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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

Physician Practice Enhancement is seeking an experienced physician for an Nocturnist Emergency Medicine role in East Orange, NJ Carewell Health Medical Center is a boutique community hospital serving Essex County, a place where every patient is family. Formerly known as East Orange General Hospital, we are the sole independent, acute care hospital in Essex County and deeply proud to be the cornerstone of care for almost 120 years. Shifts are 12 hr night shifts - Per diem Experience: • Must be a New Jersey licensed physician with a focus on emergency medicine, • Board Certified in Emergency Medicine, • Experience working in a hospital or emergency department setting is preferred, • Proficient in performing procedures such as dermabrasion and ventilating patients, • Knowledge of ICD-9 coding for accurate documentation and billing purposes As an Emergency Medicine Physician, you will play a vital role in providing immediate medical care to patients in need. Your expertise and quick decision-making skills will help save lives and provide comfort during critical situations. If you are passionate about emergency medicine and thrive in a fast-paced environment, we encourage you to apply.

About Binance.US: Binance.US is a licensed and regulated U.S. cryptocurrency exchange where users can buy, trade, hold, and earn digital assets. Recognized as a top U.S. crypto platform by Forbes (Best Crypto Exchanges of 2026) and Business Insider (Best Crypto Exchanges of 2025), leads the industry with its low fees, advanced trading engine, strong security and reliability, and robust compliance framework. Learn more at . All roles supporting _ are employed via BAM Management US Holdings Inc. or BAM Management Canada Holdings Inc. About This Role: The Senior Accountant is part of the Controllership team, within the broader Finance department, and reports to our Manager, Corporate Accounting. As Senior Accountant, you will be responsible for the execution in accounting for Balance Sheet and Income Statement areas within OPEX, such as: AP, T&E, accruals, prepaid expenses and payroll. You will help lead and perform month-end close and audit procedures and own the Accounts Payable function end-to-end. You will partner with key cross-functional departments like Treasury, FP&A, Legal, Marketing, Compliance and People teams to ensure that our books and records are complete and accurate. Core Responsibilities: Support month-end and year-end close by preparing OPEX accruals, prepaid schedules, expense allocations, payroll journal entries, and balance sheet reconciliations. Collaborate cross-functionally with departments such as Treasury, FP&A, Legal and People to ensure the accuracy and completeness of financial data. Provide support during internal and external audits by preparing documentation and offering necessary explanations. Assist in developing, implementing, and maintaining accounting policies and internal controls. Assist in preparing monthly, quarterly, and annual financial statements and reports, including flux analysis. Develop, maintain, and improve accounting workpapers to support financial analysis, reporting, and process automation. Own end-to-end Accounts Payable, including vendor setup, purchase order issuance and invoice matching, invoice processing, and weekly AP payment cycles. Process one-off and ad-hoc payments that require judgment and discretion. Manage vendor relationships and resolve billing discrepancies to maintain accurate and up-to-date vendor accounts. Review GL coding on T&E and credit card transactions and attach supporting documentation as needed. Participate in projects and respond to ad-hoc financial requests as needed. Preferred Skills/Experience: Bachelor’s Degree in accounting; CPA license preferred 3-5 years of accounting experience; public accounting experience preferred. Crypto accounting experience is a plus Direct experience performing detailed and data intensive reconciliations Excellent analytical and problem-solving abilities High attention to detail and accuracy in all financial processes Ability to work independently while maintaining effective collaboration with team members Strong organizational skills, with the ability to prioritize multiple tasks and meet deadlines Solid communication and interpersonal skills to liaise across departments Intermediate to advanced Excel skills Experience with, Mac OSX, GSuite and ERP such as Netsuite preferred Salary: The starting pay range for this role is between USD $115,000 and $130,000 for all U.S. remote locations. The actual base pay will vary, and is dependent upon many factors, such as transferable skill sets, work experience, business needs, and market demands. The base pay range is subject to change. Our Mission: At _, our mission is to create a more inclusive financial system through Web3 technologies. As a U.S. regulated crypto platform, we’re committed to earning trust through compliance and empowering people to do more with their money, bringing financial freedom within reach for all. Our Values: Our values shape how we work, make decisions, and support our users every day: Act with Integrity: We do what’s right, even when no one is watching. Be Collaborative: We work together with respect and transparency to achieve shared goals. Customers First: We listen to, advocate for, and prioritize our users in every decision we make. Do the Work: We take ownership, follow through, and deliver results that move the mission forward. Embrace Change: We stay adaptable and curious, thriving in a fast moving industry. Our Benefits: We believe in supporting our people with flexibility, balance, and opportunities to grow. One of the ways we demonstrate this commitment is through our benefit offerings. Time & Family: Unlimited PTO (for salaried FTE roles); 12 weeks fully paid Parental Bonding Leave. Well-Being: Mental wellness benefits; free 1:1 virtual visits with a licensed mental wellness professional; comprehensive competitive health benefits. Remote-First Culture: Fully remote, cameras-on culture with work-from-home equipment reimbursements available to new hires. Professional & Financial Growth: Annual professional development budget; free 1:1 virtual visits with a career coach; 401k plan with employer match. BAM Management US Holdings Inc. and BAM Management Canada Holdings Inc. are Equal Opportunity Employers and comply with all applicable federal, state, and local fair employment practice laws. Our mission is to give our customers access to a broad array of digital assets, and we thrive because of the diverse and inclusive team that we are building. We do not discriminate against qualified employees, applicants, or any other covered persons because of race, color, religion, creed, gender identity, sex, sexual preference, sexual identity, pregnancy, national origin, ancestry, citizenship, age, veteran status, physical disability, mental disability, medical condition, military status, or any other applicable legally protected characteristic. Depending on your location, data privacy laws may regulate the way we manage the data of job applicants. Our full notice outlining how data will be processed as part of the application procedure for applicable locations is available _. By submitting your application, you are agreeing to our use and processing of your data as required. We comply with Federal Transparency in Coverage regulations by providing a link to machine readable files related to the health plans offered to our employees. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data including negotiated service rates, and out-of-network allowed amounts between health plans and healthcare providers.

Job Title: Junior Revenue Cycle Management (RCM) Specialist Location: Remote - United States Employment Type: FT W2 Compensation: $35 per hour CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). We partner with healthcare organizations to build and manage patient and member populations. About the Role We’re looking for a Junior RCM Specialist to support the full revenue cycle — from billing and credentialing through claims processing, payment posting, and accounts receivable follow-up. This is an ideal role for someone early in their medical billing or healthcare administration career who has a solid grasp of the insurance workflow and wants to grow in a fast-paced virtual care environment. The ideal candidate understands how claims move through the insurance lifecycle, has exposure to provider credentialing, and is comfortable managing accounts receivable. You’re organized, analytical, proactive, and at ease working across billing systems, payer portals, and cross-functional teams. Schedule: Monday - Friday Days What You’ll Do • Support claim submission to ensure timely, accurate billing, • Monitor claim status and follow up on unpaid or denied claims, • Assist with provider credentialing and payer enrollment, keeping documentation and records current, • Manage accounts receivable, including aging follow-up, collections, and resolution of outstanding balances, • Support denial management by identifying issues, documenting trends, and escalating complex cases, • Post payments, adjustments, and remittance information accurately, • Reconcile billing discrepancies and resolve account issues, • Verify patient eligibility, insurance information, and benefits as part of the insurance workflow, • Maintain documentation of billing activity, follow-up efforts, and account status, • Communicate with payers, vendors, and internal teams on claim issues and payment delays, • Help track key RCM metrics such as clean claim rate, denials, days in A/R, and collections, • Support process improvement efforts to increase efficiency and reduce billing errors, • Ensure all work complies with company policies and applicable healthcare regulations What We’re Looking For Required • 1–2 years of experience in revenue cycle management, medical billing, claims follow-up, accounts receivable, or a related healthcare administrative role (preferred), • High school diploma required; associate’s or bachelor’s in healthcare administration, business, finance, or a related field preferred, • Working knowledge of the insurance workflow: claims lifecycle, eligibility and benefits verification, EOBs/ERAs, and denial management, • Familiarity with provider credentialing and payer enrollment concepts, • Understanding of accounts receivable and A/R follow-up, • Familiarity with CPT, ICD-10, and HCPCS coding concepts preferred, • Experience with EHR, PM, billing, or payer portal systems is a plus, • Strong attention to detail and organizational skills, • Good written and verbal communication skills, • Ability to manage multiple priorities and meet deadlines in a remote environment, • Proficiency in Microsoft Excel, Google Sheets, and standard office tools Preferred • Eagerness to learn and grow within healthcare operations, • Problem-solving mindset with a willingness to investigate issues, • Ability to work independently while collaborating with a remote team, • Strong sense of accountability and follow-through, • Comfort in a dynamic, fast-growing organization Work Location Requirement This is a remote U.S.-based position. Employees must perform all work physically within the United States. International work is not permitted during scheduled work hours. Work Environment This is a remote position and may be “on camera” at any time. The Junior Revenue Cycle Management Specialist will work from a home office, requiring reliable internet connectivity and a secure, private workspace. Technical Requirements: Computer: Windows or Apple (macOS) Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones) Must have at least Windows 10 or macOS 14 Sonoma. Hardware: Processor: Intel Core i5 or AMD Equivalent (Windows); Apple Silicon (Macs) RAM: 16 GB Headphones: Wired headphones required for optimal audio quality. (NO built-in mics) Internet Speed: Meet minimum internet speed requirements (100 MBPS download speed and 50 MBPS upload speed). Must have an ethernet cable connecting computer directly into router. Browser and System: Use Google Chrome with Amazon Workspaces (regardless of computer type). Webcam: A webcam is required for video calls. Most laptops have a built-in webcam, which is acceptable. If your computer does not have a webcam, you will need to use an external webcam. Recommended Equipment: A second monitor is highly suggested for laptop users; dual monitors for PC users. Why CareTalk Health • Opportunity to grow with an innovative national virtual care organization, • Exposure to a wide range of revenue cycle operations and healthcare workflows, • Collaborative, mission-driven remote work environment, • Competitive compensation and benefits package, based on experience CareTalk Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. California applicants: Please review our California Applicant Privacy Notice at Collection before applying. The notice explains the categories of personal information we collect, how we use and retain it, whether we sell or share it, and your privacy rights under California law: _

Job DescriptionDescription: About Us Union County Orthopaedic Group, a division of OrthoNJ, LLC, is a fast-paced, patient-centered medical practice specializing in orthopaedics, pain management, and podiatry across three convenient New Jersey locations. We are seeking an experienced Billing Supervisor to lead our billing team, drive revenue cycle performance, and ensure the accuracy and efficiency of our billing operations. Position Overview The Billing Supervisor is responsible for overseeing the day-to-day workflow of the billing department, including follow-up on rejected claims and overdue balances, payor relationship management, and patient accounts receivable. This role is both a hands-on operational position and a people leadership role — requiring someone who can coach and develop staff while also rolling up their sleeves to keep the revenue cycle running smoothly. Requirements: What You'll Do Leadership & Supervision • Assist with recruitment, discipline, and termination of Reimbursement and Patient Collections staff, • Train, develop, and oversee the performance of billing team members; conduct regular one-on-ones to address key issues, A/R performance, and growth opportunities, • Monitor overall department workload and distribute work accordingly; ensure coverage during vacations and absences, • Provide in-service training to staff on insurance requirements and billing updates Revenue Cycle Operations • Maintain working knowledge of all key billing functions including claims processing, payment posting, insurance follow-up, and patient collections, • Analyze aged A/R reports, days in receivable, and collection statistics by payor; present findings to physicians as needed, • Perform quarterly billing audits to ensure timely and accurate charge and payment posting, • Conduct quarterly reviews of EOB forms from commercial and managed care payors, • Meet with physicians to discuss complex or difficult claims, • Monitor patient payment plan adherence and intervene as needed, • Identify opportunities to leverage technology for operational improvements Reimbursement & Managed Care • Maintain and update the practice fee schedule, CPT, ICD-10-CM, adjustment, and payment codes, • Maintain and distribute contracted payment schedules from carriers; input/update into the practice management system, • Request updated payment schedules from contracted carriers annually and prepare quarterly fee/payment comparative reports, • Maintain carrier contracts and assist with credentialing applications and reapplications as requested, • Distribute formularies to clinicians and stay current on specialty, Medicare, Medicaid, and carrier updates Compliance & General • Uphold HIPAA compliance standards; report identified or suspected violations to the Privacy Officer, • Maintain coding compliance standards; actively participate on or support the Compliance Team, • Maintain detailed knowledge of practice management systems and EMR as it relates to job functions, • Attend staff meetings and continuing education sessions as required What We're Looking For • Minimum 2 years of medical billing management experience, preferably in a physician group practice — required, • Revenue cycle experience in a physician group practice setting — required, • Orthopaedic billing experience — required, • Commercial insurance billing experience (e.g., BCBS, Aetna, Cigna, UHC) — required, • Proven knowledge of CPT and ICD-10-CM coding for orthopaedic, podiatry, and pain management procedures, • Strong understanding of managed care contractual arrangements and accounts receivable processes, • Working knowledge of practice management systems and electronic medical records (ModMed/EMA experience a plus), • Strong analytical skills with the ability to interpret and present A/R data, • Excellent verbal, written, and interpersonal communication skills, • Bilingual (English/Spanish) a plus — our patient population includes Spanish-speaking patients and the ability to communicate in both languages is highly valued, • Knowledge of HIPAA and OSHA guidelines, • HS diploma or GED required; Bachelor's degree in Business or related field preferred Why Join the UCOG Division of OrthoNJ, LLC? We offer a collaborative, supportive environment where strong performers are recognized and leadership is valued. If you're an experienced billing professional ready to take ownership of a department and make a meaningful impact, we'd love to hear from you. Union County Orthopaedic Group is an equal opportunity employer. OrthoNJ, LLC is required by New Jersey law to include the salary range for this role. The hiring range for this role is $62k-$90k annually. The range for this role is typically determined by several factors, including the geography in which the selected candidate will be working, and alignment with qualifications and experience. Certain roles may also be eligible for additional compensation (bonus, etc.) and/or benefits. In addition, full-time employees are eligible for standard benefits package including paid time off, medical, dental, vison and retirement plan.

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.

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

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. • Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses., • Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements., • Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission., • Utilize EHR/EMR platforms (such as Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows., • Research and resolve billing discrepancies or claim denials., • Prepare and submit insurance appeals, ensuring compliance with payer guidelines., • Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage., • Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.)., • Collaborate with clinical staff and providers to ensure accurate coding and documentation within electronic systems., • Track accounts receivable and follow up on outstanding claims to maximize revenue. Requirements Qualifications: • High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Billing & Coding, or related field preferred., • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification strongly preferred., • Minimum of 2 years of experience in medical billing, coding, insurance follow-up, and working within EHR/EMR systems., • Strong knowledge of ICD-10, CPT, and HCPCS coding systems., • Hands-on experience with electronic health record (EHR) and electronic medical record (EMR) systems, including Epic, Meditech, and/or PrognoCis., • Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations., • Experience creating cost estimates for medical procedures., • Skilled in preparing and submitting appeals for denied claims., • Proficiency with medical billing software and electronic health record (EHR) systems., • Strong attention to detail, problem-solving, and organizational skills., • Excellent written and verbal communication skills. Preferred Skills: • Experience with Medicare/Medicaid billing and commercial insurance., • Advanced knowledge of EHR/EMR workflows and system navigation., • Ability to work independently and manage multiple tasks in a fast-paced environment., • Customer service experience in a healthcare setting.

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities • Manage full Revenue Cycle Management (RCM) processes, • Verify insurance eligibility and benefits for commercial and Medicaid MCO payers, • Follow up on Accounts Receivable exceeding 30 days, • Review AR aging reports and resolve outstanding balances, • Post payments and perform account reconciliations, • Obtain and manage insurance authorizations, • Review and correct claims to prevent denials, • Interpret payer contracts and reimbursement guidelines, • Maintain accurate billing documentation, • Communicate with payers, patients, and internal teams Required Qualifications • Minimum 2 years of medical billing with RCM responsibilities, • Experience with AR follow-up and medical collections, • Knowledge of medical office workflows, • Proficiency with EMR/EHR systems, • Understanding of medical terminology, • Knowledge of CPT, ICD-9, ICD-10 coding (DRG preferred), • Experience with payment posting and account reconciliation, • Ability to manage payer communications independently Preferred Qualifications • Bilingual (English/Spanish), • Medicaid MCO billing experience, • Multi-location healthcare billing experience Benefits • Medical, dental, and vision insurance, • Health Savings Account (HSA), • Company-paid life insurance and AD&D, • Short- and long-term disability options, • Paid Time Off (PTO), holidays, and sick leave, • 401(k) with employer match, • Employee Referral Bonus Program

Company Overview Summit Spine and Joint Centers (SSJC) is a rapidly growing, multi-state Interventional Pain Management practice providing comprehensive clinical, surgical, and imaging services. With locations across Georgia, North Carolina, South Carolina, Tennessee, Florida, and Texas, our team is committed to delivering exceptional, patient-centered care through collaboration, innovation, and clinical excellence. As one of the largest single-specialty pain management practices in the nation, SSJC continues to expand its network while investing in the people who make our success possible. We are seeking an experienced Medical Billing AR/Denials Lead who can provide day-to-day guidance to the billing team while remaining actively involved in accounts receivable, denial management, and revenue cycle operations. Position Summary The Medical Billing AR/Denials Lead serves as a senior resource for the billing team and supports the daily operations of accounts receivable and denial management. This position is responsible for assisting with workflow coordination, monitoring productivity and outstanding AR, identifying denial and payer trends, providing guidance to team members, and escalating complex issues to management. The Lead will maintain an active workload while helping ensure team priorities, productivity expectations, quality standards, and departmental goals are consistently met. Leadership & Team Responsibilities • Serve as a day-to-day resource and point of contact for assigned AR and denial team members., • Assist management with coordinating daily workflows, priorities, and work assignments., • Monitor team productivity, outstanding accounts, denial activity, and aging AR to identify areas requiring additional attention., • Provide guidance and support to team members regarding complex claims, denials, appeals, payer requirements, and account resolution., • Assist with training and onboarding new team members and provide ongoing coaching on departmental processes and expectations., • Review work for accuracy, completeness, and adherence to established billing and revenue cycle procedures., • Identify workflow challenges, recurring errors, and opportunities for process improvement and communicate recommendations to management., • Monitor outstanding assignments and follow up with team members to support timely completion., • Help reinforce departmental expectations regarding productivity, documentation, communication, and accountability., • Escalate significant payer issues, operational concerns, performance trends, or unresolved accounts to the Billing Manager as appropriate., • Assist management with reports regarding team productivity, AR performance, denial trends, and other departmental metrics., • Promote collaboration, professionalism, and effective communication across the billing team. Accounts Receivable & Denial Management Responsibilities • Maintain an active AR workload while working to maximize collections and minimize aging accounts receivable., • Process insurance denials and appeals to support timely account resolution., • Review AR aging and prioritize accounts requiring follow-up., • Follow up with insurance carriers regarding unpaid claims, underpayments, overpayments, corrected claims, appeals, and outstanding denials., • Analyze denial trends and provide management with summaries of identified issues, root causes, and potential corrective actions., • Review and initiate payer and patient refunds as appropriate., • Ensure issues, sources, follow-up activity, and actions taken are appropriately documented on each account., • Identify and report payer-specific denial trends requiring escalated follow-up., • Create and assist with reports regarding the status of patient accounts, collections, denials, and AR performance., • Address inquiries from insurance companies, patients, providers, and internal departments., • Review claim information for completeness and accuracy., • Process paper zero-pay denials and ensure documentation is appropriately entered into the system., • Verify patient benefits and eligibility when necessary., • Maintain applicable denial and productivity tracking tools., • Ensure compliance with HIPAA and organizational requirements when handling patient and business information. Qualifications • Minimum of 4 years of medical accounts receivable, billing, denial management, or revenue cycle experience, with demonstrated advanced knowledge of AR follow-up and claim resolution., • Previous Lead, Senior Billing Specialist, Team Lead, Trainer, or other demonstrated leadership experience strongly preferred., • Experience providing guidance, training, or workflow support to other team members., • Experience with Medicare, Medicaid, commercial insurance plans, Workers' Compensation, and Personal Injury cases., • Knowledge of claims submission and reimbursement related to office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management., • Strong understanding of medical billing rules, including coordination of benefits, modifiers, EOBs, appeals, and ANSI denial codes., • Strong knowledge of CPT and ICD-10 coding and medical pre-certification protocols., • Ability to analyze AR and denial trends and communicate findings effectively to team members and management., • Strong organizational, problem-solving, and decision-making skills., • Ability to appropriately prioritize competing departmental needs and escalate issues when necessary., • Excellent written and verbal communication skills., • Ability to provide constructive feedback and direction professionally and respectfully., • Strong computer skills, including Microsoft Office., • Comfortable working in a growing, dynamic organization and navigating changing priorities., • Self-motivated with the ability to manage an individual workload while supporting team operations., • Bachelor's degree preferred., • Experience using eClinicalWorks preferred., • Pain Management experience preferred. Preferred Location While this is a remote position, preference will be given to candidates residing in one of the following states: • Georgia, • Texas, • North Carolina, • South Carolina, • Florida Candidates located in Georgia should be able to attend meetings or training at our Lawrenceville administrative office as needed. Compensation & Benefits This is a full-time position offering a competitive salary, paid time off (PTO), comprehensive health benefits, and a 401(k) with company match. Essential Professional Expectations The employee must communicate professionally, respectfully, and effectively with patients, visitors, clinicians, coworkers, and vendors, including in busy, demanding, or stressful circumstances. The employee must maintain professional composure and consistently perform assigned duties throughout the scheduled work period; manage routine workplace stressors and feedback without disrupting patient care, patient-facing operations, or coworkers' work; and use established de-escalation and escalation procedures when appropriate. The employee must exercise sound judgment; maintain appropriate workplace boundaries; receive and respond to routine feedback and direction; protect confidential patient and business information; and address patient or workplace concerns through established supervisory and safety procedures. These functions are essential to the position. As a Lead, the employee is also expected to model these professional standards for the team and support management in reinforcing appropriate communication, accountability, and departmental expectations.

Position Summary Brault is a practice management, billing and coding company exclusively serving acute care independent physician practices. A high volume privately held and family-owned medical billing company, we are currently looking for an energetic, experienced and service driven Client Manager. The Client Manager works with the Officers of the Company and other Management to provide the highest level of service possible to each Client. The Client Manager works with their Service Teams to maximize their productivity and accuracy in processing and pursuing Client account follow-up to optimize collections per visit. The Client Manager seeks to thoroughly research and understand Client billing needs/issues and communicate them to fellow Management and Staff. The Client Manager will interact proactively and positively with all Clients and Staff establishing professional partnerships, teamwork and cooperation. The Client Manager supports the Company Mission Statement and is responsible for meeting or exceeding Client Targets, Compliance Standards and Contractual Requirements. Essential Duties and Responsibilities • Support the Company Mission Statement and contribute to the development of a positive culture through personal example, contributions to assigned committees, and daily interactions with other Staff., • Comprehend and support Compliance Policies and Protocols outlined in the Compliance Manual by:, • Reviewing new situations for Clients for possible compliance issues;, • Facilitating escheat and refund processes for Clients as appropriate;, • Monitoring third party payer denials for possible Compliance problems;, • Monitoring Client monthend reports for unexplained fluctuations in average patient charge, acuity, erroneous physician billing., • Assisting Billing Systems with appropriate master file entry of physicians., • Appropriately notify the Compliance Officer of potential compliance problems or violations., • Work closely with the Officers of the Company to effectively manage the Clients’ business and practices to optimize collections per visit and achieve established Client Targets by:, • Coordinating analyses of key performance data and providing feedback as appropriate to Clients;, • Provide monthly written analysis of month end key metrics with action plans as needed;, • Provide timely, thoroughly reviewed responses to Client issues or questions including patient complaints;, • Facilitating Client Set-up (as appropriate); Demonstrating full knowledge of Clients’ contracts and hospital relationships; Managing the Accounts Receivable Follow-up Processes to optimize C.P.V.;, • Investigating Third Party Payor issues/trends and notifying/documenting problems for Officers, Clients, and Staff; Closely monitoring daily and weekly claims processing; provide solutions;, • Ensuring the timely resolution of referred Patient Complaints;, • Work in a positive manner to provide knowledgeable, accurate information and documentation to other Departments to improve services to Clients including:, • Demonstrate knowledge of On-Site and/or Data Control issues and offer solutions;, • Understand and communicate Client requests regarding Patient messaging and scripting for Patient Services; maintain up-to-date Contract Summary Forms;, • Review and track Provider Enrollment holds and denials, • Provide guidance and approvals on complex, non-standard refunds;, • Accumulate data, track errors, and interpret results to guide and assist Operations to improve and standardize processes;, • Work effectively with subordinates to increase their knowledge base and skills, to train them to analyze/resolve problems, and to create a stronger sense of teamwork and Client service;, • Assisting Coders and Provider Enrollment in identifying new physicians and completion of enrollment processes; Work with individual team members to assess, track and improve their productivity and accuracy, to provide skills training and fully orient staff in all aspects of billing (as appropriate), and to perform individual reviews annually within 60 to 90 days of due date (or as necessary to address performance issues) to achieve Team, Client and Company goals, • Maintain services and costs within established budgets and report on/initiate actions to address problems or variances., • Review and understand the following Departments and/or organizational functions:, • Accounts Receivable Management;, • Payment Posting;, • Claims Processing;, • Designated Systems Functions., • Perform other duties as assigned for Practice Management Clients, • Assist with benefits administration, payroll changes, scheduling changes, staffing and meeting administration., • Perform other duties as assigned to achieve Company goals. Requirements Knowledge, Skills, and Abilities • Advanced knowledge of MS Word and Excel, • Advanced knowledge of MS Teams, • Advanced analytical and problem-solving skills, • Knowledge of medical billing: denials, appeals, secondary billing and refunds., • Ability to multi-task, organized and detail oriented., • Ability to meet/exceed goals and build relationships, • Strong customer focus with ability to resolve Client or patient disputes. Education and Experience • Bachelor’s degree preferred in related field, • Experience in an accounts receivable environment., • Basic knowledge of payment posting and accounting., • Proficient in billing system (does not include reports); Athena preferred., • Experience in sales, business, or management preferred Salary Description $75,000.00-$105,000.00

At_, we are building the first clinically validated, physician-supervised AI agent that manages chronic diseases. We are an early-stage startup founded by Stanford physicians. We are seeking a talented and highly motivated Finance Lead to join our team as our first in-house finance hire. This is a foundational role for someone who wants to build the financial infrastructure of a fast-growing healthcare technology company from the ground up. This is a remote role, with candidates preferred to be physically located in the San Francisco Bay Area. You’re a hands-on finance leader who is equally comfortable building a financial model, managing grant budgets, reviewing the monthly close, digging into revenue cycle performance, preparing materials for leadership, and taking on operational work when needed. You have strong financial and analytical fundamentals, but you’re not looking for a narrowly defined FP&A role. You want broad ownership and enjoy operating at the intersection of strategic finance, accounting, healthcare operations, grants, compliance, and company planning. As our first in-house finance hire, you’ll be expected to be highly hands-on from day one while building the systems, processes, and financial discipline that can scale with UpDoc. Own UpDoc’s financial planning and analysis, including annual planning, budgeting, forecasting, scenario modeling, and ongoing performance reporting. Build and maintain the company’s financial model, providing leadership with clear visibility into revenue, expenses, cash, runway, headcount, and future capital requirements. Own monthly and quarterly financial reporting and develop dashboards and reporting that make company performance easy to understand. Partner with leadership on resource allocation, hiring plans, strategic investments, and other key operating decisions. Oversee the accounting function and external accounting partners, ensuring accurate and timely bookkeeping, month-end close, financial statements, and reconciliations. Manage and improve core finance processes including accounts payable and receivable, expense management, purchasing, payroll coordination, and cash management. Own financial management of grants, including grant budgeting, forecasting, expense tracking, financial reporting, and ensuring expenditures remain aligned with grant requirements. Partner with internal teams and external advisors to maintain strong grant compliance, documentation, reporting, and audit readiness. Oversee and improve revenue cycle management processes, including coding, billing, claims, reimbursement, collections, and related financial workflows. Develop reporting and controls to monitor revenue cycle performance, identify issues, and improve accuracy, efficiency, and collections. Coordinate tax, audit, insurance, and other financial compliance activities with external advisors. Support board and investor reporting, including financial analysis, forecasts, KPIs, and presentation materials. Support future fundraising processes, including financial modeling, diligence, data-room preparation, and investor materials. Help manage the company’s cap table, equity-related financial reporting, and associated processes in partnership with leadership and external advisors. Develop financial and operational metrics that help UpDoc understand performance as the business scales, including revenue, margins, unit economics, reimbursement, and other relevant business and healthcare metrics. Evaluate and implement finance systems, tools, controls, and workflows that improve accuracy and efficiency while remaining appropriate for an early-stage company. Leverage AI and automation tools to improve financial analysis, reporting, forecasting, documentation, and operational workflows. Take ownership of a range of finance-related and general operational projects as company needs evolve. Build strong financial discipline across the organization without introducing unnecessary process or bureaucracy. Help define how the finance function evolves and, over time, build additional internal finance capabilities as the company grows. 6+ years of relevant experience across strategic finance, FP&A, accounting, healthcare finance, or related finance roles, with meaningful experience in a startup or high-growth environment. Experience owning financial models, budgets, forecasts, and scenario planning. Strong understanding of financial statements and accounting fundamentals, with enough accounting depth to effectively oversee the close and external accounting partners. Demonstrated experience with grant budgeting and financial management, including budget development, expense tracking, reporting, compliance requirements, and audit-ready documentation. Strong understanding of healthcare revenue cycle management, including medical coding, billing, claims, reimbursement, collections, and the financial implications of payer processes. Experience translating financial and operational data into clear recommendations for executives and non-finance stakeholders. Demonstrated ability to build processes and financial infrastructure in an environment where they may not already exist. Proficiency with AI tools and a demonstrated ability to use AI and automation to improve finance, analysis, reporting, or operational workflows. Excellent analytical skills and attention to detail. Strong written and verbal communication skills, including the ability to prepare clear, executive-level financial reporting. Comfort working independently and taking ownership of both strategic projects and hands-on execution. A highly flexible, operational mindset and willingness to take on work outside a traditional finance remit when needed. Ability to operate effectively in a fast-moving, ambiguous early-stage environment. Experience as an early or first finance hire at a venture-backed startup. Experience in healthcare technology, digital health, AI, or another regulated or technology-driven industry. Experience managing financial requirements associated with government, research, or healthcare-related grants. Experience with healthcare reimbursement models and revenue cycle operations in a provider or digital healthcare environment. Experience supporting fundraising, board reporting, investor reporting, or financial due diligence. Experience with revenue modeling, pricing, unit economics, and commercial financial analysis. Experience implementing or scaling finance systems and processes. Familiarity with startup finance and operational systems such as QuickBooks, NetSuite, Carta, Gusto, Ramp, Brex, or similar platforms. CPA, MBA, or other relevant financial qualification is a plus, but not required.

Job DescriptionDescription: Position Summary Children's Specialized ABA is investing in an independent internal audit function as a core part of its compliance and risk infrastructure. As the organization scales, the ability to systematically verify that billing, credentialing, and clinical documentation controls are working is a strategic priority for protecting revenue integrity, payer relationships, and regulatory standing. The Director of Internal Audit will own this build. In the near term, that means personally designing and executing the monthly audit program; over time, it means standing up a team and an operating model that can sustain that level of rigor without the Director performing every review personally. This is both a hands-on execution role and a function-design role: the person we hire will need to be equally comfortable pulling a sample and writing findings themselves, and thinking several steps ahead about how this function should be structured and staffed as the organization grows. The role also carries strategic accountability for how the organization presents itself to external payers during audits and medical records requests - coordinating the internal contributors who assemble documentation, applying a risk lens to what is submitted, and ensuring the organization's response reflects well on its overall compliance posture. This person will not personally pull every record but is accountable for the process and the judgment applied to it. Key Responsibilities • Design the monthly audit methodology including the sampling approach, testing procedures, and documentation standards within the scope and cadence established with leadership., • Personally select a representative monthly sample of providers across states and payers and execute audit testing across all required areas until a team is hired and trained to take on this work. Testing areas should include:, • Provider credentialing and licensure: confirm sampled providers are credentialed with relevant payers and that licensure/state registration is current and in good standing., • HR file completeness: confirm each sampled provider (BCBA or BT/RBT) has a resume on file, with any gaps greater than 6 months explained and documented., • Client file completeness: confirm that every client assigned to sampled providers has a signed handbook, intake form, and financial responsibility agreement on file., • Authorization and documentation: verify that clients assigned to sampled providers have valid authorizations, referrals, and CDEs in place., • Billing and coding accuracy: review claims for sampled providers/clients for accuracy and completeness and assess whether the day-to-day review process (prebilling QA, designated reviewer follow-up) is functioning as intended, not just whether errors exist., • Clinical documentation and medical necessity: assess whether session notes support medical necessity and evaluate whether clinical flags generated by NoteGuardAI are being reviewed and corrected before billing. Translate Findings Into Organizational Improvement • Partner with process owners to provide guidance and best practices for organizational improvement, treating every audit finding as an opportunity to strengthen how the organization operates, and staying engaged until the underlying process is genuinely better, not just documented., • Shape the organization's monthly dialogue on risk and quality through executive reporting that captures both audit outcomes and broader themes - where the organization is strong, where it's exposed, and where leadership's attention should be focused., • Track issues to true resolution rather than surface closure and connect the dots across audit cycles so the organization is solving root causes and anticipating risk, rather than chasing recurring symptoms. Own the Organization's External Audit Posture • Serve as the accountable owner for the organization's response to payer-initiated records requests and billing audits, coordinating across the Authorizations, RCM, and Clinical Quality functions that assemble the source records and documentation., • Review compiled submissions for completeness, accuracy, and audit risk in advance of the submission deadline, escalating any item that presents a risk of failing the audit to leadership for discussion., • Coordinate final review and approval and oversee timely submission to the payer through the organization's designated secure channels., • Support the organization's response to recoupment or adverse audit findings, coordinating documentation and internal stakeholders as leadership and legal counsel determine appeal strategy. Build and Lead the Internal Audit Team • Define the target structure, staffing plan, and workflows for an internal audit team as the function matures beyond a single practitioner, with a business case for headcount tied to organizational growth and risk exposure., • Recruit, hire, train, and manage audit staff; hand off sampling, testing, and documentation workflows while retaining accountability for audit quality, methodology, and executive reporting., • Establish quality-control and review processes so audit output remains consistent and defensible as the team grows., • Continuously refine audit scope and testing procedures as regulations, payer requirements, and organizational risk areas evolve, positioning the function to anticipate risk rather than simply respond to it. Qualifications Required • 8+ years of progressive experience in healthcare internal audit, compliance, or regulatory/payer audit functions; prior experience building or scaling an audit or compliance function is strongly preferred., • Working knowledge of Medicaid and commercial payer billing requirements; ABA, behavioral health, or other therapy-services billing experience is a significant plus., • Demonstrated experience reviewing clinical documentation for medical necessity and evaluating provider credentialing/licensure compliance., • Track record of managing or coordinating high-stakes, deadline-driven external audit or records-request processes with a payer, regulator, or accreditation body., • Ability to operate as an individual contributor initially, paired with the strategic judgment and leadership instincts to design and grow a function others will eventually run., • Strong written communication skills; able to produce clear, defensible audit findings and executive-level reporting that informs organizational decision-making., • Bachelor's degree in accounting, healthcare administration, nursing, or related field; or certifications in internal audit. Preferred • Experience with Central Reach or comparable ABA practice management/EHR systems, and with payer billing QA/flagging tools., • Experience operating under a dual reporting structure (e.g., finance and operations) and partnering closely with compliance and legal stakeholders. What Success Looks Like • A repeatable, well-documented monthly audit program is live and defensible within the first two audit cycles., • Process gaps are identified, escalated, and tracked to resolution rather than simply reported. Recurring patterns inform broader risk conversations with leadership., • External payer audit responses are submitted on time, with no last-minute scrambles and clear accountability across contributors., • Within 12–18 months, a functioning internal audit team is in place, with workflows handed off and quality maintained, and the function is positioned as a trusted strategic partner to leadership rather than a back-office check. Requirements:

Job DescriptionDescription: About Us Union County Orthopaedic Group, a division of OrthoNJ, LLC, is a fast-paced, patient-centered practice specializing in orthopaedics, pain management, and podiatry across three convenient New Jersey locations. We are looking for a detail-oriented, experienced Billing & Collections Specialist to join our billing team and play a key role in the financial health of our practice. Position Overview The Billing & Collections Specialist is responsible for the timely follow-up of rejected claims, unpaid insurance balances, and patient accounts receivable. This role requires a strong understanding of the revenue cycle in a physician group practice setting, the ability to build productive relationships with commercial payors, and a commitment to accuracy, confidentiality, and professionalism. Requirements: What You'll Do • Follow up on rejected and unpaid insurance claims using EOB forms, aged A/R reports, and payor portals; initiate follow-up on claims 45+ days outstanding, • Reprocess paper and electronic claims for assigned carriers; review and resolve clearinghouse edit reports daily, • Post adjustments, withholds, deductibles, and coinsurance transfers; submit balanced payment batches daily, • Appeal payments that do not align with contractual agreements; partner with the Billing Manager on persistent payor issues and denial language, • Manage patient accounts, including payment plan setup, statement processing, collection letter generation, and outside agency referrals, • Respond to written and phone inquiries from patients and insurance carriers with professionalism and accuracy, • Verify patient eligibility and benefits; ensure all account information is current and accurate, • Monitor monthly payor policy/guideline updates and report relevant changes to the Billing Manager, • Scan and document all correspondence, appeals, and actions taken in the practice management system, • Process requests for insurance and patient refunds, submitting to the Billing Manager for approval, • Support the team with payment posting (including in-absence coverage) and general billing office functions What We're Looking For • Minimum 2 years of revenue cycle experience in a physician group practice billing department — required, • Orthopaedic billing experience — required, • Commercial insurance billing experience (e.g., BCBS, Aetna, Cigna, UHC) — required, • Familiarity with CPT and ICD-10-CM coding for orthopaedic, podiatry, and pain management procedures, • Working knowledge of practice management systems and electronic medical records (ModMed/EMA experience a plus), • Strong analytical skills with exceptional attention to detail, • Excellent verbal and written communication skills, • Bilingual (English/Spanish) a plus — our patient population includes Spanish-speaking patients and the ability to communicate in both languages is highly valued, • Ability to work collaboratively with physicians, clinical staff, patients, and insurance representatives, • Knowledge of HIPAA and OSHA guidelines, • HS diploma or GED required Why Join the UCOG Division of OrthoNJ, LLC? We offer a supportive, team-oriented environment where your expertise is valued and your contributions make a direct impact. Join a practice that takes pride in delivering exceptional patient care — and equally exceptional support behind the scenes. Union County Orthopaedic Group is an equal opportunity employer. OrthoNJ, LLC is required by New Jersey law to include the salary range for this role. The hiring range for this role is $18-30 hourly. The range for this role is typically determined by several factors, including the geography in which the selected candidate will be working, and alignment with qualifications and experience. Certain roles may also be eligible for additional compensation (bonus, etc.) and/or benefits. In addition, full-time employees are eligible for standard benefits package including paid time off, medical, dental, vison and retirement plan.

Job DescriptionDescription: Full time position for medical office manager and medical biller and coder Should be able to manage vaccines, inventory, staff schedules, processing claims, office work flow etc.. Manage office meetings, RCM meetings Requirements: Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be able to multi-task and be a team player. Should be proficient in computer skills.

Job Description Job Summary The Vice President of Revenue Cycle (VP of RCM) for CareWell Health Medical Center reports to the CFO of CareWell Health and will have oversight over the hospital’s revenue cycle functions. The VP of RCM will be responsible for oversight and management of the day-to-day functions of the Patient Financial Services Department for CareWell Health to ensure accurate and timely patient registration, clinical coding, patient and payor billing, collections and analysis of patient accounts receivable with the goal of improving net revenue and cash flow through optimal management of the AR. The VP of RCM must maintain strong relationships with hospital senior leadership. This position will also work collaboratively with the finance team on all forecasting, budgeting and ensuring that all internal controls are in place/followed regarding compliance and applicable federal, state and local regulatory laws and rules for financial tax reporting. Essential Functions Ø Develops, leads and improves revenue cycle workforce, processes, policies and procedures, and technologies to ensure they are consistent with an effective revenue management approach Ø Develops, leads and improves revenue cycle workforce, processes, policies and procedures, and technologies to ensure they are consistent with an effective revenue management approach Ø Oversees the management and continuous improvement of the operational standards to positively impact the overall collection, financial yield, cost of collection, accounts receivable days, and the service experience throughout CareWell Health Ø Provides regular reports to members of the Executive Leadership Team, in written and presentation formats Ø Acts as a single point of accountability for CareWell Health's revenue cycle performance and improvement opportunities Ø In collaboration with Managed Care leadership, ensures effective compliance and management of contract terms related to reimbursement and other revenue cycle activities Ø Provide effective management by providing, assessing and teaching appropriate staff and promoting communications and feedback. Ø Effectively manage information to meet the needs of the organizations by creating systems, analyzing data and providing timely reporting. Ø Key areas of responsibility include oversight of the hospital registration, insurance verification, financial counseling, revenue integrity, clinical documentation improvement (CDI), health information management, patient financial services, training, and overall collection of patient service revenues across the revenue cycle Ø Develops, leads and improves revenue cycle workforce, processes, policies and procedures, and technologies to ensure they are consistent with an effective revenue management approach Ø Establish goals and matrixes to measure the effectiveness of workflows and cash collections of patient accounts receivable. Ø Analytic and decisive decision maker with the ability to prioritize and communicate to staff key objectives and tactics necessary to achieve organizational goals. Must be able to think creatively and strategically, in order to develop and implement management procedures. Ø Detailed knowledge of 3rd party data and billing requirements. Ø Must be process and data driven. Ø Exceptional organizational skills with the ability to excel in fast-paced, deadline-oriented environment. Ø Specific knowledge of Patient Accounting Protocol, financial systems, 3rd party, state and federal regulations, Fair Debt Collection Law, and broad knowledge of associated hospital systems and practice. Ø Strong interpersonal skills, ability to communicate and manage well at all levels of the organization and with staff at remote locations essential. Ø Strong problem solving and creative skills and the ability to exercise sound judgement and make decisions based on accurate and timely analyses. Ø High level of integrity and dependability with a strong sense of urgency and results-orientation. Ø Action-oriented, entrepreneurial, flexible, and innovative approach to management. A savvy leader with proven team building skills. Ø Proven written and verbal communication skills with demonstrated leadership ability. Capable of developing and motivating people. Ø Possess personal qualities of integrity, credibility, and commitment to organization’s mission. Ø Team building and cooperative work environment preferred. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Minimum Education/Certifications · BS degree in relevant field required. Minimum Work Experience · Minimum 10 years of leadership experience in hospital revenue cycle management role. CareWell Health provides a salary/hourly rate range for all open positions to comply with New Jersey Law. The rates listed for each position is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range does not include bonuses/incentives, differential pay or other forms of compensation which can be discussed in detail with your talent acquisition specialist. The salary/hourly rate range for this position is: $ 180K -$210K Salary ranges shown on third-party job sites may not accurately reflect ranges provided by CareWell Health. Candidates should discuss salary/hourly compensation and details of our comprehensive benefits with our talent acquisition specialist if selected for an interview. We offer an excellent benefit package including but not limited to the following benefit offerings: Health, Dental and Vision Insurance Basic Life and Disability Insurance Whole Life, Accident, Critical Illness and Hospital Indemnity Insurance Flexible Spending Accounts Employee Assistance Program 401(k) Paid Holidays and a generous Paid Time Off Plan"

Minimum one year experience in medical billing/coding preferred. The Center for Sports Medicine and Orthopaedics is seeking a remote Coding Specialist for a full-time position in Chattanooga, TN. Exposure to carriers, medical terminology, ICD-10, CPT and Ambulatory Surgery Center coding highly prefe

MEDITECH experience required Multiple positions available – Speedy interview process! Support our healthcare partners & help them thrive at Meduit! Insurance Follow-Up Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments. If you're a skilled communicator eager to make a tangible difference in the healthcare ecosystem, apply today! • Process, monitor, and collection of Medicare, Medicaid, TRICARE, VHA, and other government insurance claims in accordance with payor requirements, • Verify accuracy of billing data and revise any errors, • Import/post payments from all Government payors, • Timely resolution of all claims including appeals, • Follow up on accounts for billing and on overdue accounts for collections via phone calls, re-submissions and adjustments for billing errors, • Work with personal information and maintain patient confidentiality, • Reduce outstanding accounts receivable by managing claims inventory  , • Gather, verify, and input patient demographic, clinical, and financial information from various sources to ensure accurate registration, billing, and eligibility for services, • Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.  , • Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.  , • Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and clients, • Integrity, • Communication, • Problem-solving, • Teamwork, • High School Diploma/GED, • Meditech expertise, • 4 years of Denials Management experience, • 4 years Medical Billing/Follow-up experience, • 3 years of Medicare, Medicaid, or other government payor experience, • Proficiency in medical coding (ICD-10, CPT, HCPCS), • Proficiency with billing software and electronic health record systems, • Pay: $20-22/hour, • Schedule: 8am-5pm Central, Mountain, or Pacific Time Zone, • Location: Remote, • Paid Training: 3 weeks, • Internet Speed Test: Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. (you can test your speed here: _), • Background check: As a condition of employment, a pre-employment background check will be conducted., • At this time, we are unable to consider candidates residing in the state of New York for this position What we offer: • Steady work schedule (remote), • Full comprehensive Paid Training Program (3+ weeks), • Medical, Dental, and Vision insurance, • HSA and FSA available, • 401(K)plans with company match, • PTO and Paid holidays, • Employer paid life insurance and long-term disability, • Internal company growth What we do: Meduit was born out of a drive for excellence and a passion for improving revenue cycle management (RCM) for healthcare organizations and the patients they serve. To achieve our goal, we need you! Employees are the cornerstone of our success. As one of the nation’s leading RCM solutions companies, we partner with hospital and physician practices in 48 states to provide excellent and compassionate patient engagement. We focus on the payments so our clients can focus on their patients, by living our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and being Results-Oriented. You can find out more about Meduit at www.meduitrcm.com. Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state, or local protected class. #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: _

A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is Direct Hire with our Client Skills Required: • 3+ years in a large call center with excellent customer service skills, • Bilingual in Spanish/English is a major plus, • Some experience in a call center or customer service role within the health insurance industry required. Job Summary: Provide excellent service to customers through the resolution of basic customer inquiries received by phone or though written correspondence. Responsibilities: • Receive customer inquiries via phone, fax, mail, e-mail, etc. If necessary, probe for additional helpful information (i.e. member ID, claim number, name, etc.) in order to effectively handle inquiry., • Review computer systems and/or other reference materials to complete verification process., • Initiate investigation process based on the nature of the inquiry (claim, member information, benefits, enrollment, appeals, etc.)., • Utilize available resources to quickly and efficiently resolve or redirect inquiries in accordance with prescribed departmental process., • Accurately document customer inquiries and actions taken in accordance with departmental quality guidelines to ensure appropriate follow up., • Follow up on unresolved issues in a timely manner, escalating call trends to management., • Deliver an excellent customer service experience while meeting quality and production standards., • Perform other relevant tasks as assigned by management. Core Individual Contributor Competencies: • Personal and professional attributes critical to successful performance for Individual Contributors:, • Customer Focus, • Accountable, • Learn, • Communicate Knowledge: • Medical terminology and medical billing coding preferred Skills and Abilities: • Excellent Customer Service skills including the ability to manage and diffuse irate calls, • Ability to work in a high pressure, fast pace environment, • Keyboarding proficiency, • PC proficiency, • Strong verbal and written communication, • Interpersonal skills (i.e. active listening), • Investigative and analytical skills, • Ability to multitask, • Time management skills, • Flexibility and adaptability, • Ability to work effectively within a team environment High school degree or equivalent required. Some college preferred. Some experience in a call center or customer service role within the health insurance industry required. This is Direct Hire with Our Client. Interested candidates can reach me at 732-549-2030 Ext 232 By clicking the link above or any third-party link within this posting, you are leaving this site and going to a third-party website where the third-party website's terms and privacy policy apply I'm interested

Monitors denial work queues for facility (technical) billing across all payers. Reviews daily, weekly, and monthly denial reports by payer, denial type, and financial impact. Categorizes denials consistently using standardized HFMA and internal definitions. Analyzes CARC/RARC codes to determine root causes and required next steps. Investigates underlying issues such as registration errors, eligibility, authorization, coding, medical necessity, billing edits, and payer-specific requirements. Maintains a centralized denial log that includes denial category, status, actions taken, and financial implications. Performs trend analysis to identify patterns, spikes, or recurring issues. Differentiates avoidable vs. unavoidable denials and reports preventable causes. Conducts root-cause analysis and escalates systemic issues to Revenue Integrity. Evaluates upstream workflow breakdowns (registration errors, auth gaps, documentation issues, coding discrepancies, etc.). Prepares regular denial dashboards showing: Denial volume by category and payer Dollar impact Aging and trends over time Avoidable vs. unavoidable breakdowns Produces actionable insights for leadership and operational teams. Ensures reporting aligns with the hospital's standardized denial management framework. Provides data, summaries, and insights for the Denials Steering Committee and associated Workgroups. Tracks progress on Performance Improvement Plans (PIPs) and action items owned by various departments. Partners with Business Owners to review trends and monitor corrective actions. Helps reinforce accountability by documenting follow-up items and escalating barriers. Supports the overall shift from denial recovery ? denial prevention. Works with Patient Access, Coding, Utilization Review, Billing, Managed Care, and clinicians to reduce denial root causes. Participates in workflow reviews, education efforts, and operational redesign related to denials prevention. Supports implementation and post-implementation monitoring of improvement initiatives. Monitors payer policy and regulatory updates as they relate to denials. Provides denial samples, data, and trend summaries for payer escalation or audit review. Does not perform appeals but provides analytical support to downstream teams who do. Ensures data accuracy, consistency, and compliance with internal policies, CMS, HIPAA, and payer requirements. Validates denial data regularly to ensure reliability of reporting dashboards. Education & Experience Associate's or Bachelor's degree preferred. Minimum 3 years of hospital revenue cycle or denial management experience Familiarity with UB-04 facility billing, payer remits, CARC/RARC codes, and OPPS/APC/DRG methodologies strongly preferred. Skills & Knowledge Strong analytical and data interpretation skills. Proficient in Excel and denial/billing systems (e.g., Meditech, Epic). Understanding of Medicaid, Medicare, and commercial payer denial rules. Ability to communicate effectively across clinical and administrative departments. High attention to detail, accuracy, and organizational skills. This role requires onsite presence 3x a week Salary Range: $60,000 - $70,000 (Commensurate with Experience) Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit _. Job Title: RCM Specialist-Ophthalmology Must reside in the following states: AL, AZ, FL, GA, IL, IN, KS, KY, MI, MN, MO, NC, NJ, OH, OK, PA, TX, VA Job Summary As a member of the Revenue Cycle Management Team, the RCM Specialist is a subject matter expert regarding RCM processes and procedures necessary for EyeCare Partner Practices. The RCM Specialist may be responsible for multiple elements including, but not limited to: Billing, Coding, Payment Posting, Accounts Receivable (A/R) follow up, insurance claim submission and managing customer services requests from patients. Duties and Responsibilities -Prepare, review, and transmit claims using billing software including electronic, website submission, and paper claim processing -Post payments both electronically and manually into the practice management system according to set standards and productivity measures. -Status unpaid claims within standard billing cycle timeframe -Timely review/handling of insurance claim denials, exceptions, or exclusions -Forwards requests for medical records to appropriate internal resources -Addresses/corrects demographic information requested by insurance company -Ability to read and accurately interpret insurance Explanation of Benefits (EOB’s) -Verifying insurance payments for accuracy/compliance based on contracts to ensure correct reimbursement is received -Following up directly with insurance companies regarding payment discrepancies -Utilizing aging reports and workflow statuses to address any unpaid or open claims over 30, 60, 90, and 120 plus -Coordination of Benefits (COB) – Ability to Identifying and bill secondary or tertiary -Documenting denials associated with patient responsibility to forward to the collection team -Ability to research and appeal denied claims -Answering all patient or insurance telephone inquiries pertaining to assigned accounts -Report payment discrepancies or denial trends identified. -Keep supervisor abreast weekly of any concerns or issues associated with accounts -Adhering to company standards of compliance with policies and procedures -Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service. -Performs other duties that may be necessary or in the best interest of the organization. Education, Licensure & Certification Requirements High School Diploma or GED CPC, RHIT, CCS, or CMC Coding Credentials preferred Experience Requirements 3+ years of Medical Insurance Billing. Ophthalmology Practice preferred. Knowledge, Skills and Abilities Requirements • Experience with CPT and ICD-10; Familiarity with medical terminology, • Knowledge of billing procedures and collection techniques, • Detail oriented, professional attitude, reliable, • Consistent production results, • Logical, Critical thinking, and research skills, • Excellent organization, time management, and prioritization skills, • Professional in appearance and actions, • Customer-focused with excellent written, listening and verbal communication skills, • Enjoys learning new technologies and systems, • Exhibits a positive attitude and is flexible in accepting work assignments and priorities, • Meets attendance and tardiness expectations, • Management and organizational skills to support the leadership of this function, • Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations, • Interpersonal skills to support customer service, functional, and teammate support need, • Able to communicate effectively in English, both verbally and in writing, • Intermediate computer operation, • Proficiency with Microsoft Excel, Word, PowerPoint and Outlook, • Practice management software and clearing houses experience, • Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines Location/Work Environment: For on-site team members, work takes place in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. Thus, those needing to travel for work must have access to dependable transportation, and their driving record must meet company liability carrier standards. For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives. If you need assistance with this application, please contact (636) 227-2600 Please do not contact the office directly – only resumes submitted through this website will be considered EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Please do not contact the office directly – only resumes submitted through this website will be considered NOTE: Job descriptions are intended to be accurate reflections of those principal job elements essential for making fair pay decisions about jobs. Nothing in this job description restricts management right to assign or reassign duties and responsibilities to this job at any time.

Medical office associate manages both the front and back of the office, including billing support, scheduling, coding, patient communication, and filingPrincipal Accountabilities:Interviews patients for case histories prior to appointments. Medical Office Associate (Front Desk Receptionist)Responsib

Job DescriptionDescription: We are seeking a detail-oriented and experienced Billing and Coding Specialist to join our healthcare team. This role is vital in ensuring accurate and timely processing of medical claims, supporting our commitment to efficient patient care and revenue cycle management. If you have a strong understanding of medical billing and coding procedures, we invite you to become a key part of our organization’s success. Key Responsibilities: • Review and accurately code medical diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems., • Prepare and submit insurance claims in a timely manner, ensuring compliance with payer requirements., • Verify patient insurance coverage and obtain necessary authorizations., • Follow up on unpaid or denied claims to facilitate prompt resolution., • Maintain detailed and organized records of billing and coding activities., • Stay updated on changes in coding regulations and insurance policies., • Collaborate with healthcare providers and administrative staff to resolve billing issues., • Ensure compliance with all relevant healthcare laws and regulations. Benefits Available: • Multiple medical and prescription coverage options, • Dental and vision care plans, • Health Savings Accounts (HSAs), where applicable, • Flexible Spending Accounts (FSAs), • Voluntary critical illness, cancer, and accident insurance, • Voluntary hospital indemnity coverage, • Voluntary short-term and long-term disability insurance, • Voluntary term life insurance and AD&D (Accidental Death & Dismemberment), • 401(k) retirement savings plan, • Paid time off (PTO), • Commuter benefits, • Group Auto and Homeowners Insurance Discounts Join our dynamic team where we value accuracy, efficiency, and continuous learning. We offer opportunities for professional growth, a collaborative work environment, and learning experience to support your career development. Requirements: Skills and Qualifications: • Proven experience in medical billing and coding, preferably in a healthcare setting., • Certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is preferred., • Strong knowledge of ICD-10, CPT, HCPCS coding systems, and medical terminology., • Familiarity with electronic health records (EHR) and billing software., • Excellent attention to detail and organizational skills., • Ability to work independently and as part of a team., • Strong communication skills and problem-solving abilities., • Knowledge of healthcare regulations and compliance standards.

Job Description About the Role: The OP Coding Coordinator plays a critical role in ensuring the accuracy and efficiency of outpatient medical coding processes within healthcare facilities. This position is responsible for overseeing the coding workflow, coordinating between clinical staff and coding teams to guarantee that all outpatient procedures and diagnoses are correctly documented and coded according to regulatory standards. The role involves continuous monitoring of coding quality, providing training and support to coding staff, and collaborating with billing and compliance departments to optimize revenue cycle management. The OP Coding Coordinator also analyzes coding data to identify trends, discrepancies, and opportunities for process improvement. Ultimately, this position ensures that outpatient coding practices support accurate reimbursement, regulatory compliance, and high-quality patient care documentation. Minimum Qualifications: • Associate’s degree in Health Information Management, Medical Coding, or a related field., • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credential., • Minimum of 3 years of experience in outpatient medical coding., • Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems and outpatient coding guidelines., • Proficiency with electronic health record (EHR) systems and coding software. Preferred Qualifications: • Bachelor’s degree in Health Information Management or related discipline., • Experience in a supervisory or coordinator role within a coding department., • Familiarity with revenue cycle management and medical billing processes., • Knowledge of payer-specific coding policies and reimbursement methodologies., • Experience with coding audits and compliance initiatives. Responsibilities: • Manage and coordinate daily outpatient coding activities to ensure timely and accurate coding of medical records., • Review coded data for accuracy and compliance with ICD-10, CPT, and HCPCS coding guidelines and payer requirements., • Serve as a liaison between coding staff, clinical departments, and billing teams to resolve coding discrepancies and clarify documentation., • Provide ongoing education and training to coding personnel on coding updates, regulatory changes, and best practices., • Monitor coding productivity and quality metrics, generating reports and recommending process improvements to enhance coding efficiency., • Collaborate with compliance and audit teams to support internal and external coding audits and implement corrective actions as needed., • Stay current with industry coding standards, payer policies, and healthcare regulations to ensure organizational compliance. Skills: The OP Coding Coordinator utilizes their in-depth knowledge of medical coding systems daily to ensure that outpatient procedures are accurately translated into standardized codes, which directly impacts billing and reimbursement. Strong analytical skills are essential for reviewing coding data, identifying errors, and implementing corrective measures to maintain compliance and optimize revenue. Effective communication skills enable the coordinator to collaborate with clinical staff, coders, and billing teams to resolve documentation issues and provide targeted training. Organizational skills are critical for managing multiple coding workflows, tracking productivity metrics, and coordinating audit activities. Additionally, staying current with evolving coding standards and healthcare regulations allows the coordinator to adapt processes and educate the team, ensuring ongoing compliance and operational excellence.

Job Description You will need to go to Newark NJ to pick up equipment and some training one day, then remote for full assignment This position supports the Health Services and Utilization Management functions and acts as a liaison between Members, Physicians, Delegates, Operational Business members and Member Service Coordinators. Responsibilities: - Performs review of service requests for completeness of information, collection and transfer of non-clinical data, and acquisition of structured clinical data from physicians/patients. - Handles initial screening for pre-certification requests from physicians/members via incoming calls or correspondence based on scripts and workflows, and under the oversight of clinical staff. - Prepare, document and route cases in appropriate system for clinical review. - Initiates call backs and correspondence to members and providers to coordinate and clarify benefits. - Upon completion of inquiries initiate call back or correspondence to Physicians/Members to coordinate/clarify case completion. - Reviewing professional medical/claim policy related issues or claims in pending status. - Upon collection of clinical and non-clinical information MCC can authorize services based upon scripts or algorithms used for pre-review screening. *Non Clinical staff members are not responsible for conducting any UM review activities that require interpretation of clinical information. - Perform other relevant tasks as assigned by Management. Core Individual Contributor Competencies: Personal and professional attributes that are critical to successful performance for Individual Contributors: Customer Focus Accountable Learn Communicate Qualifications: Education: - High School Diploma required. Some College preferred. Work experience: - Prefer 1+ years customer service or medical support related position. Specialized knowledge/skills: - Requires knowledge of medical terminology - Requires Good Oral and Written Communication skills - Requires ability to make sound decisions under the direction of Supervisor - Prefer knowledge of contracts, enrollment, billing & claims coding/processing - Prefer knowledge Managed Care principles - Prefer the ability to analyze and resolve problems with minimal supervision - Prefer the ability to use a personal computer and applicable software and systems - Team Player, Strong Analytical, Interpersonal Skills

Job Description Physician Practice Enhancement is seeking an experienced physician for an Nocturnist Emergency Medicine role in East Orange, NJ Carewell Health Medical Center is a boutique community hospital serving Essex County, a place where every patient is family. Formerly knows as East Orange General Hospital, we are the sole independent, acute care hospital in Essex County and deeply proud to be the cornerstone of care for almost 120 years. Shifts are 12 hr night shifts - Per Diem Experience: • Must be a New Jersey licensed physician with a focus on emergency medicine, • Experience working in a hospital or emergency department setting is preferred, • Proficient in performing procedures such as dermabrasion and ventilating patients, • Knowledge of ICD-9 coding for accurate documentation and billing purposes As an Emergency Medicine Physician, you will play a vital role in providing immediate medical care to patients in need. Your expertise and quick decision-making skills will help save lives and provide comfort during critical situations. If you are passionate about emergency medicine and thrive in a fast-paced environment, we encourage you to apply. 7p-7a

Medical Billing & Coding InstructorCherry Hill (CHH); Clifton (CLF); Somerset (SOM); Toms River (TRV); West Hartford (WHF)American Institute, founded in 1924 as the Hartford Secretarial School, provides hands-on training for careers in the world of business, legal, allied healthcare, diagnostic medi

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Lowcountry Connections Academy (LCCA) is a tuition-free, full-time virtual school serving students in grades K-12 throughout South Carolina.LCCA is authorized under state law by the Charter Institute of Erskine and operated by Lowcountry Connections Academy, a nonprofit corporation, through a contra

Law firm founded in 2015, with offices in Indianapolis and Florida.Specializing in representing couples worldwide in the areas of US immigration matters (K1 fiance visas, marriage-based green cards and citizenship).On a day-to-day basis the Legal Secretary/Paralegal supports the Managing Partner in

All qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disabil

Naples, Florida, United States.Located in Naples, Florida, the practice provides preventive, restorative, and cosmetic dental treatments in a professional and patient centered environment.The office uses modern tools including digital scanners, 3D imaging, and advanced diagnostic technology to suppo

We are looking for a responsible Administrative Assistant to perform a variety of administrative and clerical tasks.Duties of the Administrative Assistant include providing support to our managers and employees, assisting in daily office needs and managing our company’s general administrative acti

Experience using Clio Manage (billing, timekeeping, or client management). Knowledge of general legal billing procedures and terminology. Comprehensive Benefits: Medical, vision, dental, sick leave, employee discounts, EAP, and expense reimbursements.

In this position, you will play a vital role in ensuring the smooth operation of our office.You will be the first point of contact for visitors and will assist various teams in administrative tasks.Manage and organise office operations and procedures.Answer and direct phone calls and emails.Schedule

We are seeking a highly organised and proactive individual to join our team.The successful candidate will provide essential administrative support and ensure the smooth operation of our office environment.Manage and maintain schedules, appointments, and correspondence.Assist in the preparation of re