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JOB DESCRIPTION Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers. Job Duties • Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims processing., • Identifies and reports quality of care issues., • Assists with Complex Claim review including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical experience, • Documents clinical review summaries, bill audit findings and audit details in the database, • Provides supporting documentation for denial and modification of payment decisions, • Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of all relevant and applicable Federal and State regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of service provided, length of stay and level of care., • Reviews medically appropriate clinical guidelines and other appropriate criteria with Medical Directors on denial decisions., • Supplies criteria supporting all recommendations for denial or modification of payment decisions., • Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals., • Provides training and support to clinical peers., • Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. JOB QUALIFICATIONS Graduate from an Accredited School of Nursing REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • Minimum 3 years clinical nursing experience., • Minimum one year Utilization Review and/or Medical Claims Review., • Minimum two years of experience in Claims Auditing, Medical Necessity Review and Coding experience Active, unrestricted State Registered Nursing (RN) license in good standing. PREFERRED EDUCATION: Bachelors’s Degree in Nursing or Health Related Field PREFERRED EXPERIENCE: Nursing experience in Critical Care, Emergency Medicine, Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional in Healthcare Quality or other healthcare certification. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $26.41 - $61.79 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Physical Therapist Responsibilities: • Assessments & Evaluations: Assess conditions related to genetic, developmental, neurological, and orthopedic disorders using advanced standardized tests like PDMS-2, BOT-2, and GMFM., • Treatment Planning: Provide targeted therapy sessions focusing on range of motion, strength, postural control, balance, and functional mobility, including orthotic and adaptive equipment use for individuals aged birth to 22 years, as outlined in IEPs. Collaborate with the special education team to develop effective IEPs and IFSPs, aligning interventions with student needs and resources., • Consultation & Instruction: Build and maintain strong, positive relationships with students, parents, and professional staff. Create and prescribe home activity programs, coach parents to support motor skill development, and serve as a district-wide physical therapy resource by providing training, consultation, and hands-on support. Collaborate with medical staff and assist school personnel with physical therapy services, while mentoring and ensuring compliance with best practices., • Data Collection & Documentation: Complete annual and triennial reviews, ensure continued support and growth, and stay current with scope of practice, coding/billing practices, and compliant documentation. Complete all necessary documentation in accordance with administrative policies, state, and federal laws., • Licensure & Certifications: Current Physical Therapy licensure in the state where services are delivered., • Background Check: Department of Justice/FBI Background Check (or equivalent state or national fingerprint clearance)., • TB Clearance, • Eligibility to Work: Eligibility to work in the US Physical Therapist Physical Demands:, • Environment: Occasional exposure to dust, pollen, and fumes., • Activity: Frequent engagement in tasks such as reaching, handling, standing, walking, and lifting items up to 50 lbs, with or without reasonable accommodations. PQI is an Equal Opportunity Employer and considers all qualified applicants regardless of race, gender, color, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or other classification protected by law.

Job DescriptionAre you passionate about making a difference in patients' lives through compassionate care and technical expertise? We are seeking a dedicated and skilled Allied Healthcare Professional's to join our dynamic healthcare team. If you're driven by a commitment to patient well-being and are ready to work in a fast-paced, rewarding environment, we invite you to apply and become a valued member of our healthcare team Position: Technicians and Technologist needed Various Schedules: AM & PM Shifts What You'll Do: In this role, you will provide essential support in patient diagnosis, treatment, and rehabilitation, collaborating closely with physicians, nurses, and other healthcare professionals. Whether you specialize in diagnostic imaging, laboratory work, rehabilitation, or patient care, your contributions will play a crucial role in delivering exceptional healthcare services. Each specialty within allied health requires different certifications and specific technical skills but overall focuses on supporting medical teams in diagnosis, treatment, rehabilitation, or administrative tasks. Why Join Us: • Professional Growth: Expand your nursing proficiency and knowledge while experiencing a range of cases and scenarios that enrich your career journey., • Adventurous Opportunities: As a Travel Registered Nurse, you will have the chance to explore diverse locations across the United States. Expand your professional horizons while enjoying the adventure of new environments. Assisting in diagnosis: * • Operating equipment like X-rays, MRIs, or ultrasound machines (radiology technicians, sonographers)., • Laboratory work: Performing blood tests, urine tests, or other lab work (lab technicians)., • Physical therapy: Assisting in the development and execution of physical therapy treatments (physical therapy assistants). Direct patient care: * • Assisting with patient mobility, bathing, feeding, or monitoring vital signs (patient care technicians, certified nursing assistants)., • Education and counseling: Providing patient education on treatments, conditions, and medications (health educators, dietitians)., • Rehabilitation support: Assisting patients in rehabilitative activities to improve mobility and function (occupational therapy assistants). Maintaining patient records: * • Ensuring that accurate medical documentation is up to date (medical record technicians)., • Scheduling and coordination: Arranging appointments, tests, or procedures for patients (medical office assistants). Billing and coding: * • Handling insurance claims and medical billing using appropriate coding systems (medical billers and coders)., • Operating specialized equipment: Such as in radiology, sonography, respiratory therapy, or anesthesiology. Sterilizing instruments: * • Ensuring that all medical instruments and environments are sterile (surgical technologists). Respiratory therapists: * • Provide breathing treatments and manage ventilators. Pharmacy technicians: * • Assist pharmacists in dispensing medications and providing information to patients. Requirements Authorized to work in the US without sponsorship This is NOT a Virtual/Remote position. Confirm you are willing to travel, if not already a local, to Texas, Louisiana, Tennessee or Arkansas Must have Certification applicable to the Medical Technician Specilaity English Equal Opportunity Employer Hire Energy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Requisition #cm0gvsmvy2f1l0pnqys2tkgkl

Job Description POSITION SUMMARY: The Director of Clinical Informatics & Applications is a strategic leadership role responsible for optimizing and managing our current Meditech 5.x platform across the Nexus Healthcare System while supporting the VP of IT in positioning the organization for future EMR initiatives. This position serves as the critical bridge between clinical operations, leveraging nursing expertise to enhance clinical workflows. This also includes collaboration with the CBO for revenue cycle management, financial processes, and driving optimization of existing technologies. The Director will lead a team of analysts, project managers, and vendor partners (i.e., RN, Pharmacy specialists), fostering collaboration with clinical, operational, and revenue cycle stakeholders to drive innovation and continuous improvement across a multi-facility hospital system. This position reports directly to the VP of IT and supports their strategic direction for all technology initiatives, governance activities, and organizational priorities. POSITION QUALIFICATIONS: The responsibilities listed below are typical examples of the work performed in this position. Not all duties assigned to this position are included, nor is it expected that everyone in this position will be assigned every job responsibility: Current Meditech 5.X Platform Optimization & Management  Lead comprehensive optimization initiatives for existing Meditech 5.X platform across multiple facilities under the direction and strategic guidance of the VP of IT  Direct system configuration enhancements to improve clinical workflows, revenue cycle processes, user experience, and operational efficiency  Oversee ongoing system maintenance, upgrades, and performance optimization to maximize current platform capabilities  Coordinate with Meditech support and vendor partners to implement best practices and system improvements as directed by the VP of IT  Manage complex system integrations and interface optimization between Meditech and ancillary departments including Laboratory, Radiology, Pharmacy, and Revenue Cycle  Oversee interoperability initiatives including ePrescribing systems, clearinghouse gateways, clinical documentation improvement tools, financial reporting systems, and emerging IoT/wearable device integrations  Establish performance monitoring protocols to ensure optimal system reliability and user satisfaction  Support EMR integration planning and implementation for new hospital acquisitions under VP of IT guidance, including system configuration, data migration, interface development, and comprehensive training programs Clinical Stakeholder Engagement & Workflow Enhancement  Serve as primary liaison with physician and nursing leadership to identify optimization opportunities and address workflow inefficiencies, reporting findings and recommendations to the VP of IT  Collaborate closely with Revenue Cycle Management (RCM) teams to ensure clinical and financial documentation supports billing accuracy, coding compliance, revenue capture, and chargemaster optimization  Conduct comprehensive clinical workflow analysis to streamline processes within the current Meditech environment  Support physician and nursing advisory committees to guide system improvements and feature utilization as directed by the VP of IT  Partner with Revenue Cycle Management stakeholders to optimize clinical documentation workflows that impact billing accuracy, denial management, revenue capture, clearinghouse processing, and financial reporting  Design and implement clinical decision support enhancements within existing platform capabilities  Facilitate ongoing clinical staff training and optimization programs leveraging nursing expertise to build peer credibility, utilizing both direct training and train-the-trainer methodologies Financial & Revenue Cycle Management Integration  Oversee optimization of financial modules within Meditech including chargemaster management, billing interfaces, and revenue reporting systems  Manage clearinghouse gateway operations and electronic claim processing workflows  Coordinate with financial teams to ensure accurate charge capture, proper coding workflows, and denial management processes  Optimize collector dashboard functionality and accounts receivable management tools  Support implementation and maintenance of financial reporting systems and business intelligence tools  Ensure integration between clinical documentation and financial coding requirements  Manage interfaces with third-party financial systems and payment processing platforms  Oversee cost accounting and financial analytics capabilities within the EMR system Strategic Clinical Informatics Leadership & Future Readiness  Support the development and maintenance of a clinical informatics governance structure across all facilities, ensuring alignment with organizational priorities and standards  Champion data governance initiatives as set by the VP of IT to ensure clinical and financial data integrity, accessibility, and compliance  Develop and execute clinical informatics roadmap aligned with organizational strategic priorities and industry best practices, supporting the VP of IT's overall technology strategy  Participate in future EMR strategic planning when organizational direction is determined, providing subject matter expertise (SME) to support the VP of IT decision making  Support EMR integration and training initiatives for new hospital acquisitions and facility expansions ensuring seamless incorporation into existing clinical information systems under the direction of the VP of IT  Stay current with healthcare technology trends and EMR advancement opportunities to inform future strategic decisions led by the VP of IT  Ensure compliance with healthcare standards (HIPAA, HITECH, Joint Commission) and regulatory requirements  Collaborate with quality improvement teams to leverage existing data analytics capabilities for clinical outcomes improvement  Work closely with RCM leadership to ensure clinical system optimizations support revenue cycle objectives, documentation compliance, and billing accuracy  Support evaluation and optimization of ancillary clinical systems that integrate with current Meditech platform  Support enterprise interoperability strategy including management of Laboratory, Radiology, Pharmacy, Automated Medication Dispensing, and Revenue Cycle interfaces while evaluating emerging technologies Team Leadership & Operations Management  Manage and mentor a high-performing team of IT professionals including Clinical Applications Manager and IT Business Analysts  Demonstrate skilled leadership and team building to create cohesive, autonomous department operations under VP of IT oversight  Operate independently with minimal oversight while maintaining clear communication and accountability to VP of IT  Allocate resources effectively across optimization projects and operational support activities  Foster culture of innovation and continuous learning within the clinical informatics team  Develop team expertise in Meditech 5.x optimization, clinical and financial workflow enhancement, and business analysis methodologies  Lead enterprise training strategy and program development for clinical applications, serving as primary trainers or implementing train-the-trainer programs across all facilities  Manage EMR integration and training programs for new hospital acquisitions ensuring rapid onboarding and standardization across expanding healthcare systems  Coordinate with IT Operations, Cloud, and Shared Services teams to ensure integrated technology solutions  Provide regular status reporting to VP of IT and executive leadership on platform performance and improvement initiatives, including routine reports on costs, timelines, milestones, and escalation of issues during implementation EDUCATION:  Active Registered Nurse (RN) license in the State of Texas is required. Must be in good standing with the Texas Board of Nursing and meet all continuing education and renewal requirements as defined by the Board  Bachelor's degree in Nursing required  Master's degree in Health Informatics, Healthcare Administration, or related field preferred  Nursing Informatics certification (ANCC or equivalent) strongly preferred EXPERIENCE:  Minimum 8-10 years of progressive IT experience, with at least 5 years in clinical applications leadership  Must have experience with implementing/deployment of an electronic medical record (EHR) from "ground-up"  Proven experience leading enterprise-wide clinical system implementations in a hospital or health system setting  Proven experience with optimizing EMR platforms (Meditech 5.x strongly preferred, other versions acceptable)  Experience managing cross-functional teams and driving adoption of system enhancements in clinical settings  Demonstrated ability to work effectively with Revenue Cycle Management teams including HIM, coding, billing, and denial management departments  Expertise in system optimization, interface management, and vendor relationship management  Comprehensive experience with healthcare interoperability and system integrations including Laboratory interfaces, Radiology systems, Automated Medication Dispensing, ePrescribing platforms, and Revenue Cycle Management tools  Working knowledge of clearinghouse gateways, clinical documentation improvement systems, financial reporting tools, telemetry integrations, and emerging IoT/wearable device connectivity  Experience with large-scale system implementations or major upgrades preferred for future readiness LICENSURE/CERTIFICATION:  Ability to be agile in high stress, fast-paced environment. Projects are high visibility, with concrete deliverable deadlines  Project management certification preferred: PMP, ITIL  Clinical application certifications preferred  Excellent communication and stakeholder management skills  Skilled leadership and team building capabilities with proven ability to operate autonomously  Strong departmental management experience with demonstrated success leading diverse technical teams  Effective training and education skills with ability to develop and deliver training programs for clinical and technical staff  Ability to translate clinical needs into technical requirements  Strong analytical and problem-solving capabilities  Experience with budget management and resource allocation  Change management experience for system optimization initiatives  Knowledge and/or hands-on experience with AI applications in healthcare records or equivalent AI technology implementations PREFERRED QUALIFICATIONS: • Background in quality improvement and clinical outcomes measurement, • Deep experience with Meditech 5.x modules (Clinical Documentation, CPOE, Pharmacy, Laboratory, Revenue Cycle, Financial Reporting, etc.), • Experience with healthcare data analytics and reporting tools, • Previous nursing informatics or clinical systems leadership role with autonomous department management experience, • Experience working with physician groups and medical staff leadership, • Experience with implementing AI-driven tools such as ambient clinical documentation, predictive analytics for clinical risk, and natural language processing for automated coding and documentation improvement, • Strong background collaborating with Revenue Cycle Management teams including HIM, coding, billing, and denial management to optimize clinical documentation and system workflows, • Proven track record building and leading high-performing technical teams in healthcare environments, • Experience developing and delivering clinical training programs and educational curricula, • Background in adult learning principles and train-the-trainer methodologies, • Experience with hospital acquisitions and EMR integration projects for new facilities, • Background in multi-site clinical system standardization and expansion initiatives, • Knowledge of healthcare interoperability standards (HL7, FHIR, DICOM, IHE), • Experience with healthcare interface engines and integration platforms, • Hands-on experience implementing Laboratory interfaces and regional lab connectivity, • Background with Radiology system integrations (PACS, RIS connectivity), • Experience with Automated Medication Dispensing system integrations, • Experience with ePrescribing implementations and DEA compliance, • Knowledge of Revenue Cycle Management system integrations and clearinghouse connectivity, • Experience with clinical documentation improvement tools and platforms, • Familiarity with telemetry system integrations and real-time data feeds, • Emerging experience with IoT clinical devices and wearable technology integration, • Experience with EMR vendor evaluation and selection processes

Job DescriptionSalary: $70-$90K Position Summary TheAccounts Payable Supervisor oversees the full-cycle accounts payable function, ensuring accurate, timely, and compliant processing of invoices. This position is responsible for managing a small AP team, streamlining processes, enforcing policy compliance, and supporting the month-end close. The ideal candidate brings hands-on experience in a high-volume, project-driven environment with a focus on construction or subcontracting. Key Responsibilities: Invoice & Payment Management • Supervise daily invoice entry, matching, and approval workflows for ~100 invoices/day., • Review and validate vendor invoices, purchase orders, and receiving documents for accuracy., • Ensure timely vendor payments via ACH and credit card in accordance with project schedules and company policy., • Resolve invoice discrepancies and communicate with vendors and internal teams. Month-End Close & Reporting • Coordinate AP accruals, cutoff procedures, and reconciliations during month-end close., • Prepare AP aging reports and assist in cash flow forecasting with Treasury Manager., • Ensure proper job costing and GL coding in coordination with project and accounting teams. Compliance & Controls • Maintain compliance with company policies, contract terms, lien waivers, and tax requirements (e.g., W-9s, 1099s)., • Oversee subcontractor compliance with insurance certificates, preliminary notices, and payment terms., • Support audit requests and ensure proper documentation is retained and accessible. Team Leadership • Lead, train, and support a team of AP clerks or specialists (13 direct reports)., • Assign workload, monitor productivity, and implement process improvements., • Promote a collaborative, detail-focused, and accountable AP culture. Qualifications • 5+ years of accounts payable experience, with at least 2 years in a supervisory role., • Prior experience in construction, subcontracting, or job cost accounting., • Proficient with construction ERP systems (e.g., Sage Intacct or similar)., • Strong knowledge of job costing, lien waivers, subcontractor compliance, and 1099 reporting., • High attention to detail, organizational skills, and ability to manage deadlines in a fast-paced environment., • Intermediate to advanced Excel skills. Preferred Qualifications • Experience with electrical subcontractor operations and AIA billing environments., • Familiarity with sales and use tax, certified payroll, or retainage tracking is a plus., • Associate or bachelors degree in accounting or business preferred but not required. Benefits: • Close knit, team-oriented work environment, • Medical, Dental and Vision Insurance, • 401K, • Bonus opportunities, • PTO, • Paid Holidays, • Sick Days, • Continued Education Opportunities and Resources Enterprise Electrical Core Values Safety First, Safety Always (Safety) Committed to Excellence (Greatness) Plan it, Do it, Own it (Accountability) Learn it, Know it, Teach it (Mentorship) One Team, One Goal (Teamwork) Positive Attitude Required (Positivity)

Job Description MET Healthcare Solutions is seeking a Medical Claims Eligibility Specialist II to join our fast-paced organization. The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established federal regulations and company policies and procedures. Responsibilities of the Medical Claims Eligibility Specialist II may include but are not limited to: · Analyze Explanation of Benefits (EOB) and payment remittance documents submitted by healthcare providers and insurance carriers to determine which level II claims are eligible for the dispute resolution process. · Compose correspondence in accordance with regulatory requirements (and internal policies in procedures) in a clear, concise, and grammatically correct manner. · Communicate (via email) with healthcare providers and health plans to obtain information necessary to determine the eligibility of the claims. · Relay the status of all claim submissions utilizing multiple different operating systems. · Stay up to date on industry specific regulations, ensuring that appropriate strategies are in place. · Maintain electronic files for all claims determined eligible. These responsibilities are a condensed list of the full scope of the job description and are subject to change depending on the company’s demand. · Experience reviewing all types of medical claims, EOBs, and payment remittances (e.g. HCFA 1500, Outpatient/Inpatient UB92, Surgery, Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing). · Understanding of insurance reimbursement rules. · Ability to work at a high level and display high attention to detail. · Ability to work across multiple operating systems. · Ability to maintain confidentiality and professionalism in difficult situations. · Strong written and verbal communication skills with the ability to explain reasoning effectively. This Medical Claims Eligibility Specialist II position is offered as a hybrid position (after in office training) to those candidates that meet all the position requirements and continue to meet the daily expectations. This is a full-time position, Monday-Friday from 8am-5pm. Please only apply if you are able to meet these requirements weekly. Education: • Billing and Coding Certification (Preferred) Company DescriptionA healthcare management group, URAC-accredited as an independent review organization (IRO). Over 20 years of experience helping control costs, and mitigate regulatory compliance by providing superior administrative and medical expert services to improve the quality of healthcare functions nationwide. Making a difference in healthcare.A healthcare management group, URAC-accredited as an independent review organization (IRO). Over 20 years of experience helping control costs, and mitigate regulatory compliance by providing superior administrative and medical expert services to improve the quality of healthcare functions nationwide. Making a difference in healthcare.

Job Description We are looking for a experienced surgical billing specialist to join our team! Under the direction of the Billing Operation Manager the Medical Billing Specialist will play a key role in reviewing and analyzing surgical billing and coding. The role will be responsible for timely accurate review, charge capturing, compliant billing for both inpatient and outpatient services. Responsibilities: • Review and accurately code office, hospital, DME and surgical procedures for reimbursement., • Validate and determine appropriate coding levels by reviewing clinical documentation and operative reports., • Reconciles encounters and charges tickets to ensure accurate charge capturing., • Follow up on missing charge tickets and clinical documentation as appropriate., • Ensures that documentation supports charges to prevent denials and underpayments., • Timely reconciliation and billing of charges as assigned., • CPC, CCS, or equivalent certificated required, • Specialty coding certification a plus, • 2 years experience working as a billing specialist or medical coder, • 2 years experience as a surgical coder in one of the following specialties: Neurosurgery, Orthopedic Surgery, or Spine Surgery preferred, • Expert knowledge of ICD10 and CPT, • Strong knowledge of medical terminology, anatomy, and physiology, • Nextgen software experience highly desired, • Monday - Friday, • Medical, Dental, Vision, and Life Insurance, • 401K with Safe Harbor Contribution, • Paid Time Off, • Holiday Pay, • Competitive Salary

Job Description Who we are: ManhattanLife Insurance and Annuity Company was founded in 1850, the Company’s longevity makes it one of the oldest and most reliable health and life insurance companies in the country. Operating successfully for 175 years is a testimony to ManhattanLife’s enduring history, and an indicator of the reliability of our future. ManhattanLife’s headquarters are in Houston, TX and the company is continually growing with multiple office locations nation-wide. ManhattanLife offers attractive employee benefits starting day one, including immediate coverage under our health, dental and vision plans. We offer flexible schedules, including shortened hours on Fridays, free parking, company-wide events, professional development (LOMA testing) and a company-wide wellness program. Scope and Purpose: The Appeals Specialist is responsible for ensuring professional and compliant processing of all appeals, predetermination requests, consumer grievances, department of insurance inquiries, and legal inquiries in a timely and efficient way, in accordance with corporate and insurance regulatory standards. Duties and Responsibilities: • Review and research appeal and complaints submitted on marketed health insurance policies., • Correspond with policyholders and/or applicable third party as required (written acknowledgement and closure letters and telephone contact as appropriate)., • Complete data entry and documentation requirements in multiple systems., • Act as a liaison and coordinate functions with internal departments relative to the status of an inquiry and the research needed., • Interact with Claim Examiners, Claim Department Management, Company Officers, as well as our Legal Department, to resolve the inquiries that are received., • Responsible for compliance with all regulatory and department timelines., • Review predetermination requests and relevant medical records to determine patient eligibility and to provide benefit estimates to providers as requested. Minimum Qualifications: Bachelor’s Degree in English, Business Administration, Government or Communications and/or related field. Knowledge, Skills, and Abilities: • 1-3 years of working in a professional office setting., • Effective interpersonal skills as well as excellent written and verbal communication skills are essential., • Experience working with Microsoft Word, Excel, and SharePoint is preferred., • Knowledge or certification of basic medical terminology is a plus., • Experience with medical billing/coding is preferred., • Good time management skills and able to work on multiple tasks at a time., • Knowledge or certification of CPT/HCPCS/ICD-9/ICD-10 coding is a plus., • Prior experience handling predetermination requests, consumer, appeals, or complaints is a plus. Travel Requirements: This position may require light travel within a ten-mile radius from one office location to another as needed. Professional Development: • Establish annual objectives for professional growth., • Keep pace with developments in the discipline., • Learn and apply technologies that support professional and personal growth., • Participate in the evaluation process. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle or feel objects, type, and use mouse; reach with hands and arms and talk and/or hear. The employee is required to sit for extended periods of time. The position may require lifting, pulling, or moving items weighing upwards of 10 pounds as it relates to office or desk supplies. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee regularly works in an office environment. This role routinely uses standard office equipment such as computers, phones via WebEx, physical phone while in office, and photocopiers when necessary. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to the job at any time without notice. AAP/EEO Statement: ManhattanLife prohibits discrimination based on race, religion, gender, national origin, age, disability, veteran status, marital status, pregnancy, gender expression or identity, sexual orientation, or any other legally protected status. EOE Employer/Vet/Disabled. ManhattanLife values differences. We are committed to fostering an environment that attracts and retains a diverse workforce. With individuals from a variety of backgrounds, ManhattanLife will be better equipped to service our customers, increase innovation, and reduce risks. We encourage the unique perspectives of individuals and are dedicated to creating a respectful and inclusive work environment.

Job DescriptionDescription: JOB DESCRIPTION: The Medical Billing Specialist is responsible for the billing, collections, follow up and appeals of insurance claims and patient accounts. Essential to this position is the ability to manage all insurance follow up for maximum insurance reimbursement. To include outbound and inbound insurance carrier calls, reprocessing claims, drafting appeals, working denials and resolving unpaid claims. Requirements: JOB RESPONSIBILITIES/DUTIES: · Claim submission · Work assigned claim volume timely and efficiently with corporate timeframes · Actively follow-up on outstanding patient account balances, and all insurance claims using the A/R aged reports, including resolution of any billing errors. · Research, appeal, and resolve unpaid insurance claims. · Respond to correspondence from insurance carriers. · Collecting and posting payments in patient accounts · Contacting customers regarding outstanding balances · Resolving partial payment or denials from insurance companies · Insurance verification · Reviewing explanation of benefits and correspondence · Follow up on all returned claims, correspondence denials, account reconciliations and rebills. · Monitor and reconcile reimbursement from managed care networks-and insurance-carriers ensuring correct reimbursement with contracted rates. · Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursements to providers, managers, and staff. · Performs other job-related duties as assigned. · Follow all process and procedures as set by leadership. · Understanding and staying informed of the changes with procedures, billing guidelines, and laws for specific insurance carries or payers. · Frequent speaking, listening using a headset, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer. · While performing duties of this job, the employee is frequently required to stand, walk and sit. QUALIFICATIONS: · Athena experience is a plus · Minimum 5+ Years of experience with insurance follow up and insurance collections. · Minimum 3+ years of experience with Ambulatory Surgery Center verification of benefits, billing, and/or collections. · Knowledge of both In Network and Out of Network Facility and Physician Claims. · Strong communications skills in both oral and written. · Positive attitude, Team player and ability to work independently. · Experience in reading, analyzing and interpreting EOB’s is a must. · Prior experience working with commercial payers such as UHC, Cigna, Aetna, BCBS, Work Comp and Third Party is a plus. · Proven experience administering appeals in a high-volume claim’s environment. · Proven experience in a production-based environment with concentration on meeting production standards. · Ability to have clearly communicate claim follow and appeals with insurances company representatives. · Demonstrates excellent problem-solving skills and negotiating skills. · Familiarity with computer and Windows PC applications such as Excel and Word, which includes the ability to learn new computer systems applications. Texas Regional Physicians does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, national origin, marital status, citizenship status, physical or mental disability or veteran status. The above job description is intended to describe the general content of and requirements of the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements. The statements in this job description are intended to describe the essential nature and level of work performed by the employee assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties & skills required of this position so classified. Job Type: Full-time Pay: $18.00 - $20.00 per hour Benefits: • 401(k), • 401(k) matching, • Dental insurance, • Disability insurance, • Health insurance, • Life insurance, • Paid time off Work Location: one to two locations

Job Description Medical Coding and Billing Instructor/Externship Coodinator Full Time/ Swing 8 am to 4 pm 5 pm to 10 pm Job Description: Have you ever wanted to make an impact on the future generation of Medical Coding and Billing professionals? Do you have a passion for helping people reach their full potential? Do you love working closely with people? If your answer is yes, this career may be just perfect for you. You responsibilities will include delivering curriculum content to our Medical Coding and Billing students. This includes mentoring and helping the students to become professionals. Qualifications: • Required CBCS Certified Billing and Coding Specialist, CPC certified Professional coder, or CCS ( certified Coding Specialist) Experience: • 3+years of Medical Coding and Billing, • No Teaching experience required.

Job DescriptionDescription: This person is responsible for insurance verification, obtaining prior authorizations, bill insurance claims and follow-up. · Obtain authorizations, referrals, GAP exceptions, and Single Case Agreements · Manage and prioritize required approvals with consistent follow-up while constantly communicating with the team • Provide clinical documentation to insurance companies to ensure timely authorization., • Initiate appeals for upfront denied authorizations and follow through until completion, • Check eligibility and benefits, • Electronic claims building and submission, • Chart and coding review, • Call patients when necessary to verify insurance information, • Read and analyze EOBs and ERAs, • Work claims rejects/denials, send corrected claims, submit appeals, • Stay up to date on CPT, ICD, and LCD guidelines, • Provide excellent customer service and professionalism to patientsRequirements: Skills, Minimum Qualifications • High school diploma or GED, • 2 years prior experience insurance verification or medical billing required, • 2 years prior experience in a medical related field required, • Ability to multi-task and remain focused while managing a high volume, time-sensitive workload, • Demonstrate excellent communication and customer service skills, • Expected to be detailed oriented with above average organizational skills, • Expected to understand payer medical policies and guidelines and use these guidelines to manage authorizations effectively, • Familiarity with both governmental and commercials insurance plans, • Expected to have knowledge of medical terminology related to multispecialty surgical procedures, • Expected to have excellent computer skills including Excel, Word and Internet use

Job DescriptionSalary: Medical Assistant Job Summary The Medical Assistant functions under the direction and supervision of the Operations Director, providing safe and effective patient care. The Medical Assistant helps patient by greeting and helping them; scheduling appointments; maintaining records and accounts and providing information, services and assistance. The Medical Assistant has direct responsibility to ensure that all care performed and tasks delegated are provided in accordance with this clinic's policies and procedures as well as state and federal regulations. Job Specific Accountabilities The statements below describe the general nature and level of work being performed in this role. They are not intended to be a complete list of all duties, and additional responsibilities may be delegated as required by the facility manager. • Applies assessment, planning, implementation/intervention and evaluation to meet individual patient and facility needs. Follows all patient specific and facility level policies, procedures and regulations., • Verifies patient information by interviewing patient; recording medical history, medications and quality data; confirming purpose of visit., • Prepares patients for examination by performing preliminary physical tests; taking blood pressure, weight and temperature; reporting patient history summary; review medications., • Welcomes patients and visitors by greeting patients and visitors, in person or on the telephone; answering or referring inquiries., • Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone., • Keeps patient appointments on schedule by notifying provider of patient's arrival; reviewing service delivery compared to schedule; reminding provider of service delays., • Comforts patients by anticipating patients' anxieties; answering patients' questions; maintaining the reception area., • Ensures availability of treatment information by filing and retrieving patient records., • Maintains patient accounts and obtains revenue by obtaining, recording, and updating personal and financial information; recording and collecting patient charges; controlling credit extended to patients., • Maintains business office inventory and equipment by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; scheduling equipment service and repairs., • Protects patients' rights by maintaining confidentiality of personal and financial information., • Maintains operations by following policies and procedures; reporting needed changes., • Contributes to team effort by accomplishing related results as needed, • Saves physician/nurse practitioner's time by helping with office procedures, • Secures patient information and maintains patient confidence by completing and safeguarding medical records; completing diagnostic coding and procedure coding; keeping patient information confidential., • Counsels patients by transmitting physician's orders and questions., • Schedules procedures and verifies times with patients, prepares charts, pre-admission and consent forms., • Maintains safe, secure, and healthy work environment by establishing and following standards and procedures; complying with legal regulations., • Keeps equipment operating by following operating instructions; troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs., • Updates job knowledge by participating in educational opportunities; reading professional publications., • Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements., • Enhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments., • Documents all pertinent facility and patient data, assessments, and evaluations in medical record according to policy and procedure., • Provides accurate and timely patient data to associate in charge to ensure safety of patient and environment., • Maintains copay logs and delivers collected copays to be deposited., • Ensures facility is opened and closed in a timely manner in accordance to business operations hours., • Schedules lab tests in accordance with lab tech presence at the facility., • Performs blood draws in the absence of lab personnel or when necessary., • Maintains facility lobby and rooms to ensure equipment is functioning properly and patient areas are neat and clean., • Communicates with management and billing department regarding patient billing concerns., • Check all incoming mail and address/deliver to appropriate parties, • Serves as a MA for physician partners; check in patients and collect their copays., • Complete insurance prior authorizations for patient visits and procedures., • Performs all Medical Assistant duties for clinic when needed including clinic preparation, confirmation calls, insurance verification and authorizations, quality reporting, and document uploads among other duties., • Process medical record requests, • Maintains training on computer systems, EMRs and other office software/hardware., • Other duties as assigned Core Responsibilities Associates of this clinic must consistently exhibit behaviors that enhance professional conduct and reflect the mission, standards of conduct and business ethics, work rules, values and philosophy of this clinic. • PATIENT/CUSTOMER FOCUS: Effectively meeting patient/customer needs; building productive patient/customer relationships; taking responsibility for patient/customer satisfaction and loyalty., • BUILDING A SUCCESSFUL TEAM: Using appropriate methods and a flexible interpersonal style to help build a cohesive team; facilitating the completion of team goals., • WORK STANDARDS: Setting high standards of performance for self and others; assume responsibility and accountability for successfully completing assignments or tasks; self- imposing standards of excellence rather than having standards imposed., • COMMUNICATION: Conveying information and ideas to individuals or groups in a manner that engages the audience and helps them understand and retain the message., • DECISION MAKING: Identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences., • CONFIDENTIALITY: Adheres to policies/procedures concerning associate and customer confidentiality and release of information. Practices discretion in all discussions with and about associates and patients. Maintains confidentiality regarding clinic information Qualifications for the Medical Assistant Education and Experience: • At least 1 year experience Required, • Must be bilingual. Skills and Abilities: • Strong clinical and leadership skills, • Ability to organize and establish priorities to perform assigned duties in an effective and 3 efficient manner, • Ability to speak, read, write and comprehend English, • Ability to perform basic mathematical functions, • Ability to use reasonable care in carrying out verbal and written instruction., • Multi-tasking, Flexibility, Telephone Skills, Customer Service, Time Management, Organization, Attention to Detail, Scheduling, Word Processing, Professionalism, Quality Focus, Supply Management, Verbal Communication, Infection Control, Creating a Safe, Effective Environment, Organization, Customer Focus, Confidentiality, Bedside Manner, Medical Teamwork

Job Description Job description General Summary of Duties: Responsible for obtaining insurance verifications and approvals for office visits at a busy multispecialty healthcare organization. Essential Functions: • Gather relevant data for eligibility and benefit verification including all medical codes and billable CPT codes per orders, • Verify eligibility and medical benefits with third party payers for scheduled patient services and re-verification of the benefits for all the current patients, • Obtain prior authorizations, pre-determinations, or any prerequisites prior to services being rendered. Complete daily authorization report in the EMR, • Ensure the patient meets all criteria as outline by the third party payer’s reimbursement policies and or clinical policies, • Generate a patient financial treatment estimate and counsel each patient prior to the day of their scheduled office visit, • Identify patients in need of financial assistance and submit to the financial assistance department for evaluation, • Document all patient financial counseling activities, benefit details, eligibility and interactions in the patient’s electronic chart, • Communicate to scheduling personnel and ordering physicians and staff any delays in the financial counseling process including patients that are not cleared for their office visit in a timely manner, • Counsel, educate, and assist patients with inquiries regarding to their financial responsibility, assistance availability, insurance, and benefits, • 6+ months experience in Benefits Verification experience or Prior Authorization experience-required, • High School Diploma or equivalent-required, • Billing and coding knowledge- preferred, • Minimum of 1 year experience as an insurance specialist in the healthcare environment performing clerical duties, billing duties in a hospital or physician practice setting- required, • Working knowledge of medical billing, CPT codes, and ICD10s, • Knowledge of medical terminology, • Proficiency with electronic medical records (EMR) and practice management software, • Strong knowledge of payer guidelines and reimbursement policies, • Effective interpersonal and communication skills, • Ability to work independently and collaboratively within a team environment, • Strong time management, organization, multi-task and analytical skillsCompany DescriptionMillennium Physicians Association is a multi-disciplinary medical group that offers a singular source for patient healthcare needs. Our practice is a diverse group of 42 physicians at ten different locations in the Greater Houston area The Woodlands, Kingwood, Tomball, Northwest Houston, Shenandoah, Cypress, Huntsville, Cleveland, Vintage Park, and now Atascocita. Millennium Physicians treats with the highest level of care, to get patients back living life to the fullest. Our doctors have a variety of specialties to offer including Medical Oncology, Radiation Oncology, Hematology, Pulmonology, Internal Medicine, Family Practice, Urology and General Surgery. Millennium Physicians largest medical branch is Medical Oncology. We are here to meet your needs at this difficult time and are aware that you and your family may be faced with making important decisions regarding cancer treatment choices. Millennium Physicians will be there every step of the way.Millennium Physicians Association is a multi-disciplinary medical group that offers a singular source for patient healthcare needs.\r\n\r\nOur practice is a diverse group of 42 physicians at ten different locations in the Greater Houston area The Woodlands, Kingwood, Tomball, Northwest Houston, Shenandoah, Cypress, Huntsville, Cleveland, Vintage Park, and now Atascocita.\r\n\r\nMillennium Physicians treats with the highest level of care, to get patients back living life to the fullest.\r\n\r\nOur doctors have a variety of specialties to offer including Medical Oncology, Radiation Oncology, Hematology, Pulmonology, Internal Medicine, Family Practice, Urology and General Surgery.\r\n\r\nMillennium Physicians largest medical branch is Medical Oncology. We are here to meet your needs at this difficult time and are aware that you and your family may be faced with making important decisions regarding cancer treatment choices. Millennium Physicians will be there every step of the way.

Job DescriptionBenefits: • 401(k), • Bonus based on performance, • Paid time off, • Competitive Compensation, • Great Work Environment Responsibilities • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctors offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

Job Description Job Summary: We are seeking a detail-oriented and experienced Billing Specialist to join our Home Health Agency team. The ideal candidate will be responsible for managing the complete billing cycle, from insurance verification to claims submission, payment processing, and denial management. This role is critical in ensuring accurate and timely reimbursements for the care we provide. Key Responsibilities: • Claim Submission:, • Prepare and submit clean, accurate claims to Medicare, Medicaid, and commercial payers., • Ensure compliance with payer-specific billing guidelines and coding requirements., • Insurance Verification:, • Verify patient insurance eligibility and coverage prior to services being rendered., • Communicate with patients and insurance providers to confirm benefits and authorizations., • Payment Processing:, • Post and reconcile payments and remittance advice accurately., • Monitor accounts receivable and follow up on unpaid or underpaid claims., • Claim Denial Management:, • Review and analyze denied or rejected claims., • Investigate and resolve billing discrepancies., • Proven experience in medical billing, preferably in a home health or healthcare setting., • Solid understanding of Medicare, Medicaid, and private insurance billing practices., • Proficiency in billing software and electronic health record (EHR) systems., • Strong attention to detail and organizational skills., • Ability to interpret explanation of benefits (EOBs) and remittance advice., • Excellent problem-solving and communication skills., • Knowledge of HIPAA regulations and patient confidentiality. Company DescriptionSUPREME NURSING IS A FULL SERVICE HOME HEALTH AGENCY AND HAS BEEN AROUND SINCE 1995SUPREME NURSING IS A FULL SERVICE HOME HEALTH AGENCY AND HAS BEEN AROUND SINCE 1995

Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to a Sr. Manager - Risk Adjustment and enable us to continue to scale in the healthcare industry. *Requires travel to provider sites in surrounding areas *May be open to considering Level I Specialists based on experience and skills Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company, • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC), • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines, • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation, • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing, • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements., • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives., • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work., • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager., • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC., • 3-5+ years of experience in risk adjustment coding and/or billing experience required, • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time, if applicable., • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook, • Excellent presentation, verbal and written communication skills, and ability to collaborate, • Must possess the ability to educate and train provider office staff members, • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.You're great for this role if:, • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC, • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience, • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage, • Strong PowerPoint and public speaking experience, • Ability to work independently and collaborate in a team setting, • Experience with Monday.com, • The total pay range for this role is $75,000 - $85,000 per year. This salary range represents our national target range for this role., • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires up to 75% travel to provider offices in the surrounding areas in Beaumont. The home office is located at 19500 TX-249, Suite 570, Houston, TX 77070.

Job DescriptionDescription: Are you experienced in Medical Office Billing Practices? We have a full time opening for a billing coordinator to join our team! This is a Mon-Friday day shift at a large, single specialty practice. Candidates should be able to accurately bill and code services, follow up on claims, generate statements and work quickly and efficiently. This position requires heavy data entry with accuracy. Billing & Coding • Accurately enter and modify patient information, diagnoses, and procedures into billing software., • Assign proper CPT & ICD-10 codes to ensure correct claims submission., • Familiar with verification of insurance coverage, benefits, and eligibility prior to services., • Prepare, review, and submit electronic and paper claims to insurance companies. Insurance & Payment Processing, • Follow up on unpaid or denied claims; resubmit corrected claims when necessary., • Post insurance payments, patient payments, and adjustments to patient accounts., • Reconcile billing records with daily deposits and financial reports., • Generate and send patient statements., • Contact patients regarding outstanding balances and set up payment plans if needed., • Ensure billing practices comply with HIPAA, Medicare/Medicaid, and insurance regulations., • Maintain accurate and up-to-date patient financial records., • Keep current with changes in insurance policies, coding standards, and billing regulations., • Work closely with physicians, clinical staff and front-office staff to resolve documentation or coding discrepancies. We offer exceptional benefits, a great work culture and environment. Successful candidates will be problem solvers with billing knowledge, ability to work independently, solve billing queries and have a solid foundation in medical billing practices. Benefits include Health, Dental, Vision, ADD, Life, Ancillary Coverages, 401k with match after 1 year, Excellent PTO Plan, Paid Holidays, Paid Parking - all around great package! This is an in-office position, Monday-Friday. Please submit resume if you have the necessary experience and are interested in speaking with us about this opportunity. Requirements: Able to report to work as scheduled Able to perform the duties of the job in an efficient and effective manner. COVID Vaccinated or willing to be before hired.

Job Description Frost Brown Todd LLP, a national law firm with over 1,000 legal and business professionals across eighteen offices, is seeking an E-Billing Manager to oversee and enhance the firm’s e-billing function. The E-Billing Manager is responsible for leading the firm’s e-billing operations, with a focus on managing the legal e-billing platform, enforcing billing guidelines, and ensuring accurate, timely invoice processing. This position plays a critical role in supporting billing rate management, system administration, and ongoing process improvements, working in close partnership with the Revenue Director and Billing Manager. The role offers an opportunity to drive operational excellence within a collaborative and fast-paced environment. Key Responsibilities: • Manage the day-to-day operations of the e-billing function, including direct oversight of e-billing specialists, coordination of invoice processing, matter management, and compliance monitoring., • Oversee the legal e-billing platform, including user permissions, workflow configurations, system updates, and issue resolution., • Troubleshoot platform or process issues; collaborate with IT and software vendors and escalate and resolve technical concerns or implement integrations., • Ensure timely and accurate invoice submissions; maintain comprehensive billing records in accordance with firm policies and regulatory requirements., • Review high-value or complex invoices for compliance with internal billing guidelines and outside counsel terms; escalate exceptions as needed., • Collaborate closely with attorneys, legal practice assistants, and the finance team to resolve invoice discrepancies, ensure accurate matter coding, and facilitate prompt payment., • Identify and implement opportunities to streamline billing operations, improve compliance, and enhance data quality., • Collaborate with the Revenue Director and Billing Manager to support the maintenance and management of attorney and client billing rates., • Review and approve write-downs that exceed firm-established thresholds; ensure proper documentation and internal communication., • Ensure all billing records are maintained and archived in compliance with the firm’s record retention policies., • Provide monthly reporting to the Revenue Director regarding WIP and AR issues; produce ad hoc reports at the client, matter, or attorney level upon request by firm leadership., • Maintain internal billing documentation, including current billing guidelines, operational procedures, and training materials., • Deliver training on e-billing systems, billing procedures, and compliance policies to attorneys, assistants, and finance staff as needed., • Support the billing department during month-end close processes and key financial reporting cycles., • Partner with the financial systems team to escalate and resolve software-related issues; contribute to system upgrades and enhancements., • Serve as a liaison between attorneys and the billing team to foster strong working relationships among partners, legal practice assistants, the Finance Department, and e-billing personnel., • Foster a positive and inclusive work culture by motivating employees, promoting teamwork, and maintaining high levels of engagement and job satisfaction., • Provide continuous coaching and mentorship to direct reports, offering constructive feedback to support professional growth and skill development., • Bachelor’s degree in accounting, finance, business administration, or a related field required., • 5+ years of experience in a supervisory or management role., • 5+ years of work experience in a legal billing environment; large law firm experience preferred., • Proficiency in legal billing or e-billing systems (e.g., BillBlast, Legal Tracker, CounselLink, Aderant)., • Strong understanding of law firm billing practices, timekeeping protocols, and legal billing compliance., • Exceptional attention to detail, strong organizational skills, and the ability to manage multiple projects and priorities under tight deadlines., • Strong analytical and problem-solving capabilities, with a proven track record of identifying process improvements and implementing efficient solutions., • Demonstrated ability to perform strategic planning and set priorities for revenue-related functions within a fast-paced environment., • Excellent verbal and written communication skills, with the ability to collaborate effectively across departments and with external stakeholders., • Strong leadership skills with the ability to motivate, guide, and develop direct reports., • High level of discretion and integrity when handling sensitive financial and confidential information., • Ability to work independently, exercise sound judgment, and adapt to changing demands and time constraints., • Demonstrated diplomacy, professionalism, and a strong internal and external client service orientation. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Frost Brown Todd is fully committed to equality of opportunity in all aspects of employment. It is the policy of Frost Brown Todd to provide equal employment opportunity to all employees and applicants without regard to race, color, religion, national or ethnic origin, military status, veteran status, age, gender, gender identity or expression, sexual orientation, genetic information, physical or mental disability or any other protected status.

Job Description Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions Location: Remote (Work From Home) Job Type: Independent Contractor (1099) Schedule: Flexible | Part-Time and Full-Time Opportunities ???? About the Role Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We’re hiring both experienced professionals and motivated individuals looking to enter the field. If you’re detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. ???? Responsibilities • Process and submit medical claims accurately and on time, • Assign appropriate ICD-10, CPT, and HCPCS codes, • Review documentation for coding compliance, • Follow up on denied or unpaid claims as needed, • Communicate with providers, payers, or clients when necessary, • Maintain HIPAA compliance and data security standards ???? Qualifications ✅ Preferred: • Experience with medical billing, coding, or claim processing, • Familiarity with EHR or billing software, • Strong attention to detail and accuracy, • Basic understanding of insurance guidelines and terminology, • Certifications such as CPC or CBCS are a plus ???? Entry-Level Applicants: If you do not have experience, that’s okay. We will consider highly motivated candidates who demonstrate strong interest in the field. Additional details regarding onboarding and training will be discussed during the interview process. ???? Position Details • Location: 100% Remote, • Schedule: Flexible – hours vary based on client/project needs, • Compensation: Varies depending on experience and client placement, • Type: Independent Contractor (1099) ???? To Apply Submit your resume and a short message about your experience or interest in medical billing. Selected applicants will be invited to attend an interview session to learn more about current opportunities and next steps. ???? Rooted Talent Solutions is an equal opportunity contractor network. We welcome applicants of all backgrounds and are committed to fostering a supportive, remote-first work environment.

Job DescriptionSalary: ABOUT US Senior Psych Care provides fully integrative behavioral health services to the long-term care patient, at their facility. COMPLIANCE OFFICER - HOUSTON, TX- IN OFFICE POSITION The Compliance Officer is responsible for overseeing and maintaining Senior PsychCares adherence to all applicable healthcare laws, regulations, and internal policies, ensuring patient privacy, proper billing practices, and overall ethical conduct within the practice by conducting audits, providing training, and identifying potential compliance risks to mitigate legal and financial consequences; essentially acting as the guardian of regulatory compliance within the organization. Responsibilities: • Develop, Maintain, and Implement Compliance Programs: Create and maintain a comprehensive compliance program, including policies, procedures, and training materials, to educate staff on relevant healthcare regulations like HIPAA, Stark Law, and Anti-Kickback statutes, • Risk Assessment and Monitoring: Regularly assess potential compliance risks across the organization, identifying areas for improvement and implementing preventative measures to mitigate risks, • Internal Audits, External Audits, and Investigations: Conduct periodic internal audits to verify compliance with established policies and procedures, investigating suspected violations and taking corrective actions when necessary, working to complete and mitigate external payor audits, • Training and Education: Deliver ongoing compliance training to all levels of staff, including physicians, APRNs, PAs, Ph.D, PsyD., LCSW, LPC, LMFT, and administrative personnel, covering topics such as coding and billing accuracy, patient privacy, fraud prevention, and EMR usage, • Reporting and Communication: Communicate compliance issues to relevant stakeholders, including senior management and the compliance committee, providing regular updates on compliance activities and potential risks. Annual reports are required for NPHO Board., • Regulatory Compliance: Stay current with evolving healthcare regulations and guidelines at the federal and state levels (TX, LA, OK, NM, and future states), ensuring the organization remains compliant with changes, • Third-Party Vendor Oversight: Monitor and manage compliance risks associated with third-party vendors providing healthcare services, • Incident Reporting and Resolution: Establish procedures for reporting compliance concerns and effectively investigating and resolving identified issues, • Perform other duties as assigned by supervisor. Technology Skills: • Medical software IMS by Meditab Preferred, • Office suite software Microsoft Office365 all applications, • Graphics or photo imaging software Microsoft Visio Skills: • Strong analytical and problem-solving skills to identify potential compliance risks and develop effective mitigation strategies, • Excellent communication and interpersonal skills to effectively train staff, collaborate with different departments, and present compliance information to leadership, • Proven ability to conduct thorough audits and investigations, documenting findings and implementing corrective actions Knowledge: • Administration and Management: Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources., • Deep understanding of healthcare laws and regulations including HIPAA, Stark Law, Medicare/Medicaid guidelines, and relevant state laws, • Legal knowledge and experience in healthcare compliance preferred, • Bachelor's degree in healthcare administration, law, or a related field WHAT WE OFFER • Competitive salary, commensurate with experience, • Comprehensive benefits package including:, • Medical, • Dental, • Vision, • Short and Long Term Disability, • Life Insurance, • 401 (k) with 50% match up to 6%, • Paid Time Off and Paid Holidays

Job DescriptionCompany Description International SOS Government Medical Services, Inc. delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International SOS Government Medical Services, Inc., headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. To protect your workforce, we are at your fingertips: internationalsos.com Job Description The Dental Office and Claims Coordinator is responsible for supervising and assisting in day-to-day administrative duties for the dental clinic including but not limited to scheduling, patient statements, accounts receivable, billing, coding, records keeping, accounts, credentialing and human resources. Key Responsibilities: • Initiate and carry out all administrative functions associated with Dental Clinic staff and patients. Including insurance claims and payment allocations., • Develop and maintain methods to control and evaluate the quality and effectiveness of the work services provided. Recommend and advise the Dentist and Sr. Hospital Administrator on problems related to collaborative service efforts and provide appropriate plan for resolution., • Participates in departmental planning for budgetary requirements and accountability., • Collaborate with hospital administration and Dentist to develop policies and administrative procedures for clinic., • Represent Dental Clinic and staff at Department Head meetings., • Monitors patient flow maintains contact with clinical staff regarding miscommunication in all aspects of providing dental care., • Collaborate patient scheduling plans with dental staff; coordinate and schedule patients for treatment., • Perform/oversee variety of receptionist and clerical duties related to treatment of patients; receives patients., • Responsible for dental patient records; maintains files, audits files for treatment plan and appropriate charging., • Coordinates materials and supply inventory; assists staff in tracking purchases., • Partner with Dentists and Hospital administration to conduct regular staff meetings., • Interface with clinic staff, and IT technical support for regular software upgrades and trouble shooting., • Prepare financial figures for weekly and monthly report as required., • Responsible for weekly and monthly activity and budget statistics., • Submit and monitor work orders for any physical and technology related issues. Basic Requirements/Certifications: • Recent dental practice experience with demonstrated ability to manage routine dental care issues., • Two (2) years of experience in insurance claim submission and payment receipt. Practical knowledge of dental services, basic rules and regulations., • Strong computer and organizational skills., • Proficient oral and written communication skills. AAS or higher from an accredited college or university Physical Requirements: • Work is normally performed in a typical interior/office work environment., • Work involves sitting and standing for prolonged periods of time., • Must be able to read, write & speak English to effectively communicate, • This position is unaccompanied., • US Citizen or Permanent Resident Card is required., • US DOD CNACI or the ability to obtain one is required., • A valid passport is required and must be in your possession prior to relocation. Additional Information Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International SOS Government Medical Services, Inc. complies with all federal, state, and local minimum wage laws. International SOS Government Medical Services, Inc. is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.

Job DescriptionSalary: $20 -$22 Compliance Specialist Medical. Location: Houston, TX | Schedule: Full-Time, In-Person | MondayFriday, 8 AM5 PM (No Weekends) ABOUT SENIOR PSYCHCARE: Senior PsychCare provides fully integrative behavioral health services to long-term care patients at their facilities. Our services include individual, family, diagnostic evaluations, medication management, and collaborative interventions between therapy and psychiatric teams. We are currently seeking a Compliance Specialist Medical to join our Quality Assurance (QA) team. This position plays a key role in ensuring the accuracy, integrity, and compliance of our clinical documentation, records, and internal processes with healthcare regulations. Key Responsibilities: • Review and audit clinical documentation and data for accuracy and compliance., • Compare data across multiple databases and identify discrepancies., • Document and communicate non-conformance issues and track them in the appropriate database., • Maintain and organize records, specifications, certificates, and other compliance-related documentation., • Conduct internal audits and risk assessments to identify and address potential compliance issues., • Develop and implement corrective action plans as needed., • Provide ongoing training to staff on regulatory compliance and EMR systems., • Support the development and updating of compliance-related policies and procedures., • Assist with investigations of compliance violations and prepare reports for leadership., • Coordinate with legal, billing, and clinical teams to ensure consistent compliance practices. Qualifications: Education: • 1.5 2 years of experience in healthcare compliance, regulatory affairs, or healthcare operations, • Strong analytical and problem-solving abilities, • Excellent written and verbal communication skills, • High attention to detail and strong organizational capabilities, • Ability to work both independently and collaboratively in a fast-paced environment, • Proficient with MS Office Suite (Word, Excel, Outlook) and comfortable navigating online systems Benefits: • Paid Time Off and Paid Holidays, • Comprehensive health benefits including Medical, Dental, and Vision, • 401(k) Retirement Plan with company match, • Long-Term and Short-Term Disability, • Life Insurance, • Healthcare coverage effective the 1st of the month following full-time employment Apply today and start as early as next week!

Staffing Now is seeking a detail-oriented and driven Medical Collector to join our clients growing team. This role is responsible for managing outstanding patient accounts, ensuring timely collection of payments, and resolving billing or insurance discrepancies. The ideal candidate will have a strong understanding of healthcare billing practices, insurance guidelines, and a commitment to providing excellent patient service. Key Responsibilities: • Manage a portfolio of patient accounts to ensure timely collection of outstanding balances., • Contact patients, insurance companies, and third-party payers regarding overdue accounts., • Research, analyze, and resolve billing discrepancies and denied claims., • Negotiate and set up payment arrangements as needed., • Document all collection activities in compliance with company and regulatory standards., • Collaborate with billing, coding, and patient services teams to ensure account accuracy., • Maintain knowledge of HIPAA, insurance regulations, and payer requirements. Qualifications: • 2+ years of experience in medical collections, billing, or accounts receivable (preferred)., • Knowledge of medical terminology, CPT/ICD-10 coding, and insurance claim processes., • Strong communication and negotiation skills., • Proficiency with EMR/EHR and billing software., • Ability to work independently, meet deadlines, and manage high-volume accounts., • High school diploma or equivalent required; additional healthcare or billing certifications a plus.

Job DescriptionDental Medical Billing & Arbitration Lead Location: Houston, TX (On-site, Full-time) Role: Medical Billing & Coding Lead – Dental/OMS Focus About Us We are a fast-growing dental group building a Perio/Implant Medical Billing & Arbitration vertical. Our mission is to redefine reimbursement in dentistry by leveraging medical insurance, out-of-network billing, and arbitration (Texas ARB + Federal IDR) to achieve fair and high reimbursements for complex cases (full-arch reconstructions, grafts, implants, sleep apnea therapy, trauma, oncology-based recon). This is a ground-floor leadership opportunity to join a forward-thinking team at the intersection of dentistry, medical billing, and private equity growth. Your Role As our Dental Medical Billing & Arbitration Lead, you will: • Own and manage the end-to-end OON medical billing process for dental/OMS procedures (implants, grafts, peri-implantitis, OSA devices, trauma)., • Cross-code dental CDT → medical CPT/ICD-10 (e.g., CPT 21248, 21210, 21215, 41899, E0486)., • Ensure ARB-ready claim packets: operative notes, imaging (CBCT), anesthesia logs, MD/nutritionist letters, literature support., • Manage payer correspondence: EOBs, denials, appeals, open negotiations., • File disputes via Texas TDI IDR portal (state-regulated plans) and CMS Federal IDR portal (ERISA/self-funded plans)., • Craft winning arbitration submissions: FAIR Health benchmarks, complexity narratives, “baseball-style” final offers., • Train and mentor junior billing staff as we grow; build a scalable billing/ARB department under your leadership., • 5+ years medical billing experience (dental/OMS/sleep medicine strongly preferred)., • Strong command of CPT, ICD-10, and CDT codes., • Proven track record with out-of-network billing and appeals., • Experience with FAIR Health benchmark data and payer negotiation., • Familiar with payer portals (UHC Link, Availity, NaviNet, Aetna, BCBS, Cigna, Humana)., • Hands-on knowledge of NSA arbitration (Federal IDR) and/or Texas ARB rules., • CPC, CPB, or equivalent AAPC certification preferred., • Leadership mindset — able to train and build a team under you.What We Offer, • 🏥 Benefits: Health insurance, • 🚀 Growth path into Billing Manager / Revenue Cycle Director role Powered by JazzHR E7oA5TYZmz

Job Description Dental Biller Location: West Houston, TX (On-site preferred; hybrid may be considered) Compensation: Up to $35/hour + benefits Schedule: Monday–Thursday 8:00 AM – 5:00 PM; Friday 8:00 AM – 3:00 PM About the Role Our busy, patient-focused cosmetic dental practice in the West Houston, TX area is seeking an experienced Dental Biller to oversee the day-to-day operations of our billing department. The ideal candidate will be detail-oriented, highly organized, and well-versed in dental insurance claims, revenue cycle management, and patient communication. This role is critical to ensuring accurate billing, strong collections, and seamless operations across the practice. Key Responsibilities * Oversee daily operations of the billing department, including hiring, training, and supervising billing staff. * Manage the submission and follow-up of insurance claims, resolving denials, and ensuring timely payment. * Monitor accounts receivable and implement strategies to optimize collections and revenue cycle performance. * Ensure compliance with all billing regulations, insurance guidelines, and coding practices. * Manage billing software and maintain integration with practice management systems. * Communicate effectively with patients, insurance companies, and dental team members to resolve billing questions. * Develop and implement billing protocols and processes for improved efficiency and accuracy. * Prepare and analyze monthly billing reports to identify trends and guide decision-making. * Address patient billing inquiries, explain insurance coverage, and assist with payment arrangements. Required Qualifications * Previous experience in dental billing or medical billing (dental preferred). * Strong understanding of dental insurance claims, coding, and compliance requirements. * Proficiency with billing software and dental practice management systems. * Excellent communication skills and the ability to work collaboratively across departments. * High attention to detail and strong problem-solving abilities. Preferred Qualifications * Prior leadership or supervisory experience in a billing department. * Experience with cosmetic or specialty dental practices. * Familiarity with hybrid work models and remote billing tools. Compensation & Schedule * Up to $35/hour DOE + benefits package. * Monday–Thursday 8:00 AM – 5:00 PM; Friday 8:00 AM – 3:00 PM. * On-site strongly preferred; hybrid work arrangement may be considered.

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position is responsible for the leadership, development, vision, and operational fiscal management of the Revenue cycle for all the acute care inpatient, post-acute care, and outpatient facilities in the healthcare system. This individual will oversee all administrative and technical aspects of Operations, and design and implement effective systems, processes, and procedures to ensure accurate and timely management of Accounts Receivable which include billing, collections, denials, underpaid, cash management, credit balances and vendor management. Individual is responsible for establishing productivity and quality standards for the department, and is accountable for creating a culture of compliance, adherence to coding clinic guidelines, governmental and payer regulations, ethics, integrity and performance across the multi-facility healthcare system. This position reports to a Revenue Cycle Management executive. Desired Skills Sets: * * * * * * * Minimum Qualifications Education: Bachelor’s degree in Business or related field preferred Licenses/Certifications: (None) Experience / Knowledge / Skills: * Requires ten (10) years of hospital/healthcare business office or financial management experience with a minimum of five (5) years in a supervisory role. * Requires demonstrated pattern of growth and ability to lead, motivate, develop, and mentor others. * Requires proven analytical ability and organizational skills necessary to organize/assess information and evaluate recommendations based on data analysis. * Must demonstrate excellent verbal and written communication skills to support interaction and participation in meetings with physicians, payer representatives, and representatives of other departments within the organization. * Expertise in Regulatory Guidelines with CMS, DHS, FDCPA, EMTALA, and NCCI Coding Guidelines to ensure compliant billing and collection follow-up. Principal Accountabilities * Provides strategic guidance and direction for system-wide financial services; create and manage a strong financial services culture. * Leads large teams in areas of Revenue Cycle Services including Billing, Collections, Denials, Underpaid, Correspondence, Cash Management, Vendor Management, and Customer Service. Oversight includes up to 17 Acute Care Facilities, 163 Outpatient Facilities, or 300+ physicians. Service lines include, inpatient and outpatient, emergency services, life flight, trauma, transplant, outpatient imaging, laboratory, inpatient/outpatient rehab, skilled nursing, and chemical dependency. * Develops a short and long term plan for operation that is compatible with department and organizational goals. Contribute to initiatives with Net Revenue Improvement while maintaining oversight of an accounts receivable in excess of $2.6 Billion, Annual Cash Collections $4.3 Billion, and Annual Billed Claims volume 2 Billion. * Analyzes and establishes strategic plans to ensure the financial services are progressive and effective; work with other hospital and system service departments to promote consistency in processes; stay up-to-date on all regulatory requirements. * Provides leadership to revenue cycle management team regarding monthly trending analysis of operational performance including weekly and monthly financial reports. * Change Management Experience for leading staff through change. Knowledge and experience in building team effectiveness. * Oversight of 35 to 55 staff members including all human resource related activities such as hiring and performance management. * Ability to create performance measures, goals, and produce sustainable outcomes. * Uses analytical approach to problem solving using quantified data and measurable results to reach sound conclusions. * Assures that revenue, expenses, contribution margin and FTE's meet or exceed budget; prepares and submits budget and related reports; forecasts and accurately projects expenses; takes corrective action to address negative variances. * Provides leadership and support to team members’ interactions with multidisciplinary groups, including Revenue Integrity, Clinical Documentation Improvement, Case Management and Quality departments, Physicians, and other multidisciplinary groups. * Effectively communicates with all levels of management and staff, and actively participates in committees, project teams, and performance management initiatives. Works collaboratively with all departments to ensure operational functions are aligned with strategic goals. Identify key stake holders of the organization. * Maintains a supportive and positive working relationship with medical staff and senior level management; serves as an internal consultant throughout the organization on revenue cycle operation including reimbursement and regulatory guidelines for compliant billing and collections. * Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. * Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. * Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. * Other duties as assigned

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position is responsible for developing, coordinating, facilitating, and implementing policies, short term goals, and long term goals to ensure that billing, collections, payment/adjustments applications, correspondence and refund processing is done timely and accurately for the achievement of department and organizational objectives. In addition, this role is responsible directing and managing physician credentialing and coding education for all practices. Desired Skill Sets: * Must have experience working for a large healthcare system * Must have prior claims follow-up leadership experience * Must have extensive Epic experience * Bachelor's degree in healthcare or finance highly preferred * Prefer director level experience * Strong leadership experience * Ability to lead a large team Minimum Qualifications Education: Bachelors degree in Business, Healthcare, or related field, Masters of Business Administration preferred Licenses/ Certifications: (None) Experience / Knowledge / Skills: * 10 years of experience in physician practice management operations, patient accounting, and/or financial services * Strong interpersonal, customer-oriented skills. Must have proven organizational skills with an ability to effectively prioritize present information publicly, and communicate in writing clearly, concisely, thoroughly, and accurately * Must have experience in working with computer software, and be able to demonstrate strong analytical and problem solving skills, decision making skills, stress management skills and time management skills * Must be able to travel to all Medical Group current and future locations * Should have experience working with third party payers to expedite billing and collections * Prior management experience in physician practice management operations, including credentialing, billing and collections required. Experience with EMR systems and software maintenance or software customer service preferred Principal Accountabilities * Develops, facilitates, and implements policies, procedures, productivity standards and training documents to ensure claims, claim denial appeals and refunds are processed in a compliant and timely manner. * Directs the activities of the Physician Practice PBS staff that manages day-to-day bill hold resolution, provider enrollment and credentialing, unapplied or unposted cash receipts application, coding education and credit balance resolution. * Develops short and long term plan for training staff on practice management system, utilizing all tools available to obtain best practice results for cash collections and low levels of “non-contractual adjustments” and bad debt. * Directs mid-month and month end charge and collections data to ensure that physician practices are achieving or exceeding productivity and cash collections goals. * Communicates on a regular basis with Director Physician PBS System Applications, MHMD, Contracting, Medical Group operations, and ISD to resolve root causes that create obstacles for timely provider enrollment/credentialing, coding, billing and collections. * Maintains shared drive of physician practice credentialing matrix and keeps System Executive, Physician Revenue Cycle up-to-date with issues and concerns related to timely provider enrollment. * Reviews cash posting applications, unapplied or unposted cash, and all processes related to refunds. Works closing with Finance to ensure that daily cash balancing is done at time of service and that all discrepancies in the cash reconciliation process are documented and resolved. * Participates in the development, preparation, and monitoring for the department budget. Assures that revenues, expenses, contribution margin and FTE’s meet or exceed budget; prepares and submits budget and related reports; forecasts and accurately projects expenses; takes corrective action to address negative variances; identifies and proposes capital budget items appropriately. * Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. * Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. * Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. * Other duties as assigned.

If you have passion to dramatically improve patient s lives and enjoy working in a flexible, non-traditional, and progressive setting with other amazing people then look no further. We have subacute inpatient rehab opportunities with immediate needs for physiatry consultants in the greater Houston area. Seeking Board Eligible or Board Certified Physiatrist to join Physiatry owned and operated company. Physician will serve as an acute-level pain management/rehab consultant to well-managed, subacute skilled nursing facilities. Will work collaboratively with medical director, attending physicians, and therapy to improve functional outcomes of patients receiving short term rehab services. Company Offers • Administrative and billing/coding support services allowing physicians to focus on patients and making sure they have the best possible care., • Availability of 24/7 physician to physician education, guidance, and support., • Focus on CMS compliance., • Flexible hours., • Call: Inpatient Shared calls and weekends. SAR no call., • Affiliation: Independent contractor and salaried positions, • Compensation: Highly competitive compensation plans APPLY NOW or TEXT Job and email address to .

Job Description Under general supervision of the Supervisor of Billing, the Billing and Collections Representative completes daily billing and AR follow up for assigned scope, in accordance with established criteria. Includes the daily reconciliation of assigned reports and controls to ensure claims are billed accurately and timely. Coordinates follow up with providers, clinic, and hospital staff as needed. Serves as the first point of contact for customer calls and inquiries regarding billing and claim payment. Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position. 1. Resolves daily billed claim edits and rejections: target Clean Claim rate of 95% or greater: • Resolution of Electronic Billing System (EBS) client, payer, and/or clearinghouse acceptance and rejection reports, • Monitor and follow up to identify and resolve discharged not final billed holds (DNFB), • Process Balance Bill claims to next payer after primary/secondary claims are accurately adjudicated, • Accurate completion of UB04 and/or 1500 claim form/field requirements, by payer (condition, occurrence and value codes, etc.) for primary, secondary, and tertiary claims, • Accurately interpret payer specific Explanation of Benefits (EOB) and Remittance Advice (RA) to identify claim modification and/or special billing requirements, • Monitor and release claims to meet Timely Filing requirements, • Review/Resolve hold claims and release to billing w/in 24 hours, • Submit clean claims for outpatient & inpatient hospital services and Rural Health Clinics, • Combine claims as appropriate to ensure compliance with applicable billing rules and regulations, including but not limited to:, • CMS Payment Window Rule, • Series Claims/Recurring Services, • Packaged/Bundled Services, • Worker’s Compensation, • Department of Transportation (DOT), • Accident and Other Liability, • Attorney and/or Probate, • Balance Billing (secondary/tertiary payers) 2. Resolves denied claims: target denial rate of < 2% of total net revenue. Identify and resolve recurring payer-specific claim delays. • Authorization, Pre-Certification, and Referrals, • Other Billing Issues, • Medical Record Copies, • Credentialing Issues, • Coding, • Charge Capture, • Medical Necessity and/or ABN Issues 3. Identify and resolve recurring provider/clinic-specific claim delays: registration demographic profile, eligibility and Iplan assignment, authorization/pre-certification/referrals, medical necessity and/or ABN, charge entry and coding accuracy., 4. Performance Improvement Opportunities: Compiles information and contributes to the trending of Bill Holds and Denials for performance improvement by Provider, by Payer & by Reason/ Reason Code., 5. Achieves daily targeted individual productivity and performance outcomes for: daily productivity, Clean Claim submission rate, & quality assurance., 6. Provides backup as needed to the Scheduling and Registration staff in the Rural Health Clinic by answering phones, scheduling, and performing patient registration., 7. Abides by the HMH Legal Compliance Code of Conduct., 8. Maintains a safe work environment and reports safety concerns appropriately., 9. Maintains confidentiality and appropriate handling of PHI., 10. Performs all other related duties as required and assigned. Requirements Education: High school diploma or GED required. Graduate of a formal billing/coding program required. Experience: Five years of business office experience in a healthcare setting required. Required Skills: Excellent interpersonal, customer service, problem solving, and written and oral communication skills. Working knowledge of CPT codes and ICD-10 codes. Benefits • Health Care Plan (Medical, Dental & Vision), • Retirement Plan (401k, IRA), • Life Insurance (Basic, Voluntary & AD&D), • Paid Time Off, • Short Term & Long Term Disability, • Training & Development, • Wellness Resources

Job DescriptionBenefitsWe Offer Outstanding Benefits: • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership Bilingual Eligibility Specialist (Third Ward) - Job Overview Schedule: Monday-Friday (8AM-5PM) Join the innovative team at Legacy Community Health as a bilingual Eligibility Specialist, where your passion for community healthcare will make a tangible impact in the Houston area. You will become an integral part of a mission-driven organization, ensuring access to essential health services for our diverse clientele. As a bilingual English/Spanish Eligibility Specialist, you will be at the forefront of our efforts to connect patients with the healthcare they need, while navigating the complexities of third-party reimbursements. Our team thrives on collaboration, creativity, and innovation, providing you with growth opportunities, including potential loan repayment programs, to advance your career in a supportive and dynamic environment. If you are ready to contribute to our legacy of care and compassion, explore this role that plays a crucial part in our healthcare ecosystem. Key Responsibilities • Accurately determine patient eligibility for third-party reimbursement following specific program procedures and guidelines., • Ensure patients do not have other payer sources like Medicaid, Medicare, ADAP, or other third-party insurance., • Process necessary data to admit new patients into the CPCDMS and handle all required paperwork efficiently., • Set initial service appointments with patients to facilitate their access to healthcare services., • Ensure proper coding for insurance billing to maintain accurate records and streamline reimbursement processes., • Handle inquiries from prospective applicants and patients, providing exceptional customer service and assistance., • Participate in all required safety education programs and annual education programs to maintain compliance and enhance skills.Qualifications and Experience, • High School Graduate or GED required., • 3 - 5 years of medical billing experience preferred, showcasing your expertise in the field., • Bilingual in English and Spanish, enabling effective communication with a diverse patient base. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you. Core Employee Expectations At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department: Approachable & Collaborative We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility. Driven & Committed We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. Perceptive & Thoughtful Communicators We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all. Apply today in less than 3 minutes using your phone, tablet, or computer! Powered by JazzHR srBS8BAyfS

Explore Opportunities With Kelsey-Seybold Clinic. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. OR 6 months similar experience with an Associate or higher degree or completion of Medical Billing & Coding Course; OR 6 months registration, s

Required Qualifications: * High School Diploma or equivalent * Certified Professional Coder (CPC) or Certified Cardiology Coder (CCC) * 2+ years of physician billing to include at least 1 year of coding experience abstracting from medical record documentation * Experience with Electronic Medical Re

Job Details Job Location: Texas Houston UEI Institute - Houston, TX Salary Range: Undisclosed Job Category: Instructors & Education Description We're Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our new

Required Qualifications: * High School Diploma or equivalent * Certified Professional Coder (CPC) * Knowledge of ICD-9/10 codes, CPT, and HCPCs * 2+ years of physician billing to include at least 1 year of coding experience abstracting from medical record documentation * Diversified understanding o

Required Qualifications: * High School Diploma or equivalent * Certified Professional Coder (CPC) or Certified Cardiology Coder (CCC) * 2+ years of physician billing to include at least 1 year of coding experience abstracting from medical record documentation * Diversified understanding of CPT guid

Job DescriptionBenefits • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership Schedule: Monday-Friday (8:30AM-5:30PM) Join Legacy Community Health as an Bilingual Eligibility Specialist, where you'll be at the forefront of revolutionizing access to healthcare services. This role is crucial in determining applicant eligibility for third-party reimbursement and ensuring seamless integration into our innovative health services ecosystem. • Play a critical role in transforming community healthcare by facilitating access to essential services., • Work in a cutting-edge, tech-savvy environment that embraces digital transformation and continuous improvement., • Engage with a dynamic team dedicated to pioneering new pathways in patient care and insurance processes., • Opportunity to influence the future of healthcare access and financial services., • Contribute to our mission-driven focus on enhancing community health impact.Key Responsibilities, • Disrupt traditional eligibility assessments by conducting agile and precise client eligibility evaluations for various programs., • Ensure clients do not have alternative payer sources, leveraging tech-driven solutions to streamline processes., • Register clients into the CPCDMS, utilizing state-of-the-art data management systems., • Perform data entry of eligible clients into electronic systems, ensuring accuracy and efficiency., • Maintain up-to-date and orderly eligibility files, innovating document management practices., • Conduct renewal eligibility assessments as required by each program, adopting continuous improvement methodologies., • Confirm eligibility appointments and set initial service schedules using advanced digital tools., • Empower clients with comprehensive lists of required eligibility documentation., • Participate in the Performance Improvement Program to drive forward-thinking service enhancements., • Champion respect and inclusion for all patients, families, and team members., • Promote effective collaboration as part of an agile, tech-forward team., • Attend all requisite safety and education programs, endorsing a culture of continuous learning., • Safely operate advanced office equipment and maintain work areas to Legacy's innovative standards., • Follow Legacy’s exposure control plans, ensuring health and safety preeminence., • Flexibility to travel to other sites for training or coverage, embracing a dynamic work environment., • Engage in other responsibilities as assigned, contributing to the holistic mission of Legacy Community Health.Minimum Qualifications, • High School Diploma or GED, with an inclination towards tech-savvy medical knowledge., • A minimum of 3-5 years of experience in medical billing, with a preference for candidates familiar with digital billing systems., • Training or familiarity with ICD-A / CPT codes, embracing innovative coding practices., • Proficiency in modern bookkeeping and accounting terminology, utilizing data-driven approaches., • Ability to adeptly operate computers and other office machines within a tech-forward environment., • Responsible and resilient in high-pressure situations, with a focus on breakthrough thinking and adaptability. Powered by JazzHR DtCERMYk6i

Job DescriptionBenefitsWe Offer Outstanding Benefits: • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership Bilingual Eligibility Specialist (Montrose) - Job Overview Schedule: Monday-Friday (8AM-5PM) At Legacy Community Health, we are committed to revolutionizing community healthcare with a proactive approach to accessibility and inclusivity. We are seeking a dynamic, Bilingual Eligibility Specialist to become an integral part of our innovative team. Positioned at the forefront of our mission, you will be a catalyst in changing lives by determining eligibility for essential health services, thereby ensuring that no community member is left without the care they need. You will forge a path toward improving healthcare accessibility while balancing administrative precision and compassionate service. This is not just a role; it's a chance to spearhead meaningful health outcomes in the vibrant Houston community. Key Responsibilities • Determine patient eligibility for third-party reimbursement by meticulously reviewing applicable procedures and guidelines for each program., • Seamlessly process data for the admission of new patients into the CPCDMS system and complete all necessary paperwork ensuring seamless service initiation., • Efficiently coordinate and set initial service appointments post-eligibility determination to bridge patients swiftly to the care they require., • Ensure accurate and proper coding for insurance billing to facilitate smooth financial operations and compliance with industry standards., • Proactively handle inquiries from prospective applicants and patients, offering clear, empathetic, and informative communication., • Participate in required safety education programs and annual education initiatives to stay ahead in community healthcare practices., • In the absence of the manager, serve as the first-line contact, while adeptly monitoring multiple clinic schedules and providing report assistance., • Conduct site visits that support departmental functions and foster a collaborative work environment.Qualifications, • High School Diploma or GED equivalent required to ensure foundational readiness for the role., • 3 - 5 years of experience in medical billing critical to handling intricate billing processes effectively., • Fluency in both English and Spanish necessary to serve our diverse community effectively. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you. Core Employee Expectations At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department: Approachable & Collaborative We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility. Driven & Committed We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. Perceptive & Thoughtful Communicators We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all. Apply today in less than 3 minutes using your phone, tablet, or computer! Powered by JazzHR Xi5ivFKvjJ

Job DescriptionBenefitsWe Offer Outstanding Benefits: • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership Schedule: Monday-Friday (8AM-5PM) Legacy Community Health, an innovator in community healthcare, invites you to become an integral part of our team as a Bilingual Eligibility Specialist. You will play a crucial role in patient access, ensuring seamless processes for third-party reimbursement. Be at the forefront of advancing healthcare inclusivity by utilizing your bilingual skills to engage with our vibrant English and Spanish-speaking communities. As a bilingual Eligibility Specialist, you will navigate the complexities of healthcare eligibility, shaping patient interactions from the initial appointment setup to diligent insurance coding. Your role will be pivotal in dismantling barriers to healthcare access, contributing to a collaborative environment that thrives on innovation and excellence. Key Responsibilities • Determine a patient's eligibility for third-party reimbursement by following procedures and program-specific guidelines., • Accurately process and manage data to admit new patients into the CPCDMS system, ensuring completeness of all required paperwork., • Orchestrate the initial service appointments following eligibility determination, setting the stage for a successful care journey., • Ensure meticulous and precise coding for insurance billing, supporting our fiscal responsibility and compliance., • Serve as the first point of contact for inquiries from prospective applicants and existing patients, offering assistance with compassion and clarity., • Commit to ongoing professional development by attending all required safety and annual education programs.Qualifications and Requirements, • High School Graduate or GED required., • 3 - 5 years of medical billing experience preferred, demonstrating a solid understanding of the healthcare financial landscape., • Bilingual proficiency in English and Spanish, essential for effective communication within our diverse community. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you. Core Employee Expectations At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department: Approachable & Collaborative We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility. Driven & Committed We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. Perceptive & Thoughtful Communicators We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all. Apply today in less than 3 minutes using your phone, tablet, or computer! Powered by JazzHR rQE92bMNh1

Job DescriptionBenefitsWe Offer Outstanding Benefits: • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership Bilingual Eligibility Specialist (Montrose) - Job Overview Schedule: Monday-Friday (8AM-5PM) Are you ready to make a tangible impact on community healthcare? Legacy Community Health is seeking an innovative and forward-thinking Eligibility Specialist to join our vibrant team. In this vital role, you will leverage your bilingual skills in English and Spanish to bridge gaps in healthcare access, ensuring our patients receive the support they need. Your primary mission will be to navigate the complexities of third-party reimbursements, championing patients' access to essential health services. Your expertise in patient eligibility determination will have a direct effect on their journey to better health outcomes. You will be instrumental in setting the stage for our patients’ care experiences, all while thriving in a collaborative and supportive work environment that values growth and innovation. Key Responsibilities • Determine patient eligibility for various third-party reimbursement programs by adhering to program-specific procedures and guidelines., • Efficiently process data to admit new patients into the comprehensive CPCDMS system, ensuring all records are accurate and up-to-date., • Complete all necessary paperwork and establish initial service appointments, providing critical support throughout the patient's introduction to Legacy Community Health services., • Ensure precise coding for insurance billing, leveraging your knowledge of ICD-A or CPT codes., • Handle inquiries from prospective applicants and existing patients, providing clear, empathetic, and informative assistance in both English and Spanish., • Commit to professional advancement by attending all required safety education and annual training programs.Qualifications, • High School Graduate or GED required., • Preferred 3-5 years of experience in Medical Billing, with a strong grasp of industry-specific practices and procedures., • Mandatory bilingual proficiency in English and Spanish, crucial for effective communication in our diverse community. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you. Core Employee Expectations At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department: Approachable & Collaborative We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility. Driven & Committed We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. Perceptive & Thoughtful Communicators We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all. Apply today in less than 3 minutes using your phone, tablet, or computer! Powered by JazzHR ZKWGW4Olel

Job DescriptionBenefitsWe Offer Outstanding Benefits: • Paid Time Off & Paid Company Holidays, • Medical, Dental, Vision & Life Insurance, • Flexible Spending Account (FSA), • 403(b) Retirement Plan with Company Match, • Short-Term & Long-Term Disability, • $0 Copay for Legacy Provider visits, • $0 Copay for prescriptions filled at Legacy Pharmacies, • Travel Insurance & Pet Insurance, • Subsidized Gym Membership Bilingual Eligibility Specialist (Northline) - Job Overview Schedule: Monday-Friday (8AM-5PM) Step into a role where your expertise in healthcare insurance can transform community wellbeing. As an Eligibility Specialist, you will be a pivotal force in ensuring access to necessary healthcare services for all our patients by channeling their needs through the appropriate reimbursement pathways. Located in the bustling Legacy Northline Irvington Clinic, this position offers you the chance to engage directly with patients and optimize their healthcare journeys, all within a vibrant and supportive environment. Your fluency in both English and Spanish will amplify your ability to serve our diverse community, making healthcare both accessible and equitable. Key Responsibilities • Determine patient eligibility for diverse third-party reimbursements, ensuring seamless pathways to care., • Efficiently admit new patients into the CPCDMS while ensuring all paperwork is accurately completed., • Set the stage for a positive patient experience by scheduling initial service appointments post-eligibility determination., • Ensure precision in insurance billing through proper coding practices, contributing to financial sustainability., • Act as the first point of contact, adeptly handling inquiries from prospective applicants and patients., • Commit to continuous professional development by attending all required safety and annual educational programs.Required Qualifications, • High School Diploma or GED equivalent, demonstrating foundational academic competence., • 3 - 5 years of hands-on experience in Medical Billing, highlighting your proficiency in the field., • Bilingual proficiency in English and Spanish is essential to effectively communicate with our diverse patient base. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you. Core Employee Expectations At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department: Approachable & Collaborative We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility. Driven & Committed We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. Perceptive & Thoughtful Communicators We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all. Apply today in less than 3 minutes using your phone, tablet, or computer! Powered by JazzHR K80v06pXsU

Job Description About Us PBACO supports independent physicians with the tools, services and incentives to thrive - without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You're not just a participant - you're our partner. Position Overview The Healthcare Practice Transformation Specialist will serve as a key liaison between physician practices and our organization. This role combines EHR training, clinical documentation review, risk adjustment coding, and billing support. The ideal candidate will be a Certified Professional Coder (CPC) with strong experience in Medicare, risk adjustment, and healthcare analytics. Key Responsibilities • Manage and support a physician network to ensure successful EHR integration and troubleshooting., • Consult with medical practices to analyze workflows, configure EHR systems, and develop customized training plans., • Train physicians and office staff on EHR best practices, regulatory compliance, and specialty-specific workflows., • Review clinical documentation and medical records to ensure accurate ICD-10, CPT, and HCPCS coding for risk adjustment and quality gap closure., • Conduct coding audits and provide education to providers on compliant documentation., • Monitor payer guidelines and coding updates, especially for Medicare Advantage and accountable care organizations., • Assist with billing, claims submission, payment posting, and collections as needed., • Perform financial analysis and reporting using Microsoft Excel (pivot tables, trend analysis)., • Analyze denial reports, identify trends, and recommend corrective actions., • Support quality improvement initiatives by ensuring accurate coding for chronic conditions., • Answer patient billing and claims questions in a professional and clear manner., • Maintain compliance with HIPAA, coding regulations, and company policies., • Certified Professional Coder (CPC) or equivalent certification., • Experience with Medicare Advantage (MA) plans, risk adjustment, or insurance companies., • High school diploma or GED required; associate’s or bachelor’s degree preferred., • 2+ years of medical coding, billing, or risk adjustment experience., • Proficiency in EHR systems (Athena, eClinicalWorks, or similar) and MS Office Suite (Excel expertise strongly preferred)., • Strong knowledge of ICD-10, CPT, and HCPCS coding and regulatory compliance., • Excellent communication and training skills for working directly with providers and staff. This position requires 50-75% local travel and is eligible for a car allowance. BACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You’re not just a participant—you’re our partner. PBACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You’re not just a participant—you’re our partner. PBACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs. You’re not just a participant—you’re our partner.

Job DescriptionSalary: Psychiatrist- Houston, TX and surrounding areas About Us: Senior Psych Care provides fully integrative behavioral health services to the long term care and rehabilitation patients in Nursing Homes. Our model of care involves psychotherapists (LCSW & PhD/PsyD), rendering individual, family, and group therapies; along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Our multi-disciplinary team realizes that older adults have special physical, emotional, and social needs. The psychiatrist collaborates with a team of psychiatric nurse practitioners and physician assistants to take a comprehensive approach to diagnosis and treatment. For more information please visit BASIC RESPONSIBILITIES: Senior Psych Care provides fully integrative behavioral health services to the long term care patient, at their facility. Physicians are responsible for comprehensive assessment and treatment of persons whose lives are impacted by cognitive conditions, mental health issues (depression, anxiety, adjustment disorder, Alzheimers, Dementia), or a declining capacity to function independently. Duties include (but arent limited to) completing cognitive and mental health evaluations; prescribing psychotropic medications when appropriate; completing timely and accurate charting. Collaborating Physician will be responsible for performing outpatient care, billing, coding and documenting under the professional standards set forth by the AMA code of medical ethics. Physician will collaborate with mid-level providers (Nurse Practitioners/Physician's Assistants) This position requires an individual with a Texas medical license and completion of course of study from an accredited university and/or designated medical program. SPECIFIC RESPONSIBILITIES: • Provide continuity of care to long term care resident in order to recognize existing and potential problems regarding medications, activities, therapies, testing, treatment referral or routine care., • Diagnostic and treatment plans are to be entered into our electronic medical record available for audits, staff and collaborative review, • Prescribe medication, treatment or other recommendations to residents suffering from a broad range of mental health problems, • Provide mental health screenings and cognitive analysis to maximize intervention, • Comply with protocols set by collaborating physician and company standards, • Consult with nursing home staff to help minimize the residents behavioral issues or other psychological problems., • Participation in Behavioral Rounds-a structured synthesis between psychiatric and psychological teams, discussing the overall treatment goals for a specific patient. Increasing quality of care and best treatment practices., • Attend trainings, in-services, meetings, etc. as required, • Assessing Mental Capacity Qualifications: • Strong interest in Geriatric care, • BC/BE Psychiatrist, • Texas license required, • Must be willing to travel to nursing homes and assisted living facilities in the assigned geographic region. What we offer: • Competitive Salary, • Flexible scheduling: PRN, Part Time and Full Time positions available, • Comprehensive benefits package including:, • Medical, • Dental, • Vision, • Paid Time Off, • Paid Holidays, • 401k, • Financial assistance with Continuing Medical Education

Job Description The Role: We are seeking a licensed, board-certified neurologist with expertise in neurocognitive disorders to provide remote diagnostic assessments and collaborate with our interdisciplinary team on clinical care for complex patients. The ideal candidate will have experience in dementia diagnosis and management, and be passionate about advancing high-quality, innovative and equitable care for aging adults. Essential Functions: • Conduct structured, telehealth-based diagnostic evaluations for patients with suspected dementia or cognitive impairment, • Consult on complex neurological cases, including differential diagnosis of dementia syndromes, atypical presentations, and co-occurring neurological conditions, • Review clinical histories, caregiver interviews, and cognitive testing data to validate diagnostic decision-making, • Adhere to evidence based guidelines in clinical assessments, • Document assessments and diagnoses in accordance with relevant coding, billing, and documentation standards, • Collaborate with and advise ARNPs and MDs diagnosing those with dementia-related symptoms, • As needed, participate in case reviews and consult with care teams to support holistic, person-centered care planning, • MD or DO with current board certification in Neurology, • Subspecialty expertise in dementia, cognitive neurology, or behavioral neurology strongly preferred, • Unrestricted medical licensure, • Willingness to extend licensure to all states where Rippl is currently delivering care and has plans for imminent expansion (if not, company will support and fund this process), • Minimum of 5 years of clinical experience, including diagnostic evaluation of dementia, • Experience with telemedicine platforms and remote patient assessment, • Strong written and verbal communication skills, • Comfortable working independently and as part of a virtual team, • Prior experience working in value-based care, risk contracts, or managed care models Pay Range Details The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations. Exact compensation may vary based on skills, experience, and location. Role: $150 - $170/hr depending on experience Offer of employment is contingent upon successful completion of a background check, drug screen, and all required licensure, credentialing, and related documentation. We are going to make some very big waves starting with a small Rippl - come join us! If you got into healthcare to make a difference, you're in the right place. We're looking for a values-driven, mission-focused, dynamic Neurologist (Part-Time Contractor) who is passionate about working with seniors (and their families), especially those navigating challenges with dementia. Someone who is searching for a workplace and culture that is as committed to them as they are their patients. If that's you, read on! What's Rippl? At Rippl, we are a passionate, impatient, slightly irreverent, people-obsessed group of optimists & doers intent on building a movement to bring dementia care to our aging population. We believe there is no more noble mission than caring for people at this critical stage of life, and we're ready to take action. We're reimagining what dementia care for seniors can be. By leveraging an obsession with supporting our clinicians, a new care model and disruptive technology, we are pioneering an entirely new way to democratize senior access to high quality, wrap-around dementia care, for seniors and their families and caregivers. Helping them stay healthier, at home longer, and out of the ER and hospital. Our Mission The Rippl Mission is to enable more good days for those living with dementia and their families. Our Core Values At Rippl, we live and breathe a set of shared, core values that help us build the best team to serve our patients, families and caregivers. We're fed up. Today's dementia care isn't working. Too many families are struggling to find the support they need, and too many seniors are left without the care they deserve. We know it can be done better—so we're doing it. We're changemakers. We're pioneering a new, better care model that actually works for people living with dementia and their families. We use evidence-based care, technology, and human connection to deliver the support that people need—when and where they need it. And we're proving it works. We're in a hurry. The need for high-quality dementia care has never been greater. The number of people living with dementia is growing at an unprecedented rate. Families need help now, and we refuse to wait. We start with yes. We don't let barriers stop us. When faced with a challenge, we figure it out—together. We're problem-solvers, innovators, and doers who find a way to make things happen for the people who need us. We care for those who care for others. Great care starts with the people delivering it. We are obsessed with supporting our care team—because when they feel valued and empowered, patients and caregivers get the care they deserve. Join the movement We're looking to find other changemakers who are ready to join our movement.