgeable orthopedic Medical Biller to join our healthcare team, The ideal candidate will be responsible for managing billing processes, ensuring accurate coding, and maintaining medical records. The role is essential in facilitating the financial operations of our medical office while ensuring compliance with industry standards. This will be a fulltime position. DUTIES • Process and submit medical billing claims to insurance companies and patients., • Utilize coding systems, including ICD10, to ensure accurate representation of diagnoses and procedures., • Review patient records for completeness and accuracy before billing., • Handle medical collections by following up on unpaid claims and communicating with patients regarding their accounts., • Maintain up to date knowledge of medical terminology, billing regulations, and coding practices., • Collaborate with healthcare providers to resolve discrepancies in patient records or billing issues., • Ensure compliance with HIPPA regulations regarding patient confidentiality and data security. EXPERIENCE • Proven experience in medical billing and coding., • Familiarity with Cerner and/or Allscripts practice management is a plus., • Strong understanding of medical terminology and coding guidelines., • Experience with medical collections processes., • Excellent attention to detail and organizational skills, • .Ability to communicate effectively with patients, insurance companies, and healthcare staff. If you are passionate about healthcare administration and possess the necessary skills in medical billing, we encourage you to apply for this vital role within our team. \nCompany Description At Macomb Orthopedics we specialize in Surgical and Non-Surgical treatment of the Knee, Shoulder, Hand, Hip, Back and More. We take a patient centered approach and offer personalized treatments to maximize patient experience and outcome. At Macomb Orthopedics we specialize in Surgical and Non-Surgical treatment of the Knee, Shoulder, Hand, Hip, Back and More. We take a patient centered approach and offer personalized treatments to maximize patient experience and outcome.

Job DescriptionCompany Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all. Job Description GENERAL SUMMARY: The IT- Architect Epic is responsible for participating in the overall design, implementation, training, documentation, operation, and support of Clinical or Business applications and reports. This includes contributing to the planning, design, implementation, and optimization of the applications within a portfolio. It also includes developing an understanding of other applications to enable a broader system approach to solution development, troubleshooting, impact assessment, and training. The Architect takes general direction from their manager or director. The Architect may in some instances also serve as a Helios liaison to their associated clinical or business departments throughout the system. This includes, but is not limited to, the assessment of optimization efforts to meet system goals including patient safety/quality of care, revenue capture, and efficient operations. The Architect performs these activities following Henry Ford Health standards and processes. Qualifications EDUCATION/EXPERIENCE REQUIRED: • Bachelor's Degree required, Master's Degree preferred., • Will consider 10 years of extensive experience in lieu of degree., • Five (5) years required, eight (8) years preferred of strong experience in one of the following:, • Technical experience:, • Strong knowledge of state-of-the art engineering approaches in design, build, testing, debugging problems, and ongoing technical support., • Able to articulate previous examples of workflows and processes associated with previous IT experience. And/or • Clinical experience includes:, • Strong knowledge/experience in clinical workflows and processes., • Able to articulate previous examples of workflows and processes associated with clinical experience integrated with IT solutions. And/or • Revenue experience includes:, • Specific knowledge of one or more of the following: bed management, registration, scheduling, revenue cycle reports, professional billing, hospital billing, medical records, or coding., • Additionally, must be able to articulate revenue cycle workflows and processes for one or more of the above areas with a focus on IT integrated solutions. CERTIFICATIONS/LICENSURES REQUIRED: • Epic Certification in designated Application

Job DescriptionCompany Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all. Job Description GENERAL SUMMARY: As an Outpatient Complex Coder, you'll be at the heart of healthcare operations—transforming detailed medical records into accurate, compliant coding that directly impacts patient care and organizational success. You'll apply expert coding principles to analyze and code complex diagnostic and procedural information, ensuring precise reimbursement and billing while maintaining the highest standards of accuracy and compliance. Your work goes beyond data entry. You'll abstract critical information from medical records to build robust patient databases that fuel medical research, drive quality improvement initiatives, and inform strategic healthcare decisions. By serving as a trusted source of accurate health information, you'll help optimize reimbursement, strengthen provider-patient relationships, and ensure your organization meets all regulatory and accreditation requirements. Key Responsibilities: • Analyze complex medical records and accurately code diagnostic and procedural information using established coding principles and current guidelines, • Abstract and compile patient data to support medical research projects, quality improvement initiatives, and administrative decision-making, • Ensure all coding submissions comply with established guidelines, third-party payer policies, regulatory requirements, and accreditation standards, • Optimize reimbursement accuracy while maintaining meticulous attention to detail and coding integrity, • Contribute to a culture of continuous improvement by identifying coding trends and supporting process enhancements Qualifications EDUCATION/EXPERIENCE REQUIRED: • High School Diploma or G.E.D. equivalent required., • Additional specialty coding certification required or five (5) years coding experience., • One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred., • Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems., • Minimum of two (2) years coding experience required. Specialty coding experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: • Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required.

Job DescriptionCompany Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all. Job Description Responds to patient inquiries regarding healthcare accounts receivables across a multi-facility integrated healthcare delivery system, which includes all hospital and professional billing associated with Henry Ford Health inpatient hospitals, outpatient clinics, laboratory, radiology and employed physicians. Communicates effectively with patients, colleagues, providers, system operational staff, supervisors, and managers. Works independently for maximum efficiency in a high-volume billing Call Center. Qualifications REQUIRED: • High school diploma or G.E.D. equivalent, • Three (3) years of Call Center experience, • One (1) year of billing and coding experience, • Six (6) months of remote work experience, • Internet connection with minimum 25 Mbps speed and wired connection, • Ability to interpret insurance billing processes (Primary, Secondary, co-insurance, deductibles, and co-pays), • Technical proficiency including navigation, Microsoft Suite, and basic troubleshooting, • Ability to guide patients through online payment methods, • Strong communication skills with patients, colleagues, providers, and management, • Ability to remain calm and de-escalate callers as needed PREFERRED: • Associate's degree in Business Administration, Accounting, Billing, Coding, or related field, • Healthcare or medical office customer service experience

Job Description:\n\nIncredible opportunity to work among Detroit's only Osteopractic Physical Therapy Team, awarded the national clinic of the year by the American Academy of Manipulative Therapy and mentored by a fellowship-trained manual therapist who is one of the most skilled dry needling therapists in the state. We utilize a team approach, nurturing environment, and employee-centric mentality that allows for personal growth and becoming part of a culture that you will enjoy being a part of.Oversee Patient Care and Documentation Completes Evaluation, Progress Note, Treatment, Discharge Evaluates all patients referred for physical therapy Completes Progress Notes at a frequency determined by their insurance carrier Completes documentation via EMR Prepares and submits clinic reports via EMR, assuring confidentiality and following all HIPAA guidelines to include initial evaluations and summaries, daily treatment notes for all patients seen that day under his/her care, progress reports to referring physicians and agencies, discharge reports and summaries, special reports and daily attendance records and summaries File patient incident reports when needed Admin to scan document into patient chart Confers with persons most closely associated with the active management of the patient and to keep them informed of any additional patient needs, treatment modifications and/or progress Example: case managers, attorneys, social workers, surgeons, etc. Treats patients of all ages, race, creed, gender, culture, socioeconomic background, and disability without bias or prejudice Respects and understands the patient's right to treatment and right to involvement in treatment decisions Practices ethical responsibility based on the cultural, ethnic and religious beliefs of the patients served and applicable law Excels in the area of customer service; Monitors and trains this expectation to staff Efficiently and accurately uses and teaches technology used in the office, and any software required to complete his/her job or as required by management Routinely completes all of HIPAA Privacy and Security training as required by B2Y management team and ensures compliance to these privacy policies within their clinic Reaches out to patients for conflict resolution when needed CD may also enlist the help of COO for patient conflict resolution when needed Manages the employees listed directly underneath in Organizational Chart Includes Admin, clinical staff, techs, and/or students ADP Time and Attendance Supervisor Approve employee timecards in ADP Timecards must be reviewed for accuracy and approved at end of pay cycle in preparation for payroll Manage employee schedule for assigned clinic location Manage/approve employee time off requests, ensure employees find appropriate coverage when taking time off, etc Coordinate with other clinic CD’s if necessary when making schedule adjustments and finding coverage CD’s may opt to have employees “swap roles” if absolutely necessary in order to cover a shift Example: In the event of admin absence, PTA can cover as tech and tech covers the front desk CD may decide no extra coverage is needed in the event of a slow schedule CD may choose to send home extra staff in the event of a slow schedule Attempt to address and resolve any employee issues as they arise HR related concerns can be directed to the HR Department Any other concerns/issues that cannot be resolved should be brought to the COO Document any employee incident(s) when necessary in order to be reviewed later during an employee performance evaluation Attempt to address and resolve any issues as it relates to COVID-19 Stay current with the guidelines/recommendations for outpatient healthcare facilities within your clinic’s county ie: reach out to the county’s health department for update information and/or changes Communicate any updated information and/or changes to upper management Communicate to the CEO and COO any updates and/or modification requests to the clinic’s COVID-19 policies and procedures as they arise CDs and upper management should work in collaboration to develop and implement the best practices as it relates to navigating COVID-19 CEO has final say regarding which policies and procedures will be implemented and/or discontinued as it relates to COVID-19 to ensure the cohesiveness between all clinics Assist with employee recruitment Post job positions on Indeed (your B2Y email is affiliated with our company account) Review resumes Complete phone screens for potential candidate(s) Conduct Interviews schedule interviews in collaboration with the admin during; blocking off the schedule if necessary Consider having other team members assist with interview when appropriate (ie: tech or admin) to help determine the candidate’s overall fit within the team dynamic CD may delegate any/all recruitment tasks to the admin or tech when necessary CD does not offer a job or make any hiring decisions CD forwards their top candidate selections via email to the CEO and CCO CD includes information such as CV, name, phone number, email, rate of pay (if discussed), preferred schedule, locations they will work at, and any other pertinent information. CEO to contact candidate, negotiate rate of pay, and making hiring decisions CCO will initiate onboarding and determine training schedule New hires are provided with training checklists from the CCO during their initial onboarding that the CD should “sign off on” at the completion of training to signal that the new hire has successfully completed their training. Forward completed training checklist to CCO Provide any additional guidance/mentorship to new hire if necessary Assist with employee dismissal When giving notice, staff should be instructed to alert their supervisor CD immediately alerts the CEO, CCO, and COO when an employee gives notice Begins the recruitment process to replace the staff member that is leaving ASAP Collect any company property from employee (ie: office key) May choose to plan a “going away” event if necessary May delegate tasks to admin and techs CD coordinates an exit interview between the employee and HR Department to occur on employee’s last day Conduct Employee Performance Reviews Conducts biannual employee performance reviews in collaboration with the COO COO to maintain the performance review tracker COO alerts the CD when an employee performance review deadline is approaching COO arranges and schedules performance review CD completes the performance review (COO may attend if requested) COO forwards completed documentation to CEO/CCO to be uploaded to employee’s ADP profile. COO updates performance review tracker CD/COO have the option to enlist the help of our HR Department: Carolyn Bisby when conducting performance reviews if needed Disciplinary Action Notify CEO/COO and HR department if performance review reveals the need for any disciplinary action Following the guidance of HR department, CD/COO to communicate what disciplinary action is to be taken Adheres to and promotes B2Y policies, procedures, and core values: 1. Patient First Approach 2. Positive Attitude 3. Internal/External Education 4. Team Approach 5. Ethical Pride Ensure employees are exhibiting professionalism TV’s are for patient use only - CD’s are to ensure that staff are not watching TV but are engaged with patients and staying busy when on the clock Employees should be focused on and interacting with patients when they are present in clinic No cell phone use in front of patients Ensure employees look professional and abide by the uniform policy Ensure employees are utilizing safe and sanitary practices Hand sanitizer in between patients Cleaning mats, equipment, and linens between use, etc Ensures clinic maintains a warm, friendly and welcoming relationship with all patients, B2Y staff, all medical and non-medical professionals, vendors and visitors Maintains a clinical atmosphere that coincides with B2Y core values (mood, vibe, artwork, energy, and flow) Best efforts to keep clinic morale high promote a positive, fun, and inclusive working atmosphere within the clinic Celebrate employee birthdays and/or special occasions is encouraged but not required Provide feedback and suggestions to improve clinic for patients and employee to the COO Manages the overall efficiency of daily clinic operations Maintains a patient treatment schedule consistent with the needs of the clinic, adjusting hours of operation and staffing as appropriate Communicate/coordinate any schedule adjustments to the front desk admin ASAP Exhibit best efforts to maintain productivity standards (Kept Promise Indicators/KPIs) Ensures that staff are completing their job tasks and staying busy Delegates tasks to employees when needed and directs the work flow of daily operations within the clinic Oversee the arrival of packages to the clinic Any package that is delivered to the clinic is for clinic use and may be opened immediately May delegate admin/tech to open package and distribute/assemble contents Ensure that the boxes are broken down and delivered to the recycling bin Keeps the clinic open and functional during the posted hours of operation In the event of weather, power outages, and/or other unforeseen circumstances, the CD must make best efforts to keep clinic open Closing the clinic in the event of an unforeseen circumstance requires approval from the CEO Patients, staff, and upper management should be notified of any last minute approved closings Admin to post notice on company social media Send out a “patient broadcast’ message via Kareo Engage to all patients scheduled Ensures that the clinic is neat, organized, and clean Oversee that the tech is completing their cleaning and re-stocking tasks, etc Ensure that the cleaning, hydrocollator, and bathroom logs are regularly completed Notify the COO if the clinic requires any additional cleaning Works directly with Front Office Administrator to ensure proper protocols and procedures are followed by the clinic Completes all reporting directed by senior management within time frame given Immediately communicates any changes from clinic normal operations to COO, including but not limited to: facility maintenance issues, IT related issues, weather, changes in hour of operations, staffing, incident reports, and disciplinary actions Addresses any technical, mechanical, and/or building issue that may arise Work in collaboration with the admin to address any issues Collaborate with the COO if needed Utilize the “what to do in case of emergency” information contact sheet for a list of important contacts Communicate the problem and solution being implemented to the COO/CEO. Any expenses over $100 require pre approval from CEO Determine when purchases are necessary for the clinic using company card Purchases over $100 require pre approval from CEO Collaborates with the COO and Front Office Administrator to ensure the clinic excels in scheduling, billing, EMR core functions Collaborate with administrative personnel and billing team when necessary to ensure ethical, accurate, and best billing practices Ex: knowing insurance limitations in regards to units allowed per visit, total units allowed, corresponding to billing team inquiries in our EMR Ex: willing to add last minute evaluations same day Ex: coding and charging appropriate units relative to duration CPT code is delivered Provides leadership and guidance as a clinical educator Remains flexible in regards to clinic hours and schedule Any scheduling changes and time off should be reported to the COO Utilize the employee roster to find coverage for days requesting off Time off to be approved by the COO → CEO Works to ensure proper procedures are followed as related to clinical mentorship program and student programs; Must also be a clinical mentor Seeks out learning opportunities, stays relevant with current evident in treatment approaches, and exercises the most evidence-based interventions Available on-site to coach and develop staff, answer questions, deploy new work initiatives as directed by upper management Supports the clinic and clinical staff and occasionally assumes these responsibilities in their absence Participates in regular leadership meetings, lunch and learns, and attends any training as requested / approved by senior management Leadership meetings are every other Monday from 12:30pm - 1:00pm via TEAMS Coordinate, organize, and alternates hosting Lunch and Learn Meetings Lunch & Learn Meetings are held the last Monday of every month (unless a holiday it will be the week prior) from 12:00p-1:00p Each location will alternate organizing and implementing the Lunch & Learn Meetings ie: Canton hosts month 1, Grosse Pointe hosts month 2, Royal Oak hosts month 3, Canton hosts month 4, and so on Seek out presenters to present Delegate staff to seek out speakers and brainstorm possible meeting topics The exact schedule of which location will be hosting on which date is subject to change and CD must be flexible The meeting will be broadcasted via TEAMS to the other clinics from the “hosting” clinic Assists with marketing efforts and clinic growth Attends sales luncheons or community outreach events within the area to improve community awareness of B2Y and establish relationships with referral sources when possible Enhance the patient experience, demonstrate patient appreciation, and captivate the patient experience by means of google reviews, internal referrals/marketing, and responding to feedback as appropriate Responds to all communications with employees, management, physicians, vendors, case managers, transportation, and patients within a timely manner to ensure effective communication Delegate tasks to admin, clinicians, and techs as needed

Job DescriptionBenefits: • 401(k), • Dental insurance, • Employee discounts, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development, • Vision insurance Job description: We are seeking a dedicated and skilled Physician Assistant to join our healthcare team. The ideal candidate will work collaboratively with physicians and other healthcare professionals to provide high-quality patient care. This role requires a strong commitment to patient health, excellent communication skills, and the ability to perform a range of clinical tasks. Responsibilities • Conduct thorough patient assessments, including medical histories and physical examinations., • Develop and implement treatment plans in collaboration with supervising physicians., • Perform procedures such as dermabrasion, suturing., • Provide patient education on health management., • Maintain accurate medical records using eClinicalWorks and ensure proper coding for billing purposes., • Collaborate with multidisciplinary teams in a teaching urgent care environment to enhance patient care., • Participate in ongoing professional development and training to stay current with medical practices.Skills, • Proficiency in dermabrasion techniques and other minor surgical procedures., • Experience working in a medical office setting with familiarity in discharge planning processes., • Knowledge of eClinicalWorks software for efficient patient record management., • Understanding of coding practices relevant to healthcare billing., • Ability to work effectively within a teaching urgent care environment, promoting learning among peers., • Strong interpersonal skills to communicate effectively with patients, families, and healthcare teams.Join our team as a Physician Assistant where you can make a significant impact on patient care while advancing your professional skills in a supportive environment.

Job DescriptionCompany Description Join Henry Ford Health as a Medical Coding and Price Transparency Specialist and play an important role in helping patients better understand and prepare for the cost of their healthcare. In this highly collaborative and patient-focused role, you will provide accurate pricing estimates for a wide range of services, helping patients navigate insurance coverage, self-pay options, and financial responsibilities with confidence and clarity. Job Description We need YOU! We’re looking for a motivated, detail-oriented professional who thrives in a fast-paced healthcare environment and is passionate about making a meaningful difference in the patient experience. The ideal candidate is someone who communicates with empathy, adapts quickly to changing priorities, and values both accuracy and teamwork. Your expertise and support will be vital to helping patients feel informed, prepared, and supported throughout their healthcare journey. This position offers the opportunity to combine your healthcare knowledge, coding expertise, and customer service skills in an environment that values collaboration, accountability, and compassionate communication. You’ll work closely with patients, clinics, and internal teams while utilizing advanced healthcare systems and tools to support a seamless patient financial experience. If you consider yourself adaptable, service-driven, and committed, we would love to hear from you! Qualifications Qualifications - External Current coding certification required (AHIMA or AAPC – CCS or CPC) Associate degree preferred in healthcare, business, or related field 2+ years of medical coding experience preferred Experience with medical billing and reimbursement and healthcare or clinic environment preferred Strong proficiency using EHR systems (HFH EHR preferred) Excellent attention to detail, accuracy, and communication skills with ability to discuss patient financial responsibility Proficient in Excel with strong math skills and ability to complete forms and calculations Ability to manage multiple tasks in a fast-paced environment and adapt to policy changes Team-oriented, collaborative, and able to meet annual competency requirements Additional Information All your information will be kept confidential according to EEO guidelines.

Job DescriptionCompany Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all. Job Description Central Authorization Specialist - Responsibilities - MI Residents Only - • Procure and validate insurance authorizations for ordered procedures and post-operative care in accordance with established policies and procedures, • Provide subject matter expertise in precertification and payor authorization processes to ordering physician offices and authorization procurement staff, • Gather feedback from back-end coding, billing, and denial management resources and distribute findings to ordering physicians to promote continuous improvement, • Apply process improvement methodologies to identify and address performance gaps in authorization procurement workflows, education, and patient satisfaction, • Serve as a centralized resource across all practice sites to ensure standardized and consistent authorization procurement for assigned specialty, • Manage designated caseload and plan effectively to meet authorization procurement demandsQualifications REQUIRED QUALIFICATIONS: • High school diploma or equivalent; OR 3-5 years of related experience in a medical clinic, hospital, or corporate setting, • Minimum 3-5 years of experience in a medical clinic setting, • Two years of healthcare insurance verification and/or billing experience, • Two to three years of progressively responsible related work experience, • High level of computer literacy, • Knowledge of clinical terminology and coding, • Understanding of patient treatment plans for authorization purposes, • Ability to interpret RN or Physician notes to facilitate authorization procurement, • Ability to evaluate and communicate additional requirements or roadblocks to RN/Physician staff, • Strong organizational and time management skills with ability to prioritize multiple tasks, • Ability to work independently and exercise sound judgment with physicians, payors, and patients, • Strong oral and written communication skills, • Strong analytical and data management capabilities, • Ability to work effectively with all levels of management, • Strong interpersonal communication and negotiation skills PREFERRED: • Additional coursework in business, computers, or healthcare administration, • Experience in a medical or surgical specialty clinic, • Ability to interpret insurance records and related documentation, • Current working knowledge of hospital operations, utilization management, and case management, • Knowledge of managed care reimbursement processes, • General understanding of revenue cycle with emphasis on billing, coding, charge capture, and reimbursement, • Experience interacting with clinicians and finance personnel

Job DescriptionCompany Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all. Job Description This position is remote GENERAL SUMMARY: A more specific posting summary: The Complex Coder is responsible for accurately coding professional bedside services in acute hospital settings rendered by employed and contracted providers. This multispecialty professional-fee coding position supports providers across a broad range of medical and surgical specialties and subspecialties requiring the ability to interpret diverse clinical documentation and apply appropriate coding guidelines across a wide variety of patient populations, diagnoses, procedures, and clinical scenarios. Key Responsibilities: • Review and analyze diagnostic and procedural information from patient medical records using established coding principles, • Code complex outpatient cases with precision to support accurate reimbursement and billing processes, • Abstract and compile patient data for medical research projects, care evaluation, and administrative decision-making, • Maintain strict adherence to coding guidelines, third-party reimbursement policies, and regulatory requirements, • Ensure compliance with accreditation standards and quality benchmarks, • Contribute to provider-patient continuity through accurate, reliable data management, • Optimize reimbursement outcomes while maintaining coding accuracy and integrity Qualifications EDUCATION/EXPERIENCE REQUIRED: • High School Diploma or G.E.D. equivalent required., • Additional specialty coding certification required or five (5) years coding experience., • One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred., • Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems., • Minimum of two (2) years coding experience required., • Specialty coding experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: • Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required. Additional Information This position is completely remote

Job DescriptionCompany Description Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Job Description This position is working in the Surgical Coding area which could include OR/Endoscopy/Deliveries Fully Remote Flexible Work Schedule once trained. Role Overview As a Medical Coder, you will play a vital role in ensuring accurate and compliant coding of diagnostic and procedural information from patient medical records. Your work directly supports reimbursement, billing, medical research, and administrative decision-making, promoting continuity of care and optimizing revenue. This role is essential for maintaining compliance with coding guidelines and third-party reimbursement policies. Why Henry Ford Health At Henry Ford Health, we are relentless advocates for exceptional care for our patients, communities, and each other. We come to do meaningful work and grow our careers, and we stay for the connection, support, and shared pride in making the impossible, possible. What You Will Do • Review, analyze, and code diagnostic and procedural information from patient medical records for reimbursement and billing purposes., • Accurately abstract data from medical records to support research, patient care evaluation, and administrative decision-making., • Ensure compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation standards., • Promote provider/patient continuity and accurate database information to optimize reimbursement. What You Will Need Required Qualifications • High School Diploma or G.E.D. equivalent., • Additional specialty coding certification or five (5) years of coding experience., • One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred., • Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems., • Minimum of two (2) years coding experience required., • Specialty coding experience preferred. At Henry Ford Health, you'll find opportunities for career growth, collaboration with diverse teams, and the chance to contribute to mission-driven work. We foster a culture of continuous learning and professional development, empowering you to make a meaningful impact in healthcare. Join Our Team Ready to make a difference? Apply now and be part of a team thats transforming healthcare.

Job DescriptionCompany Description Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Job Description Our team plays a critical role in the revenue cycle operations of a multi-facility integrated healthcare delivery system, including HFHS hospitals, outpatient clinics, and employed physicians. We are dedicated to ensuring timely and accurate billing processes, resolving patient inquiries, and maintaining strong relationships across departments. Role Overview As the Supv- Central Business Office, you will lead and coordinate a designated area within the CBO, overseeing insurance billing, self-pay, and accounts receivable processes. You¿ll work closely with the CBO Manager to ensure efficient operations, accurate customer responses, and seamless collaboration with internal teams. Your role is vital to maintaining the financial health of our healthcare system while delivering exceptional service to patients and stakeholders. Why Henry Ford Health At Henry Ford Health, we are relentless advocates for exceptional care for our patients, communities, and each other. We come to do meaningful work and grow our careers, and we stay for the connection, support, and shared pride in making the impossible, possible. What You Will Do • Coordinate and lead a designated area within the CBO, ensuring timely billing processing and accurate responses to customer inquiries., • Oversee insurance billing and self-pay functions for HFHS hospitals, outpatient clinics, and employed physicians., • Build and maintain strong working relationships with departments to resolve patient inquiries effectively., • Provide oversight and support to ensure day-to-day functionality aligns with revenue cycle best practices., • Manage and lead teams, coordinating efforts to meet projected deadlines and goals., • Work independently and collaboratively to drive change and improve processes within the CBO. Qualifications Required: • Two years of experience with healthcare accounts receivable., • Knowledge of revenue cycle operations and day-to-day functionality., • Strong communication skills and ability to interact effectively with staff and stakeholders., • Ability to manage, coordinate, and lead multiple tasks simultaneously. Preferred: • Associate¿s degree in Business Administration, Accounting, or related field., • Knowledge of CPT and diagnosis coding and Third Party billing regulations. Additional Information At Henry Ford Health, you¿ll find opportunities for career growth, collaboration with diverse teams, and the chance to contribute to mission-driven work. We foster a culture of continuous learning and innovation, empowering you to make a meaningful impact in healthcare. Join Our Team Ready to make a difference? Apply now and be part of a team that¿s transforming healthcare.

Job DescriptionMedical Biller & Authorizations Representative — Integrated Autism Centers About Us: Integrated Autism Centers provides high-quality autism diagnostic and therapy services (ABA, speech, and occupational therapy) to children and families across Metro Detroit. We're looking for a sharp, dependable Medical Biller to own our revenue cycle from authorization to payment. The Role: This is a high-trust, full-time position for someone who knows their way around insurance billing and takes pride in clean claims and a healthy A/R. You'll be the point person for our billing operations — submitting claims, chasing denials, tracking authorizations, and making sure every service we deliver gets paid. The ideal candidate is detail-obsessed, persistent with payers, and comfortable owning the full billing cycle with minimal hand-holding. Key Responsibilities: • Claims Submission: Prepare and submit clean claims for ABA, speech, and OT services to commercial payers and Medicaid; verify CPT codes, modifiers, units, and documentation before submission., • Denials & Appeals: Work denials and rejections promptly; prepare appeals and resubmissions, communicate with payers, and resolve issues to keep revenue flowing., • Insurance Authorizations: Submit, track, and follow up on authorizations and reauthorizations; monitor expiration dates and unit utilization to keep services uninterrupted., • Payment Posting & Reconciliation: Post ERAs/EOBs, reconcile payments against expected reimbursement, and flag underpayments or contract discrepancies., • A/R Management: Monitor aging reports, follow up on outstanding claims, and keep days-in-A/R low; provide regular reporting to leadership on collections and claim status., • Eligibility & Benefits Verification: Verify patient coverage and benefits at intake and re-verify as needed; communicate patient responsibility clearly to families., • Payer Documentation Requests: Gather and submit clinical documentation in response to payer records requests and pre-payment reviews, working with clinical staff to meet deadlines. What We're Looking For: • 1+ years of medical billing experience; ABA, behavioral health, or pediatric therapy billing strongly preferred., • Working knowledge of CPT/ICD-10 coding, modifiers, and payer-specific billing rules; familiarity with BCBSM, Blue Care Network, HAP, UHC/Optum, Priority Health, and Michigan Medicaid is a strong plus., • Experience with practice management/EMR systems and clearinghouses (CentralReach experience a plus)., • Strong follow-through and persistence — comfortable getting payers on the phone and staying on a claim until it's resolved., • Excellent attention to detail and organizational skills; able to manage multiple payers, deadlines, and priorities at once., • Clear written and verbal communication with families, staff, and insurance companies., • Discretion and reliability when handling PHI and confidential financial information; understanding of HIPAA requirements.

Job DescriptionDescription: Position Summary TRIARQ Health is searching for a neurosurgical coding professional to join our coding team in a role that spans both surgical coding and the resolution of the denials that coding drives. This is a specialty-specific position, and it carries a minimum requirement of three years of neurosurgery or spine coding experience along with an active coding credential. The successful candidate codes cranial, spine, and peripheral nerve cases directly from the operative note, and then owns what happens when a payer disputes coding, reworking the claim, drafting the appeal, and closing the documentation gap that created the denial. This role sits on the coding team and partners closely with accounts receivable, so it rewards someone who is equally comfortable in a coding manual, a payer policy, and an AR work queue. Coding Responsibilities • Assign ICD-10-CM diagnosis codes, CPT procedure codes, diagnosis pointers, and modifiers from operative notes for cranial, spine, and peripheral nerve cases., • Code across the surgical continuum: office visits and procedures, hospital admissions and rounding, inpatient and outpatient surgery, ASC cases, and post-operative care., • Sequence base and add-on codes in the order CPT hierarchy expects, applying per-level versus per-session unit logic and MUE limits., • Validate technique-dependent add-on codes against the documentation — operating microscope, intraoperative neuromonitoring, and stereotactic navigation — confirming the note supports an integral operative maneuver rather than visualization alone., • Apply surgical modifiers correctly and defend them on appeal — 50, 51, 59/XS/XU, 62, 80/82, 58/78/79, and 22 with supporting documentation., • Clear NCCI procedure-to-procedure edits at the coding stage, distinguishing a separately identifiable procedure from an edit that should stand., • Code the global surgical package correctly, including multiple procedure reductions and professional versus facility split billing for hospital and ASC cases., • Query surgeons and physician assistants for clarification when documentation is ambiguous, coding to what the note supports., • Maintain coding accuracy against internal audit standards and payer requirements and participate in internal coding audits., • Keep coding lag within target so surgical charges drop on schedule. Denial and Accounts Receivable Responsibilities • Resolve coding-driven denials, including bundling of decompression with fusion at the same level, levels billed versus levels documented, add-on code sequencing, and MUE and NCCI edits., • Rework and rebill corrected claims, and draft appeal narratives that cite the operative note, CPT guidelines, and payer policy., • Work medical necessity, prior authorization, and payer policy denials against spine-specific coverage criteria and Medicare LCDs, including conservative-care and imaging requirements., • Resolve global surgical package disputes, post-operative visit denials, staged procedure issues, and hardware, implant, and biologics reimbursement., • Own assigned accounts receivable queues for coding-related balances, prioritizing high-dollar surgical claims and cases nearing appeal or timely filing deadlines., • Use strategy and tact with insurance companies to resolve accounts, and document all account activity and follow-up., • Operate medical billing software and proprietary workflow technology. Documentation and Provider Partnership • Coordinate with surgeons, physician assistants, residents, and practice staff to close documentation gaps that drive repeat denials., • Feed recurring coding and documentation findings back to coding leadership and to the providers who generate them., • Report coding and denial trends by payer, provider, procedure, and denial reason., • Communicate clinical and account issues clearly to practice staff and internal teams. Key Results • Work to reduce then maintain 10% or less 120+ receivables., • Working denials and rejections in a timely manner, with no appeal missed for timely filing., • Represent multiple practices and their surgeons in a professional and positive manner., • Issues identified and resolved within an average of 48 hours., • Reduce preventable surgical denials by feeding recurring documentation and coding findings back to the coding team and the provider., • Effective communications with staff and management. Requirements: Required • Minimum three years of neurosurgery or spine surgical coding experience within a billing company, MSO, or surgical practice, including hands-on resolution of coding-driven denials., • Working knowledge of neurosurgical CPT families — 22xxx arthrodesis and instrumentation, 63xxx decompression, 61xxx cranial, 64xxx nerve and pain procedures — and the ICD-10-CM diagnoses that support them (M43, M48, M50, M51, G95, and related trauma codes)., • Demonstrated command of NCCI PTP and MUE edits, the global surgical package, multiple procedure reductions, assistant and co-surgeon billing, and professional versus facility split billing., • Ability to read an operative note critically and code to what the documentation supports., • Payer website and IVR fluency, including commercial portals, Medicare, Medicaid, and workers’ compensation and auto/no-fault where applicable., • Microsoft Office proficiency, including the ability to work in Excel with claim-level and AR aging data., • Strong problem-solving skills and attention to detail., • Comfort adopting new technology, with a willingness to learn new platforms and workflows. Preferred • Coding credential preferred (CPC, COSC, CCS, or equivalent), or the ability to work directly and credibly with certified coders on disputed cases., • Experience querying providers directly and delivering documentation education to surgeons., • Internal coding audit experience., • Experience supporting multi-site or multi-state neurosurgery and spine groups.

Job DescriptionCompany Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all. Job Description As the Supervisor of Audit, Education, Analytics, & Technology, you'll be at the heart of driving documentation excellence across our organization. Partnering with physicians, coders, and clinical staff, you'll leverage your documentation and coding expertise to elevate the quality and completeness of medical record documentation across all outpatient settings—from clinic visits and outpatient surgical procedures to telemedicine and ancillary services. Key Responsibilities: • Lead Documentation Excellence: Conduct concurrent, prospective, and retrospective evaluations of medical records, identifying opportunities to enhance documentation quality and drive measurable improvements across the organization., • Collaborate & Communicate: Build strong relationships with physicians and clinical staff, providing constructive feedback and guidance that translates into more accurate, complete documentation capturing the true clinical picture, severity of illness, and patient complexity., • Drive Coding Accuracy & Compliance: Apply your expertise in national coding guidelines (ICD-10, CPT), Hierarchical Condition Categories (HCC), and compliance standards to ensure documentation supports precise coding, physician profiling, and outcomes reporting., • Optimize Revenue Integrity: Identify and implement opportunities that enhance documentation completeness, directly supporting accurate reimbursement and organizational financial health., • Educate & Influence: Develop and deliver training initiatives that build clinical staff knowledge and foster a culture of documentation excellence, while influencing behaviors and processes across the organization., • Leverage Data & Analytics: Utilize data analytics to track performance metrics, identify trends, and make data-driven recommendations that drive continuous improvement in documentation outcomes., • Lead Remote Teams: Effectively manage and mentor remote team members, fostering engagement and accountability while maintaining high performance standards. Qualifications EDUCATION AND EXPERIENCE: • Bachelors degree (Business Administration or Healthcare related field) or 5 years medical billing, coding, auditing, compliance, CDI, revenue integrity, healthcare/business financial or other revenue cycle experience, including at least 1-2 years lead role or supervisory experience may be considered in lieu of education requirement., • Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems., • Additional specialty coding certification or 5-7 years coding experience required., • Data analytics experience preferred., • Ability to build relationships, negotiate processes and outcomes, and influence behaviors., • Knowledge of health care fiscal management goals and strategies, including but not limited to trends and issues in health care reimbursement, coding guidelines, and case management., • Knowledge of electronic medical record systems and demonstrated proficiency of Microsoft Office., • Ability to work and lead remote employees., • Ability to withstand pressure of deadlines, multitask, prioritize, adapt to change, and receipt of work with variable requirements., • Ability to work in a highly matrixed environment., • Ability to work independently, be resourceful, and possess strong organizational skills., • Ability to communicate effectively to physicians and other clinical staff; be courteous, tactful, and cooperative., • Ability to use critical thinking and appropriate judgement throughout all phases of work. CERTIFICATIONS & LICENSURES REQUIRED: • At least one of the following certifications is required: CPC, CCS, CCS-P, CCDS, CDIP, RHIT or RHIA. Additional Information OR procedure based coding, teaching, and EPIC Ambulatory all helpful in this role.

Job DescriptionWe are looking for a Medical Billing Specialist to support a healthcare organization in Rochester Hills, Michigan on a Contract basis. This role focuses on accurate claim follow-up, insurance verification, payment review, and timely resolution of billing issues across multiple payers. The ideal candidate brings hands-on medical billing experience, works well independently, and communicates effectively with both patients and insurance representatives. Responsibilities: • Review payer explanations of benefits to confirm correct claim reimbursement and flag recurring payment issues or denial patterns for leadership awareness., • Verify insurance coverage and authorization details before billing activity to help reduce avoidable claim delays and rejections., • Investigate front-end denials through payer portals and direct payer communication, update claim information as needed, and submit corrected claims promptly., • Re-check insurance eligibility using available verification tools, redirect claims to the appropriate payer when necessary, and bill patients when coverage does not apply., • Handle payer correspondence, account adjustments, and refund activity with a high level of accuracy and within required timelines., • Monitor payer notices, policy revisions, and billing regulation updates to maintain compliant and current billing practices., • Recommend workflow enhancements by identifying trends, recurring obstacles, and opportunities to improve billing efficiency., • Provide timely, thorough responses to patient billing questions and support account resolution efforts as needed.• At least 3 years of experience in medical billing within a healthcare, hospital, or related clinical setting., • Practical knowledge of insurance verification and authorization processes., • Strong ability to interpret explanations of benefits and apply findings to claim follow-up and reimbursement review., • Experience working medical claims, billing corrections, denials, collections, and payer communications., • Familiarity with medical coding concepts and healthcare billing procedures., • Ability to work independently, manage priorities effectively, and maintain accuracy in a fast-paced environment., • Clear written and verbal communication skills for interacting with patients, payers, and internal stakeholders.

Job DescriptionCompany Description Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Job Description This position is fully remote Role Overview As an Outpatient Complex Coder, you will play a critical role in ensuring accurate and compliant coding of diagnostic and procedural information from patient medical records. Your work directly impacts reimbursement, patient care evaluation, and administrative decision-making, supporting both healthcare providers and patients across our system. Why Henry Ford Health At Henry Ford Health, we are relentless advocates for exceptional care for our patients, communities, and each other. We come to do meaningful work and grow our careers, and we stay for the connection, support, and shared pride in making the impossible, possible. What You Will Do • Review, analyze, and code diagnostic and procedural information from patient medical records for billing and reimbursement purposes., • Abstract and compile accurate patient data to support medical research, patient care evaluation, and administrative decision-making., • Ensure compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation standards., • Promote accurate database information and optimize reimbursement through precise coding practices. What You Will Need Required Qualifications • High School Diploma or G.E.D. equivalent., • Additional specialty coding certification or five (5) years of coding experience., • Minimum of two (2) years of coding experience., • Certification as a Registered Health Information Technician (RHIT), CPC, or CCS., • Thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems. Preferred Qualifications • One to two (1-2) years of college or additional coursework in Accounting, Business, Healthcare Administration, or Medical Record Sciences., • Specialty coding experience. What We Offer At Henry Ford Health, you¿ll find opportunities for career growth, collaboration with diverse teams, and the chance to contribute to mission-driven work. We foster a culture of continuous learning and innovation, empowering you to make a meaningful impact in healthcare. Join Our Team Ready to make a difference? Apply now and be part of a team thats transforming healthcare at Henry Ford Health.

Job DescriptionCompany Description Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Job Description Our Corporate Business Office (CBO) is dedicated to ensuring accurate and compliant coding practices that support patient care, medical research, and administrative decision-making. Our team is committed to excellence in healthcare revenue cycle management, driving impactful outcomes for our patients and communities. Role Overview As a CBO Coding Complex Specialist, you will review, analyze, and validate diagnostic and procedural codes for reimbursement and billing purposes. Your work ensures compliance with coding guidelines, supports medical research, and optimizes revenue. This role is critical in maintaining accurate patient databases and promoting provider/patient continuity, directly impacting the quality of care and operational efficiency at Henry Ford Health. Why Henry Ford Health At Henry Ford Health, we are relentless advocates for exceptional care for our patients, communities, and each other. We come to do meaningful work and grow our careers, and we stay for the connection, support, and shared pride in making the impossible, possible. What You Will Do • Review and validate diagnostic and procedural codes applied by front-end coding and clinical teams., • Abstract information from the electronic health record to compile patient databases for research and evaluation., • Ensure compliance with coding guidelines, third-party reimbursement policies, and regulatory standards., • Identify patterns and trends in coding data and escalate issues to support root-cause analysis., • Assist team members and collaborate with colleagues to optimize coding accuracy and efficiency.Qualifications Required: • High school diploma or G.E.D. equivalent., • Minimum of two (2) years coding experience., • Additional specialty coding certification or five (5) years coding experience., • Prior experience in a healthcare revenue cycle position., • Certification as a Registered Health Information Technician (RHIT), CPC, or CCS., • Proficiency in ICD-10 CM, CPT, and HCPCS coding., • Strong knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, and pharmacology. Preferred: • One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration, or Medical Record Sciences., • Specialty coding experience. Additional Information At Henry Ford Health, you¿ll find opportunities for career growth, collaboration with dedicated professionals, and the chance to contribute to mission-driven work. We foster a culture of continuous learning and innovation, empowering you to make a meaningful impact in healthcare. Join Our Team Ready to make a difference? Apply now and be part of a team that¿s transforming healthcare at Henry Ford Health.

Job DescriptionCompany Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all. Job Description As an Outpatient Complex Coder specializing in Interventional Radiology, you'll play a vital role in our healthcare organization by expertly reviewing, analyzing, and coding diagnostic and procedural information from patient medical records to ensure accurate reimbursement and billing. You'll leverage your deep knowledge of anatomy, pathophysiology, medical terminology, and coding systems to meticulously abstract critical information from medical records, building robust patient databases that directly support medical research initiatives, patient care evaluation, and strategic administrative decision-making. Your expertise ensures we maintain strict compliance with established coding guidelines, third-party reimbursement policies, and accreditation standards while optimizing reimbursement outcomes. By serving as a primary source of accurate data and information in healthcare, you'll enhance provider-patient continuity, maintain data integrity, and empower our organization to deliver exceptional patient care and make informed operational decisions. Qualifications REQUIRED: • High School Diploma or GED equivalent, • Minimum 2 years of coding experience, • Michigan Residency Current certification in one of the following: • Registered Health Information Technician (RHIT), • Certified Professional Coder (CPC), • Certified Coding Specialist (CCS) Thorough knowledge of: • Anatomy and physiology, • Pathophysiology and disease processes, • Medical terminology, • Pharmacology, • Coding systems and guidelines PREFFERED: • Specialty coding certification in Interventional Radiology, • 5+ years of coding experience, • 1-2 years of college coursework or additional education in:, • Accounting, • Business, • Healthcare Administration, • Medical Record Sciences

Job Description Medical Office Practice Manager - Warren, Michigan - Full-Time Responsible for working with the Physician-in-Charge to oversee the clinical and administrative aspects of the clinic practice, including practice profitability and revenue goals. This includes accountability for clinic quality of care, customer satisfaction, staff satisfaction, productivity, revenue enhancement, managed care performance, staff leadership, and ensuring adequate patient access. ESSENTIAL DUTIES AND RESPONSIBILITIES: • Directs internal practice operations, creates benchmarks, tracks and reports progress, researches process improvements/efficiencies and implements changes., • Partners with the Physician-in-Charge to develop the vision and direction of the practice in alignment with the practice priorities., • Ensures the highest quality of care is delivered to patients by, reviewing patient care quality and developing needed action plans., • Reviews practice risk assessments regularly., • Monitors continuing medical education for the practice team., • Drives continuous improvement in patient satisfaction., • Monitors with the Physician-in-Charge the financial performance and annual budget of the practice., • Works with Physician-in-Charge to develop cost-effective staffing and operations. MANAGEMENT AND COMMUNICATION RESPONSIBILITIES: • Manages practice staff, including hiring, training, supervising, evaluating, disciplining, and separation., • Fosters a positive, productive work environment to attract and retain staff, providers, and patients., • Works closely with the Physician-in-Charge and other practice supervisor to ensure appropriate staffing and competencies., • Leads orientation and training programs for new staff and providers as directed by the physician-in-charge., • Reviews staff and provider satisfaction date with Physician-in-Charge and develops improvement plans., • Partners with Human Resources and Physician-in-Charge to manage personnel matters., • Contributes to the evaluation and improvement plans for Physicians/APNs., • Coordinates provider scheduling with Physician-in-Charge to meet operational needs., • Maintains cooperative relationships with staff, patients, and vendors; handles escalated issues as needed., • Leads provider and staff meetings to gather feedback, ensure patient access, and build team collaboration., • Ensures that the practice complies with all federal, state, and safety regulations in conjunction with the compliance department., • Maintains physician documentation and coding audit program., • Coordinates services for the practice and supports the implementation of new service lines and/or providers., • Maintains confidentiality and complies with HIPAA regulations., • Stays current with licensure, certifications, and professional development requirements. POSITION SPECIFICATIONS: EDUCATION AND EXPERIENCE: • Bachelor’s degree in healthcare/business administration or related filed, plus 1+ year of experience in a physician practice and 1+ year in a supervisory role OR, • Associates Degree plus 3+ years in a physician practice and 1+ year in a supervisory role. OR, • High School diploma plus 5+years in a physician practice and 1+ year in a supervisory role., • Strong organizational, analytical, and problem-solving skills., • Working knowledge of billing, diagnostic codes, computers, and practice management systems., • Excellent communication and multitasking abilities., • Professional demeanor with strong leadership presence., • Experience with Athena EMR is preferred. x

Job DescriptionDescription: Company Overview TRIARQ Health partners with physicians by providing the expertise, services, infrastructure, and technologies necessary for independent doctors to thrive in the new, value-based healthcare economy. We strive to achieve healthcare’s Triple Aim through provider-led and patient-centered, value-based care programs and alliances. TRIARQ Health aims to align and address the value and quality of healthcare to consumers through value-based programming with payers and providers. TRIARQ Health’s community of healthcare professionals and providers combine their expertise and capabilities to offer unique value-based, technology-enabled services to individuals and families. In order to affect change, TRIARQ Health was started with the belief that the future of healthcare services must be based upon demonstrated value and quality. The TRIARQ name and its mission are centered on health care reform’s Triple Aim of providing high quality healthcare at affordable costs to populations and communities, by Aligning incentives and Redesigning care delivery around Quality. TRIARQ Health seeks to accomplish this by delivering efficient practice services and value-based programs delivered through physician-led alliances. Position Overview The RCM Client Success Manager is responsible for managing and maintaining strong relationships with practices along with internal RCM leadership teams. The role manages and monitors billing team performance to ensure post-sale goals are met, combining the responsibilities of revenue cycle management (RCM) and client success to ensure optimal performance and satisfaction of post-sale goals. This position is critical to the success of the revenue cycle process. In conjunction with maintaining a successful relationship with practice providers and staff, the RCM Client Success Manager will contribute to the day-to-day operations on all issues related to revenue cycle functions, and will work with cross-functional teams to identify trends, implement process improvements, and monitor key performance indicators. This is an analytically demanding role. The successful candidate will work directly with raw claim-level data to diagnose root cause, will independently research payer policy and CMS guidance to resolve denial trends, and will be expected to build the analysis themselves rather than rely exclusively on pre-built reporting. The ideal candidate will have extensive healthcare industry knowledge, deep revenue cycle management experience, strong analytical capability, working command of payer and regulatory policy, and excellent communication skills, and will be self-motivated. Responsibilities Client Performance and Process Improvement • Develop and implement practice-specific process improvement recommendations to secure positive results, and monitor performance for unfavorable trends., • Maintain reimbursement-related key performance indicators for practices, setting and benchmarking revenue cycle goals (e.g., reducing Days in A/R, decreasing outstanding receivables, increasing first pass rate %)., • Enhance and standardize workflow processes throughout the revenue cycle to achieve consistency in maintaining critical success factors outlined in standard operating procedures., • Manage and monitor billing team performance to ensure post-sale goals and service commitments are met. Analysis and Reporting • Analyze claim-level and charge-level data to identify root cause of denials, payment variance, underpayment, and A/R aging concentration, and translate findings into specific corrective action., • Analyze and interpret revenue cycle key performance indicators and other performance indicators to identify successes and areas of opportunity., • Produce and analyze standard monthly reports and PowerPoint presentations to assist in the monthly forecast process., • Provide written executive summaries, presentations, and key information to physicians and administrators. Payer Policy and Regulatory Research • Research and interpret payer medical policy, coverage determinations, coding edits, and CMS guidance — including NCCI edits, LCDs and NCDs, and fee schedule updates — to determine the correct resolution path for denial trends., • Monitor payer behavior and industry trends, including policy changes, edit implementations, reimbursement shifts, and prior authorization requirements, and proactively advise practices and internal teams on operational impact., • Translate policy and regulatory findings into clear, defensible written positions for appeals, provider education, and client-facing communication. Relationship Ownership • Hold primary ownership and accountability for customer satisfaction within assigned accounts., • Build and maintain effective internal and external relationships, even when faced with challenging client relationships., • Conduct strategic planning and operational performance review sessions with clients, and map business goals to the identified value-drivers framework., • Demonstrate knowledge and credibility of TRIARQ software and services., • Act as a problem solver and advocate for clients, identifying at-risk clients proactively and collaborating across operational lines to pursue solutions. Requirements: Experience and Education • Minimum of five (5) years of medical billing management experience., • Bachelor’s degree in healthcare administration, business, or other related field, or equivalent experience. Analytical and Technical • Advanced Excel proficiency required, including pivot tables, lookup functions, and the ability to build analysis from raw, unformatted data exports rather than pre-built reports., • Demonstrated ability to work with large claim-level datasets to identify root cause of denials, payment variance, and A/R trends., • Ability to analyze financial and operating information to facilitate decision-making., • Strong working knowledge of all Microsoft applications (Word, Excel, PowerPoint)., • Comfort using AI tools to accelerate analysis, reporting, and documentation workflows preferred. Payer and Regulatory Knowledge • Demonstrated ability to independently research and apply payer policy and CMS guidance, including NCCI edits, LCDs and NCDs, coverage criteria, and fee schedule methodology., • Working knowledge of denial and remittance code sets (CARC/RARC) and the ability to connect denial patterns to underlying payer policy or edit changes., • Ability to monitor and interpret payer and regulatory trends and communicate operational implications to non-technical audiences. Professional Skills • Exceptional interpersonal skills and strong oral and written communication skills., • Relationship management and negotiation skills., • Ability to prioritize and manage multiple projects in a dynamic work environment., • Project management and project coordination skills., • Excellent problem-solving skills and strong attention to detail., • Ability to work independently and collaboratively with a multi-disciplinary team.

SUMMARY OF RESPONSIBILITIES The Client Manager is responsible for managing the revenue cycle processes for physician practices and ambulatory surgical centers. The Client Manager will analyze the financial health on a monthly basis to identify reimbursement trends, patterns of denials, and develop an intimate understanding of the factors that are contributing to the financial performance. ESSENTIAL FUNCTIONS • The Client Manager is responsible for the coordination of the Revenue Cycle Department, which includes billing and collection activities., • Responsible for overseeing eligibility, pre-authorization, time of service collections of co-pays and deductibles, coding of services, and reporting., • Reviews, revises, and/or implements policies and procedures within the department to ensure that best practices are followed in both the billing and collections functions, while remaining in compliance with federal/state laws, rules, and regulations as well as third party contracts., • Oversight of charge entry, claim submission, payment posting, denials management, bad debt and collections, appeals processing, credit balance resolution, and accounts receivable management. This includes being responsible for monitoring the productivity of all staff members- in person and those who work remotely., • Generates billing and collections data that supports finance and business operations and produces pricing and coding feedback that will optimize reimbursement., • Provides strategic guidance and analysis of the revenue cycle service line., • Reviews, designs, and implements processes surrounding third party payer relationships, collections, and other financial analyses to ensure clinical revenue cycle is effective and properly utilized., • Ensures all billing and collection practices are appropriate and align with payer policies and guidelines., • Identifies payer trends and reimbursement issues that can negatively impact the revenue cycle., • Utilizes data analysis, report writing and electronic data retrieval skills to extract, compile and present clear and concise information., • Maintains an understanding of coding rules and guidelines; utilizes coding and claims processing knowledge and resources to identify possible risks and revenue opportunities related to coding., • Collaborates with the Company’s external CPAs and Chief Legal Officer to ensure compliance with regulatory requirements., • Identify and correct workflow issues to help optimize revenue., • Works with Director of Practice Management and ASC Administrator regarding any front desk or clinical workflow issues that may impede revenue cycle., • Works with collection vendors on accounts that are deemed delinquent., • Monitors A/R to include oversight of days in A/R, gross billings, gross collections, net revenue, percent of collections to net revenue, monitoring and management of denial rates and denial categories related to activity., • Develop metrics and benchmarks for billing and accounts receivable., • Oversees and directs the creation and continual improvement of departmental procedures and best practice tools for billing, reimbursement, and collections., • Responsible for departmental specific training of employees; planning, assigning, and directing work; appraising performance; disciplining employees; addressing complaints and resolving problems., • Adheres to professional standards, company policies and procedures, and federal, state, and local laws and regulations., • Works to reduce charge holding, rejections, missing information, and denials reports., • Prepares billing reports summarizing billings, adjustments, and revenues received., • Evaluates clients billing needs., • Responsible for creating and educating clients on best practice workflow., • Responsible for data base setup content in the software to ensure best billing practices workflow., • Responsible for coordinating all practice billing activities with physician practice and RCM billing teams., • Works closely with the Implementation Team assigned to ensure proper system build and billing set up., • Responsible for processing clearing house enrollment and assisting the physician practice to set up EFTs as desired., • Ensures that the client’s system is set up correctly and trains staff on PrognoCIS software based on their workflow using billing best practices., • Responsible for daily tracking of operational elements of physician practice to include encounters (open/closed), timely claims processing, accurate payment posting, monitoring of un-posted payments, billing questions, clearinghouse reports, weekly go-live follow up., • Establishes and maintains working relationships with physician practice., • Makes workflow recommendations to both customer and internal RCM team to improve back-office operation., • Responsible for denial management process and reporting for assigned practices., • Responsible for accounts receivable process and reporting for assigned practices., • Creates Month End Reporting and submission to provider practices., • Responsible for researching, documenting, and training billing teams on specific insurance, coding, and documentation requirements., • Responsible for researching and sharing billing information pertinent to States and Insurances. Requirements CORE COMPETENCIES • Excellent oral, written, interpersonal, communication and presentation skills., • Ability to communicate effectively in a variety of settings and with a wide variety of people and different organization levels., • Highly organized with the desire and ability to effectively track projects from start to finish., • Must be able to manage multiple projects simultaneously., • Ability to work in a team environment as well as independently and with little to no supervision., • Demonstrate consistent reliability, integrity, and dependability., • Setting and achieving high goals and standards of performance., • Strong eye for detail, accurately inputting data., • Knowledge of Medicare, Medicaid, commercial paper and electronic claims processing., • Knowledge of ICD, CPT, HCPC coding, ability to read EOBs, familiarity with HIPAA rules. REQUIRED EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS • Minimum 3-5 years medical billing experience., • Certified Professional Coder., • Family Practice experience required., • Pain Management Experience is a plus., • ASC billing is a plus., • Experience in eligibility verification, ERA, familiarity with HIPAA rules., • Knowledge of billing workflow., • Ability to work in a fast-paced work environment., • Sound analytical and problem – solving skills., • Ability to make decisions and work independently., • Basic computer skills and familiarity with Microsoft Office Tools.

Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA Status: Non-Exempt Dental Account Receivable Specialists! ProSmile, the premier Dental Service Organization in the NJ/MD/PA tristate area is currently offering career opportunities working on our Revenue Cycle Management team. If you have experience in Dental Insurance Collections this might be the right role for you! THIS JOB IS 100% REMOTE but must be available to work Eastern Time Zone Responsibilities: • Responsible for accurately working Insurance AR accounts and exhausting all efforts to quickly resolve unpaid dental claims., • Ensures all dental insurance related duties are completed in a timely and accurate manner to ensure excellent patient relations and financial success for the Practices., • Achieves collections goals by effectively managing accounts receivable, prioritizing account reviews and utilizing time management skills., • Assists team members as needed with payment and insurance processes, • Prioritizes daily workload to efficiently work claims based on $ amount and timely filing deadlines., • Ensures all claims are working prior to payor timely filing deadlines are hit., • Performs root cause analysis across multiple claims issues and various payors to ensure timely resolution for patients., • Serves as a liaison between insurance carriers, staff and patients to resolve any concerns., • Facilitates resolution of accounts by working with the dental office to obtain necessary information in a timely manner, • Treats confidentiality of patient data with utmost importance., • Performs miscellaneous job duties as assigned QUALIFICATIONS:, • Minimum of three years’ dental collections experience., • Experience reading and interpreting dental EOB's., • Demonstrated knowledge of CDT codes., • Knowledge of PPO, and Medicaid plans., • Detail-oriented, independent thinker with critical thinking skills is a must., • Understands dental terminology, explanation of benefits, dental billing protocols and coding importance., • Exhibits good working knowledge of Excel for reporting, productivity tracking, etc., • High School diploma or GED required Benefits Summary At ProSmile, we are committed to supporting the health and well-being of our employees and their families. We offer the following benefits for Full Time Benefits Eligible Positions (35+ hours per week) and Part Time Benefits Eligible Positions (30-35 hours per week): • Medical Insurance: Choice of five comprehensive Aetna medical plans, including options with low copays, deductible-sharing, and national provider networks., • Dental Insurance: MetLife plans offering preventative, basic, major, and orthodontic coverage options., • Vision Insurance: Davis and UHC vision plans with annual exams, eyewear allowances, and contact lens benefits., • Flexible Spending & Health Savings Accounts: Pre-tax savings accounts for medical, dependent care, and healthcare expenses., • Life & Disability Insurance: Employer-paid basic life and AD&D insurance, with voluntary life, short-term, and long-term disability plans., • Additional Perks:, • Employee Assistance Program (EAP), • Identity Theft & Fraud Protection, • Legal Support Services, • Discount Programs (including pet insurance, travel, theme parks, electronics, etc.), • Wellness Programs, • Financial Wellness and Planning Tools Physical/Mental Demands and Work Environment The physical demands described 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. While performing the duties of this job, the employee is regularly required to stand, walk and use hands and arms to operate general office equipment (PC, telephone, file cabinets, copier, fax machine and printer). The employee may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee may need to travel to healthcare practices. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually low to moderate. The Company reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee. Equal Employment Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence, and leads in provider and patient satisfaction. Prosmile values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining a staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged. ProSmile is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply. Company Safety We believe that the best care for our patients starts with the best care for our employees. ProSmile is committed to proactively creating and maintaining an environment that is safe for our team and patients. Employees are required to wear Personal Protective Equipment (PPE) including face masks, gloves, gowns, and more as needed and in accordance with CDC standards.

The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered procedures and post-operative care. This will be done through quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi-disciplinary team with the underlying objective of managing the cost of care and providing timely and accurate information to payors. The Central Authorization Specialist helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The Central Authorization Specialist is accountable for a designated caseload and plans effectively in order to meet demands and support resources procuring authorizations. Under general supervision and in accordance with established policies and procedures the specific functions within this role include subject matter expertise of precertification and payor authorization processes. Ensure successful authorizations are procured by ordering physician offices through validation of work effort and education of procuring staff. Ensure feedback relevant to successful authorization procurement is obtained from back-end coding, billing and denial management resources and distributed to ordering physicians and authorization procurement staff to promote continuous improvement. Application of process improvement methodologies. The responsibilities include acting as a centralized resource for assigned specialty across all sites of practice to ensure standardized and consistent procurement of authorizations. Education: High school diploma or equivalent combination of education/experience Experience: 35 years in a medical clinic, hospital, or corporate setting Healthcare: 2+ years of insurance verification and/or billing experience Authorization: Experience obtaining insurance authorizations and interpreting treatment plans/RN or physician notes Knowledge: Medical coding, clinical terminology, insurance records, and revenue cycle Preferred: Medical/surgical specialty clinic experience; knowledge of hospital operations, utilization/case management, and managed care reimbursement Technical: Highly computer literate; strong data management skills Communication: Strong written/verbal, interpersonal, and negotiation skills Collaboration: Comfortable working with physicians, nurses, payors, patients, finance teams, and leadership Organization: Strong time management and ability to prioritize multiple tasks Judgment: Able to work independently and resolve issues/authorization roadblocks effectively

COLLECTOR, CBO REMOTE Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com. POSITION SUMMARY: The Representative Accounts Receivable III is responsible for follow up on intermediate outstanding accounts receivable. Work Schedule: Remote ESSENTIAL RESPONSIBILITIES: • Follow-up on outstanding claims and appeals, • Work escalation views, • Review Vendor Clarification logs, • Provide employee and vendor training, • Acts as a knowledge resource for team members, • Not limited to working Claim Ack Rejections, Claim Edits & Charge Corrections, • Phone patients for payment or payment arrangements, • Print and re-file claims as needed., • Work correspondence daily., • Maintain continuing education, training in industry career development, • Exceed productivity standards as outlined by business line, • Answer incoming patient insurance company and physician office telephone calls., • Research/audit patient accounts for further payment or adjustments., • Work KAM reports as assigned., • Work accounts receivable collector queue with proficiency within 30-60 days of employment., • Work 40-50 accounts daily with > or =90% accuracy rating; meet department productivity standards., • Calculate billing unties and reimbursement amounts., • Maintain strictest confidentiality and adhere to all company policies and procedures., • Other duties as assigned, • Reads and abides by the company’s code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs, • Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company, • Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so, • Support and abide by the values of the company, • Excellence – Going above and beyond to deliver the highest quality care and experience to our patients and teammates, • Collaboration – Being inclusive and supportive of one another to deliver improved outcomes to our patients and teammates, • Ethical Responsibility – Acting with the utmost integrity and doing the right thing, even when nobody is watching, • Engagement – Promote an environment where clinicians and teammates thrive, feel passion and joy for what they do, take care of each other, and are proud of who we are and what we do. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required. • Working knowledge of CPT, ICD-9 and ASA codes, • Strong mathematical, research, analysis, decision making and problem-solving skills., • Strong data gathering and reporting skills., • Working knowledge of medical terminology, insurance processing guidelines and laws., • Demonstrates advanced understanding of commercial, Medicare and Medicaid payers, • Working knowledge of TWCC guidelines and laws, commercial managed care insurance, Medicare and Medicaid guidelines., • Strong interpersonal skills and comfortable working with physicians, external customers, hospital staff, co-workers and senior leadership., • Strong verbal and written communication skills, • Team oriented, must have a pleasant disposition and high tolerance level for diverse personalities., • Ability to work independently with limited supervision., • Demonstrates advanced understanding of claim needs and ability to accurately perform needed billing activities (Evaluation/Correction of billing edits, claim transmission, rejections, and other claim functions) Education/Experience: • High School graduate or equivalent., • 3 to 5 years’ experience in a healthcare insurance receivables environment, • Associate or bachelor’s degree in business administration or related field preferred, • Two - three years collection experience required., • Two years posting, coding or accounts receivable collection experience in health care organization is preferred. Computer Skills: To perform this job successfully, an individual should have knowledge of: • Microsoft Office Suite, • Working knowledge of PC applications (MS Office, Word and Excel). Employment at AMSURG: Living Our Values Every Day At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care. These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day. • Care Deeply for those around us., • Cultivate Integrity to build trust., • Champion Excellence for continuous improvement, • Celebrate Teamwork every step to the way. Benefits: To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan. Paid Time Off: AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year. EOE Statement: AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: careers@amsurg.com. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process. #LI-CH1 #LI-REMOTE

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs. Please read the description and requirements carefully. This role requires specific MDS experience, so if you do not have that experience then please consider applying for one of our other Medical Review Nurse roles, which may be a better fit for you. Thank you! The Medical Review Clinical Appeals Auditor (RN) is responsible for conducting Appeals reviews of new evidence presented by auditee’s, disputing all or part of the findings from medical review audit work completed by the medical review clinical audit team members, as well as communicate and support the identification of potential training opportunities or enhancements to training and/or concept review guideline materials and tools. The Appeals Auditor is also responsible for consistently achieving or exceeding productivity goals and quality standards and serves as a subject matter expert, providing supplemental escalation support, and may perform special project activity as needed. Key Responsibilities Performs clinical reviews on medical records to maintain subject matter expertise. Conducts Appeals reviews on medical review audit work completed by the medical review clinical and documentation audit team members, as new evidence is presented by auditees. Objectively and accurately documents Appeals results in accordance with department quality policies and procedures, scoring and reporting all Appeals results and routes the result appropriately within audit platform based upon how the Appeal review resulted in a full or partial upholding of the audit finding or with a full or partial overturn. Reviews audit documentation and conducts research, analyzes claims data, applies knowledge of client SOW, applicable concept guidelines, policies, and regulations as necessary to determine if audit result is accurate and includes complete details to support findings. Provides correction to narrative rationale to correspond with audit determination and flags patterns of concern to audit leadership for real-time intervention, preventing an accumulation of improper findings. Contributes to the continuous improvement feedback process and suggests any edits to documentation, enhancements review guidelines, and reporting as may be necessary in accordance with department process and audit leadership direction. May support findings during the appeals process, if needed. May perform primary audit activity as assigned by management. Monitors, tracks, and reports on all work conducted in accordance with Appeals process and management direction. May prepare reports for management that includes a variety of data and trends at the individual, department, and client program level, as well as date range or concept based/trended, or other characteristic that will provide valuable business insights. Consults with internal resources as necessary. Become subject matter expert for assigned business segment(s). Maintain current knowledge and changes that affect our industry and clients as it pertains to medical practice, technology, regulations, legislation, and business trends. Participates in and contributes to applicable department meetings. Successfully completes, retains, applies, and adheres to content in required training as assigned that includes but not limited to information security, anti-harassment and other compliance and policy/procedures training applicable for position. Proactively contributes to continuous improvement of activities and sets positive example. Contributes collaboratively to identifying opportunities for improvement of audit results and continuous improvement initiatives. May support training material/tools and best practices development. May identify/make recommendations to management for supplemental team/concept type training. May support training activities for new audit staff or provide supplemental training for existing staff as needed. Contributes to positive team environment that fosters open communication, sharing of information, continuous improvement, and optimized business results. Receives feedback and adjusts work priority as necessary. Serves as positive role model and example for other audit staff and conducts work in accordance with company policies, government regulations and law. Performs job duties with high level of professionalism and maintains confidentiality. Perform other incidental and related duties as required and assigned to meet business needs. Knowledge, Skills and Abilities Needed Demonstrated ability to perform claim payment audits with high quality and production results, as well as successful application of skills to conduct quality assurance review of audit work completed by others. Must be able to manage multiple assignments effectively, create documentation outlining findings, Appeals review results and/or documenting suggestions, organize and prioritize workload, problem solve, work independently and with team members. Experience with CPT/HCPCs/ICD-9/ICD-10/MS-DRG coding may be necessary. Strong knowledge of medical documentation requirements and an understanding CMS, Medicaid and/or Commercial insurance programs, particularly the coverage and payment rules and regulations, may be necessary. Experience with utilization management systems or clinical decision-making tools such as Millimen Care Guidelines (MCG) or InterQual. Working knowledge of encoder may be necessary. Reimbursement policy and/or claims software analyst experience may be necessary. Familiarity with interpreting electronic medical records (EHR) Basic understanding of accounting principles for accounts payable and receivable as it relates to medical billing. Demonstrated ability to consistently apply sound judgment and good effective decision making. Understands Medical Review Audit and Quality Assurance objectives, activities, and key drivers in achieving operational goals. Ability to efficiently and effectively run reports, analyze information, identify meaningful trends, and identify potential solutions. Strong communication skills, both verbal and written; ability to communicate effectively and professionally at all levels within the organization, both internal external. Demonstrated ability to collaborate effectively in a variety of settings and topics. Excellent editing and proofreading skills. Ability to independently organization, prioritize and plan work activities effectively for self and others; develops realistic action plans with the ability to multi-task effectively. Excellent time management and delivers results balancing multiple priorities. Strong analytical skills; synthesizes complex or diverse information; collects and researches data; uses experience to compliment data. Leverages strong critical thinking, questioning, and listening skills to research and effectively resolve complex issues. Demonstrated ability to identify areas of opportunity and create efficiencies in workflows and procedures. Demonstrated ability to be proactive; identifies and resolves problems in a timely manner; develops alternative solutions. Ability to create documentation outlining findings and/or documenting suggestions. Strong general computer skills, including, but not limited to Desktop and MS Office applications (Intermediate-to-Advanced Excel Skills), application reporting tools, and case management system/tools to review and document findings. Advanced technical aptitude with demonstrated ability to quickly learn and adapt to new systems and tools. Ability to be flexible and thrive in a high pace environment with changing priorities. Adaptable to applying skills to diverse operational activities to support business needs. Self-starter with the ability to work independently in remote setting with minimum supervision and direction in the form of objectives. Serves as a positive role model; and demonstrates characteristics that align and contribute to a collaborative culture of continuous improvement and high performing teams. Capability of working in a fast-paced environment, flexibility with assignments and the ability to adapt in a changing environment. Required and Preferred Qualifications Active unrestricted RN license in good standing and diversified nursing experience providing direct care in an inpatient or outpatient setting, is required. At least 5+ years relevant SNF/MDS experience in a provider or payer environment demonstrating breadth and depth of auditing knowledge/skills for the position. Less than 5 years may be considered for internal candidates based upon demonstrated skills and results. Not currently sanctioned or excluded from the Medicare program by OIG. Must have strong technical aptitude and intermediate to advanced skills using Excel. One or more years of experience in health care claims that demonstrates expertise in, ICD-9/ICD-10 coding, HCPS/CPT coding, bundled payment methodologies and/or medical billing experience for an Insurance Company or hospital or other appropriate medical provider may be required. Strong preference for experience performing utilization review for an insurance company, Tricare, MAC or organizations performing similar functions. Prior experience in role with responsibility for conducting primary audit, utilization management or prior-authorization work, or review of audit work performed by others (QA function, appeals function, lead, supervisory role, etc.) Prior experience in payer edit development and/or reimbursement policy a plus. Prior experience working in remote setting is strongly preferred. Must be comfortable solving minor/intermediate technical issues, with or without immediate remote assistance. Equal Employment Opportunity at Machinify We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: _

We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger helping to simplify health care one person, one family and one community at a time. CVS Health/Specialty has an exciting opportunity for you as a work from home Pharmacy Care Technician in Michigan. In this role, you will assist in accurately reading, interpreting and entering prescriptions into the computer system including calculation of doses and assignment of directions and accepting proper insurance payment in a timely fashion. Pharmacy Care Technicians are responsible for routing incomplete or unclear prescriptions to the prescriber for clarification and must also be able to enter incomplete prescription information once clarification has been obtained. Pharmacy Care Technicians assist with inbound phone calls; interact with customers and cross functional team to answer questions, solve problems, provide education, and maintain our company's reputation for high-quality service. This includes new patient enrollment, verification of insurance coverage and perform benefit investigations and processing of medication orders for both new and existing patients. This position requires a working knowledge of insurance, health care, reimbursement-related requirements for dispensing, processing of new referrals, and providing customer education, and routine assessment and problem identification with appropriate escalation to a pharmacist. The role requires independent and self-directed performance. This is primarily a WORK FROM HOME position. However, candidates must live within a 75-mile commutable distance from Troy, Michigan and be willing to come onsite for equipment/technical issues, and performance review discussions. Training allows our new team members to familiarize themselves with members of training, support, leadership, and their new peers to ensure a successful and team-focused onboarding experience. This position is full-time 40 hours per week, offers overtime during our business peaks and pays based on experience. We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programs.? In addition to sixteen paid days off for employees, we also offer ten paid holidays. Our application process is 2 simple steps: • Apply online., • Take your time while completing our Virtual Job Tryout (VJT) The shift and schedule for this role is 11:00am-7:30pm local time, Monday through Friday. Starting pay for this role is $20.00/hr. Required Qualifications • Must live within 75 miles of Troy, Michigan, • Six months experience in a pharmacy technician role, • Six months work experience with Windows-based applications like Windows, Microsoft Office, internet navigation, and email applications, • Six months computer keyboarding skills and aptitude, • Active Valid Pharmacy Technician License as required by the state of MI, • You must have a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 100 mbs download and 10 mbs upload. WiFi and satellite are not permitted. A secure and private home workspace free from distractions is required. Preferred Qualifications • Prefer three months experience handling and resolving customer needs over the phone, • Prefer healthcare work experience and familiarity with benefits, insurance, prescriptions, • Prefer Medical billing, coding, and other medical assisting roles, • Prefer customer service experience in an office environment Education • High School Diploma or equivalent work experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $17.00 - $28.46 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This full?time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well?being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. Identifies reportable elements, complications, and other procedures. Serves as resource and subject matter expert to other coding staff. Assists lead or supervisor in orienting, training, and mentoring staff. Provides ongoing training to staff as needed. Handles special projects as requested.

It’s the people that make the difference. Are you ready to make your impact? Midwest Orthopaedics at Rush, with locations in Chicago and the Western Suburbs, is nationally recognized as a leader in comprehensive orthopedic services. The physicians of Midwest Orthopaedics at Rush have received specialized training in orthopedic surgery and in subspecialty areas within the field of orthopedic medicine and can diagnose and treat even the most complicated and rare musculoskeletal conditions. The Orthopedic Program at Rush University Medical Center is ranked Top 10 in the nation by U.S. News and World Report. Midwest Orthopaedics at Rush doctors are the official team physicians for the Chicago White Sox, Chicago Bulls, Chicago Fire Soccer Club and DePaul University Athletics. Ready to join? We are seeking a full-time Collections Specialist to join our team. In this role you will be responsible for processing insurance claims, managing patient accounts, resolving unpaid or rejected claims for orthopedics patients, resolving overpaid claims, capturing and investigating denial trends and collaborating with the team lead and/or management to help resolve the challenging claims . You will maintain accurate claim and account information, respond to account inquiries from both the patient and the practice, and document all patient interactions. We are looking for a candidate with expertise in BCBS payor. This position offers the opportunity to work remotely. Candidate must be flexible to travel to the corporate office in Westchester, IL for training and as needed for team meetings. Essential Duties and Responsibilities include the following. Other duties may be assigned. • Analyzes authorizations, claims, explanation of benefits, correspondence, payor website and/or any additional information necessary to identify the next appropriate action toward payment resolution. Follows commercial payor guidelines to ensure complete and timely follow-up on open balances for assigned payors or accounts in a timely manner. Performs appeals, underpayment appeals, and disputes by following commercial, payor appeals guidelines or contracted terms. Utilizes payor contracts and fee schedules to perform underpayment appeals or collaborates with the practice to obtain medical necessity appeals documentation. Assists with tracking appeals outcomes. • Contacts patients or appropriate payor representatives via phone or electronically to resolve claims and/or coordinate benefits and submits claim in the correct filing order. Works to identify other payors when possible and ensures all payors and filing order is correct in the practice management system. Collaborates with the team lead to identify patterns and interpret denial trends. Notifies Manager when insurance plans deny services, which are covered based on the contract terms, government regulations, third party agreement or patient’s benefit plan. • Works to minimize write-offs by exhausting all resolution options and performing thorough research/review of all appropriate resources. Adjusts account or requests write- offs adhering to MOR policies and procedures., • Reviews denial reports and makes recommendations for billing or claim submission changes based on claim denials., • Research payor and government websites and/or medical resources, to identify payor claim requirements required to resolve open accounts receivable., • Collaborates with Coding Team or physician to resolve coding related denials and submits all coding related corrected claims and/or appeals., • Targets and reports any internal procedures or processes that may negatively impact or increase days in accounts receivable or delay claims resolution. Interact with patients and commercial payors to respond to billing requests as appropriate. • Assists call center representatives with physician practice or patient requests by providing claim information and/or claim status to call center representative to correctly respond to patients, • Meets productivity and quality standards., • Documents using standardized note format all payor, attorney, and/or third party follow-up and account resolution activities in the practice management system, • Remains current with trends, regulatory requirements, and business strategies related to the revenue cycle, • Operates in compliance with all local, state and Federal laws as well as Company policy and compliance standards, • Other duties and responsibilities as assigned Education and/or Experience • High School Diploma or equivalent; Associates or Bachelor’s Degree preferred 3-4 years of related experience in a business office or on a revenue cycle team; Preference given for physician or medical group CMS 1500 experience • Expertise in government, commercial and/or third party payor claims submission, denial resolution, and appeals processes, • Experienced with patient accounting systems – Athena preferred, • Medical terminology required for accurate claims processing, • Knowledge of CPT, HCPCS, and ICD coding systems What’s in it for you? MOR offers their employees a comprehensive compensation and benefits package. Pay Range: $22.00 - $24.00 per hour. Compensation at MOR is determined by many factors, which may include but are not limited to, job-related skills and level of experience, education, certifications, geographic location, market data and internal equity. Base pay is only a portion of the total rewards package. • Quarterly Bonus Incentives, • Medical, Dental and Vision Insurance., • Paid Time Off and Paid Holidays., • Company-paid life and long-term disability insurance., • Voluntary life, AD&D, and short-term disability insurance., • Critical Illness and Accident Insurance., • 401(k) Savings Plan., • 401(k) Employer Contribution., • Pet Insurance., • Commuter Benefits., • Employee Assistance Program (EAP)., • Tax-Advantaged Accounts (FSA, HSA, Dependent Care FSA)., • HSA Employer Contribution (when enrolled in a HDHP)., • Tuition Reimbursement., • Continuing Education of up to $2,500 annualized., • Excellent working relationship with prestigious group of physicians in Orthopedics in the US and #1 in Illinois and Indiana. Our employees make the difference in our patients’ lives, and we value their contributions. Midwest Orthopaedics at Rush offers a comprehensive compensation and benefits package and an opportunity to grow and develop your career with an industry leader. Come see what we’re all about. Equal Opportunity Employer.

Description This role is for one of our clients Compensation: $40 - $50 per hour We are seeking experienced healthcare administrative professionals with deep, hands-on expertise in the operational and back-office functions that keep healthcare organizations running efficiently. This fully remote opportunity is ideal for individuals who understand the complete administrative lifecycle of healthcare operations—from patient registration and insurance verification to claims management, provider enrollment, and payment reconciliation. In this role, you'll contribute your real-world expertise to support the development of next-generation AI systems by documenting, evaluating, and improving complex healthcare administrative workflows. Your knowledge of day-to-day operations and industry-standard tools will help build AI solutions that accurately reflect real healthcare environments. Requirements Candidates should have hands-on ownership of one or more of the following operational functions: • Manage patient registration, scheduling, and appointment coordination., • Perform insurance eligibility verification and benefits interpretation., • Oversee patient intake and referral management processes., • Initiate, submit, and monitor prior authorization requests through payer portals., • Coordinate with providers and insurance companies to ensure timely approvals., • Submit insurance claims and monitor claim status., • Investigate denials, manage appeals, and resolve claim rejections., • Conduct accounts receivable follow-up to ensure timely reimbursement., • Process Electronic Remittance Advice (ERA)., • Post payments accurately and reconcile remittances with clinical charges., • Assist in payment reconciliation and financial reporting activities., • Manage provider credentialing and enrollment activities., • Support payer configuration and maintenance., • Handle provider and member services, appeals, and grievance processes., • Administer medical records and release of information requests., • Support daily medical office and practice administration activities., • Ensure documentation and operational processes remain compliant with organizational policies., • Minimum 3 years of hands-on experience in a healthcare administrative or back-office operations role., • Current employment within a healthcare administrative environment., • Strong working knowledge of industry-standard systems, including:, • Payer portals such as Availity, Optum/Change Healthcare, Waystar, Office Ally, or payer-specific portals including UHC Link, BCBS, and Aetna., • Electronic Health Record (EHR) and Practice Management systems., • Healthcare clearinghouse platforms., • Based in the United States., • Strong analytical, organizational, and communication skills., • Ability to accurately document and explain operational workflows. Candidates with experience in any of the following roles are encouraged to apply: • Practice Administrator, • Medical Office Manager, • Revenue Cycle Specialist, • Revenue Cycle Analyst, • Medical Billing Coordinator, • Full-Cycle Medical Biller, • Patient Access Lead, • Patient Intake Coordinator, • Referral Coordinator, • Prior Authorization Specialist, • Claims Resolution Specialist, • Denials Management Specialist, • Credentialing Specialist, • Provider Enrollment Specialist, • Health Plan Operations Professional, • Payer Operations Specialist, • Appeals & Grievances Specialist, • Provider Configuration Specialist, • Health Information Management (HIM) Professional, • Medical Records Administrator Note: This opportunity focuses on healthcare administrative and operational expertise rather than medical coding or direct clinical care experience. • Contribute to the development of next-generation AI solutions for healthcare administration., • Apply your real-world operational expertise to improve intelligent healthcare workflows., • Work remotely with a flexible schedule., • Collaborate on innovative projects that combine healthcare operations with advanced AI technology. We welcome applications from all qualified candidates regardless of legally protected characteristics and are committed to providing reasonable accommodations throughout the application and engagement process upon request. • Engagement is offered on an independent contractor basis., • This is a fully remote opportunity that can be completed according to your own schedule., • Project duration may be extended, shortened, or concluded based on project requirements and individual performance., • The engagement does not require access to confidential or proprietary information belonging to any current employer, client, or institution., • Payments are processed weekly through Stripe or Wise based on approved work completed., • Please note: Applicants requiring H-1B sponsorship or participating in the STEM OPT program are not eligible for this opportunity.

Position Summary: Under the direction of the Patient Access leadership team, Schedules, registers, initiates pre-authorization and referrals process, confirms and maintains patient diagnostic appointments, surgeries and/or medical procedures for McLaren Health. Essential Functions and Responsibilities as Assigned: • Obtains required patient demographic and insurance information for McLaren Health, governmental requirements, billing and third-party payer needs., • Provides courteous and efficient services to customers and accurately documents/verifies patient pre-registration information in a professional and timely manner. Collects, documents, scans all required demographic and financial information., • Provides physician and/or diagnostic appointment scheduling., • Maintains knowledge of insurance and authorization requirements. Performs real-time insurance verification and interprets responses. Informs patient of insurance requirements for services provided such as authorizations/pre-certifications and referrals., • Estimates and collects copays, deductibles, and other patient financial obligations., • Handles inbound and outbound calls with the goal of growing business, customer satisfaction, and customer retention, providing ease of access to McLaren Health services., • Maintains professionalism and diplomacy, following specific standards as defined in the department professionalism policy., • Performs all other duties as assigned. Qualifications: Required: • High school diploma or equivalent, • 1-year experience in a customer service role or health care industry. Preferred: • 2-years previous experience with third party medical insurance, HMO and managed care including experience with CPT and ICD-10 coding and medical terminology Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Job DescriptionCompany Description Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Job Description This position is 95% remote work, with travel as needed within the Metro Detroit area. There are no weekends required, and the working hours have some flexibility. This position is also a non-classroom setting and utilizes virtual technology to work directly with providers. About the Role: Are you ready to bridge the gap between Providers clinical knowledge and your Coding Expertise? As our Medical Coding Education Coordinator, you'll be at the forefront of coordinating, overseeing, and optimizing the flow of provider education and medical record coded information across our hospital and ambulatory sites. Your expertise will be instrumental in ensuring accurate billing, maximizing appropriate reimbursement, and maintaining compliance with regulatory requirements. What You'll Do: · Drive Education Excellence: Serve as a beacon of knowledge, guiding our providers and coding staff on best practices for documentation and coding. You'll be the go-to resource for local, state, and federal coding guidelines, sharing insights on NCCI Edits, ICD-10CM, CPT, HCC, and compliance standards. · Empower through Education: Develop and implement education work plans to elevate the quality, completeness, timeliness, and accuracy of medical record documentation. Through targeted initiatives, you'll empower our team to achieve excellence in professional and hospital services. What We're Looking For: · Passion for Precision: Whether it's anatomy, physiology, or coding systems, you possess a deep understanding of the intricacies of healthcare documentation. Your commitment to accuracy is unwavering. · Experience and Expertise: With a minimum of three years in documentation improvement, coding, or compliance, you bring a wealth of knowledge to the table. Additional certification or extensive experience in specialty coding is a definite plus. · Tech Savvy: From Microsoft Office to data analytics tools, you're comfortable navigating various applications to extract meaningful insights and drive informed decisions. EDUCATION/EXPERIENCE REQUIRED: • High School Diploma or G.E.D. equivalent required., • Associates Degree in Healthcare related field, Medical Record Sciences, or Business/Healthcare Administration or four (4) years coding experience may be considered in lieu of education requirement., • Minimum of three (3) years of experience related to documentation improvement, coding, CDI, compliance, and/or billing for hospital/physician services required., • Two (2) years specialty coding certification preferred., • Prior experience in a healthcare revenue cycle position required., • Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems., • High level of proficiency in Microsoft Office and/or Microsoft Access applications., • Data analytics experience preferred. CERTIFICATIONS/LICENSURES REQUIRED: • At least one of the following certifications is required: CPC, CCS, CCS-P, RHIT or RHIA. What We Offer At Henry Ford Health, you'll find opportunities for career growth, collaboration with diverse teams, and the chance to contribute to mission-driven work that makes a real difference. We foster a culture of continuous learning and innovation, empowering you to reach your full potential. Join Our Team Ready to make an impact? Apply now and be part of a team thats transforming healthcare.

Job DescriptionDescription: GENERAL SUMMARY The Patient Service Representative II ensures the patients receive the highest level of customer service and care. The Patient Service Representative II is knowledgeable in the areas of non-clinical support and acts as a resource to patient services staff, providing guidance on more complex issues and concerns. The Patient Service Representative II coordinates clerical tasks including answering the phones, greeting patients/visitors, and scheduling appointments in a professional and timely manner. They are responsible for moving the patients through the intake and checkout process including patient registration, scanning and filing medical records, collecting co-payments, deductibles, and any outstanding balances. The Patient Service Representative II may process referrals and charge entries. They ensure that all procedures are closely followed to create a seamless patient experience between clerical and clinical staff. ESSENTIAL JOB FUNCTION/COMPETENCIES Responsibilities include but are not limited to: • Acts as a resource to patient services staff, providing guidance on more complex issues/concerns., • Actively participates in problem solving and identifying improvement opportunities., • Welcomes and greets all patients and visitors, in person or over the phone., • Registers new patients and updates existing patient demographics by collecting detailed patient information including personal and financial information (ex. co-payments and insurance cards.), • Collects outstanding patient balances., • Obtains referrals and authorizations when required., • Scans incoming faxes, consents, reports, and all other patient information into patient chart., • Generates batch transmittal reports for each day., • Facilitates the patient flow by notifying the provider or other medical staff of the patients’ arrival, being aware of delays, and communicating with patients and clinical staff., • Schedules follow up services and office visits for patients. May also schedule surgery, diagnostic and imaging as needed ensuring proper authorizations are obtained., • Responds to inquiries by patients, prospective patients, and visitors in a courteous manner., • Keeps medical office supplies adequately stocked by anticipating inventory needs, placing orders, and monitoring office equipment., • Protects patient confidentiality, making sure protected health information (PHI) is secured by not leaving PHI in plain sight and logging off the computer before leaving it unattended., • Ensures proper hand off of responsibilities once their task is completed., • Meets established attendance criteria and starts work promptly., • Punctual and dependent for assigned/confirmed shifts., • Respects and acknowledges the organizations commitment to cultural diversity, which is expressed through behavior, language and actions., • Consistently demonstrates good use of time and resources., • Ensuring that all medical records are accurate and complete., • Supports billing by completing charge entry to ensure billing is achieved within 48 hours and all appropriate procedures are documented and billed for., • Performs other position related duties as assigned. CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS • N/A KNOWLEDGE | SKILLS | ABILITIES • Skill in using computer programs and applications including Microsoft Office. Knowledge in healthcare systems operations and experience in navigating EMRs., • Ability to answer multiple incoming telephone calls., • Demonstrate excellent organizational skills, multi-tasked abilities, and the ability to perform well in stressful situations., • Customer-oriented with ability to remain calm in difficult situations., • Ability to work independently and manage multiple deadlines., • Ability to comprehend established office routines and policies., • Ability to keep financial records and perform mathematical tasks., • Knowledge of Medical Terminology., • Excellent verbal and written communication skills., • Proficient interpersonal relations skills., • Basic knowledge of health insurance products (HMO, PPO, HSA, Commercial, Medicare etc.)., • Ability to navigate online health insurance portals to verify benefits., • Regularly adheres and supports compliance and accreditation efforts as assigned including, but not limited to OSHA, HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse., • Complies with HR confidentiality standards.Requirements: EDUCATION REQUIREMENTS High School Diploma or equivalent required. Some college work preferred. EXPERIENCE REQUIREMENTS Minimum of 2-3 years’ customer service experience required. Experience in a medical office; specifically, urology, preferred. Basic knowledge and understanding of CPT procedure coding and ICD-10 diagnostic coding preferred. REQUIRED TRAVEL N/A PHYSICAL DEMANDS Carrying Weight Frequency 1-25 lbs. Frequent from 34% to 66% 26-50 lbs. Occasionally from 2% to 33% Pushing/Pulling Frequency 1-25 lbs. Seldom, up to 2% 100 + lbs. Seldom, up to 2% Lifting - Height, Weight Frequency Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33% Floor to Chest, 26-50 lbs. Seldom: up to 2% Floor to Waist, 1-25 lbs. Occasional: from 2% to 33% Floor to Waist, 26-50 lbs. Seldom: up to 2%

Job DescriptionCompany Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all. Job Description GENERAL SUMMARY: As the Coordinator of Inpatient Coding Quality & Education, you'll be the driving force behind ensuring accurate, complete, and timely medical record coding across our hospital and ambulatory sites. You'll take ownership of the coding reimbursement process, serving as a trusted departmental liaison while championing quality and compliance. Beyond day-to-day coordination, you'll design and deliver innovative educational programs that elevate documentation practices across Henry Ford Health System, positioning yourself as a go-to expert and mentor for both clinical providers and coding professionals. KEY RESPONSIBILITIES: • Orchestrate the flow of coded medical record information across inpatient and outpatient settings, ensuring seamless coordination for billing and reimbursement accuracy, • Champion data quality by monitoring completeness, accuracy, and timeliness of all medical documentation and coded submissions for inpatient discharges and outpatient encounters, • Serve as the strategic liaison between coding operations and the broader reimbursement process, driving continuous improvement initiatives, • Design, develop, and evaluate targeted educational programs that strengthen documentation practices and coding quality across the health system, • Mentor and educate clinical providers and coding staff on best practices in coding, documentation, and compliance, fostering a culture of excellence, • Leverage your expertise to identify gaps, implement solutions, and measure the impact of quality improvement efforts Qualifications EDUCATION/EXPERIENCE REQUIRED: • Associates degree in Medical Record Sciences with certification as a Registered Health Information Technician (RHIT) or Registered Health Administrator (RHIA) or CCS., • Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems., • Minimum of five (5) years inpatient coding experience, with additional experience in Level 1 trauma facility preferred. Additional Information This position is fully remote.

Job DescriptionDescription: GENERAL SUMMARY The ASC Patient Service Representative II ensures the patients receive the highest level of customer service and care. The ASC Patient Service Representative II is knowledgeable in the areas of non-clinical support and acts as a resource to patient services staff, providing guidance on more complex issues and concerns. The ASC Patient Service Representative II coordinates clerical tasks including answering the phones, greeting patients/visitors, and scheduling appointments in a professional and timely manner. They are responsible for moving the patients through the intake and checkout process including patient registration, scanning and filing medical records, collecting co-payments, deductibles, and any outstanding balances. The ASC Patient Service Representative II may process referrals and charge entries. They ensure that all procedures are closely followed to create a seamless patient experience between clerical and clinical staff. Requirements: ESSENTIAL JOB FUNCTION/COMPETENCIES Responsibilities include but are not limited to: • Acts as a resource to patient services staff, providing guidance on more complex issues/concerns., • Actively participates in problem solving and identifying improvement opportunities., • Welcomes and greets all patients and visitors, in person or over the phone., • Registers new patient and updates existing patient demographics by collecting detailed patient information including personal and financial information (ex. co-payments and insurance cards)., • Collects outstanding patient balances., • Obtains referrals and authorizations when required., • Scans incoming faxes, consents, reports, and all other patient information into patient chart., • Generates batch transmittal reports for each day., • Facilitates the patient flow by notifying the provider or other medical staff of the patients’ arrival, being aware of delays, and communicating with patients and clinical staff., • Schedules follow up services and office visits for patients., • May also schedule surgery, diagnostic and imaging as needed ensuring proper authorizations are obtained., • Responds to inquiries by patients, prospective patients, and visitors in a courteous manner., • Keeps medical office supplies adequately stocked by anticipating inventory needs, placing orders, and monitoring office equipment., • Protects patient confidentiality, making sure protected health information (PHI) is secured by not leaving PHI in plain sight and logging off the computer before leaving it unattended., • Ensures proper hand off of responsibilities once their task is completed., • Meets established attendance criteria and starts work promptly., • Punctual and dependent for assigned/confirmed shifts., • Respects and acknowledges the organizations commitment to cultural diversity, which is expressed through behavior, language and actions., • Consistently demonstrates good use of time and resources., • Ensuring that all medical records are accurate and complete., • Supports billing by completing charge entry to ensure billing is achieved within 48 hours and all appropriate procedures are documented and billed for., • Performs other position related duties as assigned., • Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training. CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS • N/A KNOWLEDGE | SKILLS | ABILITIES • Skill in using computer programs and applications including Microsoft Office. Knowledge in healthcare systems operations and experience in navigating EMRs., • Ability to answer multiple incoming telephone calls., • Demonstrate excellent organizational skills, multi-tasked abilities, and the ability to perform well in stressful situations., • Customer-oriented with ability to remain calm in difficult situations., • Ability to work independently and manage multiple deadlines., • Ability to comprehend established office routines and policies., • Ability to keep financial records and perform mathematical tasks., • Knowledge of Medical Terminology., • Excellent verbal and written communication skills., • Proficient interpersonal relations skills., • Basic knowledge of health insurance products (HMO, PPO, HSA, Commercial, Medicare etc.)., • Ability to navigate online health insurance portals to verify benefits., • Regularly adheres and supports compliance and accreditation efforts as assigned including, but not limited to OSHA, HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse., • Complies with HR confidentiality standards. EDUCATION REQUIREMENTS • High School Diploma or equivalent required., • Some college work preferred. EXPERIENCE REQUIREMENTS • Minimum of 2-3 years’ customer service experience required. Experience in a medical office; specifically urology, preferred., • Basic knowledge and understanding of CPT procedure coding and ICD-10 diagnostic coding preferred. REQUIRED TRAVEL • N/A PHYSICAL DEMANDS Carrying Weight Frequency 1-25 lbs. Frequent from 34% to 66% 26-50 lbs. Occasionally from 2% to 33% Pushing/Pulling Frequency 1-25 lbs. Seldom, up to 2% 100 + lbs. Seldom, up to 2% Lifting - Height, Weight Frequency Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33% Floor to Chest, 26-50 lbs. Seldom: up to 2% Floor to Waist, 1-25 lbs. Occasional: from 2% to 33% Floor to Waist, 26-50 lbs. Seldom: up to 2%

Job DescriptionDescription: GENERAL SUMMARY The Patient Service Representative II ensures the patients receive the highest level of customer service and care. The Patient Service Representative II is knowledgeable in the areas of non-clinical support and acts as a resource to patient services staff, providing guidance on more complex issues and concerns. The Patient Service Representative II coordinates clerical tasks including answering the phones, greeting patients/visitors, and scheduling appointments in a professional and timely manner. They are responsible for moving the patients through the intake and checkout process including patient registration, scanning and filing medical records, collecting co-payments, deductibles, and any outstanding balances. The Patient Service Representative II may process referrals and charge entries. They ensure that all procedures are closely followed to create a seamless patient experience between clerical and clinical staff. ESSENTIAL JOB FUNCTION/COMPETENCIES Responsibilities include but are not limited to: • Acts as a resource to patient services staff, providing guidance on more complex issues/concerns., • Actively participates in problem solving and identifying improvement opportunities., • Welcomes and greets all patients and visitors, in person or over the phone., • Registers new patients and updates existing patient demographics by collecting detailed patient information including personal and financial information (ex. co-payments and insurance cards.), • Collects outstanding patient balances., • Obtains referrals and authorizations when required., • Scans incoming faxes, consents, reports, and all other patient information into patient chart., • Generates batch transmittal reports for each day., • Facilitates the patient flow by notifying the provider or other medical staff of the patients’ arrival, being aware of delays, and communicating with patients and clinical staff., • Schedules follow up services and office visits for patients. May also schedule surgery, diagnostic and imaging as needed ensuring proper authorizations are obtained., • Responds to inquiries by patients, prospective patients, and visitors in a courteous manner., • Keeps medical office supplies adequately stocked by anticipating inventory needs, placing orders, and monitoring office equipment., • Protects patient confidentiality, making sure protected health information (PHI) is secured by not leaving PHI in plain sight and logging off the computer before leaving it unattended., • Ensures proper hand off of responsibilities once their task is completed., • Meets established attendance criteria and starts work promptly., • Punctual and dependent for assigned/confirmed shifts., • Respects and acknowledges the organizations commitment to cultural diversity, which is expressed through behavior, language and actions., • Consistently demonstrates good use of time and resources., • Ensuring that all medical records are accurate and complete., • Supports billing by completing charge entry to ensure billing is achieved within 48 hours and all appropriate procedures are documented and billed for., • Performs other position related duties as assigned. CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS • N/A KNOWLEDGE | SKILLS | ABILITIES • Skill in using computer programs and applications including Microsoft Office. Knowledge in healthcare systems operations and experience in navigating EMRs., • Ability to answer multiple incoming telephone calls., • Demonstrate excellent organizational skills, multi-tasked abilities, and the ability to perform well in stressful situations., • Customer-oriented with ability to remain calm in difficult situations., • Ability to work independently and manage multiple deadlines., • Ability to comprehend established office routines and policies., • Ability to keep financial records and perform mathematical tasks., • Knowledge of Medical Terminology., • Excellent verbal and written communication skills., • Proficient interpersonal relations skills., • Basic knowledge of health insurance products (HMO, PPO, HSA, Commercial, Medicare etc.)., • Ability to navigate online health insurance portals to verify benefits., • Regularly adheres and supports compliance and accreditation efforts as assigned including, but not limited to OSHA, HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse., • Complies with HR confidentiality standards.Requirements: EDUCATION REQUIREMENTS High School Diploma or equivalent required. Some college work preferred. EXPERIENCE REQUIREMENTS Minimum of 2-3 years’ customer service experience required. Experience in a medical office; specifically, urology, preferred. Basic knowledge and understanding of CPT procedure coding and ICD-10 diagnostic coding preferred. REQUIRED TRAVEL N/A PHYSICAL DEMANDS Carrying Weight Frequency 1-25 lbs. Frequent from 34% to 66% 26-50 lbs. Occasionally from 2% to 33% Pushing/Pulling Frequency 1-25 lbs. Seldom, up to 2% 100 + lbs. Seldom, up to 2% Lifting - Height, Weight Frequency Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33% Floor to Chest, 26-50 lbs. Seldom: up to 2% Floor to Waist, 1-25 lbs. Occasional: from 2% to 33% Floor to Waist, 26-50 lbs. Seldom: up to 2%

Job Description Are you a detail-oriented professional with a passion for accuracy, organization, and customer service? We are seeking a reliable and motivated Accounts Receivable Billing Administrator to join our team. In this role, you will be responsible for performing billing processes, ensuring invoices are issued accurately and on time, resolving payment issues and invoice discrepancies with customers, maintaining customer account records, and supporting the organization's financial operations. The ideal candidate is highly organized, detail oriented, and capable of managing multiple priorities in a fast-paced environment. You will work closely with internal departments and customers to resolve billing inquiries, improve processes, and help ensure the timely collection of revenue. If you thrive in a collaborative environment and enjoy working with numbers while delivering exceptional service, we encourage you to apply. JOB PURPOSE Accounts Receivable, customer billing, and collection activities KEY DUTIES AND RESPONSIBILITIES Generate invoices and related documents Perform collection activities and resolve payment issues Process billing adjustments as needed Prepare shipping documents, including shippers, bills of lading, certificates of compliance, commercial invoices, international shipment declarations through AES, and advanced shipment notices Email invoices and submit invoices through customer portals Send credit and bank reference requests for new customers being established Create new supplier records with proper coding and tax ID numbers for issuing 1099 forms, as necessary Maintain customer billing information and special instructions Provide new suppliers with credit references, W-9 forms, and tax exemption forms Request supplier certificates of insurance and W-9 forms and maintain records to ensure current forms are on record QUALIFICATIONS SKILLS & EXPERIENCE Two years of experience, associate's degree preferred, but not required Manufacturing experience a plus Accurately prepare and enter financial information Strong organizational and communication skills Proficient in Excel and Word BENEFITS INCLUDE • Two Medical benefit options, • Aetna Health Network, • Dentemax Dental PPO, • Eyemed Vision, • Free Telemedicine, • 100% company paid life insurance, optional supplemental life insurance, • 10 Paid company holidays, 1 Floating holiday, 1 Wellness Physical day, • 401k with matching \nCompany Description PTI Engineered Plastics is a custom plastic injection molder and manufacturer serving the medical, aerospace and consumer products industries for more than 42 years. Utilizing innovative technology, PTI specializes in complex, low-to-mid volume production with extensive capabilities in design, tooling, and manufacturing systems. For a virtual tour of our 160,000 square foot facility in Macomb, Michigan, visit our website at https://teampti.com/pti-virtual-tour/. PTI Engineered Plastics is a custom plastic injection molder and manufacturer serving the medical, aerospace and consumer products industries for more than 42 years. Utilizing innovative technology, PTI specializes in complex, low-to-mid volume production with extensive capabilities in design, tooling, and manufacturing systems. For a virtual tour of our 160,000 square foot facility in Macomb, Michigan, visit our website at https://teampti.com/pti-virtual-tour/.

Job DescriptionCompany Description At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve. Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact. Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all. Job Description GENERAL SUMMARY: This position is 100% remote and offers flexible hours once trained. You'll play a critical role in reviewing surgical coding and denials while driving quality improvements across our organization. As the Coding Coordinator of Quality & Education, you'll be the driving force behind ensuring the completeness, accuracy, and timely submission of all medical data and supporting documentation for inpatient discharges and outpatient encounters. You'll champion coding excellence and reimbursement accuracy across Henry Ford Health System's hospital and ambulatory sites. Key Responsibilities: • Strategically coordinate, oversee, and optimize the flow of coded medical record information to ensure accurate billing and reimbursement across all hospital and ambulatory sites, • Maintain rigorous quality standards by reviewing surgical coding submissions and managing denials to maximize revenue capture and compliance, • Serve as the essential departmental liaison, bridging coding operations with the broader reimbursement process to drive organizational efficiency, • Design and deliver impactful educational programs that elevate documentation practices and coding quality across Henry Ford Health System, • Mentor and support providers and coding staff as a trusted educational resource, fostering a culture of continuous improvement in coding and documentation excellence, • Assess and evaluate educational initiatives to ensure measurable improvements in data quality and departmental performance Qualifications • High School Diploma or G.E.D. equivalent required., • Associates Degree in Healthcare related field, Medical Records Sciences, or Business/Healthcare administration or five (5) years coding experience may be considered in lieu of education requirement., • Additional specialty coding certification or two (2) years of specialty coding experience required., • Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems., • Five (5) years of specialty coding experience preferred. Additional Information This position is fully remote

Job Description The ideal candidate must have hands-on experience using Brightree and understand Medicare, Medicaid, Medicare Advantage, and commercial insurance billing requirements for DME. This position requires someone who can identify and resolve billing problems—not simply submit claims. You will be responsible for ensuring claims are clean and complete, working claim rejections and denials, correcting documentation or authorization issues, following up on unpaid claims, posting payments, and helping the company collect all properly earned reimbursement. Primary Responsibilities • Submit accurate electronic and paper DME claims through Brightree, • Review claims for accuracy before submission, • Work clearinghouse and Brightree claim rejections promptly, • Investigate denied, underpaid, delayed, and unpaid claims, • Correct and resubmit claims when appropriate, • Prepare and submit reconsiderations and appeals with supporting documentation, • Follow up with Medicare, Medicaid, Medicare Advantage, and commercial insurance companies, • Review eligibility, benefits, deductibles, coinsurance, and payer coverage requirements, • Confirm that required prior authorizations are obtained and documented, • Verify that prescriptions, Standard Written Orders, medical records, Certificates of Medical Necessity, proof of delivery, and other supporting documents meet payer requirements, • Review HCPCS codes, modifiers, diagnosis codes, units, quantities, and dates of service for billing accuracy, • Understand rental, capped-rental, purchase, recurring-supply, and resupply billing, • Track authorizations, rental periods, continued-need documentation, and recurring claims, • Post insurance and patient payments, ERAs, EOBs, adjustments, refunds, and contractual write-offs accurately, • Reconcile payments and identify incorrect or missing reimbursements, • Work insurance and patient accounts-receivable aging reports, • Contact patients regarding deductibles, coinsurance, noncovered items, and outstanding balances professionally, • Establish and monitor patient payment arrangements when authorized, • Identify claims that require refunds, recoupment responses, or additional documentation, • Respond to payer requests, audits, ADRs, and medical-record requests within required deadlines, • Maintain detailed notes in Brightree regarding every billing action and payer communication, • Communicate with intake, documentation, respiratory, supply, and management teams to resolve billing barriers, • Track recurring denial patterns and recommend corrective action, • Maintain compliance with Medicare requirements, payer contracts, HIPAA, and company policies, • Assist with month-end reporting and other DME billing responsibilities as assigned Equipment and Billing Knowledge Preferred Experience billing one or more of the following is strongly preferred: • CPAP, APAP, BiPAP, ASV, and related supplies, • Noninvasive ventilation, • Oxygen equipment and supplies, • Hospital beds and support surfaces, • Wheelchairs, walkers, and mobility equipment, • Diabetic shoes and orthotics, • Recurring and resupply orders, • Rental and capped-rental equipment Required Qualifications • Previous DME or HME billing experience, • Hands-on experience using Brightree, • Experience working claim rejections, denials, appeals, and accounts receivable, • Knowledge of Medicare DME billing requirements, • Familiarity with HCPCS codes, modifiers, diagnosis codes, authorizations, and medical-necessity documentation, • Ability to read and interpret EOBs and ERAs, • Strong attention to detail and organizational skills, • Ability to independently prioritize accounts and meet filing and appeal deadlines, • Clear written and verbal communication skills, • Ability to protect confidential information and comply with HIPAA requirements, • Reliable attendance and professional conduct Preferred Qualifications • At least two years of DME billing experience, • Experience with Michigan Medicaid and Michigan commercial insurance plans, • Experience with Medicare audits, ADRs, appeals, and recoupments, • Experience billing respiratory equipment and recurring supplies, • Strong knowledge of Brightree reporting and accounts-receivable worklists, • Billing or coding certification is helpful but not required We are looking for someone who: • Takes ownership of claims until they are paid or appropriately resolved, • Is persistent when following up with insurance companies, • Investigates the cause of a denial instead of repeatedly rebilling the same claim, • Keeps accurate and complete account notes, • Recognizes missing documentation before it causes a denial, • Communicates billing problems promptly to the appropriate department, • Works efficiently without sacrificing accuracy, • Treats patients and coworkers respectfully \nCompany Description Care One Medical is a leading provider of durable medical equipment, committed to improving the lives of patients. Our mission is to deliver high-quality, durable products that set industry standards and prioritize the well-being of our clients. Join our team and be part of an organization that values innovation, excellence, and compassionate care. Care One Medical is a leading provider of durable medical equipment, committed to improving the lives of patients. Our mission is to deliver high-quality, durable products that set industry standards and prioritize the well-being of our clients. Join our team and be part of an organization that values innovation, excellence, and compassionate care.

Job DescriptionDescription: TRIARQ HEALTH Radiation Oncology Coder Location: Remote (U.S.) — we are not currently hiring in Hawaii, Alaska, California, or New York. Employment Type: Full-Time TRIARQ Health is a visionary company that partners with doctors and healthcare professionals to transform their businesses into modern patient centered independent practices. Practices that partner with TRIARQ put the patient first and deliver high-value care with less effort which results in better patient outcomes and private practices that succeed. TRIARQ Health is hiring a full-time Radiation Oncology Coder. We are seeking experienced, certified professional coders who have been in the field at least 4 or more years. They must be a team player and open to working closely with the TRIARQ team and our Radiation Oncology physicians. SUMMARY The Radiation Oncology Coder is responsible for ensuring all services rendered are captured timely, coded accurately, and meet documentation requirements when processed through the EMR and Billing Systems. Demonstrates working knowledge of all facets of role, relevant regulations, and organizational and departmental policies and procedures for Radiation Oncology services. This individual works independently while also collaborating with the denials team to resolve coding-related denials and works closely with the authorizations team to ensure proper authorizations are requested to meet and exceed customer expectations and needs. PRIMARY TASKS AND RESPONSIBILITIES • Assign appropriate charge levels and highest level of ICD specificity., • Review Medicare Local Coverage Articles, bulletin updates, and quarterly NCCI., • Perform review of held charges (pre-claim) in the billing system and process tickets within three business days., • Meet company metrics set in place for charge capture accuracy, mid-month and end-of-month charge close, reduced lag, and QA (Quality Assured sign off)., • Verify all required documentation and dictations are complete and meet requirements of the code being billed. Escalate to Coding Manager any trends seen within a clinic., • Work with denials team to respond to all inquiries on denials and open account receivables to ensure all information is accurate., • Ensure that all appropriate authorizations are obtained as per the physician's orders and amendments during therapy. Report to financial navigator any authorizations that are missed or needed., • As delegated, review and respond to compliance or internal department audit findings as performed., • Assist in training new employees and vacation coverage as outlined by coding manager., • Maintain coding roadmaps on all patients as outlined by coding manager., • Perform other duties and projects as assigned, including additional tasks as needed to support the team. VALUES • Patient First – Keeping the patient at the center of everything we do., • Accountability – Taking responsibility for our actions., • Commitment & Care – Upholding TRIARQ's vision through every action., • Team – Working together, one team, one mission. EQUAL EMPLOYMENT OPPORTUNITY TRIARQ Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. Requirements: EDUCATION / CERTIFICATIONS & LICENSES • High School diploma or GED required., • Coding certification required: CPC (AAPC) or CCS (AHIMA)., • ROCC (Radiation Oncology Certified Coder, AMAC) certification also required. EXPERIENCE Proficient knowledge of medical terminology, ICD-10, and CPT coding required. Minimum of 4 years of radiation oncology coding experience required. CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES Essential competencies and KSAs targeted to successfully performing in role: • Analysis and critical thinking skills, including solid problem solving, analysis, decision making, planning, time management, and organizational skills. Must be detail-oriented with the ability to exercise independent judgment., • Strong interpersonal skills, including effective verbal and written communication., • Solid time management with the ability to prioritize multiple tasks., • Ability to collaborate across various levels of management, departments, and teams., • Comfortable working through problems and exploring solutions with the physician population., • Self-management: effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with the ability to work independently with limited supervision., • Able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.

Receptionist - State Farm Agent Team Member.Jordan Tracey - State Farm Agent is a leading insurance agency dedicated to providing exceptional service to our customers.We are currently seeking a dynamic individual to join our team as a Receptionist - State Farm Agent Team Member.Our ideal candidate i

Medical, Vision, & Dental Care depending on full or part time status. Knowledge of Behavioral Health medical terms. Two years of related experience or medical office courses.

Profession Administration Specialty Receptionist Shift Details Shift Job Order Details Start Date 08/31/2026 Client Details City Mount Clemens State MI.Pay packages are gross weekly estimates based on the current bill rate at the time the position is posted.Rates can and do change rapidly so please