Medical billing coding jobs in Philadelphia, PennsylvaniaCreate job alerts

Job Description We are seeking an Accounts Receivable Specialist to support our client with their healthcare revenue cycle operations by handling insurance claim follow-up, resolving outstanding accounts, and assisting with billing activities. This is a fully onsite contract role focused on improving cash collections, reducing A/R aging, and maintaining accurate account documentation. Key Responsibilities Perform A/R follow-up on unpaid, denied, or underpaid claims Review EOBs/remittance advice and resolve discrepancies or escalate issues Communicate with insurance carriers and patients to resolve billing inquiries Submit required documentation and obtain additional information for claim processing Document account activity and maintain accurate patient financial records Assist with refunds, adjustments, and account reconciliation Meet daily productivity and quality standards in a high-volume environment Qualifications High School Diploma or GED required 3+ years of healthcare A/R or medical billing experience Strong knowledge of insurance payers, claims follow-up, and reimbursement processes Familiarity with Medicare, Medicaid, and commercial insurance Experience with billing systems/EMR platforms and Microsoft Excel Strong attention to detail and ability to manage multiple priorities Preferred Knowledge of ICD-10, CPT, and HCPCS coding Experience in a hospital or healthcare setting Skills Strong critical thinking and time management skills Excellent communication and problem-solving abilities Ability to work independently in a fast-paced environment For immediate consideration, please call the Trevose, PA office of Robert Half at 215-244-1870. Thank you! • High school diploma or equivalent required., • At least 3 years of experience in healthcare accounts receivable or medical billing., • Solid understanding of insurance reimbursement workflows, claim follow-up, and payer resolution processes., • Working knowledge of Medicare, Medicaid, and commercial insurance plans., • Experience using billing or revenue cycle systems, along with proficiency in Microsoft Excel., • Strong attention to detail with the ability to organize and prioritize multiple assignments effectively., • Excellent communication, critical thinking, and problem-solving skills in a fast-paced setting., • Hospital or broader healthcare environment experience is preferred; familiarity with ICD-10 and related coding concepts is a plus.

Job Description The Bill Review Analyst is responsible for reviewing, auditing and data-entry of medical bills for multiple states and lines of business. This is a Hybrid Role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts, • May consult reference materials in the auditing process, • Based upon situation or state-specific cases, meet 98% accuracy, 10,000+ keystrokes per hour, • Additional duties as assigned KNOWLEDGE & SKILLS: • Knowledge of medical terminology, workers’ compensation billing guidelines and fee schedules, • Knowledge of CPT/ICD/HCPS coding, • Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred, • Strong interpersonal skills and commitment to customer service, • Ability to work independently and in a team environment, • Ability to identify problems and find effective solutions, • Excellent verbal and written communication skills, • Highly developed organizational abilities as well as time management skills, • Must be proficient in Microsoft Office applications EDUCATION & EXPERIENCE: • High school diploma or equivalent, • 1-2 years of data entry experience, • Experience with Medical Bill Review preferred PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $19.24 - $31.04 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Hybrid

Job Description Philadelphia FIGHT is seeking a detailed-oriented and experienced Billing Specialist to join our team. This role plays a key part in supporting the organization's revenue cycle and ensuring timely reimbursements. The ideal candidate will be responsible for managing claims processing, payment posting, insurance verification, denial follow-up and maintaining accurate patient billing records. About the Role: • Schedule: Full time, Monday through Friday (9:00 – 5:00PM), • Location: Philadelphia FIGHT, 1233 Locust Street, 3rd Floor, Philadelphia, PA 19107, • Compensation & Benefits:, • FSLA status is non-exempt with an hourly rate of $20.25 per hour., • 3 weeks of PTO (4 weeks after 1st year) + 11 paid holidays., • Comprehensive Medical, Dental, Vision & Prescription Coverage., • Employer-funded Short-Term Disability coverage and Life & Accidental Death and Dismemberment (AD&D)., • Flexible Spending Accounts (FSA) and Health Reimbursement Arrangements (HRA) with employer contribution., • 403(b) Retirement Savings Plan with options for basic plan or Roth 403(b) contributions with employer matching up to 4%., • Discounted education options with partnered institution Pierce College., • And a multitude of other employee perks, including but not limited to, the option to contribute to medical discount programs, legal services, charitable contributions, and pet insurance coverage! Qualifications: • A high school diploma required. Associate's/Bachelor's degree in related field is preferred., • 2+ years of related experience in medical/electronic billing required., • Certificate in medical billing and coding is preferred., • Must possess basic computer skills to perform job duties including desktop computing, e-mail, time sheet management, HRIS, internet research, etc. and the ability to learn software applications relevant to your position. Computer proficiency and technical aptitude with the ability to utilize and produce reports on Microsoft Word, Excel, etc., • Must possess knowledge of Pennsylvania Medicaid, Medicare and third-party billing practices., • Strong skillsets in oral and written communication, cultural competence, interpersonal relationships and teamwork, attention to detail, customer service, time management, autonomy, problem solving and organization., • Demonstrated analytical ability, abstract reasoning skills, and excellent organization skills., • Must be able to work under pressure and meet deadlines while maintaining a positive attitude and providing exemplary customer service., • Effective project and process management skills as demonstrated from past work experience., • Ability to maintain confidentiality with compensation data and sensitive financial matters., • Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices., • Must be able to exercise good judgment and identify when to escalate issues as appropriate., • Ability to remain solution-focused and respectful in all interactions with staff, co-workers, vendors, and patients., • Excellent problem-solving and conflict resolution skills., • Ability to display a non-judgmental attitude. Responsibilities include: • Ensures accuracy and completeness of patient encounter forms to submit claims; takes necessary actions to correct encounter forms as needed by contacting the provider and/or appropriate party., • Collaborates with providers or other appropriate parties to receive all information needed to complete the billing process., • Ensures FIGHT's billing procedures are conducted to ensure accuracy and timely billing; conducts quality assurance measures as appropriate., • Conducts all billing activities for managed care, commercial insurance Medicare and Medicaid, including verifying insurance, processing patient claims for services rendered, processing data batches, transmitting/submitting documents to insurance companies, etc., • Posts health service charges and payments from health center patients, Medicaid, Medical and other health insurance carriers daily., • Resolves patient inquiries and issues including those resulting from incorrect or incomplete information., • Builds and maintains relationships with insurance companies as needed; contacts them as needed to resolve insurance issues and/or expedite claims processing., • Documents all activities related to billing (detailed actions taken to resolve outstanding claim and account issues, charge information, etc.) appropriately in the Electronic Medical Record within the established timeframe set forth by FIGHT policy., • Maintains patient demographic information and data collection systems, including all billing/collection reports while remaining in accordance with payer and company policy guidelines., • Recognizes, interprets and evaluates inconsistencies, discrepancies and inaccuracies in accounts receivable and system files and initiates appropriate corrective methods; works to increase error resolution/denial management., • Reviews claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission., • Remains knowledgeable of new coding rules as codes change for purposes of accurate billing., • Reviews, evaluates and re-files appeals for denied and unpaid claims as appropriate., • Reviews coding information about diagnosis on charge and procedures performed to produce claims to insurance companies, ensuring that codes tally with provider's diagnosis., • Prepares billing adjustment and/or rebilling and filing appeals as necessary., • Processes and distributes billing rejection notices in compliance with clinic policies., • Prepares, composes, updates, monitors and edits internal and external billing/accounts receivable reports, records and files., • Maintains compliance with all FIGHT policies and procedures. Reports known conduct taken by any FIGHT employee (including yourself) which violates any FIGHT policy or law on which you have been trained, or should know of, such as laws criminalizing theft or violent crimes, and reports the matter to management., • Other duties as assigned to fulfill FIGHT's mission. FIGHT is an EEO, Affirmative Action, LGBTQ, people living with HIV/AIDS, and protected veterans' institution. We are dedicated to recruiting, hiring, and retaining employees from many backgrounds. We recognize that an inclusive workforce with a variety of views, perspectives, and backgrounds is an integral part in our organizational success. We encourage and embrace a diverse workforce that provides us with unlimited ideas and innovative solutions.

WCS Healthcare Partners is seeking a local contract nurse RN NICU - Neonatal Intensive Care for a local contract nursing job in Voorhees, New Jersey. Job Description & Requirements • Specialty: NICU - Neonatal Intensive Care, • Discipline: RN, • Duration: 13 weeks, • 36 hours per week, • Shift: 12 hours, • Employment Type: Local Contract WCS Healthcare is currently seeking a Neonatal Nurse a for a 13-week contract assignment at a Prestigious Hospital in Voorhees, NJ. Job Function: \n • Shift & Hours: 36 hrs/ 3x12 Days 7a-7p\n, • Administering medications, monitoring vital signs and providing vital nutrients to newborns. \n, • Because most premature and sick newborns' lungs are not fully developed \n, • Ensure that infants are breathing and maturing properly. \n, • Assist physicians in treatment plans and examinations. \n, • Maintain and update records of the patient's care. \n\n Job Requirements:\n • Graduate from an accredited School of Nursing or Bachelor's Degree in Nursing (BSN) \n, • Current RN license for the state that you are working in (or willingness to obtain) \n, • BLS, ACLS and PALS certifications from the American Heart Association \n, • NRP Certification is required \n, • Fetal Monitoring Certification is required \n, • Excellent communication and customer service skills \n, • 2 full years of acute care experience in this specialty \n\n\n Disclosure: The hourly rates and/or salaries listed may or may not reflect total compensation packages including bonus and fringe benefits, etc., nor are the advertisement(s) posted a guarantee of a certain compensation package for a position or bona fide offer of employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. \n \n ITAC1 \n #LI-DNP \n 45926 \n\n\n White Cap Search Partners Job ID #45926. Posted job title: RN - NICU About WCS Healthcare Partners With WCS Healthcare Partners, every Job Seeker grows stronger, moving one step forward with each job placement. We take the time to get to know the needs and qualifications of each Healthcare professional to match you with the right clinical setting, patient population, merging your compensation and career goals with your desired work environment. Our recruiters are experts at navigating the dynamic nature of healthcare employers to get your resume in front of the right decision makers. NURSING ● Registered Nurses (RN) ● Licensed Practical Nurses (LPN) ● Travel Nursing ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case Management ALLIED HEALTH ● Technologists: Medical, Laboratory, Cardiac, RadTech, X-Ray ● Therapy: Physical, Occupational and Speech Therapy ● Social Work: LCSW/LMSW, Case Management, Care Coordination ● Med Support: Medical Assistants, Phlebotomy, Surgical/Sterile Techs ● Pharmacists and Pharmacy Techs ● Dental Hygienist, Dental Assistants OPERATIONS & FINANCE ● Practice Management ● Clinical Operations ● Administrative Support ● Reception, Clerical, Call Center ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing/Coding Benefits • 401k retirement plan, • Weekly pay

WCS Healthcare Partners is seeking a local contract nurse RN Acute Care for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements • Specialty: Acute Care, • Discipline: RN, • Duration: 13 weeks, • 36 hours per week, • Shift: 12 hours, • Employment Type: Local Contract WCS Healthcare is currently seeking an experienced Emergency Room Registered Nurse for a contract assignment at a highly respected hospital in Philadelphia Pennsylvania. This role is ideal for a clinically strong RN who thrives in a fast‑paced environment and is confident caring for patients experiencing life‑threatening conditions. Job Function: \n • Shift: 3x12 Nights\n, • Manage the care of adult and/or pediatric patients with critical, life‑threatening conditions requiring rapid assessment and high‑intensity interventions. \n, • Provide emotional support, education, and clear communication to patients and families during emergency situations. \n, • Collaborate closely with physicians and the interdisciplinary team, recognizing when early intervention is needed. \n, • Prepare patients for surgery, imaging, and diagnostic procedures.\n, • Perform essential emergency procedures including IV insertion, medication administration, blood draws, and airway support (intubation assistance). \n, • Maintain accurate and timely documentation in the EMR. \n\n Job Requirements:\n • Active RN license required\n, • BSN required\n, • Minimum 2+ years of Emergency Department experience required\n, • Previous travel/contract experience required\n, • Must be open to working any shift (days, mids, evenings, nights, and rotation)\n, • Local and travel candidates accepted at the same bill rate\n, • Must be able to commit to full assignment with no gaps (minimum 3 shifts per week for all 13 weeks)\n, • Every other weekend (EOW) required\n\n Disclosure: The hourly rates and/or salaries listed may or may not reflect total compensation packages including bonus and fringe benefits, etc., nor are the advertisement(s) posted a guarantee of a certain compensation package for a position or bona fide offer of employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. \n \n ITAC1 \n #LI-DNP \n 45794 White Cap Search Partners Job ID #45794. Posted job title: RN - ER About WCS Healthcare Partners With WCS Healthcare Partners, every Job Seeker grows stronger, moving one step forward with each job placement. We take the time to get to know the needs and qualifications of each Healthcare professional to match you with the right clinical setting, patient population, merging your compensation and career goals with your desired work environment. Our recruiters are experts at navigating the dynamic nature of healthcare employers to get your resume in front of the right decision makers. NURSING ● Registered Nurses (RN) ● Licensed Practical Nurses (LPN) ● Travel Nursing ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case Management ALLIED HEALTH ● Technologists: Medical, Laboratory, Cardiac, RadTech, X-Ray ● Therapy: Physical, Occupational and Speech Therapy ● Social Work: LCSW/LMSW, Case Management, Care Coordination ● Med Support: Medical Assistants, Phlebotomy, Surgical/Sterile Techs ● Pharmacists and Pharmacy Techs ● Dental Hygienist, Dental Assistants OPERATIONS & FINANCE ● Practice Management ● Clinical Operations ● Administrative Support ● Reception, Clerical, Call Center ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing/Coding Benefits • 401k retirement plan, • Weekly pay

Our client, a leading healthcare insurance organization, is seeking a contract Business Analyst to join their team. This individual will support critical claims operations initiatives, process improvement efforts, and cross-functional projects focused on enhancing the member experience and driving operational efficiency. About the Job: Analyze and resolve medical claims processing issues and inquiries Perform root cause analysis to identify operational challenges and implement corrective actions Partner with internal teams and external health plans to resolve claims discrepancies Research incorrectly processed claims and coordinate solutions to ensure accurate resolution Identify opportunities to improve operational processes through technology, automation, and data analysis Support process improvement and project management initiatives across the organization Pull, analyze, and summarize large data sets to support business decisions Document business processes, workflows, and operational procedures Serve as a subject matter expert for claims operations in meetings, projects, and company initiatives Collaborate with cross-functional stakeholders to enhance claims processing efficiency and accuracy About You: 4+ years of experience in medical claims processing, claims adjusting, healthcare administration, or a related healthcare operations environment Experience supporting automation, reporting, or technology-driven process improvements is highly preferred Experience working with medical billing and coding, including ICD-10, CPT, and HCPCS codes Advanced Microsoft Excel skills with the ability to analyze and manipulate large data sets Working knowledge of SQL and Microsoft Access Strong understanding of medical claims processing and healthcare operations Strong analytical and problem-solving abilities with a passion for process improvement Excellent written and verbal communication skills Ability to manage multiple priorities and meet deadlines in a fast-paced environment This contract position is expected to last at least six months with the possibility of converting to a permanent role. It will work hybrid schedule of three days onsite at the organization's Philadelphia office and two days remote. It is paying up to $48/hour depending on experience. If you're a healthcare operations professional who enjoys leveraging data, technology, and process improvement to solve complex claims challenges, we'd love to hear from you. Please apply today with a Microsoft Word version of your resume. Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply. California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/ Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records. Company Profile: Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement. Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs. Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com. Benefits Information: Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings. We look forward to working with you. Beacon Hill. Employing the Future (TM)

Claims Payment Policy Lead / Payment Integrity Analyst Hybrid – Philadelphia, PA (3 days/week) Overview We are seeking an experienced Claims Payment Policy Lead to join our Claim Payment Policy team. This role sits at the intersection of clinical expertise and business operations, supporting the development and maintenance of reimbursement and medical payment policies that drive payment accuracy, cost-effective utilization, and regulatory compliance. The ideal candidate brings a unique blend of clinical experience and deep coding knowledge, with a strong understanding of provider or facility billing. This individual will serve as a subject matter expert and partner across clinical and operational teams to ensure claim payment policies align with industry standards, regulatory requirements, and evolving healthcare trends. Key Responsibilities • Develop, maintain, and enhance medical and reimbursement policies aligned with national standards, benefit structures, provider contracts, and federal and state regulations., • Utilize clinical expertise and knowledge of CPT, HCPCS, and ICD-10 coding to evaluate claims trends and support appropriate reimbursement practices., • Monitor payment policy trends across the healthcare landscape to identify opportunities for cost containment and improved member affordability., • Create and present Claim Payment Policy Bulletins and findings to internal workgroups and leadership committees., • Collaborate with cross-functional teams, serving as a subject matter expert for clinical and coding-related initiatives, analyses, and projects., • Support business case development and strategic initiatives related to payment integrity and utilization management., • Partner with vendors, consultants, and internal stakeholders to ensure policies remain current and aligned with regulatory and industry changes., • Contribute to the ongoing evolution of the Claim Payment Policy function as the organization continues to integrate clinical and business perspectives. Qualifications Required • Valid coding certification such as CPC, CCS, RHIA, or RHIT., • Minimum 3+ years of clinical experience, ideally in a nursing capacity., • Minimum 3–5 years of hands-on medical coding experience (beyond certification alone)., • Experience with physician/provider billing and/or facility billing., • Strong understanding of healthcare reimbursement principles and insurance payment methodologies., • Proficiency with CPT, HCPCS, and ICD-10 coding systems., • Excellent analytical, communication, and presentation skills with the ability to explain complex concepts to diverse audiences. Preferred • Previous experience with medical or reimbursement policy development., • Active healthcare licensure preferred (RN preferred; LPN or other licensed healthcare providers such as PT, OT, or allied health professionals will be considered)., • Familiarity with CMS, Medicare regulations, and healthcare payment policies., • Understanding of FDA regulations and approval processes., • Experience analyzing utilization trends and supporting medical cost management initiatives. #LI-AL1

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

At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. Impact You'll Make As a Healthcare Compliance Manager, you will help healthcare organizations design, implement, and maintain effective compliance programs across physician practice groups, clinical laboratories, and pharmacy operations. Lead compliance program rollout across multi-site healthcare operations. Develop risk-based audit plans, monitoring activities, and gap analyses. Translate regulatory and payer requirements into practical controls, training, and corrective action plans. Partner with operational, clinical, revenue cycle, quality, HR, IT/security, legal, and finance teams. Strengthen compliance culture through clear reporting, education, and remediation support. What You'll Do Lead the rollout and refresh of compliance plans, policies, SOPs, controls, training, monitoring cadence, and escalation processes. Build standardized compliance tools, including gap assessment templates, control matrices, readiness checklists, training plans, and CAP trackers. Conduct periodic compliance risk assessments and develop annual audit and monitoring workplans. Monitor enforcement trends, payer focus areas, and regulatory updates to adjust compliance priorities. Design and execute audits, monitoring activities, and gap analyses across physician practice, laboratory, and pharmacy operations. Prepare audit reports with risk ratings, root-cause analysis, financial or operational impact, and recommendations. Develop, track, and validate corrective action plans through follow-up testing and closure. Lead or oversee audits of professional services documentation, coding, billing, modifiers, and medical necessity. Partner with revenue cycle and coding teams to identify trends, reduce repeat findings, and support payer audits. Support lab compliance activities related to CLIA, CAP, Joint Commission readiness, document control, SOP governance, quality audits, and CAPA processes. Develop and maintain pharmacy compliance program components related to policy governance, regulatory change monitoring, controlled substances, audits, and inspection readiness. Support investigations into compliance concerns and coordinate with HR and legal as needed. Build and deliver role-based compliance training for providers, billing and coding teams, lab personnel, pharmacy staff, and managers. Maintain compliance dashboards covering audit activity, findings, CAP aging, training completion, and trends. Prepare recurring updates for leadership and compliance committees. What You Bring Bachelor's degree in healthcare administration, nursing, business, public health, health information management, or a related field, or equivalent experience. CHC certification required; equivalent healthcare compliance certification may be considered. 7+ years of progressive healthcare compliance experience. Demonstrated experience owning compliance program rollout, risk-based audit planning, auditing and monitoring, gap analysis, corrective action development, and validation. Experience supporting compliance across large physician practice groups, clinical laboratory operations, and pharmacy operations. Strong understanding of documentation, coding, billing, medical necessity, CLIA/CAP readiness, pharmacy regulatory requirements, DEA requirements, and state board requirements. Strong report writing, presentation, and stakeholder management skills. Ability to communicate sensitive findings professionally and influence remediation owners. Additional credentials such as CPC, CCS, CPMA, CHPC, CTP, or other relevant certifications preferred. Experience managing payer or vendor audits and reporting status to senior leadership preferred. Experience with analytics, dashboards, audit management tools, or data warehouse reporting preferred. Prior leadership or supervisory experience preferred. How You'll Thrive Apply strong audit fundamentals, including scoping, sampling, evidence standards, workpapers, issue classification, CAP design, and re-testing. Translate regulatory and payer requirements into practical workflows and controls. Build trust with clinical, operational, legal, revenue cycle, quality, HR, IT/security, and finance stakeholders. Manage sensitive issues with discretion, professionalism, and sound judgment. Communicate findings clearly to leadership and compliance committees. Balance multiple priorities while maintaining accuracy and follow-through. Support a speak-up culture, consistent non-retaliation practices, and sustained compliance improvement. Deliver Relentless Excellence through practical guidance, responsive service, and strong execution. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. _ The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity.All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $87,000.00 - $195,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - https://www.stout.com/en/careers/benefits.

Job DescriptionDescription: About Our Practice We are a small, privately owned primary care internal medicine practice dedicated to providing compassionate, high-quality care to adults. Our close-knit team values professionalism, teamwork, and a positive office environment. We are seeking a candidate with medical office experience to oversee daily administrative and clinical operations. Position Summary The office manager is responsible for managing the day-to-day operations of the practice, supervising front office and billing functions, and supporting providers and staff. This role is ideal for an organized, dependable professional who enjoys working in a small practice setting. What We Offer • Paid time off and holidays, • Medical, dental, and vision plans provided, • 401(k) with Company Match, • Supportive, family-oriented work environment Responsibilities • Oversee daily front-office operations and workflow, • Manage scheduling, patient check-in/check-out, and phone coverage, • Supervise medical billing, coding, claims submission, and follow-up, • Monitor accounts receivable, denials, and insurance payments, • Ensure compliance with HIPAA and insurance regulations, • Train, supervise, and support office staff, • Maintain office policies, procedures, and records, • Assist with hiring and onboarding as needed Qualifications • Previous experience supervising in the medical field., • Medical billing experience helpful but can be trained., • Knowledge of insurance verification, claims, and collections, • Experience with EHR and practice management systems, • Strong organizational, leadership, and communication skills, • Ability to multitask., • Experience rooming patients. Requirements:

Job Description Founded in 1970 as South Philadelphia Health Action and subsequently incorporated as Greater Philadelphia Health Action, GPHA is a non-profit healthcare organization with a commitment to provide compassionate and affordable healthcare services regardless of an individual’s ability to pay. Since 1970, GPHA has expanded to become one of the premier providers of primary and behavioral healthcare in the Greater Philadelphia area. Because of our success and stability, GPHA has become an employer of choice, offering our employees competitive salaries and a full array of benefits and perks to include medical, dental, and life insurance, tuition reimbursement, paid-time-off, holiday pay, numerous discounting programs, 401(k) with company match and a collaborative work environment. We are presently seeking full-time Business Office Coordinators. Requirements include: High School Graduate with graduation from an accredited Medical Coding Specialist program would be desired. Skill in operating both the computer terminal and system computer with moderate speed to access information. Working knowledge of ICD – 9 and CPT codes. Knowledge of medical terminology desired. Experience in an ambulatory care or hospital setting preferred. Able to meet deadlines in a timely manner. Responsible individual capable of working under stressful conditions. Must have excellent analytical skills and be a self-starter with the ability to work independently. Ability to proofread and monitor own work for accuracy. Good interpersonal skills. Must have a fundamental understanding of insurance billing. Must also be CPR certified. General Responsibilities and Duties include: • Responsible for obtaining and documenting accurate demographic and financial data to eliminate revenue loss and decrease encounters errors., • Responsible for the collection, recording and tabulation of monies owed to the corporation., • Prepare reports after reconciling data entry batches., • Ability to communicate well with patients and staff in a professional manner., • Ability to calculate, verify and update patient sliding fee scale appropriately., • Perform special projects as assigned. Start an exciting career at GPHA. Apply Now! GPHA is an Equal Opportunity Employer. GPHA does not and will not discriminate in employment and personnel practices to include hiring, transferring and promotion practices on the basis of race, color, sex, age, handicap, disability, religion, religious creed, ancestry, national origin, or any other basis prohibited by applicable law.

Job Description Medical Billing Specialist Bebashi - Transition-to-Hope Philadelphia, PA (Full Time, Permanent Opportunity) Bebashi-Transition to Hope is a multi-purpose health and social services agency. We provide culturally sensitive health-related information, direct services, education, research, and technical assistance to reduce and eliminate HIV/AIDS as well as other health disparities, such as women's health and hunger, within the urban community of Philadelphia and vicinity. Bebashi Transition to Hope is seeking an experienced and self-motivated Medical Billing Specialist to perform a range of administrative fiscal support functions and medical billing. The Medical Billing Specialist is responsible for accurately processing and submitting medical billing for client services and clinical services, ensuring timely reimbursement and compliance with payer and regulatory requirements. This role supports the Fiscal Department by maintaining accurate records, managing claims, posting payments, and assisting with bookkeeping and reporting tasks. Major Duties And Responsibilities: Medical Billing and Claims Management • Prepare, review, and submit medical billing for client services and clinical services, • Verify claim accuracy, completeness, and coding compliance before submission., • Maintain provider and NPI information., • Assist with obtaining credentialing for providers., • Post and reconcile insurance payments, ensuring proper application and accuracy., • Monitor aging reports and follow up on unpaid, denied, or underpaid claims., • Communicate with insurance companies to resolve billing discrepancies and payment delays., • Review and interpret Explanations of Benefits (EOBs) and address any required adjustments., • Respond to billing inquiries from insurers, patients, and internal departments. Fiscal and Administrative Support, • Assist with accounts payable processing, coding, and data entry in QuickBooks., • Reconcile invoices, maintain vendor records, and support month-end reporting., • Prepare billing and aging reports to support financial tracking., • Provide general administrative and fiscal support, including filing and documentation., • Perform other related duties as assigned to support fiscal operations and compliance. Physical Demands: This is a sedentary position that requires long periods of being a seated position and working on a computer. This position may require lifting of up to 20 lbs. May be exposed to outside weather conditions. Bebashi is an Equal Opportunity Employer committed to diversity, equity, and inclusion. Qualified applicants are considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Experience And Qualifications Needed: Education: • Associate degree in Accounting, Business Administration, or related field, Preferred., • High School diploma or GED, Required Experience: • Minimum 2 years of medical billing or claims processing experience, preferably in a clinical or non-profit setting, is required, • Experience with QuickBooks and medical billing software (EHR), Required., • Working knowledge HIPAA regulations. Core Competencies: • Strong attention to detail, accuracy, and organizational skills., • Ability to meet billing and reporting deadlines in a fast-paced environment., • Excellent communication and problem-solving skills., • Proficient in Microsoft Office (Excel, Word, Outlook). • Professional, team-oriented, and ability to maintain strict confidentiality. Benefits: We offer Excellent Benefits beginning the 1st day of the following month, after 30 days employment: Medical Insurance with Employer paying a good percentage of coverage for the Employee Vision, Prescriptions Dental is 100% Employer paid for Employee STD/LTD disability and life insurances 100% Employer Paid for Employee 401K with discretionary match PTO Holidays - 10 paid HRA - Fully Employer funded Student Loan "Pay Down" program Hours are: Monday - Friday 8:30 am - 4:30 pm OR 9:00 am - 5:00 pm Salary is: $40K-$45K/yr., plus bens.

Job DescriptionDescription: Advocare Merchantville Pediatrics has been in practice for over 40 years and is located in Cherry Hill, NJ. We are dedicated to caring for the whole child from infancy through college. We take pride in our ability to provide high quality, comprehensive well and sick care to all patients. We are seeking a dedicated and compassionate full-time pediatrician to join our team. The position consists of 4 days a week and 1 weekend every 5 weeks. Part-time hours are also negotiable. We do not require inpatient or nursery rounds. We have a nurse triage service after hours to provide pediatric triage. We are offering a competitive salary and excellent benefits. • Perform physical examinations and diagnose/treat illnesses, injuries, and other health conditions, • Track and assess patient growth and monitor physical, emotional, and social development, • Order and interpret diagnostic imaging and laboratory results, • Utilize the EMR system efficiently to review, collect, and document patient information, • Conduct well visits, administer routine vaccinations, and provide age-appropriate guidance, • Educate patients and families on preventive care and healthy lifestyle choices, • Collaborate with fellow healthcare professionals to ensure comprehensive care, • Maintain accurate and up-to-date medical records in accordance with compliance standards Physician Requirements: • Medical degree (MD or DO) from an accredited institution, • Valid and unrestricted medical license in the state of practice, • Board certification or eligibility in [specialty, e.g., Pediatrics, Family Medicine], • Strong interpersonal and communication skills, • Demonstrated ability to thrive in a team-oriented, patient-focused setting, • Commitment to high-quality, compassionate, and evidence-based care What we provide: • Competitive salary and comprehensive benefits package, • Opportunities for career growth and professional development, • Supportive and collaborative work environment, • State-of-the-art facilities and equipment, • Work-life balance with a manageable patient load, • Manageable patient load, • Access to a network of experienced providers and specialists Benefits Available: • Multiple medical and prescription coverage options, • Dental and vision plans, • Voluntary critical illness, cancer, and accident insurance, • Voluntary hospital indemnity coverage, • Short-term and long-term disability insurance, • Term life insurance and AD&D, • 401(k) retirement savings plan, • Paid time off (PTO) Part-time Benefits: • Vision, • Flexible Spending Accounts, • MetLife Auto/Vehicle & Home Insurance Discounts Requirements: • Call schedule 1 in 5 weeknights and 1 in every 5 weekends, • Board certified or board eligible, • Current or pending New Jersey medical license, CDS, and DEA required, • Strong teamwork and multitasking abilities, • Experience with EMR systems required, • Billing and coding knowledge preferred

Job DescriptionDescription: Advocare, LLC is a physician-owned partnership of leading Obstetrics/Gynecology, pediatricians, family practitioners, and specialists serving communities across New Jersey, Pennsylvania, and Delaware. We are seeking a dedicated and compassionate Physician to join our growing healthcare team. As a Physician at Advocare, you will play an integral role in delivering exceptional patient care within a supportive, forward-thinking clinical environment. Physician Responsibilities: • Perform physical examinations and diagnose/treat illnesses, injuries, and other health conditions, • Order and interpret diagnostic imaging and laboratory results, • Utilize the EMR system efficiently to review, collect, and document patient information, • Conduct well visits, and provide age-appropriate guidance, • Educate patients and families on preventive care and healthy lifestyle choices, • Collaborate with fellow healthcare professionals to ensure comprehensive care, • Maintain accurate and up-to-date medical records in accordance with compliance standards What we provide: • Competitive salary and comprehensive benefits package, • Opportunities for career growth and professional development, • Supportive work environment with a collaborative team, • State-of-the-art facilities and equipment, • Work-life balance with a manageable patient load, • Access to a network of experienced providers and specialists Benefits Available: • Multiple medical and prescription coverage options, • Dental and vision care plans, • 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) Requirements • One call one of four weekends with Midwife first call, • One weekly call with Midwife first call, • Either Board eligible if graduated recently or Board certified if out of residency more than 1 yr., • Must have current or pending NJ medical license, CDS and DEA, • Must be a U.S Citizen, • Team player and muti-tasking abilities, • EMR knowledge, • Billing and coding capabilities are a plus Compensation is determined based on a variety of factors, including experience, skills, and location, and may vary. We are committed to providing competitive compensation and benefits, and we value a diverse and inclusive workplace. Requirements: Physician Requirements: • Medical degree (MD or DO) from an accredited institution, • Valid and unrestricted medical license in the state of practice, • Board certification or eligibility in Obstetrics/Gynecology, • Strong interpersonal and communication skills, • Demonstrated ability to thrive in a team-oriented, patient-focused setting, • Commitment to high-quality, compassionate, and evidence-based care

Job DescriptionSalary: Apply Today and Join Our Team as a Revenue Cycle Management Specialist! This position is hybrid and will come into our Voorhees office 2x per week. Position Overview • The Revenue Cycle Management Specialist position will report to the Director of Revenue Cycle Management and will be responsible for entering charges, posting payments, managing patient accounts, follow-up and resolution of outstanding accounts receivable including investigating and resolving payment discrepancies with payers. Responsible for the timely submission of claims both electronically and on paper in addition to A/R, follow up within the company's centralized billing and reimbursement group. Why You Will Enjoy Working at NeurAbilities: • Competitive Pay, • Professional development opportunities, • Comprehensive Benefit Packages, • Supportive Culture, • Hybrid Work Schedule Essential Job Functions • Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses., • Process and follow up on payer denials, consulting with the patient and/or an authorized family member as needed., • Follow up on submitted out of network claims, monitor unpaid claims; resubmit as necessary., • Follow up on Clearinghouse claims activity., • Researching and appealing denied claims; submit requested documentation as needed., • Identifying and billing secondary or tertiary insurance., • Research and resolve patient inquiries and complaints regarding billing issues via telephone or in writing., • Maintain a record of patient inquiries and resolutions in the patient chart., • Prepare and recommend accounts to the Manager for submission to an outside collection agency., • Post payments and denials in a timely manner and/or prepare batches to upload to Revenue Cycle Management system., • Call insurance companies regarding any discrepancy in payments as necessary., • Review patient statements for accuracy and completeness and obtaining any missing information., • Prepare daily deposit, including scanning checks into the bank, downloading ERAs from payors, uploading ERAs into EHR systems, maintain documentation, filing and record keeping accordingly., • Performs various clerical operations in support of the billing department duties and responsibilities, such as processing mail, faxes, sorting, filing and scanning correspondence, printing, and mailing patient statements, etc., • Ensure strict confidentiality of financial records in accordance with HIPAA guidelines. Required Qualifications, Education, and Experience • Excellent customer service skills and phone manner, • Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed and handle conflict in a reasonable fashion., • A minimum of three to five years of experience in a medical office setting, • Prior EMR/Practice Management Software experience strongly desired, particularly Central Reach or AdvancedMD, • Medical billing: 3 years (Required), • High school or equivalent (Required), • Certification as a Medical Billing Specialist or a Professional Coder through an accredited organization, preferred Required Knowledge, Skills, and Abilities • Knowledge of medical billing/coding required preferably in Applied Behavior Analysis services, • Knowledge of insurance guidelines including Medicaid and Commercial Plans, • Knowledge in out of network billing and insurance appeals About Us: NeurAbilities Healthcare is a distinguished specialty healthcare provider with a team that constantly seeks new and innovative ways to provide the best possible care for patients. Founded by a neurologist who put his vision of compassionate, high-quality patient care into practice, we remain on a mission to transform the lives of individuals with autism and other neurodevelopmental disabilities in New Jersey, Pennsylvania, and beyond. Each of our dedicated team members share the same mission of providing top-notch medical and psychological care and integrated behavior services to over 10,000 patients annually. NeurAbilities Healthcare Inc is an EEO Employer: All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, sex, religious creed, disability, or any other category protected under law.

Job DescriptionWe are an established, physician‑owned dermatology clinic seeking a part‑time Physician Assistant who is clinically strong, personable, and eager to grow with our team. This role is ideal for a PA who thrives in a patient‑focused environment and values the autonomy and collaborative culture of a private practice. Qualifications • Dermatology or outpatient surgical experience, • Excellent clinical judgment, bedside manner, and patient‑education skills, • Strong foundation in medical documentation, coding, and billing compliance (CMS & private payers), • Working knowledge of Electronic Health/Medical Records (EHR/EMR) systems, • Familiarity with prior‑authorization and prescription workflows, • Demonstrated commitment to HIPAA compliance, patient safety, and quality improvement, • Professional appearance, integrity, reliability, and the ability to work effectively with physicians and support staff, • Organized and self‑directed, able to manage a steady patient schedule while maintaining meticulous chartingCore Responsibilities, • Conduct comprehensive and problem‑focused dermatologic examinations, • Formulate differential diagnoses and develop evidence‑based treatment plans, • Perform office‑based procedures: cryotherapy, shave/punch biopsies, injections, excisions, wound care, and suturing, • Assist the dermatologist in surgical cases and complex procedures, • Order and interpret laboratory tests, imaging, and pathology reports; communicate results promptly to patients, • Prescribe medications and manage refills, including biologics and topical therapies, • Provide pre‑ and post‑operative counseling and written instructions, • Document encounters accurately and timely in the EHR, ensuring coding/billing precision, • Coordinate referrals and communicate findings with primary care physicians or other specialists as appropriate, • Participate in inventory management of clinical supplies and medications, • Contribute to quality‑assurance projects and staff meetings, • Foster a welcoming, compassionate environment that supports patient satisfaction and continuity of careCompensation & Benefits, • Compensation structured based on patient volume and working days per week., • Incentives for growth.

Job Description Scribe experience required. A career that changes lives. SightMD is a rapidly growing integrated ophthalmic provider group, extending the reach of exceptional eye care to patients across New York, New Jersey, Pennsylvania, Connecticut and Massachusetts. With over 127 eye care providers and the convenience of 60 locations, our commitment to delivering unparalleled services is at the heart of everything we do. As we embark on our mission, we are actively seeking teammates who are eager to contribute to our legacy of eye excellence, a tradition that spans more than 50 years. Position Summary: The Senior Ophthalmic Technician will play a vital role in supporting physicians in the delivery of high-quality eye care. Supports efficient clinic operations by managing patient flow, coordinating administrative tasks, and performing phone triage under physician guidance. Contributes to the overall effectiveness of the office through both clinical and administrative responsibilities. Job Duties & Essential Functions: Patient Engagement & Clinical Intake • Engage with patients and their families in a courteous, compassionate, and respectful manner to ensure a positive experience., • Review and document patient information, including chief complaints, history of present illness, review of systems, and other pertinent clinical details., • Coordinate and obtain prior authorizations for medications in accordance with insurance requirements to ensure timely patient access to prescribed treatments. Pre-Examination & Diagnostic Testing • Perform comprehensive pre-examination testing, including visual acuity (with pinhole and glare), confrontational visual fields, extraocular muscle testing, pupillary evaluation, tonometry, angle assessment, and dilation., • Conduct advanced diagnostic procedures such as OCT, fundus photography, IOL Master, Pentacam, A-scan, B-scan, Wave Scan/Vario, keratometry, lensometry, and visual field testing., • Perform specialized testing as requested, including color vision screening, stereopsis, dry eye evaluations, optical biometry, and refractometry. Clinical Workflow & Physician Support • Support efficient patient flow throughout the care center to optimize clinical operations., • Accurately scribe clinical encounters in the electronic medical record, documenting chief complaints, physician assessments, and treatment plans., • Administer ocular medications as prescribed by the physician., • Observe and assist during patient examinations and minor surgical procedures., • Communicate pertinent visit information to referring physicians when appropriate., • Track, document, and communicate laboratory results to physicians and patients promptly, ensuring accuracy and continuity of care., • Add diagnoses to patient charts and ensure accuracy of diagnostic coding for proper billing. Room & Equipment Maintenance • Open and close exam rooms daily, including cleaning equipment, charging devices, and securing instruments., • Assist with clinic opening and closing duties as needed. Compliance, Communication & Development • Adhere strictly to all safety protocols and clinic policies., • Monitor work-related communications and utilize collaborative tools such as Google Drive to stay informed and organized., • Participate in ongoing training and educational activities to maintain up-to-date clinical skills and best practices., • Maintain strict adherence to HIPAA regulations by safeguarding patient privacy and ensuring the confidentiality of all health information., • Perform additional duties as assigned or directed by the supervisor. Required Qualifications: • High School diploma or equivalent, • Minimum of two (2) years of experience as an Ophthalmic Technician, • Strong customer service skills with a professional and friendly demeanor., • Excellent organizational, time management, and multitasking abilities., • Skilled in problem-solving with strong attention to detail., • Proficient in computer use, ranging from basic to advanced tasks., • Ability to stand for long periods of time Preferred Qualifications: • Ophthalmic Scribe Certification (OSC) required or must be obtained within 45 days of hire., • Certified Ophthalmic Assistant (COA) certification required, or candidate must be actively enrolled with completion expected within two (2) years of hire. Work Schedule: • Monday - Thursday 8AM- 4PM and Friday 7AM-3PM Benefits: We aim to take care of our teammates the same way we take care of our patients. All SightMD employees receive the following benefits: • Medical/Dental/Vision Insurance, • Prescription Drug Coverage, • Company Paid Term Life Insurance & Long-Term Disability, • Supplemental Insurance Benefits, • Employee Assistance Program (EAP), • Retirement Plan - 401(k), • Paid Time Off (PTO), • Paid Holidays, • Career Development Programs Equal Employment Opportunity Statement: SightMD is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal, state and local laws. If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact People Services at peopleservices@sightgrowthpartners.com #SMD123

Job Description Director, Revenue Cycle Management Location: King of Prussia, PA Organization: Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder Overview Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Director of Revenue Cycle Management to join our team at our King of Prussia office. As two of the region’s most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development. Position Summary The Revenue Cycle Director is responsible for overseeing and optimizing all aspects of the revenue cycle to ensure strong financial performance, regulatory compliance, and efficient operations. This role provides strategic and operational leadership for accounts receivable, billing, collections, payor relations, and reimbursement functions. The Director analyzes key performance metrics, implements process improvements, manages vendor and payor relationships, and develops high-performing teams to drive accuracy, maximize cash flow, and support organizational goals. This is a full-time on-site Monday–Friday position. Key Responsibilities • Manages the day-to-day operations of the revenue cycle functions to optimize performance and quality levels while ensuring the most efficient use of resources., • Monitor accounts receivable activity and initiates appropriate corrective measures as needed. Communicates performance data and associated action plans to Senior Leadership., • Identifies and implements processes to achieve key revenue cycle metrics including but not limited to A/R Days, Unbilled A/R, Denial Percentage, and Cash Collections., • Analyze large volumes of data and provide financial analysis and regularly presents trends, movements, and status to Senior Leadership., • Review billing work queues regularly to ensure that workloads are distributed evenly and that the department metrics are being met., • Manages self-pay receivables including vendor relationships to help resolve AR. Inclusive of self-pay receivables is the process of charity review and bad debt management., • Develop and implement policies and procedures for designated areas; evaluate new systems and methods and recommend changes as necessary., • Maintains comprehensive knowledge of 3rd party billing requirements and reimbursement principles. Also maintains comprehensive working knowledge of payor contracts and ensures that payors are billed according to contract provisions and communicates with payers on escalated issues., • Reviews and implements changes to electronic claims formatting when appropriate., • Conducts regular meetings with staff to discuss third-party reimbursement methodologies. Provides direction to staff on changes in managed care reimbursement and expectation of changes in insurance guidelines., • Keeps abreast of compliance regulations, standards, and directives regarding governmental/regulatory agencies and/or third-party payers. Ensure communication and education of such to the Billing department as well as other Revenue Cycle Leaders., • Provide tools for Team Leads and Managers to sustain, develop, enforce, and report department standards and metrics; recommend actions for improvement., • Responsible for accurate and timely application of transactions including adjustments and write-offs., • Research and resolve discrepancies in a timely manner. Qualifications Education: Bachelor’s degree or an equivalent combination of education and relevant experience. Licenses & Certifications: Professional certification in revenue cycle, coding, or healthcare financial management preferred (e.g., CRCR, CPC, CPB, HFMA). Experience • Minimum of five (5) years of experience in a leadership role in healthcare revenue cycle operations; experience supporting professional billing preferred., • Experience with Athena EMR highly preferred., • Orthopaedic billing experience strongly desired., • Previous management experience with demonstrated ability to lead, motivate, and develop high-performing teams. Knowledge / Technical Skills • Strong knowledge of claims processing and claim editing systems., • Comprehensive understanding of Medicare and Medicaid payer guidelines across multiple states., • Knowledge of CPT, HCPCS, and ICD diagnosis coding., • Knowledge of medical terminology and front- and back-end revenue cycle workflows. Competencies • Strong analytical and problem-solving skills., • Ability to build and maintain effective working relationships with employees, patients, and providers., • Positive leadership style with the ability to influence and drive performance. Compensation & Benefits • Comprehensive benefits package including medical, dental, and vision plans, • 100% employer-paid life insurance, • 401(k) with employer match, • Benefits begin the first of the month following hire date (for full-time employees), • Generous paid sick and vacation time, • 7 paid holidays annually, • Opportunities for growth and advancement, • Employee referral reward program About Premier Orthopaedics & Philadelphia Hand to Shoulder Premier Orthopaedics and Philadelphia Hand to Shoulder Center (PHSC) are leading providers of comprehensive musculoskeletal care throughout Pennsylvania, New Jersey, and Delaware. Premier Orthopaedics delivers expert treatment for orthopedic injuries, joint disease, interventional spine care, regenerative medicine, and comprehensive physical therapy services, supported by more than 120 providers across 50+ locations. Our facilities include state-of-the-art MRI centers, outpatient surgery centers, physical therapy clinics, and orthopedic urgent care centers to ensure timely access to high-quality, patient-focused care. Philadelphia Hand to Shoulder Center (PHSC), a division of Premier Orthopaedics, has been nationally recognized for more than 50 years for its specialized care of the hand, wrist, elbow, arm, and shoulder. Our fellowship-trained surgeons and certified Hand and Occupational Therapists collaborate to provide seamless care—from diagnosis and treatment to post-operative and rehabilitative recovery. With 20+ convenient locations across Pennsylvania and New Jersey, PHSC offers advanced, integrated care to restore function, mobility, and quality of life for patients with upper extremity conditions.

Job Description Main Line Vision is a thriving, independent optometry practice backed by the Vision Source network. We’re a collaborative, patient-centered team committed to delivering exceptional care using cutting-edge technology and a warm, welcoming approach. The Billing & Practice Operations Manager is a hands-on role at the center of how our practice runs. You’ll own the insurance and billing function and keep day-to-day operations running smoothly. This is a great fit for someone who brings strong medical billing expertise and genuinely enjoys contributing to a close-knit team. This is a part-time role, 20 - 30 hours/week, including Saturdays, starting at $20/hr. We value team members who bring accuracy, initiative, and strong insurance knowledge to our practice. Responsibilities Insurance & Billing • Submit and manage medical claims, • Coordinate with our insurance billing service to verify eligibility and communicate benefits to the front desk staff, • Review and resolve claim denials in a timely manner, • Monitor accounts receivable and follow up on outstanding balances Operations & Administration • Oversee day-to-day office operations, patient flow, and scheduling, • Foster a positive team environment and keep staff coordinated, • Address technology-related concerns and support electronic medical record (EMR) system administration, • Proactively identify operational gaps and drive improvements from start to finish Required Skills Must Have • Experience in medical billing, coding, and collections, • Experience with EMR systems, • Background in a medical office setting; eye care experience preferred, • Demonstrated ability to support staff in an office environment, • Strong organizational skills with exceptional attention to detail, • Comfortable multitasking across billing, administrative, and operational priorities Nice to Have • Familiarity with vision insurance plans (EyeMed, Spectera, VSP, etc.), • Experience wearing or fitting contact lenses, or willingness to complete contact lens training, • Comfortable with social media platforms for basic practice marketing support

Job Description We’re making great healthcare easy for all. Will you join us? Delivering great healthcare begins with you! That’s because our Center Coordinator is responsible for assisting with the management of all aspects of operations and creating a high-performance culture that puts safety first and drives patient satisfaction and business results. Leaders in this position, through direction of their Center Manager, will serve as a role model and support a positive image of vybe urgent care inside and outside the organization. Key Responsibilities – your typical day • Responsibility for center facility management., • Maintain organization and cleanliness of the entire Center and ensure a professional, safe, and secure environment., • Coordinate onsite maintenance and cleaning as required., • Maintain appropriate inventories of supplies and medications for the Center., • Ensure that all equipment is properly maintained., • Ensure that medical records are maintained confidentially so that they comply with all state, federal, and governing agency guidelines., • Oversee the recruitment, hiring, and management of Center employees. a., • Identify recruiting needs and assist/initiate interviews of new personnel, • Ensure new staff members are provided an appropriate orientation with guidance and training in the areas of triage, clinical duties, lab procedures, opening and closing procedures, phone and front desk etiquette and procedures., • Complete regular performance reviews., • Consistently mentor team members to enhance their skills and effectiveness and provide coaching/counseling as necessary., • Convene and conduct staff meetings as needed., • Mentor new Center Coordinators as needed., • Responsibility for the ongoing/daily management of clinical and front desk staff and effective clinical operations., • Ensure that patient care and flow, including follow-up, is completed according to company policy and any relevant regulations and leads to optimal patient satisfaction. a., • Maintain and monitor patient flow throughout the Center., • Follow up with patient complaints and/or incidents and convey findings to Medical Director or others as needed to determine if further action required., • Monitor patient service and engagement scores and work on opportunities to improve patient satisfaction., • Provide documentation and follow up as required for quality assurance., • Oversee Worker’s Compensation cases ensuring paperwork is appropriately completed and sent and employers are contacted regarding their employee’s care., • Ensure coordination of outreach to primary care and specialty physicians and other providers as needed., • Document all reportable infectious disease and occupational health cases as required., • Ensure Radiology quality control/compliance., • Oversee the financial performance of assigned Centers., • Responsible for profit and loss performance of Centers. Participate in budget creation and expense management., • Proactively identify opportunities to expand revenue sources and ancillary services and reduce expenses., • Drive brand awareness and build patient volume locally through outreach and creative relationship building to community groups, organizations, patients, physicians and potential referral sources., • Support and participate in meetings with health plans, TPAs and other business partners as needed., • Optimize revenue per visit and cash collections, • Manage and oversee billing procedures (including Occupational Health patients) through selected 3rd party vendor., • Direct team to ensure daily reconciliation, review of insurance, daily deposits, and any other applicable billing reports generated by 3rd party vendor., • Ensure staff accountability by managing training, education and monitoring of coding and billing processes., • Assist in collections calls to local clients as needed. All duties will be performed in accordance with policy and procedure, standards of care, and relevant regulations. Qualifications • Bachelor’s degree or equivalent experience., • 2+ years of supervisory or management experience, preferably in an ambulatory healthcare setting – proven leadership ability., • Must have intermediate skills in MS Word, MS Excel, • Excellent organizational and interpersonal communication skills and ability to build and maintain effective working relationships across various constituencies., • Must convey a professional demeanor and be able to act calmly and effectively in a busy or stressful situation., • Bring a genuine high energy level and project a healthful image., • This position requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Get to know vybe We believe everyone deserves great care, delivered with warmth and kindness in a safe, clean setting. The work is sometimes challenging but our team also finds it incredibly rewarding. We learn from each other along the way, and this encourages your growth and success. We’ll show you every day we’re glad you’re part of our team. vybe offers a competitive salary and benefits package, plus extra perks that support you as you do the most meaningful work of your career. • Ready to make a difference? Good, we are too!, • Joining vybe, you’ll be at the forefront of creating a different kind of healthcare experience in your neighborhood!, • Everyone deserves great care, and you’ll help patients in a way that keeps them coming back to take better care of themselves., • Grow your career as part of a caring team!, • You’ll thrive in a high-energy environment that is also highly rewarding. The moment you join us, you will feel enthusiasm and support in every direction., • We connect you to clinical education, leadership training, and ongoing mentorship so you always have the resources you need to succeed., • We believe in the work we do and in having fun while doing it!, • We share your values!, • Open, transparent, and inspiring— we take the time to get to know each other and build positive relationships with our team members and our patients., • We value and celebrate diversity and inclusion of all identities. We are pleased to promote ourselves on Google as an LGBTQ Safe Space, and all our centers are Trans-friendly. Ready to join our team? Please fill out our initial 3-minute mobile-friendly application so that we can review your information. We look forward to meeting you! vybe urgent care is an equal opportunity 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.

Senior Accountant Location: US or UK remote Who are we? Welcome to the era of Velsera! Seven Bridges, Pierian & UgenTec have combined to become Velsera. Velsera is the precision engine company. We empower researchers, scientists, and clinicians to drive precision R&D, expand access to, and more effectively leverage analytics at the point of care. We unify technology-enabled solutions and scientific expertise to enable a continuous flow of knowledge across the global healthcare ecosystem. This interweaves diverse biomedical communities, allowing them to build upon each other’s success and accelerate medical breakthroughs that positively impact human health. With our headquarters in Boston, MA we are rapidly growing and expanding our team which currently has over 800 employees located in 14 different countries! The Senior Accountant position is responsible for driving operational efficiency in financial reporting and compliance using best practices and automation with ERP/enterprise accounting tool What will you do? • Own and support the monthly, quarterly, and annual close process, ensuring timely and accurate reporting, • Prepare and review journal entries, including accruals, amortization, equity‑related entries, and intercompany activity, • Prepare GAAP‑compliant financial statements and supporting schedules, • Maintain complete documentation and support for all accounting entries and balance sheet accounts, • Prepare, review, and maintain balance sheet reconciliations, identifying and resolving discrepancies, • Review and approve accounts payable expense coding to ensure accurate GL classification, cost center allocation, and timely month‑end close, • Manage and maintain the fixed asset ledger, including capitalization, depreciation, and disposals, • Reconcile intercompany transactions and ensure proper eliminations, • Support revenue and deferred revenue accounting, including collaboration with billing and revenue systems (as applicable), • Maintain and update accounting policies and procedures, ensuring alignment with GAAP and company growth, • Assist with external audits, internal audits, and regulatory or compliance requests, • Drive and participate in process improvement initiatives, including system optimization and automation, • Prepare and circulate internal management reports, • Respond to and resolve routine accounting inquiries from internal stakeholders, • Exercise a high degree of integrity, judgment, and confidentiality in all financial reporting, • Perform other duties as needed to support the Finance organization and scaling business needs What do you bring to the table? • Minimum 5 years of progressive general accounting experience, preferably in a software, SaaS, or technology‑enabled environment, • Strong knowledge of U.S. GAAP and month‑end close best practices, • Hands‑on experience with cloud‑based ERP systems such as NetSuite (preferred), Sage Intacct, or similar, • Advanced proficiency with Microsoft Excel and comfort working with large data sets, • Strong written and verbal communication skills, with the ability to explain accounting concepts to non‑finance partners, • Highly organized, detail‑oriented, and able to manage multiple priorities simultaneously, • Proven ability to meet deadlines in a fast‑moving environment, • Proactive, adaptable, and open to change and continuous learning Our core values People first. We create collaborative and supportive environments by operating with respect and flexibility to promote mental, emotional and physical health. We practice empathy by treating others the way they want to be treated and assuming positive intent. We are proud of our inclusive diverse team and humble ourselves to learn about and build our connection with each other. Patient focused. We act with swift determination without sacrificing our expectations of quality. We are driven by providing exceptional solutions for our customers to positively impact patient lives. Considering what is at stake, we challenge ourselves to develop the best solution, not just the easy one. Integrity. We hold ourselves accountable and strive for transparent communication to build trust amongst ourselves and our customers. We take ownership of our results as we know what we do matters and collectively we will change the healthcare industry. We are thoughtful and intentional with every customer interaction understanding the overall impact on human health. Curious. We ask questions and actively listen in order to learn and continuously improve. We embrace change and the opportunities it presents to make each other better. We strive to be on the cutting edge of science and technology innovation by encouraging creativity. Impactful. We take our social responsibility with the seriousness it deserves and hold ourselves to a high standard. We improve our sustainability by encouraging discussion and taking action as it relates to our natural, social and economic resource footprint. We are devoted to our humanitarian mission and look for new ways to make the world a better place. Velsera is an Equal Opportunity Employer: Velsera is proud to be an equal opportunity employer committed to providing employment opportunity regardless of sex, race, creed, color, gender, religion, marital status, domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition, sexual orientation, pregnancy, military or veteran status, citizenship status, and genetic information

Full-time Description About the Role Are you a detail-driven professional who takes pride in accuracy and problem-solving? CareM Support Services in Albuquerque is looking for a Home Health Billing Representative to join our centralized support team. In this vital role, you'll ensure accurate claim submissions, support cash flow operations, and contribute to the financial integrity of a growing healthcare network. If you’re looking for a role that blends autonomy with teamwork — and offers purpose beyond paperwork — this is your opportunity to support a mission that matters: to bring out the courage in others. Key Responsibilities • Process, verify, and submit healthcare claims accurately and on schedule, • Monitor payments from payers and follow up on unpaid invoices, • Complete pre-bill audits and ensure compliance with Medicare, Medicaid, and other payer guidelines, • Respond to billing inquiries from patients, staff, and insurance companies with professionalism and clarity, • Maintain accurate AR (accounts receivable) records and provide cash flow updates to leadership, • Assist with monthly reporting and revenue cycle improvement initiatives, • Participate in ongoing staff training, department meetings, and compliance reviews, • Maintain confidentiality and adhere to HIPAA and company privacy standards Requirements What We’re Looking For • 2+ years of home health billing or reimbursement experience required, • Familiarity with third-party payer systems, medical coding, and claims processing, • Strong organizational skills and high attention to detail, • Ability to work independently and prioritize multiple tasks in a fast-paced setting, • Proficiency in business software, spreadsheets, and billing platforms, • Excellent communication skills for interfacing with both internal teams and external partners, • A team mindset with a proactive, solutions-oriented approach Why Join Us CareM Support Services is part of a bold, values-driven healthcare organization serving patients across home health, hospice, and personal care. As a centralized business unit, we keep the engine running — and we do it with heart. Here’s what sets us apart: • Mission-first culture rooted in compassion, courage, and excellence, • Supportive leadership that values your contribution and promotes from within, • Team camaraderie where ideas are welcomed and wins are shared, • Opportunities for professional growth and cross-functional learning, • A commitment to work-life balance, well-being, and doing work that matters

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

Outpatient Acute Care Coder - Emergency Responsible for assigning appropriate diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, ICD-10-PCS, CPT, HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Employment Type: Full Time Location: Remote Reports To: Coding Operations Manager Job Summary: • The Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance., • Will match outpatient coding area to experience (i.e. Same Day Surgery, Routine Outpatient, Physician, Recurring, Observation, etc.), • Reviews encounter to assign and sequence appropriate diagnoses and/or procedure codes as well as modifiers to diagnostic, physician and/or surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures, • Using 3M encoder, reviews Ambulatory Payment Classifications (APC) and coding edits. Reviews Local/National Coverage Determination (LCD/NCD) edits and guidance for codes meeting medical necessity. Research electronic medical record for any additional diagnoses documented to meet medical necessity., • Ability to assign Physician E/M levels and charges for all relevant procedures performed in various settings, if applicable., • Ability to assign injections and infusions, if applicable. Qualifications: • One to three years’ experience performing medical record coding in acute care setting required., • High school diploma or equivalent is required., • Associate of bachelor’s degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed preferred. Years of coding experience will be considered in lieu of educational requirements., • Functional Knowledge of EMR (Electronic Medical Record), Encoder and CDI Tools and other Support Software., • Comprehensive understanding of UHDDS guidelines, CCI Edits, Coding Clinic, etc., • Microsoft Office (Word, One Note, Excel, Outlook, PowerPoint) proficient., • Excellent verbal and written communication skills., • Ability to meet assigned deadlines. Work Experience, Education, and Certifications: • Associate degree preferred., • 1 year of Acute/Physician Coding Experience., • AHIMA or AAPC Certification required such as RHIA, RHIT, CCS, CPC, CIRCC, COC Software/Hardware: • 3M360 experienced required. Benefits: • Competitive salary and benefits package., • Opportunities for professional development and advancement., • Supportive work environment with a collaborative team., • Comprehensive healthcare coverage., • Retirement savings plan., • Paid time off and flexible scheduling options., • Student loan repayment program.

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

Welcome to Brightline! We are seeking a Full Stack Ruby on Rails Principal Software Engineer to drive technical direction across our platform, deepen our domain expertise in healthcare workflows, and raise the bar for the entire engineering team. We are primarily a Ruby on Rails shop and we are bought into keeping our tech stack simple so that we focus on shipping fast and having fun. Instead of betting on exciting new technologies, we favor straightforward solutions and defining standards so that the codebase and ecosystem are a joy to work with. We use Turbo, Tailwind, and ViewComponent to make beautiful UIs. Stimulus brings them to life and if we feel the need for it, we might sprinkle some React on top. We use Typescript where we think it benefits us, and default to Javascript otherwise. Our mobile apps leverage Hotwire Native to take advantage of existing web infrastructure. Responsibilities: Drive collaboration on technical direction for complex, cross-cutting systems — data modeling, API design, clinical workflow architecture, and integration patterns Scope and shape work end-to-end: from identifying the right problem to solving it, collaborating closely with product and design to define what “done” looks like Write code across the entire stack (currently Ruby + Rails on the backend and Turbo/Tailwind on the frontend) with a focus on the systems and abstractions that other engineers build on Evaluate technical risk and tradeoffs clearly — know when to invest in architecture and when to ship the simplest thing that works Mentor and elevate the team through architecture discussions, pairing, code review, and setting high standards without gatekeeping Build deep domain expertise in our problem space and use it to challenge product assumptions, surface risks early, and advocate for provider and member experience Collaborate across engineering, product, design, and clinical/operations teams to ensure technical decisions serve business and clinical goals You're excited about improving behavioral health for children, teens, and their families You have significant experience developing software professionally, primarily Ruby + Rails, with a track record of influencing technical direction beyond your own code You shape how the team thinks about systems — you see how individual features connect to the broader architecture and can articulate tradeoffs to technical and non-technical stakeholders You own problems, not just tickets — you dig into the domain, question assumptions, and find the right solution even when it's not the obvious one You are thoughtful and empathetic in how you carry yourself, from decision making and execution, to communication and collaboration You raise the bar for the team through your work, your feedback, and your willingness to make things better without being asked You thrive in a flat, self-managing team where influence comes from clarity and trust, not authority You have developed your own workflow for building software with AI coding tools — you have opinions about when agents help, when they hurt, and how to get the best out of them You care about solving problems and aren't tied to particular solutions or technologies Healthcare — especially clinical workflows, scheduling systems, EHR integrations, insurance billing, or multi-clinic operations Complex data modeling and migration challenges (unifying systems, managing domain complexity) API development and integrating with third-party systems Working in Shape Up or similar appetite-based development methodologies Medical, Dental, Vision, Long-Term Disability, Life Insurance, Flexible Spending Account, and 401k 12 Company Holidays, Holiday Shutdown, Paid Time Off, Parental Leave Health and Wellness Stipend, Home Office Reimbursement, Cell Phone & Internet Reimbursement and Professional Development Reimbursement Stock Options At Brightline we have built a total rewards philosophy that includes fair, equitable, competitive, geo-based compensation that is performance and potential based. Our strategy is based on robust market research, including external advisory specializing in national compensation, and thoughtful input from every level of our organization. It is a combination of a cash salary, equity, benefits, wellbeing, and opportunity. In compliance with the Equal Pay for Equal Work Act, the annual base salary range for applicants is $215,000-$240,000. At Brightline, we believe that Diversity, Equity, Inclusion, and Belonging are essential to the foundation upon which our mission is built. We are committed to: building a future where all families can access inclusive, high-quality care creating an environment that encourages our employees to show up authentically, reach their highest potential, and have an equal opportunity to thrive systematically evaluating and improving our inherent beliefs, observed behaviors, structures, and systems ensuring that every employee, candidate, client, and family we serve is valued and respected Brightline is a therapy and psychiatry practice that delivers expert pediatric, teen, and parental mental health care to families and kids up to age 18. Brightline’s virtual and in-person outpatient services include diagnostic evaluation, therapy, psychiatry services (e.g. medication management), and psychological testing (to assess learning differences, school readiness, executive functioning difficulties [e.g. ADHD], and autism). In addition to Brightline’s generalized support, we offer focused programs including those that support anxiety, obsessive compulsive disorders, ADHD, and disruptive behaviors. Founded in 2019, Brightline has delivered care to tens of thousands of families with _. We’ve been nationally recognized for clinical excellence and innovation for several years — recent awards include the Fast Company 50 Most Innovative Companies (2022) and Behavioral Health Business Companies to Watch Award (2024). Brightline is based in Palo Alto and is backed by investors including Boston Children’s Hospital, Northwell Health, Blue Cross Blue Shield of Massachusetts, Google Ventures, KKR, and Oak HC/FT.

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.

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org. General Summary Under general supervision, evaluates financial responsibility of patients, updates accounts to a billable/collectible status, research all possible means to resolve accounts, contacts patients, insurance companies and other departments regarding financial reimbursement. Organizes collection procedures in accordance with current laws, serves as appropriator of patient accounts and prioritizes multiple collection tasks with the main objective to reduce uncompensated care. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. • Responsible for defined accounts receivable. Accountable for reduction of Accounts Receivable equal to goals set by senior management., • Works with third party insurance and payer contracting department to obtain maximum level of cash to reduce receivable. Follows up with insurers to recover inaccurate payments., • Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any problems with billing or handling of accounts., • Handles patient concerns with professionalism and excellent customer service skills. Relays any patient suggestions and complaints to immediate supervisor for consideration. Provides answers for patient’s questions in a reasonable response time., • Follows departmental guidelines for handling delinquent accounts receivable., • Utilizes compassionate care program appropriately., • Researches all avenues of funding for patients who exhibit financial need., • Works with the Medical Assistance Eligibility team to refer patients through the Medical Assistance process., • Gathers and records data for the purpose of enhancing and perfecting collection procedures., • Shares information with the team to improve the integrity of data., • Shares information with administrator to solve existing problems with systems or data and effectively promotes avoidance of future problems., • Effectively updates and/or views data in all accessible systems., • Assists supervisor with new staff training, • Accommodates all visitors with accurate information and professionalism., • Performs appeals process when appropriate., • Promotes accuracy among all accounts by thoroughly reviewing all transactions, • Maintains a thorough understanding of financial references, including guidelines for reimbursement, state and federal regulations, payor-specific reimbursement policies, procedures and resource material references., • Notifies supervisor of problem accounts which may lead to significant financial loss., • Utilizes appropriate letters as necessary to promote communication to patients and insurers on a large scale, • Works self pay Accounts Receivable, updating patient accounts with documentation of follow up activity, new demographic or insurance information on the patient account and in the production log within Resolute. Liaison with outside collection vendors. Handles all incoming and outgoing patient correspondence. Education and Experience • High School Diploma or equivalent (GED) is required. Associate’s Degree preferred., • Three years Professional Fee billing experience required. Knowledge, Skills and Abilities • Knowledge of collection laws, medical coding (CPT & ICD-9/10) and third party billing guidelines including timely filing limitations and Medical terminology preferred., • Develops knowledge of current collection laws., • Demonstrated ability to perform mathematical calculations., • Demonstrated proactive problem-solving skills. Ability to interpret data and related information and discern trends, tendencies as well as determines appropriate course of action., • Demonstrated ability to use PC applications such as spreadsheets and word processing, • Highly effective oral and written communication skills are necessary in order to communicate effectively with clinicians, patients and insurance companies., • Ability to meet quality performance standards., • Ability to maintain a culture of excellent customer service, open and friendly staff relations with associates of all levels. All your information will be kept confidential according to EEO guidelines. Compensation • Pay Range:$20.98- $30.12, • Other Compensation (if applicable):, • _ Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at _.

Full-time Description REMOTE POSITION - Actively Hiring LIFE IS SHORT, DO WORK THAT MAKES A DIFFERENCE Summary/Objective: Work with insurance companies where available for creditor’s customers to determine the cause of denial or non-payment of a claim, initiate appropriate action required to prepare and submit documentation needed to resolve the denial or non-payment, follow up to the point of payment or exhaustion of recourse and maintain records in accordance with company policies and procedures. Continuously strive to provide a seamless interface for the consumer between BCA Financial Services, Inc. (BCA) and the creditor client BCA Financial Services, Inc. is seeking detail-oriented full-time Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: • Monday through Friday schedule, • Medical, Dental, Vision, and Voluntary Life insurance, • 401k with a company match, • Paid time off and paid holidays The Medical Insurance Collector will: • Work with insurance companies to determine the cause of denial or non-payment of a claim., • Initiate appropriate action required to prepare and submit documentation needed to resolve the denial or non-payment of a claim., • Follow up to the point of payment or exhaustion of recourse and maintain records in accordance with company policies and procedures. Essential Functions: • Receive inbound and make outbound calls regarding insurance related matters and maintain clear and concise documentation of all attempts and/or contacts directly on the computerized collection system, • Research and analyze accounts by gathering records and examining historical data, using intuition and experience to compliment data with the goal of resolving obstacles to payment, • Verify insurance through a variety of mediums such as outbound phone calls and insurance websites to verify benefits, • Review assigned claims working within the established productivity standards for timely follow-up, maintain and update all accounts to reflect current information, • Perform appropriate account activity by contacting managed care, governmental and commercial insurance carriers to affect payment on claims, • Identify payor trends in payment delays and escalates issues to appropriate personnel, • Answer all inquiries from consumers promptly; attempt to resolve consumer concerns by inquiring as to specific issues and clarifying those issues, • Use relevant information and individual judgment to determine whether events or processes comply with company and client expectations as well as all relevant local, state and federal regulations, • Maintain established productivity standards and meet performance standards on a consistent basis, • Demonstrate a strong working knowledge of, and comply with, the Health Insurance Portability and Accountability Act (HIPAA) and all other statutes, laws and regulations pertinent to the collection industry as well as industries served Requirements Qualifications: • High school diploma or equivalent, • Minimum of 2 years working in a healthcare revenue cycle environment with a concentration in the areas of insurance billing and collections, • Advanced knowledge of the healthcare insurance environment to include managed care, governmental and commercial insurance carriers as well as a myriad of reimbursement methodologies specific to provider contracts (fee schedule, per diems, percentage of total charges, etc.), • Advanced awareness of the various codes used when filing health insurance claims. This position will not affect coding changes to claims but rather will understand coding requirements and communicate need for amendment of codes to creditor clients, • Knowledge of medical terminology and basic anatomy, • Effective interpersonal and human relations skills, • Effective verbal and written communication skills Work from home requirements: • Have a quiet and private workspace, • High speed internet with the ability to hardwire via 50 ft. ethernet cable from modem to your PC. Must be a sufficient speed to support video/web/audio and voice-over-IP (VoIP) (at least 20mbs download and 10mbs upload). Wi-Fi and hotspots are not supported., • You must meet all the technical requirements prior to the first day of training, • You must live in one of the following states: FL, GA, MO, NE, NC, SC, TN, TX, or VA., • We will provide you with the equipment needed to be successful BCA Financial Services, Inc. is an Equal Opportunity Employer and values diversity at all levels of the organization. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other legally protected status. Keyword Search: Medi-Cal, Cerner, Soarian, MS4, PBAR, insurance collections, accounts receivable, patient accounts, insurance, revenue cycle, patient financial, insurance verification, insurance follow up, medical billing, insurance billing, medical insurance billing, medical insurance claims, insurance claims resolution, insurance collector, claims follow up, revenue cycle specialist, revenue cycle representative Salary Description $18.00 - $23.00 Per Hour

About Us Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel! _ In this role, the Medicaid Audit and Compliance Specialist will be responsible for performing and reporting on Medicaid Managed Care Plans and providers to identify potential fraud, waste, and abuse; issue findings and recommendations; and identify improper payments. Audit assignments can be programmatic or financial and may range from desk reviews and/or onsite review activities as determined by federal and state regulations. Specific review types may include case management, program payment appropriateness, program and policy compliance, billing, coding and medical record documentation reviews, as well as research and analysis of industry trends. The Medicaid Audit and Compliance Specialist will perform audits as assigned which consist of but are not limited to performing licensing and exclusion reviews on providers and work with the medical staff to ensure services are reimbursed meet regulatory requirements. The Medicaid Audit and Compliance Specialist will work independently as well as collaboratively with other audit staff. Job Responsibilities: • _, • Comprehends and follows auditing plans and methodologies specific to contract requirements., • Prioritization and assignment of workload, ensuring adherence to task order policies and procedures., • Examines and calculates data from financial documents and statements such as provider cost reports as a method of audit., • Utilize data mining and trend analysis tools to detect anomalies in Medicaid billing and payment patterns., • Attend on-site audits to retrieve medical records and conduct provider entrance/exit conference., • Prepare and submit medical record request letters to providers associated with requests for medical record requests or suspension overpayment determinations., • Interpret and apply pertinent laws, regulations, policies, and procedures relevant to the specific audit findings and provider type being audited., • Ensure Generally Accepted Government Auditing Standards (GAGAS) standards are applied to each applicable audit to identify fraud, waste or abuse., • Preparing factual and objective written reports in conformance with professional auditing and evaluation standards and present findings to leadership, external agencies, and government partners., • Calculates improper payments, and issues findings, recommendations, and corrective actions in accordance with applicable regulations, policies and procedures., • Prepare and send suspension overpayment determinations to providers when applicable., • Communicates with federal/state agencies and providers regarding issues such as general regulatory compliance, audit findings, and the recovery process., • Attends briefings and presentations as assigned., • Maintains fraud case development quality standards so that proper case development is ensured, and quality cases are fully prepared., • Maintains proper and timely updates in appropriate tools and applications for their investigations. Case development databases and documents., • Develops and documents reports of investigative findings, compiles case file documentation, calculates improper payments, and issues findings, recommendations, and corrective actions in accordance with applicable regulations, policies and procedures., • Program research relating to federal program applications, eligibility, payments, and other program requirements., • Conducts on-site visits and/or interviews as required for investigation., • Identify weaknesses in current audit processes and recommend enhancements for improved efficiency and effectiveness., • Performs ad hoc tasks/duties as assigned., • Bachelor’s Degree in finance, accounting or related field required., • 5-7 Years of related experience in finance, accounting, or auditing., • Intermediate knowledge of internal audit policies and operating principles., • Intermediate knowledge and experience in auditing Medicare/Medicaid and other government payment and oversight programs. (CMS, HRSA, OIG, DOE, Dept. of Commerce etc.), • Knowledge and experience in the application of government accounting principles and standards, including Generally Accepted Government Auditing Standards (GAGAS)., • Experienced investigative skills., • Strong data analysis skills., • Knowledge of medical terminology, ICD-9-CM, ICD-10-CM HCPCS level II and CPT codes. Utilizes Medicaid and Contractor guidelines for coverage determinations., • Experience in reviewing claims for appropriate billing and medical coding requirements, performing medical review, and/or developing fraud cases., • Strong oral and written communication skills, strong interpersonal skills, and superior organizational abilities., • Ability to take initiative, to maintain confidentiality, to meet deadlines, and to work in a team environment., • Ability to report work activity on a timely basis., • Ability to work independently and as a member of a team to deliver high quality work., • Ability to multitask and prioritize assignments while meeting deadlines., • Proficiency in Microsoft Office, specifically Microsoft Word and Excel., • Passion and alignment with IntegrityM’s mission, vision, values and operating principles., • Additional Requirements:, • Must pass post hire background screening checks., • For remote work, required to have wired and/or wireless internet access.

Job Title: Billing Analyst Location: Remote – Must reside in California Employment Type: Full-Time Reports To: Revenue Cycle Manager or Designee Hourly Pay Range: $22.00 – $24.00 per hour About Pacific Health Group Pacific Health Group is at the forefront of revolutionizing health and wellness. We are setting new benchmarks in healthcare services, leading with groundbreaking approaches and innovative solutions to empower our members, uplift families, and impact communities. Pacific Health Group's vibrant culture fuels passionate problem-solvers who thrive on collaboration to deliver unparalleled care. Joining us means being part of a progressive movement championing personal and professional growth through industry expertise, advanced tech, and an appreciative community. Position Summary The Billing Specialist plays a key role in ensuring accurate documentation, timely billing, and regulatory compliance across member and patient services. This role supports our long-term care coordination programs and works cross-functionally with case managers, patient coordinators, and finance staff to ensure accurate reimbursement, efficient claims management, and billing compliance with Medicaid and consolidated health plans. Key Responsibilities • Collaborate with case managers, social workers, patient coordinators, and other staff to ensure complete documentation of patient care plans, services provided, and changes in condition or level of care., • Assign accurate medical codes (e.g., ICD-10, other relevant codes) for diagnoses, treatments, and services in long-term care settings., • Prepare and submit claims to Medicaid and other payers, ensuring proper documentation and compliance with guidelines., • Create invoices and claims for member/patient interactions and outreach activities., • Ensure compliance with consolidated billing requirements, confirming all services are billed by Pacific Health Group as the designated entity., • Review, analyze, and appeal denied claims as needed; gather additional documentation or clarification from internal teams to support resubmission., • Monitor and manage accounts receivable; follow up with payers and health plans to resolve delays or discrepancies and ensure timely reimbursement., • Reconcile payer reimbursements with submitted claims to maintain accurate billing records., • Stay current with changes in billing regulations, long-term care reimbursement policies, and coding guidelines to ensure ongoing compliance., • Provide training or guidance to internal teams on documentation and billing procedures to support accurate and compliant submissions., • Perform other related duties as assigned by management. Qualifications • 1–2 years of experience in medical billing, preferably in long-term care, managed care, or Medicaid environments, • Working knowledge of ICD-10 and consolidated billing processes, • Familiarity with denial management, appeals, and accounts receivable follow-up, • Strong attention to detail and documentation accuracy, • Ability to work independently and manage multiple tasks and deadlines, • Excellent communication skills for working cross-functionally with internal staff and external payers, • Proficiency in medical billing software and standard office tools, • Associate’s degree or medical billing/coding certification preferred Benefits & Perks • 160 Hours of Paid Time Off (PTO), • 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment, • 4 Paid Volunteer Hours per Month to support causes you care about, • Bereavement Leave, including Fur Baby Bereavement, • 90% Employer-paid Employee-Only Medical Benefits, • Dental and Vision Insurance, • FSA | Dependent Care Account, • 401(k) with Company Match, • Monthly Stipend, • Short-Term & Long-Term Disability | AD&D, • Employee Assistance Program (EAP), • Employee Discounts via Great Work Perks and Perks at Work, • Quarterly In-Person Events, • Fully remote work within California, • Opportunities for professional development and internal growth Equal Opportunity Employer Pacific Health Group is an Equal Opportunity Employer. We are committed to creating an inclusive and equitable workplace where all individuals are treated with dignity and respect. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or gender expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking. We value diversity in all forms and encourage individuals from historically underrepresented communities to apply. Pre-Employment Requirements Employment is contingent upon the successful completion of a background check.

Opportunity Overview: We are seeking a Senior Accountant to join the Cohere Health finance team. This position will play an integral role on the team, reporting directly to the Controller and broadly to the CFO. You will drive accounting functions, including general ledger accounting and financial reporting, the month-end close process, technical accounting analysis, including ASC 606 for new revenue deals, audit support, and finance operations oversight, including travel & expense, cash management, customer billing, accounts payable, and accounts receivable. This role is a great opportunity to touch all areas of the general ledger, gain exposure to senior leadership, and work at an exciting and rapidly growing Series C company sitting at the crossroads of technology and healthcare. What you’ll do: • Calculate and record journal entries to the general ledger in accordance with U.S. GAAP, • Drive the month-end close cycle, including preparing and reviewing account reconciliations for cash, accounts receivable, prepaid assets, fixed assets, intangible assets and goodwill, debt, commissions, accruals, leases, and equity, • Support the annual financial statement audit process, • Partner with the Cohere India finance team to record intercompany and consolidation entries, • Perform and document technical accounting analysis, including ASC 606 analysis, and maintain accounting policies, • Support customer billing and invoice generation, • Drive process improvement, system implementations, and technology adoption, including applicable uses of artificial intelligence in the accounting function, • Support cash flow management and working capital analysis to plan and manage liquidity needs, • Support finance operational areas, including accounts receivable, accounts payable, and travel & expense management What you’ll need: • Bachelor’s degree in accounting with a demonstrated high level of academic success, • 3-5 years of relevant experience in public accounting, industry accounting, or similar role, • Proficient knowledge of U.S. GAAP and technical accounting, including ASC 606, ASC 842, and internally developed software accounting, • Passionate about process improvement and technology adoption, including the use of artificial intelligence, • Intermediate level knowledge of all accounting functions and related internal controls, • Highly skilled in using Microsoft Excel, • Organized, productive and detail oriented, • Ability to meet designated deadlines and manage multiple projects to completion, • Able to function independently in a fast-paced environment while managing multiple priorities, • Exercises superior judgment, discretion, interpersonal skills and communication skills to effectively work and communicate on sensitive and confidential issues, • Big Four public accounting experience and/or CPA strongly desired, plus, • Experience with NetSuite, plus, • Experience with multinational reporting and consolidation accounting, plus Pay & Perks: 💻 Fully remote opportunity with about 5% travel 🩺 Medical, dental, vision, life, disability insurance, and Employee Assistance Program 📈 401K retirement plan with company match; flexible spending and health savings account 🏝️ Flex Time Off + company holidays 👶 Up to 14 weeks of paid parental leave 🐶 Pet insurance The salary range for this position is $90,000 to $100,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment. This role is not eligible for hire in: AK, CA, CO, HI, NY, or WA. Interview Process*: • Connect with Talent Acquisition for a Preliminary Phone Screening, • Meet your Hiring Manager!, • Behavioral Interview(s) *Subject to change About Cohere Health: Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum–including policy, prior authorization, payment accuracy, and more–the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. With the acquisition of ZignaAI, we’ve further enhanced our platform by launching our Payment Integrity Suite, anchored by Cohere Validate™, an AI-driven clinical and coding validation solution that operates in near real-time. By unifying pre-service authorization data with post-service claims validation, we’re creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Cohere Health’s innovations continue to receive industry wide recognition. We’ve been named to the 2025 Inc. 5000 list and in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024. Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners. The Coherenauts, as we call ourselves, who succeed here are empathetic teammates who are candid, kind, caring, and embody _. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone. We can’t wait to learn more about you and meet you at Cohere Health! Equal Opportunity Statement: Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it’s personal. #LI-Remote #BI-Remote

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

Job Description Acentus is excited to announce an opening for the position of Accounts Receivable (AR) Representative on our team! In this role, you will play a crucial part in ensuring our professional medical billing processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and eager to contribute to a supportive environment. As an AR Representative, your primary responsibility will be to monitor your team’s payor’s financial performance by identifying and reporting trends and proposing ways to reduce and prevent denials. Daily duties of an AR Representative include ensuring claim payment issues are resolved timely and efficiently, resolving EOB discrepancies, researching denials, training new team members, working special projects, and meeting key performance indicators (KPIs). You will be a key contact point for resolving discrepancies and ensuring that our revenue cycle is efficient and effective. This position requires a keen attention to detail and excellent communication skills. If you enjoy working in a fast-paced environment where you can make a difference in people's lives through your work, this could be the perfect opportunity for you! Responsibilities: • Follow up on submitted claims for payment, • Meet productivity standards and minimum requirement of >60 accounts per day, • Monitor unpaid claims and resubmit claims with appropriate corrections and/or documentation, • Work denied claims and resubmit replacement claims for payment, • Report denial trends to management, • Provide timely, accurate, and professional responses to internal, patient, and third party inquiries, • Research and resolve complex issues and escalate issues to management, • Research no response claims and report root cause to management, • Work with AR manager to resolve and prevent coding denials, • Maintain and submit a detailed issues log to manager to identify practice and/or payer trends, • Report needed system updates to manager, • Research payer policies and insurance eligibility changes and communicate changes to key personnel, • Independently work payor projects as assigned Qualifications: • High school diploma or equivalent required, • Intermediate typing and computer skills required, • Experience in professional medical billing or similar role, • Ability to troubleshoot and problem solve in a healthcare setting, • Knowledge of CPT and ICD-10 coding, • Understanding of HIPAA compliance practices, • Experience utilizing billing systems and electronic medical records (EPIC preferred), • Proficiency using Microsoft Excel and Word, • Prior experience using payor portals, • Excellent research abilities, attention to detail, and communication skills, • Outstanding problem-solving and organizational abilities, • Self-motivation, including multitasking and time management, • Positive attitude and team player

Job DescriptionSalary: From $80k About Us: ChesPenn is a network of community health centers in Delaware County. Our mission is to provide quality, integrated, and culturally sensitive medical, dental, and behavioral healthcare to adults and children regardless of their income, insurance status, or ability to pay. Simply put, our goal is to provide a healthcare home for every person living in the communities we serve. Be part of our mission to care for your community. This is a job that will love you back! Position Summary: Under the direction of the Chief Financial Officer, the Controller will be responsible for creating departmental budgeting, forecasting, analysis and reporting on programs financial results and future performance and strategy. The Controller will provide support, training, coaching, and mentoring to Program Leaders and staff on all financially related matters. The Controller will also be responsible for bridging the gap between clinical and dental billing departments ensuring accurate documentation, coding, claim submission and denial resolution in compliance with ChesPenns policies and procedures, GAAP standards and other regulatory requirements. Qualifications Education: • Bachelors degree in business administration, healthcare administration, Economics or Finance, • CPA or CFA is a plus Years of Experience: • Previous experience in complex data analysis in Medical/Dental Billing in an FQHC setting preferred, • Preferred FQHC and Medicaid reimbursement experience Knowledge, Skills and Abilities: • Strong analytical skills with the ability to communicate effectively to non-financial executives and mentor Accountants., • Highly experienced in accounting, forecasting and creating budgets., • Ability to identify emerging financial risks before operational impact, i.e.. Help answer future focused questions regarding reimbursement changes, provider growth, service expansion, grant funding risks, and organizational sustainability., • Adept in developing payor mix projections., • Success metrics. What We Offer: • Health, Dental, Vision, • 100% Employer Paid Life and LTD Insurance, • Generous Paid Leave (vacation, personal and sick leave), • Tuition Reimbursement, • 401(k) and Roth IRA Retirement Accounts, • Employee Assistance Program Scope of Responsibilities: • Develop program annual budgets and forecasts of program revenues, expenses, and key performance indicators., • Analyze trends, risks, and opportunities., • Assist in creating efficient operational models and implementing solutions and opportunities for cost reduction and increased profitability., • Assist in the preparation of budgets and forecasts including operational revenue and expenses and capital expenditures. Enter data into budget tracking software., • Assist in analyzing and reporting key performance indicators., • Track monthly expenses against budgets, identify and analyze trends, alert the Chief Financial Officer about potential issues, and provide recommendations for solutions., • Assist with providing training and education on relevant financial matters to program staff, including expense monitoring, check requisitions, cash handling and consumer funds management., • Prepare and submit invoices and other reporting for cost reimbursement contracts and grants, insuring compliance with all funders and ChesPenn guidelines., • Maintain rolling 12-month, 24-month, and 36-month forecasts., • Oversee medical and dental revenue cycle management., • Oversee fixed asset ledger and accounting for asset purchases/disposals., • Responsible for oversight of all grant reporting including developing budgets for grant proposals, providing documentation to grantors, and generating monthly grant reports in accordance with grantor specifications / timelines., • Monitor Section 330 funding, Medicaid PPS Medicare cost reporting, value-based care arrangements., • Complete monthly visit report (provider productivity and payor mix reporting), analyze trends and develop predictive models as they relate., • Evaluate financial implications of major organizational initiatives., • Present financial analysis to executive leadership and the Board, • Complete all other financial duties as assigned. Physical demands: • Travel is required between site (s)., • Frequent and prolonged sitting, standing and/or walking may be required., • Moderate physical effort with carrying forms, supplies and equipment., • Climbing stairs may be required., • Stooping and stretching may be required. Work environment: • The primary workplace is a busy multi-cultural ambulatory care setting. There is routine exposure to infections disease and blood borne pathogens. ChesPenn is an Equal Opportunity Employer: Because employees work with families and children and due to the sensitive nature of patient medical information, we require all applicants who receive and accept employment offers to complete child abuse and criminal background checks before being hired.

Job Description Key Responsibilities Front Desk Duties: • Greet and check in patients in a professional and welcoming manner, • Schedule office visits and procedures (injections, nerve blocks, RFAs, etc.), • Verify insurance eligibility and benefits, • Collect co-pays, deductibles, and outstanding balances, • Answer phones and assist with patient inquiries, • Maintain accurate patient records and ensure HIPAA compliance Medical Billing & Coding Duties: • Assign accurate ICD-10, CPT, and HCPCS codes, • Submit and track insurance claims (electronic and manual), • Manage prior authorizations for pain management procedures, • Follow up on denied or unpaid claims and submit appeals, • Post payments and reconcile accounts receivable, • Ensure compliance with payer guidelines and documentation standards

Job Description Founded in 1970 as South Philadelphia Health Action and subsequently incorporated as Greater Philadelphia Health Action, GPHA is a non-profit healthcare organization with a commitment to provide compassionate and affordable healthcare services regardless of an individual’s ability to pay. Since 1970, GPHA has expanded to become one of the premier providers of primary and behavioral healthcare in the Greater Philadelphia area. Because of our success and stability, GPHA has become an employer of choice, offering our employees competitive salaries and a full array of benefits and perks to include medical, dental, and life insurance, tuition reimbursement, paid-time-off, holiday pay, numerous discounting programs, 401(k) with company match and a collaborative work environment. We are presently seeking full-time Business Office Coordinators. Requirements include: High School Graduate with graduation from an accredited Medical Coding Specialist program would be desired. Skill in operating both the computer terminal and system computer with moderate speed to access information. Working knowledge of ICD – 9 and CPT codes. Knowledge of medical terminology desired. Experience in an ambulatory care or hospital setting preferred. Able to meet deadlines in a timely manner. Responsible individual capable of working under stressful conditions. Must have excellent analytical skills and be a self-starter with the ability to work independently. Ability to proofread and monitor own work for accuracy. Good interpersonal skills. Must have a fundamental understanding of insurance billing. Must also be CPR certified. General Responsibilities and Duties include: • Responsible for obtaining and documenting accurate demographic and financial data to eliminate revenue loss and decrease encounters errors., • Responsible for the collection, recording and tabulation of monies owed to the corporation., • Prepare reports after reconciling data entry batches., • Ability to communicate well with patients and staff in a professional manner., • Ability to calculate, verify and update patient sliding fee scale appropriately., • Perform special projects as assigned. Start an exciting career at GPHA. Apply Now! GPHA is an Equal Opportunity Employer. GPHA does not and will not discriminate in employment and personnel practices to include hiring, transferring and promotion practices on the basis of race, color, sex, age, handicap, disability, religion, religious creed, ancestry, national origin, or any other basis prohibited by applicable law.

Job Description ```Duties``` • Perform administrative tasks such as scheduling appointments, maintaining medical records, and billing and coding for insurance purposes., • Assist healthcare providers with patient examinations and treatments., • Administer medications, including injections, as directed by healthcare providers., • Prepare patients for procedures and assist with minor surgeries., • Take and record vital signs, such as blood pressure, temperature, and pulse., • Collect and prepare laboratory specimens for testing., • Provide patient education on medications, procedures, and general health topics., • Perform basic laboratory tests, such as urinalysis and blood glucose monitoring., • Maintain cleanliness and organization of examination rooms and medical equipment. ```Qualifications``` • Certification as a Medical Assistant from an accredited program., • Knowledge of human anatomy, physiology, and medical terminology., • Proficiency in medication administration techniques, including inhalation., • Ability to provide excellent patient care with compassion and empathy., • Basic life support (BLS) certification., • Strong customer service skills to ensure positive patient experiences., • Familiarity with X-ray procedures and equipment is a plus., • Experience working in a hospital or clinical setting is preferred., • Ability to speak Spanish or Chinese is preferred Please note that this job description is not exhaustive and additional duties may be assigned as needed.

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. Position Overview: The Senior Payment Specialist is responsible for balancing journal entries to both the bank statement and CPM balancing reporting tools. Key responsibilities include breaking down ACH's lockboxes and credit card payments for assigned markets. Reconciles processed work by verifying entries and comparing system reports to balances for both the CBO and the markets. Maintains and balances journal entries daily and monthly for the finance department's general ledger. Identify variances related to the journal entries vs. bank statements and communicate findings to the Payment Specialists to research and post outstanding payments. Communicate offsets and variances to management & finance. Work closely with finance to resolve discrepancies. Participates in regularly scheduled team meetings offering new paths, procedures and approaches to maximize opportunities for performance and process improvement. Serve as back-up for the Payment Specialists as needed. Qualifications: High School Graduate/GED required. Associate's degree preferred. Experience (5-8 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment. Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, claim submission requirements and remittance processing. Understanding of the revenue cycle and how the various components work together preferred. Reconciliation/balancing and accounting knowledge required. Ability to handle data entry accurately in a high-paced environment. Ability to reconcile data and identify discrepancies. Ability to obtain/manipulate necessary reports in CPM, balancing spreadsheets, and daily deposit spreadsheets. Excellent organization skills, attention to detail, research and problem solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Strong computer literacy skills including proficiency in Microsoft Office. As an IPM employee you will be part of a first-class organization offering: A challenging and rewarding work environment. Competitive compensation & generous paid time off. Excellent medical, dental, vision and prescription drug plans. 401(K) with company match.

Location: Pennsauken, NJ Industry: Healthcare Pay: $20 - $25 / Hour (based on experience) Benefits: The position is eligible for medical, dental, vision, and 401(k) About Our Client: Our client is a well-established RCM company working with local health systems to handle billing, collections, eligibility services, and financial counseling, often on-site at hospitals. They have been recognized for providing reliable and efficient service with a strong management team in place. Job Description: The Medical Biller will support a growing team handling billing for hospitals, including UB-04 claims and CMS 1500 forms. This is an excellent opportunity for someone looking to grow a long-term career in medical billing with extensive training and career advancement potential. • Follow up on UB-04 claims for hospital billing and CMS 1500 claims for professional services., • Process insurance claims, ensure accurate coding, and manage billing disputes., • Work with various payor portals and clearinghouses., • Collaborate with the billing team to ensure efficient and accurate billing processes., • High School Diploma or GED (required), • Experience with NJ Medicaid, • Experience with Epic or other EMR's, • Schedule: MondayFriday, 8AM4:30 PM, • Dress Code: Business casual Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.

Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training. With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job. You'll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention. We look forward to being a part of your professional journey. We invite you to apply today. The Sr. A/R Specialist is responsible for the claim submission and collection of all outstanding accounts. Responsible for performing resolution oriented patient collections to achieve cash recovery and A/R resolution goals of assigned receivables through established methods and procedures, using current available technology. Receives and responds to inquiries from insurers and patients, processes correspondence, and documents all work activity in electronic patient files. Responsible for meeting daily/weekly productivity and reasonable quality work expectations. Collaborates with Health System departments to achieve the key performance metric targets established by Senior Leadership. Connecting To Mission: All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Holy Redeemer Health System. Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship and Collaboration are present in our interactions with one another and in the services we provide. The Business Office Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting, and healing for all in need. • HS Diploma/GED required. Must be able to provide proof of official transcript or diploma., • 5+ years experience in medical billing or healthcare accounts receivable experience; medical billing coursework may be substituted for prior experience., • HFMA or AAHAM certification preferred., • Extensive knowledge of Medicare regulations, minimum of 2 years experience using Fiscal Intermediary Standard System., • Knowledge of third party payer contracting language and reimbursement terms., • Knowledge of medical terminology, ICD10, CPT, and HCPC coding., • Familiar with multiple (widely used) healthcare patient accounting/billing systems., • Proficiency with Excel, MS Office, Internet Explorer, and Database Management application software. Any other necessary computer skills that will help with the assigned duties., • Ability to communicate in English, both written and verbal. Additional languages are preferred., • Ability to handle multiple tasks and accurately process high volumes of work., • Ability to establish and maintain effective working relationships with patients, employees and the public., • Strong organizational and time management skills., • Good analytical skills, assertive in resolving unpaid claims., • Ability to work independently, with minimal supervision. Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.

Accounts Receivable Specialist This role requires a three-month training period in office and must be within commuting distance to the King of Prussia, PA headquarters. Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. Position Overview: The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and underpaid claims by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Researches claim denials by assigned payer/s to determine reasons for denials correcting and reprocessing claims for payment in a timely manner. Meets or exceeds the department's established performance targets (productivity and quality). Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites the reprocessing of claims and maximizes opportunities to enhance front end claim edits to facilitate first pass resolution. Identifies uncollectible accounts and performs accurate and timely write-offs (e.g. no authorization) adhering to IPM CBO policy guidelines. Demonstrates the ability to be an effective team player. Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team. Key Responsibilities include: • Accurate and timely follow-up on claims that have not received a response, have been denied, or have been under/over paid., • Works with payer to determine reasons for denials., • Corrects and reprocesses claims for payment in a timely manner., • Proceeds with appeals process as needed., • Performs eligibility and claim status follow-up inquiries utilizing outbound calls to the payer, web link tools and payer websites., • Documents all actions taken on accounts worked according to the department policy to ensure clear understanding of encounter status., • Identifies root causes and denial trends and makes recommendations to department leadership to prevent additional denials., • Maintains a strong working knowledge of payer requirements and can research payer policies including LCD's and NCD's to help determine root cause for denial trends., • As a last resort after exhausting all efforts, performs accurate write-offs (e.g. no authorization) following the identification of uncollectible accounts., • Strictly adheres to IPM CBO write-off policies and procedures and utilizes proper adjustment aliases as defined in departmental job aides., • Participates in regularly scheduled team meetings sharing denial trends specific to claim requirements to enhance front end claim edits to facilitate first pass resolution., • Contributes ideas for workflows and approaches to A/R follow-up tasks to maximize opportunities for performance, process, and net revenue collections improvement., • Meets established productivity metrics for the AR Department., • Meets routinely with Supervisor to review productivity results and understands best practices and opportunities to create efficiencies in order to achieve maximum performance., • Meets established quality metrics for the AR Department., • Meets monthly with Supervisor to review quality results and collaborate on ways to improve scores. Qualifications: • High School Graduate/GED required., • Technical School/2 Years College/Associates Degree preferred., • Work experience: Experience (1-3 years minimum) working in healthcare revenue cycle., • Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes., • Understanding of the revenue cycle and how the various components work together preferred., • Excellent organization skills, attention to detail, research, and problem-solving ability., • Results oriented with a proven track record of accomplishing tasks within a high-performing team environment., • Service-oriented/customer-centric., • Strong computer literacy skills including proficiency in Microsoft Office. As an IPM employee you will be part of a first class organization offering: • A challenging and rewarding work environment., • Competitive compensation & generous paid time off., • Excellent medical, dental, vision and prescription drug plans., • 401(K) with company match and much more!

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

Camden, New Jersey, United States Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Customer Service Advocate to their Corporate Synergies team in Philly Metro Region. Job Summary: The Benefits VIP Representative handles claims resolution, benefits inquiries, coverage eligibility concerns, and other related issues for our clients' administrators and employees. They work closely with clients and carriers via phone and email to resolve matters within a 24-hour timeframe. Essential Functions: • Address client employee insurance concerns, answer benefit-related questions, and assist with claims resolution, patient advocacy, and pre-certifications., • Educate client employees on optimal benefit utilization and provide guidance on cost-effective plan options., • Maintain detailed records of client interactions, entering data into Salesforce and generating client analysis reports as necessary., • Use Salesforce to gather client information and enhance service quality., • Monitor resolution timelines to ensure benefit issues and claims are closed within the designated timeframe., • Review Summary Plan Descriptions (SPDs) and benefit summaries for accuracy., • Offer expertise on insurance billing, coding, employee group benefits, insurance processes, and plan descriptions to clients., • Act as a primary resource within the team, delivering exceptional customer service and support in resolving insurance and benefit-related issues., • Address member eligibility inquiries, enrollment entry and confirmation of coverage. Competencies & Qualifications: • Exceptional verbal and written communication abilities., • Outstanding organizational and multi-tasking capabilities., • Strong problem-solving skills., • Skilled at taking initiative, prioritizing tasks, and meeting tight deadlines., • Proficiency in Spanish (both written and spoken) is a plus., • Collaborative team member., • Adaptable and detail-oriented., • Proficient in Microsoft Office Suite. Education & Experience: • Three plus years' experience working in customer service/call center environment., • Experience with an insurance industry carrier, broker, or insurance related vendor., • Knowledge of eligibility claims, medical coding and billing, etc., • Knowledge of benefit summaries and Benefit Plan Descriptions. Pay Transparency Range $22 - $25 USD Disclaimer: While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary. Equal Employment Opportunity (EEO): FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law. Benefits: FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!

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

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

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

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