Healthcare Billing and Managment Association Job Board - Jobs

SALES AND MARKETING - Patient Account Services, Inc - LAPLATA, MD

DESCRIPTION Sales and Marketing Position - Medical Management Services. Exciting Opportunity to market business management services directly to medical practices in need. Our Company gross sales have aggressively increased every year and we need a capable and qualified individual to help us keep up with the demand. 20 years established company offers security and commitment as you help us grow to the next level. Experience in dealing with medical professional and office staff a plus but not a requirement as we are willing to train the exceptional person who has outstanding communications skills - we have the right products but need you to spread the word! Some travel required, company vehicle provided. Base Salary plus commission $50K and up based on your skills and performance. Company paid benefits include Health/Life/Dental/Vision plus 401K and profit sharing. DUTIES Sales and Marketing of Medical Management Services QUALIFICATIONS Sales and Marketing experience - preferably in medical field. College Education

Medical Office Billing Supervisor - Argus Medical Management LLC - Los Alamitos, CA

DESCRIPTION Primary Care Office in Los Alamitos, CA seeks an experienced medical biller for M.D., primary care, family practice or internal medicine. Applicants must have a minimum of 3 years medical billing experience. Supervisory experience in a medical office would be a plus. Applicant must be a well organized, strong multi-tasker who is able to work independently. Candidates must have excellent customer service skills and be willing to take the initiative to handle billing-related issues and/or problems that may arise with patients or insurance companies. DUTIES Duties to Include: * Verify insurance for medical benefits * Investigate additional insurance benefits as required * Enter patient demographics and insurance information * Enter charges following guidelines for each doctor * Review journals for accuracy and post batch(s) end of each day * When requested, correct billing/patient information and re-submit claims * Detailed system documentation of account * Other administrative duties as assigned QUALIFICATIONS Requirements: * At least 2-3 year of previous Medical Billing experienced * Medical Supervisory experience a plus * Very motivated self-starter, must be able to work independently * Must have strong understanding Medicare, Medi-Cal, PPO, HMO and Work Comp billing * Knowledge of Caretracker software experience is a plus * Proficient in Microsoft Office Suite applications (REQUIRED!) * Proficient in CPT, ICD9 and HCPCS coding * High School diploma

Medical Billing Assistant - Intralign - Tampa, FL, FL

DESCRIPTION This is a support position to the Billing Team who is responsible for the generation of electronic claim batches. They generate monthly patient statements, do mass mailings of invoices and statements, request medical records, enter demographics and take patient calls. DUTIES Demographic data entry, request operative notes, process operative notes once received by copying and/or scanning them and giving them to the appropriate team member, obtain billing codes from surgeon offices, batch audits, answer the phones as needed, handle returned mail, process outgoing mail and other clerical duties as needed (faxing, scanning). QUALIFICATIONS High school diploma; 2 years office experience; 2 years customer service; must have excellent verbal and written communication skills; be attentive to detail and accuracy; NO SMOKERS.

Revenue Cycle Manager - Womens Health USA - Avon, CT

DESCRIPTION Founded in 1997, Women's Health CT is the nation's largest physician management partnership with centralized functions that supports nearly 200 physicians across the state, practicing in 70 locations. Our physician-driven partnership was created by teaming outstanding OB/Gyns with experienced health care management experts from Women's Health USA. Our proven success and our continued growth help to make us the standard by which management service organizations are measured. DUTIES The Revenue Cycle Manager for Women's Health Connecticut reports directly to and works collaboratively with the Vice President of Operations in the Central Billing Office. In this role you will: * Manage and assist staff in the revenue cycle process, providing solutions on collection issues, healthcare trends and new product requirements. * Communicate directly with Physicians, Practice Managers and their staffs regarding questions, revenue cycle concerns and resolve any issues. * Provide management training and review of policies and procedures to Physicians and their staff as well as Central Billing Office employees. * Able to apply analytical and critical thinking to generate insightful, innovative and practical solutions to revenue cycle issues and participate in testing of all new processes that impact the revenue cycle to ensure desired outcomes are achieved. * Prepare and facilitate scheduled meetings with insurance company Provider Representatives addressing billing and collection issues, trends and/or new policies/requirements. * Collaborate with the Managed Care Team regarding Physician participation, reimbursement and credentialing issues, including pay for performance and case rate programs. * Must understand and be able to communicate the business and systems impact of proposed changes/additions to Operations workflows and processes as they impact revenue cycle. * Oversee daily operations and workflow to maximize departmental performance. Qualified candidates will have a minimum of 3 years of revenue cycle management experience preferably in a Centralized Billing Office using Misys Vision. High School Diploma and computer skills evidenced by proficiency and/or training with applicable software required. Understanding and experience in all aspects of revenue cycle essential. Management experience with 5 or more staff preferred Qualified candidates may submit resumes with cover letter to resume.replywomenshealthusa.com EOE M/F.H/D

Medical Billing Admin Assistant - RMK Holdings Inc. - Chicago, IL

DESCRIPTION Minimum one year experience and must have experience in medical billing and or health insurance processes. Part to full-time. Ideal professional will have a flexible upbeat/positive personality and highly adept at multi-tasking because the position provides a wide variety of tasks supporting company's operations. Must adapt and work well to a wide variety of personalities. Enjoys providing front desk and back office support and building skill set in this position. QUALIFICATIONS - Medical billing and or health insurance background. - Strong computer skills and initiative to learn new applications. - High problem solving and trouble shooting skills. - Skills to efficiently operate office equipment including multi-line phone system. - Math skills. - Grammar and writing skills. - Can work independently with minimal supervision. - Exhibits discretion and confidentiality in handling sensitive materials. - Efficient and resourceful. - Professional appearance and attitude. - Pleasant to work with.

Experienced Grant Writer - Healthcare - RMK Holdings Inc. - chicago, IL

DESCRIPTION Grant writing project with submission deadline to agency 06/09/2013, delivering healthcare information services to consumers. Maximum core content length is 21 pages. Please submit experience, track record, etc. and base fee. Thanks!

Accounts Receivable Representative - Specialty Billing Solutions - Lakewood, CO

DESCRIPTION Seeking Experienced ASC Reimbursement Specialists! Join our experienced team of ASC (ambulatory surgery center) Accounts Receivable Representatives. Job Relationships: The Accounts Receivable Representative reports directly to the Accounts Receivable Manager and interacts with payors, patients, physicians, nursing staff and other facility personnel in all areas pertaining to his/her position. DUTIES (1) Performs claims follow-up by working aging and denials. (2) Coordinates resubmission of claims when f/u indicates such action is necessary. (3) Submits appeals w/ supporting documentation when warranted. (4) Identifies denial trends and works with payors to resolve identified issues. (5) Gears daily activities toward achievement of established collection goals. Is able to identify issues hindering accomplishment of same. Works with A/R Manager to effectively resolve identified issues. (6) Shares info obtained from payors to assist in concurrent training of A/R personnel and process improvement to achieve departmental goals. (7) Proactively and consistently communicates with A/R Manager re: A/R follow-up activities and workflow priorities. (8) Observes established policies and procedures. (9) Actively participates in compliance program and adheres to SBS standards of conduct. (10) Maintains HIPAA patient confidentiality standards for medical and financial information. (11) Participates in third-party payor meetings and in-services. (12) Effectively provides a high level of customer service both internally and externally. Ensures patient experiences related to billing/collections rival the care received in client facility. QUALIFICATIONS Education: High school diploma or equivalent required. Work Experience: A minimum of one year medical billing office experience required. Knowledge of medical terminology and computer literacy a must. Familiarity with payor contracts preferred. Skills: Basic office skills required; advanced office skills preferred. Strong communication skills necessary for success. Ability to identify trends and proactively problem solve. Physical Guidelines: Ability to extend wrists/arms for up to eight hours per day; sit for up to eight hours/day; and work at computer terminal for up to eight hours/day.

Medical Contracts / Credentialing Manager - Associated Billing Services, Inc. - Phoenix, AZ

DESCRIPTION Associated Billing Services, Inc. is a high-volume physician billing service. ABS provides billing services to over 200 physicians ("Clients") representing a wide range of specialties, such as radiology, pathology, hospitalists, intensivists, gastroenterology, pediatric pulmonology, internal medicine, neurology, orthopedic surgery, general surgery and neuropsychology. DUTIES The Contract Manager is responsible for credentialing new Clients with multiple insurance and AHCCCS plans, re-credentialing existing Clients, summarizing contracts, providing continuous updates to Clients via status reports, resolving claims issues between Clients and payors, acting as a liaison between insurance/AHCCCS plans and Client, communicating with supervisors and managers to keep them abreast of current changes from insurance and AHCCCS plans. QUALIFICATIONS Knowledge of insurance companies, contracts, and physician billing. Ability to understand and summarize contracts to Clients and ABS employees. Intermediate to advanced skills in MS Office Suite, including Microsoft Word, Excel, internet, e-mail. Excellent, professional oral, written (including grammar, punctuation, and sentence composition), and electronic communication skills. Remain well organized while prioritizing and executing multiple tasks to meet deadlines in a fast-paced, detail-oriented environment. Ability to self-start and work independently. Ability to represent ABS in a professional and courteous manner, in person and by telephone. Ability to make clear and concise presentations in a professional manner.

Radiology Assistant - Hawthorn Physicians Services Corp - St. Louis, MO

DESCRIPTION Will assist the Radiology Manager with daily priorities. This part-time position will be approximately 25 - 30 hours per week. The days/hours are flexible, however, would need to be available on Thursdays. DUTIES Work refunds - this includes looking at refunds in the system and making sure they are going to the right insurance company or patient. Making corrections in the system when necessary. Pre-collect Reports - ensure patient received appropriate number of billings before the account is sent to collections. Also verifying correct insurance information. Entering credit card payments into the system. Other duties/special projects as assigned. QUALIFICATIONS Previous medical billing experience is preferred. Charge entry/payment posting experience desired. Strong computer skills required. Ability to navigate various sites. Strong typing and 10-key skills are required. Ability to make decisions and work independently. Be able to interact effectively with all levels of management and staff. Strong oral and written communication skills. H.S. Diploma/GED required.

Charge Processor - Full time/Part time - American Medical Accounting and Consulting - Marietta, GA

DESCRIPTION Coder. Experienced CPT4 and ICD9 coder/auditor for physician services. Radiation Oncology experience preferred. DUTIES Using GE Centricity PM (Millbrook derivative) medical billing software: *Coding and charge processing functions for Radiation Oncology services *Serves as provider support (coding questions) for assigned providers *Resolve coding denials *Coordinates and works closely with the Compliance Officer and Team Leaders to insure that proper coding protocols are being used *Documents and maintains audit records and prepares audit reports *Provides professional expertise for specific coding issues *Other projects as assigned QUALIFICATIONS Knowledge of CPT4, HCPCS, ICD9 coding and CMS 1500 forms. Ability to multi-task, prioritize, work with large volumes. Understands medical terminology and business office functions. Proficient in MS Office products including Excel, Word, Outlook. Formal education in coding/medical record principles required. Previous physician billing experience required. Coding certification from AHIMA, AAPC, RCC, or ROCC required.

Insurance Verification Associate - full time or part time - American Medical Accounting and Consulting - Marietta, GA

DESCRIPTION Insurance verification and Demographic entry Full Time DUTIES *Acquires information from medical providers and posts patient demographics and verified insurance information into billing system for patient registration; reviews for accuracy and corrects data on file. Verifies all patient medical insurances on patients by calling employer or third party payer *Enters and/or updates demographic information and prior authorizations for patient visits *Assist with payment arrangements *Other projects as assigned QUALIFICATIONS Knowledge of CPT,HCPCS,ICD9 coding and CMS 1500 forms. Ability to multi-task, prioritize, and work with large volumes. Understands medical terminology and financial concepts, general business office functions. Must be able to type 45 WPM and have demonstrated proficiency in MS Office Suite including Excel, Word and Outlook. GE Centricity PM practice management bill software experience (Millbrook derivative) a plus. Minimum High School graduate with 3 years medical billing experience.

Customer Service Associate - American Medical Accounting and Consulting - Marietta, GA

DESCRIPTION Customer Service Associate Full time or Part time DUTIES * Initiates and responds to patient, client and payer communications; *Assists in provider enrollment including acquisition of updated and negotiated fee schedules and credentialing related processes; *Posts charges, adjustments and/or payments to patient accounts on an as needed basis *Performs patient account QA reviews and posts charge corrections; resolves denials *Resolve and reconcile A/R including initiating and responding to correspondence and resolving denials QUALIFICATIONS Ability to multi-task, prioritize, and work with large volumes. Math calculations; analytical skills, medical terminology; verbal and written skills. Understands medical terminology and financial concepts; general business office functions. Must be able to type 45 WPM, 10-key by touch, proficiency in MS Office suite including Excel, Work, Outlook. Must be a high school graduate with minimum three years previous experience in billing. GE Centricity PM (Millbrook derivative) experience a plus. Knowlege of Radiation Oncology codes a plus.

Team Leader-Charge Processing/Auditor - American Medical Accounting and Consulting - Marietta, GA

DESCRIPTION Team lead for charge processing/demograhic entry and auditing functions. Acts as the subject matter expert regarding CPT4, HCPCS, ICD9 and ICD 10 coding quality and audit validation of coding activities; Assists in establishing, and documenting policies and procedures in support of standardized and accurate claims submission to insure accurate and timely reimbursement Proactively identify, through auditing and internal reporting, negative and positive trends and initiate recommendations for change Assist and initiate internal and external audits as needed Provides coaching and mentoring to team members Provides Workload distribution, tracking and workflow management Assists in hiring process for personnel Performs other duties as assigned by management Involves interpreting and analyzing established concepts and trends. Exercises judgment to make decisions for less defined issues and selects methods and techniques for obtaining solutions. DUTIES Manages workflow activities and formulates policies and procedures relating to charge processing, and auditing department. Evaluates and recommends programs, procedures for improved operations, modifications to and/or implementations of new procedures. Ensures that established standards are met and are in compliance with governmental and regulatory agencies. Establishes performance standards (quantitative and qualitative) for areas of responsibility, monitors and controls productivity and encourages innovations for improvement. Processes charges for select clients Works charges on hold report Works on missing information report Maintains spreadsheet pertaining to charge processing Reviews pre-entry data Reviews all stop patients and takes necessary steps for missing charges, duplicate charges, etc Submits pre-entry data to Jr. Charge Processor for processing Jr. Charge Processor back-up Oversees the Charge Processing and Auditing Department Supervises their activities, assuring time requirements are met and clients inquiries are answered appropriately. Provides Quality Improvement monitoring to ensure employee compliance with departmental standards and procedures. Works with employees to insure that proper coding protocols are being used Develops monthly/annual audit schedules. Conducts routine off site audits for accuracy of coding and physical presence of physicians involved with professional/freestanding fee billing Conducts pre-audit on all patients for accuracy of coding and submits weekly status report to Management Team and Compliance Officer Coordinates meetings with clinical department representatives Documents and maintains audit records and logs Provides professional expertise for specific coding issues Assists with training of new employees (radiation oncology billing and coding) Conducts weekly training sessions on coding and CCI edits Assists with coordinating work flow within the department to ensure that deadlines are met Serves as client support for consulting division Presents the audit findings to the client in accordance with corporate policies and procedures Other projects as assigned Contributes to the achievement of department objectives. QUALIFICATIONS Current credential as a CPC through AAPC or CCS-P through AHIMA Associate degree or two years of college level courses in health information, business administration, information systems, healthcare delivery or other related field. Working knowledge of medical terminology, anatomy and pathophysiology May substitute degree for years of related experience. Additional credential as a ROCC through AMAC 7 years direct coding assignment and auditing/validation experience Excellent interpersonal and communication skills (verbal and written) Strong time management and analytical skills, Ability to meet deadlines Ability to develop and use spreadsheets (MS Excel) Ability to write reports summarizing identified trends, analysis of findings and recommendations. Ability to follow appropriate methodology, sample selections, basic interpretation of results and formulation of appropriate recommendations. Excellent relationship management skills Ability to use multiple systems to access and conduct clinical documentation / coding validation. Requires moderately complex decision-making.

Payment Poster - Full time/Part time - American Medical Accounting and Consulting - Marietta, GA

DESCRIPTION Cash application specialist Using Centricity software application: Scanning and posting payments from a variety of source documents including imaged lockboxes, paper explanation of benefits, electronic remittance advice, paper checks, receipts; post associated payment adjustments including managed care and Medicare discounts; balancing, reconciling dailly and monthly batches; processing and posting refunds; scanning, processing and posting correspondence and payer documents; Denial management and reconciliation/reprocessing; DUTIES Using GE CENTRICITY PM (Milbrook derivative) billing software: *Responsible for month end closing of clients for invoicing *Receives, records and enters receipts information from lockbox accounts *Receives, records and enters denials/insurance and patient correspondence from lockbox accounts *Receives, records and enters denials received from EDI Department *Supplies clients with necessary deposit and receipt information by fax, phone, mail or email *Responsible for balancing client recaps on a daily basis *Identifies and processes refunds/credit balances and unidentified accounts *Other projects as assigned QUALIFICATIONS Minimum 3 years billing experience, knowledge of CPT coding rules, HCPCS codes, ICD9 coding and CMS1500; ability to multi-task, prioritize, and work with large volumes. Understands medical terminology and finance; business office functions. Proficient in Microsoft Office products including Excel, Word, Outlook; 10 key, and scanning functions; Centricity billing software experience; must be familiar with Medicare electronic remittance advice (ERA) and explanations of benefits (EOBs).

Transaction Processing Associate - American Medical Accounting and Consulting - Marietta, GA

DESCRIPTION Transaction processor-medical billing Full time or part time DUTIES Acquire and process patient demographics, and/or charges and/or payment/adjustment transactions for assigned clients including patient demographics, provider charges, client lockboxes, direct deposits, EFT's, denials; correlate data, distribute and/or post to patient accounts. Contact financial institution, client, and/or payers for missing information such as EOBs, lockbox transactions, verification of coverage, patient demographics, patient receipts, patient charges; Scanning transaction source documents; Daily and monthly batch balancing and month end close. Review and reconciliation of unapplied credits and credit balances, process refunds; QUALIFICATIONS Minimum 3 years medical billing experience. Experienced candidate will be proficient in medical terminology, CPT, HCPCS, ICD9 coding and billing via CMS 1500 electronic format. Ability to multi-task, prioritize, work large volumes; command of financial concepts, general business office functions, data entry proficiency, proficienct in MS Office Suite including Excel, Word, Outlook; heavy experience with interpreting Medicare and managed care Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs). Minimum education requirement is High school graduate with minimum 3 years of experience in medical billing. GE Centricity PM (Millbrook derivative)software experience preferred.

Payment Manager - Perioperative Services - Newark, DE

DESCRIPTION Innovative medical billing company in Newark, Delaware is looking for a talented individual who can lead and direct a strong, analytical payment team in a medical billing environment. We need someone who is highly skilled in people management, accounting principles, and computer systems. DUTIES * Respond to employee issues/questions * Respond to manager/staff questions regarding the RAT team * Develop/mentor employees * Oversee business partner workflow communications & develop best processes * Address partner's performance as it relates to payments, especially at month end to ensure we close on time * Escalate Partner errors and turn around time issues as needed * Take lead on payment related system issues, testing, etc. & communicate with IT in writing regarding the findings * Train team members * Prepare employee reviews * Ensure refunds for all clients get processed - monitor the progress * Hold staff goal review and continuous process improvement meetings * Keep Manager informed of critical items * Recruit/interview/make hiring decisions * Productivity Improvement - track and measure * Payroll/HR items * Other duties as assigned QUALIFICATIONS Qualified candidates would need to be able to: Work independently in an assertive and detail-oriented manner Work well within a team environment Communicate professionally with internal and external customers Manage financial outcomes between multiple systems and balance Quality monitor the cash posting work of business partners Apply logic to various scenarios and determine solutions to issues Communicate with tact and diplomacy Learn our company processes, equipment, and various computer systems with ease Be involved with the rollout of new system applications (review, test, etc.) Teach and educate staff members While not a requirement, experience in healthcare payment cash posting is a definite plus for a candidate who has the requirements listed above. Our company offers a competitive salary, great benefits (Health, Dental, Flexible Spending, Short and Long Term Disability, Life Insurance, etc.), and a casual work environment.

Director of Managed Care Department - Advanced Billing Services, Inc - Hawthorne, NY

DESCRIPTION General Purpose of Position: Oversight, management, and development of the Managed Care and Credentialing Departments in a Medical Billing and Physician Practice Management Organization. DUTIES Duties and Responsibilities: &61656;Oversee and manage the performance and operations of the Managed Care and Credentialing Departments. &61656;Manage departmental workflow processes including, but not limited to, maintaining an inventory of all open and closed medical claims projects; reports; contracts; analytics; and ad-hoc projects. &61656;Prioritize departmental work assignments. &61656;Client Relations: Facilitate solutions to claims matters through use of managed care contacts and Credentialing team as needed, including oversight of the assembly and submission of impacted claims files to commercial managed care insurance companies. oHigh-level interfacing with Advanced Billing Services (ABS) provider clients as well as various managed care companies and benefit funds. &61656;Managed Care Contracting: Assemble analysis files used to evaluate current contracted rates as well as create fee schedule proposals for managed care companies. &61656;Reporting Process: Responsible for oversight of all reporting functions at ABS, including, but not limited to, major monthly and quarterly reporting deliverables; ad-hoc reporting; and occasional training. &61656;Fee Schedules and Claims Payment Policies: Oversee development and/or maintenance of fee schedule/chargemaster for billing clients oResponsible for the process of confirmation of medical and claims payment policies with the managed care companies as well as appropriate dissemination of this information which is used by Operations departments to manage accounts receivable. &61656;Expansion Impact Analytics: Analyze the financial impact of supporting additional physician practices to growing client base. &61656;Provide coaching and counseling, motivate and evaluate performance of department team members. &61656;Manage team member work schedules and staff coverage as appropriate. &61656;Serve as back-up to other Managed Care functions as needed. QUALIFICATIONS Educational Requirements: Bachelor's degree required. Experience Requirements: 7+ years of progressive supervisory and managerial responsibilities in a Healthcare environment, preferably in a Managed Care company. 5+ years' experience analyzing and negotiating Managed Care contracts and fee schedules. Knowledge, Skills and Abilities: &61656;Proficient with CPT/HCPCS coding. &61656;Expert knowledge of Microsoft Excel &61656;Intermediate knowledge of Microsoft Access. &61656;Knowledge of health insurance principles. &61656;Ability to handle multiple, changing priorities with flexibility and agreeability is critical. &61656;Ability to work and thrive under pressure while successfully managing multiple priorities and meeting deadlines. &61656;Ability to communicate on all levels within the Company and client base (including C level), fostering positive relationships to further benefit the Company. &61656;Willingness to assist with a variety of company projects as needed.

Cash Receipts Analyst - Specialty Billing Solutions - Lakewood, CO

DESCRIPTION Join our Cash Management team today! The Cash Receipts Analyst performs payment posting, refund requests, and patient billing activities for ambulatory surgery center clients under the direction of the Cash Receipts Manager. Job Relationships: The Cash Receipts Analyst reports directly to the Cash Receipts Manager and interacts with payors, patients, physicians, nursing staff and other facility personnel in all areas pertaining to his/her position. DUTIES (1) Posts payments and adjustments to patient accounts for assigned facilities from lockbox deposits, EFTs, facility over-the-counter collections and facility mail receipts. (2) Posts & reviews EOM contractuals at least once per week. (3) Reviews third-party payor payments and adjustments against facility specific contractual terms to ensure receipt of appropriate reimbursement. (4) Notes underpayment situations in patient accounting system and follows up with the insurance company. (5) Notes overpayment situations in patient accounting system, fills out refund request forms, pulls supporting documentation and forwards to Cash Receipts Manager for review and approval. (6) Updates uncollected co-pay and deductible spreadsheets. (7) Ensures batch reports tie out to lockbox, facility over-the-counter collections and facility mail receipts data prior to closing each batch. (8) Posts refund checks to accounts after the check has cleared the bank account. (9) Prints and reconciles credit balance reports. (10) Handles patient inquiries regarding account balances with professionalism. (11) Records summary of patient interactions in comments of patient accounting system. (12) When facility policies dictate, places phone calls to patients re: past due balances in an attempt to resolve any patient concerns/issues and secure payments on balances owing. (13) Creates enough open batches at end of month to accommodate necessary entries required to close the month. (14) Ensures end of month transaction dates reflect the same period transactions are being posted to and corrects same when end of month close highlights inaccurate dates. (15) Proactively communicates with Cash Receipts Manager throughout the month regarding patient accounting issues and workflow priorities. (16) Maintains awareness that falling behind on workload and/or not routinely posting batches by dates rather than by ease of entry can result in process flow issues for other members of the centralized billing office team. (17) Shares payment/adjustment trends with Cash Receipts Manager to assist in ongoing training of department personnel. (18) Cross-trains with Cash Receipts Manager when asked and performs essential duties in his/her absence. (19) Observes employer's policies and procedures. (20) Actively observes standards of conduct and participates in compliance program. (21) Attends centralized billing office and departmental staff meetings. (22) Maintains HIPAA patient confidentiality standards for medical and financial information. (23) Performs all other duties as assigned. QUALIFICATIONS Education: High school diploma or equivalent required. Work Experience: A minimum of one year medical billing office experience required. Knowledge of medical terminology and computer literacy a must. Familiarity with payor contracts preferred. Skills: Basic office skills required; advanced office skills preferred. Strong communication skills necessary for success. Ability to identify trends and proactively problem solve. Physical Guidelines: Ability to extend wrists/arms for up to eight hours per day; sit for up to eight hours/day; and work at computer terminal for up to eight hours/day.

Reimbursement Specialist - Specialty Billing Solutions - Lakewood, CO

DESCRIPTION Job Summary: The Reimbursement Specialist is responsible for thoroughly understanding the payor contracts for multiple facilities. The Reimbursement Specialist validates and tracks credits due to insurance companies and patients, assists with payment posting and performs essential Cash Receipts Manager duties in their absence. Job Relationships: The Reimbursement Specialist reports directly to the Cash Receipts Manager and interacts with the VP of Revenue Cycle Management, facility Directors of Operations, accountants, and inter-office personnel in all areas pertaining to his/her position DUTIES 1. Review refund requests on a daily basis for completeness by comparing documentation against specific facility contracts with various government, commercial and private payors. 2. Submit refund requests in good order to VP of Revenue Cycle Management for approval daily. 3. Compile and sends the necessary documentation to the accountants for refund check processing bi-monthly. 4. Inform facility Directors of Operations when refunds are submitted to accountants for processing 5. Track essential check posting information in the Credit Balance Spreadsheet for all facilities. 6. Update the Credit Balance Spreadsheet on a daily basis when checks clear the bank. 7. Compile refunds that have cleared the bank for posting by the Cash Receipts Analysts bi-monthly. 8. Ensure all refund checks cleared within the posting month are gathered and delivered to the Cash Receipts Analysts before the facility closes financials for the month. 9. Performs follow-up on checks that have not cleared the bank and researches checks that are returned for insufficient address. 10. Prepare Refund Request Forms and supporting documentation regarding overpayment calculations. 11. Assist Cash Receipts Manager with audits of adjustment and payment posting. 12. Identify and share payment/adjustment trends with Receipts Manager to assist in ongoing training of CBO personnel. 13. Daily/weekly/monthly balancing of all posting activity performed. 14. Posting within 24-48 hours - 48 hours would be the exception. 15. Track renewal dates on all contracts via contracts calendar. 16. Inform VP of Payor Contracting of upcoming renewal dates in advance. 17. Manage all incoming updated reimbursement summaries. 18. Assist in new procedure pricing projects - pull RVU values and current payor reimbursement and communicate findings. 19. Proactively communicates with Cash Receipts Manager. 20. Cross-train with Receipts Manager when asked and performs essential duties in his/her absence. 21. Observes CBO policies and procedures. 22. Actively observes CBO standards of conduct and participates in compliance program. 23. Attends CBO and departmental staff meetings. 24. Maintains HIPAA patient confidentiality standards for medical and financial information. 25. Performs all other duties as assigned. QUALIFICATIONS 1. Education - High school diploma or equivalent required. 2. Work Experience - A minimum of one year payment posting experience required. Knowledge of medical terminology and computer literacy are required. Familiarity with payer contracts preferred. 3. Relationships - the ability to establish professional, open and honest relationships with owners, clients, management and co-workers, promoting a positive attitude and culture to all parties you encounter daily. 4. Skills - Basic office skills required; advanced office skills preferred. Strong working knowledge of Excel. Strong communication skills. Accurate data entry skills. Attention to detail a must. Ability to identify trends in underpayments/overpayments. High level of mathematical/analytical aptitude. 5. Physical Guidelines - Ability to extend wrists/arms for up to eight hours/day; sit for up to eight hours/day; and work at computer terminal for up to eight hours/day.

SQL Developer - Perioperative Services - Newark, DE

DESCRIPTION Full time report writing position. Will work with customers and peers to design, develop, modify and test data marts and models that meet the customer's (internal and external) needs. Current report development platform is SQL Server Reporting Services and Qlikview. The developer will be required to develop, extract, transform, and load (ETL) scripts and specifications to support ad hoc reporting. This position will be tasked with overseeing and implementing full software development life-cycle (SDLC) of design, code, test, debug, and implementation of all SSRS Reports. DUTIES Responsibilities: *Designs, codes, tests, debugs, documents and implements complex software applications according to standards. *Develop scripts to automate and schedule tasks. *Responsible for database administration functions in a Microsoft SQL Server environment. *Perform data migration and ETL using SSIS and other applicable tools. *Analyzes business user needs and provide optimal technical solutions. *Performs root cause analysis for issues and provide effective timely technology resolution. *Participates in the analysis, design, development, unit testing and documentation for small to medium system enhancements and or large scale strategic development initiatives as needed. *Assists in research and fact-finding, in implementation and maintenance of databases, in development of software code and in programming applications. *Documents, tests, implements and provides on-going support for the applications. *Position will address cross-organizational IT Service and Business metrics, reporting, data aggregation, and tools development initiatives. *Assists in leading all aspects of applications programming and development including file design, update, storage and retrieval. *Functions as a technical and analytical support for packaged application(s) operating on the MS SQL Server platform. *May coordinate activities of a project team and assist in monitoring project schedules and costs. *Effectively prioritizes work while considering business need and urgency. *Effectively manages multiple tasks. *Work with Architects, Managers and DBAs in relation to the planning, design and execution of database administration and development activities using most recent database and software development tools and methodologies. * Other Duties as Assigned QUALIFICATIONS Requirements: *Bachelors degree in Computer Science, or related discipline with an IT focus preferred or equivalent years of progressive experience. *Ability to design and develop complex reports involving business meta-data. *Four years experience application program development, or the equivalent in education and work experience. *Experience in the design and delivery of ETL solutions. *Ability to automate day-to-day activities like database backups, monitoring and maintenance. *Direct administration with relational databases primarily in a Microsoft SQL Server 2008. *Data Warehouse experience *Application and SQL query performance monitoring and tuning *End-to-End development and deployment of Forms and Web applications, SSRS. Understanding of SSRS architecture, security etc. *Exceptional verbal, written, interpersonal, and presentation skills. *Strong sense of web design and attuned to the fundamentals of user experience. *Ability to work constructively in a team environment *Thorough understanding in systems and data processing policies, practices and procedures. *Thorough understanding in systems analysis and design techniques. *Extensive knowledge of the systems development life cycle. *Understanding of project management concepts and techniques required. *Previous work experience with a healthcare/medical billing company a plus. Technical Requirements: *MS SQL server development tools (Report Builder 2.0) *SQL Server 2008 *SQL Management Studio *SSIS/ SSRS *Windows Server 2008 *Qlikview (a Plus) *XML

Account Manager - Professional Reimbursement Managers - Fort Lauderdale, FL

DESCRIPTION Professional Reimbursement Managers (PRM) is a leader in physician revenue cycle management services adding value to customers though PRM's core values, trusted client partnerships and focus on industry compliance. As an industry leader we seek high-energy and dedicated professionals who will uphold our organization's commitment to excellence. With over 20 years of medical billing and management expertise, PRM's corporate office located in Fort Lauderdale is seeking the following professional to join our organization. DUTIES The Account Manager is responsible for the overall management of a set of client accounts, and be the liaison between PRM and the clients. This candidate is accountable for ensuring that all appropriate PRM resources are utilized efficiently and effectively. He or she will consistently provide clients with business management and strategic planning services of the highest caliber. This candidate must work effectively with physicians, management and operations managers. *Serve as the primary point of contact for a set of clients and promptly respond to all client inquiries. *Liaison with the operation's processing team as necessary to address client needs and monitor client transaction processing. *Constantly monitors and analyzes assigned client accounts in order to assure accurate and successful processing. *Identifies potential problems with client accounts before they occur and works to eliminate future occurrences. Works to correct problems that do occur and to prevent them from recurring in the future. *Develops collaborative relationships across multiple departments and with external clients in order to accomplish client account goals. *Develop and maintain knowledge of client credentialing and fee schedules. *Coordinate and perform visits to current client locations to assess the needs of the client account and works collaboratively with the management team in acquiring new accounts, including such things as site audits and visits. *Review and analyze all client month end reports prior to presentation to the client. *Generate client ad-hoc reports upon request. *Create client collection forecast models. *Create and deliver client performance presentations. **Assist with the marketing of the company's service offerings. *Uphold company compliance policies. QUALIFICATIONS Education Level: Bachelor degree in Business, Finance or closely related field. Functional Skills *Medical billing experience is preferred - Office-based billing favored. *Financial, accounting, or accounts receivable experience. *Able to manage multiple concurrent tasks. *Very strong written and verbal communication skills.

Medical Billing Specialist - Management Services Network - Dothan, AL

DESCRIPTION Large National Helathcare Billing and Management Firm seeks medical billing representative to reconcile insurance payments to daily postings in billing system as well as following up with medical insurance payers on unpaid claims. DUTIES Include but not limited to reconciling daily deposits to postings in an ecxel spreadsheet as well as obtaining payment for unpaid insurance claims. This will include writing appeal letters and/or contacting patients, insurance companies, referring physicians, and hospital billing office for needed information. QUALIFICATIONS Recent college graduates or college students encouraged to apply. Excel and Word experience required. Medical Billing collection experience a plus but not required. Excellent verbal and written communication. Ability to organize and prioritize work. Ability to work independently and multi task.

Assistant DME Billing Manager - Bonafide Management Systems, Inc. - Thousand Oaks, CA

DESCRIPTION Assists in revenue maximization through ensuring work quality, productivity and compliance in the department. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization. DUTIES Manages, trains, coaches, develops, and supervises staff in the following areas: Insurance Follow-up, In-patient Billing/Eligibility, claims filing, and revenue management. * Ensures business processes and protocols are followed. * Meets staffing requirements as determined by the management team, in a manner that effectively and efficiently meets the needs of the department. * Builds communication and teamwork by holding regularly scheduled staff meetings to communicate organizational, work flow, payer, coding or systems information, to staff and clients. * Monitors staff performance through monthly audits to ensure work meets department standards and provides regular feedback to staff. * Remains knowledgeable concerning revenue cycle and billing & collections policies and procedures, and interprets and implements changes accordingly. Acts as a resource to the staff. * Periodically reviews all procedures, existing standards and work flows, and updates them as needed. * Analyzes payer claim denials and rejections to identify opportunities for revenue enhancement. * Utilizes experience and problem-solving skills to formulate recommendations for operational improvements. * Prepares monthly report(s) to track department performance. * Works closely with billing clients, Bonafide management, and billing team to ensure that Accounts Receivable goals are attained. * Stays abreast of federal and state insurance & collections laws and regulations. Ensures departmental performance is in compliance. * Monitors backlogs and unsatisfactory outcomes and together with the billing team/implements plans for improvement. * Attends meetings as requested. * Assists staff with daily responsibilities when needed. * Attends ongoing organizational leadership training to improve leadership and supervisory skills. * Plans and coordinates special projects. * Performs other duties as assigned. QUALIFICATIONS High school diploma or equivalent. College degree in business or related field preferred. At least three years of related experience working with medical billing in a practice, facility setting, and/or DME billing, to include supervision of staff performing similar functions. Experience with automated billing and collection systems. Experience in reimbursement review and reporting. Knowledge, Skills, and Abilities: * Proficient computer skills to include Microsoft Office applications. * Knowledge of and experience with Medicare, Medicaid and Commercial Insurance billing and collecting, as well as applicable collections related laws and regulations. * Knowledge of MCO, IPA, and Worker's Compensation regulations, billing, and collections. * Knowledge of DME coding regulations. * Knowledge of and/or experience with procedural, HCPCs and diagnostic coding. * Excellent verbal and written communication skills. * Excellent customer service skills. * Ability to work in a team environment. * Ability to handle competing priorities. * Ability to analyze problems, make decisions, and manage conflict. * Ability to train and monitor staff to ensure compliance with federal, state and local regulations and established practices; implements new policies/procedures and keeps employees abreast of current changes and standards as they relate to business needs.

Operations Director - Ulrich Medical Concepts, Inc - Paducah, KY

DESCRIPTION Company Description Ulrich Medical Concepts has developed, implemented and delivered innovative electronic health records (EHR) and practice management (PM) solutions to the ambulatory and correctional healthcare markets. Our innovative EHR and PM systems create efficiencies in the work place, improve workflow, maximize revenue, eliminate duplicate tasks and reduce the overall costs associated with healthcare delivery. Ulrich Medical Concepts now offers full service medical billing and revenue cycle management services thorough Ulrich Medical Billing. Position Description Manage and supervise the revenue cycle process in a centralized medical billing office. Implement and monitor the effectiveness of policies and processes for efficient billing and collection from third party payers and patients. Supervision is exercised over a team of accounting, administrative, billing and collection staff. The position will also be respond to client and staff concerns. Participate in billing system design improvement. DUTIES Supervises all positions working in a centralized medical billing office. Responsible for interviewing and hiring of staff, and appraising performance. Assures that staff adheres to the policies and procedures of organization regarding the communication with, and collection from insurance carriers and patients. Overall responsibility for monitoring billing, payment posting and accounts receivable activities performed by centralized functions. Ensures departmental compliance with the oversight of new projects and existing initiatives. Monitors physician billing procedures, claim submission, claim production, eligibility, lag days, etc., per Division and / or Billing Areas. Develops, drafts, and updates policies and procedures necessary to meet the needs of the department. Other duties as assigned. QUALIFICATIONS Bachelor's Degree in business, accounting, or healthcare administration preferred. Demonstrated course work in medical terminology desirable. Minimum 6-10 years experience in progressively responsible supervisory positions in physician billing operations and accounts receivable management. Demonstrated supervisory experience in physician billing at a very high level of excellence. Specific knowledge of third party billing and claims processing procedures preferred. Experience in the insurance/HMO industry or in an academic medical center highly preferred.

Patient Account Rep Asst/Customer Serv Rep - Vantage Radiology & Diagnostic Services - Federal Way, WA

DESCRIPTION Prefer applicants to have knowledge of medical insurance billing processes, strong organizational skills, ability to prioritize and attention to detail. Ability to utilize 10-key calculator required. Proficiency in Excel is preferred. This position is currently part time Monday - Friday with possibility of full time (with benefits) later. DUTIES Responsibilities include: 1) Contact insurance companies to verify medical benefits and authorization requirements for services. 2) Send appeals, reconsiderations or corrected claims to insurances for payment on denied claims. 3) Respond to patient and insurance inquiries, and research and resolve unpaid accounts. 4) Possess ability to review AR and identify trends in rejects and denials. 5) Post insurance rejects/denials to accounts. 6) Answer incoming customer service calls. 7) Make outgoing collection calls. 8) File exams to primary or secondary insurances when applicable. 9) Assist with end of month charge entry/billing assignments. QUALIFICATIONS PREREQUISITES: * High school diploma or equivalent.* Knowledge of medical terminology. * Experience with database program applications including Windows. * Demonstrates excellent customer service skills and communication skills. * Experience answering a multi-line telephone. QUALIFICATIONS: * 2 year of previous medical office or imaging reception experience is desired. * 2 year of previous experience with computers and accurate data entry is required.

Medical Billing Specialist - Management Services Network - Myrtle Beach, SC

DESCRIPTION Large National Helathcare Billing and Management Firm seeks medical billing representative to follow up with as well as monitor the clearinghouse used to process all insurance claims. DUTIES Include but not limited to verifying eligibility, monitoring the claims process, managing claim denials and recognizing trends in denials. Candidate will also be required to prepare, compile and sort documents for data entry and must possess excellent typing skills. QUALIFICATIONS Medical Billing experience a plus but not required. Excellent verbal and written communication skills. Ability to organize and prioritize work. Ability to multi task. Accurate keyboard skills as well as basic knowledge of computers and other office equipment.

Medical Biller & Collector - 4D Medical - Scottsdale, AZ

DESCRIPTION Medical Billing Company Seeking Medical Biller and Collector DUTIES - Transmitting claims, downloading and posting electronic remittances - Following up and appealing unpaid claims and denials - Quality Control of the data entry team to make sure claims and payments are posted correctly - Dealing with client and patient calls QUALIFICATIONS Friendly, positive person. Experience with NDC Lytec, MDonline, E-Clincal Works a plus. Experience in billing for: Cardiology, Internal Medicine, Gastro, Hemotology, Neurology, OB/Gyn, Pediatrics, Podiatry, Psychiatry, Rheumatology is an asset.

Accounts Receivable Specialist - Medorizon - Romeoville, IL

DESCRIPTION Medical billing company is seeking a FT experienced Accounts Receivable Specialist to perform claim follow up functions. Must have at least 2 years of Billing and A/R experience working at a medical billing company, surgery center, hospital, or physician practice with knowledge in the following areas: CPT and ICD-9 coding, EOB interpreting, working denials and writing appeals. Applicant must have customer service and computer skills, a professional, positive attitude, and be organized, detail-oriented, and dependable. DUTIES Identify outstanding claims and follow up on unpaid claims. Identify and correct billing errors. Initiate request for patient payment, arrrange payment plans, and resolve patient delinquency. Experience in billing, coding, precertification a must. Applies financial transactions to patient accounts. QUALIFICATIONS Must have experience with billing, coding, precertification, eligibility verification. Knowledge of Greenway Primesuite billing system a PLUS.

Marketing & Business Development Associate - Specialty Billing Solutions - Lakewood, CO

DESCRIPTION Candidate will work to increase the number of clients for Pinnacle III in key markets across the country. DUTIES Candidate will develop and execute an annual marketing and advertising plan that includes, but is not limited to, the following: *Coordinate outreach to potential clients and stakeholders. *Coordinate industry conference outreach. *Monitor industry publications and develop relationships with journalists for increased media coverage. *Respond to RFPs. *Develop presentations for conferences and potential clients. *Update website and monitor traffic trends. *Work with vendors to secure marketing materials. *Assist with social media and quarterly e-newsletter. *Field phone calls. *Handle additional duties as assigned. This candidate will consult with an external PR and marketing agency and web firm to complete tasks. QUALIFICATIONS *Bachelor's degree in business, marketing or related field. *Proficiency in Microsoft Office (Word, Excel, PowerPoint). *Customer service and sales skills. *Strong organizational skills, attention to details and the ability to work independently. *Ability to work within a defined budget. *Design experience is a plus.

Imaging Services Coordinator - Advanced Medical Imaging Associates, PC - Fort Collins, CO

DESCRIPTION Imaging Services Coordinator. Part Time Position - Students encouraged to apply Responsible for facilitating the radiologists' workflow and daily needs in addition to supporting their interactions with customers. Coordinating all Radiology image and report management functions including but not limited to: hard films and digital data (RIS/PACS) in a dynamic fast paced multi-hospital environment. Serve as professional liaison to radiologists and their clients. -1 Year experience in healthcare with minimum of 2 years customer service position -Possible evening and weekend shifts. Business hours 6:30am -midnight, Monday through Sunday. For P/T position days and hours may vary and are not guaranteed - Excellent communication skills both oral and written; excellent problem solving skills - Professional phone skills and experience -Excellent general computer skills and knowledgeable in basic computer terminology, - Medical Terminology -Ability to multitask and troubleshoot -Ability to work independently and in a team environment -Ability to sit 6-8 hours per day entering data on PC. - Looking for availability to start immediately Submit resume and salary history to: resumesadvmedimaging.com

Physician Revenue Recovery Associate/Certified Coding Specialist - Precision Medical Billing - Houston, TX

Sales and Marketing Rep - SyMed Corporation - Napa, CA

DESCRIPTION Sales and Marketing Rep Bring your energy, drive and sales expertise to the beautiful Napa Valley! An excellent opportunity exists for an individual with a strong understanding of the business side of healthcare and physician practices. SyMed Corporation is a professional accounts receivable management group that provides comprehensive billing and consultation services to our statewide client base. Our goal is to maximize our clients' revenue while assuring compliance with governmental and other guidelines. We invest in our team of bright, focused and knowledgeable people who enable SyMed to bring outstanding results to our clients. Job description: Responsible for selling revenue cycle management services throughout California with an emphasis in the San Francisco Bay area. Sell medical transportation software to a nationwide market Direct marketing to physicians, medical transportation companies and mental health county contractors. Cold calling local physicians, physician groups and hospitals. Understand the business needs and desires of prospects and provide input to the development of products and services to meet them. Establishing and maintaining a quality client database by acquiring new business and developing a sales pipeline to enable meeting or exceeding your sales goals. Respond timely to all client and/or prospect inquiries Close sales and provide necessary documentation Required to meet annual sales quotas Build relationships through attendance at professional meetings and community events. Qualifications: 3 years minimum experience in marketing or sales to physicians and/or medical transportation companies An enthusiastic desire to excel in a sales driven environment Strong comprehension and analytical skills Proficient in Microsoft Office Proficiency in ACT! a plus Ability to interact constructively with team members, other departments and external contacts Strong verbal and written communication skills Well organized, self-starter What we offer: Competitive salary plus commission structure Medical Insurance Dental & Vision Insurance 401(k) Pension Plan Profit Sharing Section 125 Cafeteria Plan Paid Vacation Build strong and lasting business relationships with hospital medical staffs, medical societies and community services while you help SyMed achieve its growth targets! Join us for the opportunity to both exercise and grow your skills! Send your resume to Jobssymedcorporation.com of fax to 707-255-3527.

Physician Liaison - Precision Medical Billing - Houston, TX

DESCRIPTION Precision Medical Billing is located in the Galleria area of Houston and provides revenue cycle management for health care providers. PMB provides services for the following physician specialities including, but not limited to: Anesthesia Ears Nose and Throat (ENT) Emergency Medicine Pain Management Gastrology Hospitalist Physical Medicine & Rehab Hematology-Oncology Hyperbarics Urgent Care Clinics Neurosurgery Outpatient Therapy Clinics Ambulatory Service Centers DUTIES * Building and maintaining relations between Precision Medical Billing and Physician clients * Generate business by creating new and maintaining existing relationships with physicians and other medical professionals * Work directly with Director of Marketing and Sales on physician sales proposals * Collect data, produce and present RCM Assessments for physicians and physician groups * Provide strategy and feedback on physician market and competitors * Identify revenue opportunities for gains and losses * Establishes and maintains a working relationship with the physician staff with respect to their compliance plan. * Supports new program development by advising on development of fee arrangements for new or special services * Takes individual responsibility for providing outstanding Service Quality * Develops and prepares a variety of reports which may include charges and payments projections, statistical and financial analyses along with narratives to support data presented * Analyzes payer reimbursement to ensure proper claims adjudication QUALIFICATIONS 1. The ideal physician liaison must be familiar with, Microsoft Office Suite 2. Bachelor's degree and/or substantial physician relations experience are required 3. Professional interpersonal, communication and presentation skills are required 4. Travel is required to and from physician offices 5. Work with limited supervision 6. Able to work as part of an interdisciplinary team 7. Detail oriented 8. Problem solving skills 9. Maintain confidentiality 10. Conduct self in an ethical, honest, and professional manner 11. Medical terminology, anatomy, revenue cycle management, ICD-9, CPT-4, HCPCS coding, applying modifiers and knowledge of auditing medical records/charts. 12. Knowledge of state and federal guidelines pertaining to physician billing, coding and collections for Medicare, Medicaid and 3rd party carriers reimbursement guidelines. 13.General knowledge of medical ethics, compliance and HIPAA 14. Knowledge of NueMD and EPIC software knowledge a plus

Medical Biller - Medical Billing Systems - Granite Bay, CA

DESCRIPTION We are looking for an experienced medical biller to join our team. The ideal candidate will possess great people skills, a professional telephone demeanor, will be articulate, dependable and a team player. Multi-tasking, accuracy, attention to detail and knowledge of the industry is required. This position works with multiple physician offices. The candidate must be able to function in a team-oriented environment, display strong investigative and organization skills, pay high attention to detail with consistent follow through and be able to productively manage high volumes of work. Minimum of one year medical billing experience in a physician office or third party billing company. Experience with Lytec, Dr. Chrono, Allscripts, is a plus. This is not a remote position. DUTIES Candidate will be responsible for posting charges, payments, adjustments, following up with the various insurance carriers and working aging reports on a monthly basis. Candidate will provide excellent customer service skills and professional telephone conduct with patients, physician clients, and insurance company representatives. QUALIFICATIONS Must have knowledge and experience of the general overall billing process. This includes, but is not limited to, understanding remittances, denials, ICD-9 and CPT codes, write offs, and EOBs. Familiarity with commercial insurances, private carriers, HMOs, Medi-Cal and Medicare is required. Minimum of one year medical billing experience is required. Must be detail oriented, professional, resourceful, skilled in time management and excellent prioritizing skills. Proficiency with Microsoft Office and Lytec, Dr. Chrono, Allscripts, Advanced MD billing software is preferred.

Certified Coder/Biller - Clifford Medical Billing Specialists Inc - Naples, FL, WA

DESCRIPTION We are looking for a highly motivated and experienced coder/biller to join our medical billing office. The ideal candidate will possess great people skills, a professional phone demeanor, will be very articulate, self-confident and dependable, as well as a team player. Multi-tasking, efficiency, accuracy, attention to detail, and knowledge of the industry is required. Position requires you to work directly with multiple physician offices. You must be able to function in a team-oriented environment, display strong investigative and organizational skills, pay high attention to detail with consistent follow through, and be able to productively manage high volumes of work. Minimum 3 years medical billing experience in a physician office or third party billing company. Must have minimum 3 years experience in coding physician services. Experience with Intergy software is a plus. CPC is required. Hours are 9-5 or 8-4, Mon - Fri, no part-time, no telecommuting. DUTIES Candidate will be responsible for billing functions including posting charges and adjustments, posting payments, managing accounts receivable; contacting insurance companies; making payment arrangements with patients and other claim related tasks. Will also be responsible for coding operative notes and for auditing physician documentation for selection of E/M service codes. Candidate will provide excellent customer service skills and professional telephone conduct with patients, physician clients, and insurance company representatives. QUALIFICATIONS Must have knowledge and experience of the general overall billing process. This includes but is not limited to understanding remittances, denials, ICD-9 & CPT-4 codes; write-offs, payer contracts & EOB's. Must have experience with EDI and ERA posting. Familiarity with commercial insurances, private carriers, HMO's, Medicaid and Medicare is required. Minimum of 3 years medical billing and experience and must be a Certified Professional Coder with 3 years or more hands on experience in this field. Requires Microsoft Office and medical billing software experience; Intergy experience preferred.

Certified Surgical Coder - Advanced Billing Services, Inc - Hawthorne, NY

DESCRIPTION An established Physician Management and Medical Billing Company, located in Westchester County, New York is currently recruiting for a professional Certified Surgical Coder to join our team. This position reviews and interprets operative reports and/or patient medical records for the purpose of selecting CPT and diagnosis codes according to correct coding principles, current NCCI rules and LCD coverage determination. DUTIES Analyzes and interprets operative reports and/or medical records in their entirety to ensure accurate, complete and consistent selection of procedures and diagnoses to assure maximum reimbursement. Applies and adheres to correct coding principles, current NCCI rules, LCD coverage determinations and current, accepted compliance standards. Identifies unbundled procedures according to CPT guidelines and current Medicare CCI rules. Corrects coding related denials including medical necessity and modifier usage. Assist in the education of providers and staff by advocating proper documentation practices to more accurately reflect the acuity, severity, and occurrence of events. Serves as an onsite resource for CPT-4 and ICD-9-CM coding and compliance issues. QUALIFICATIONS Educational Requirements: College and/or Nursing Degree preferred Current Certified Coding Specialist (CCS); Current Certified Professional Coder (CPC); or Current Certified Coding Specialist-Physician (CPC-P) required Experience Requirements: Four (4) years of current Physician billing to include a minimum of two (2) years of Physician coding experience abstracting from operative notes. Knowledge, Skills and Abilities: Thorough knowledge of ICD-9-CM, CPT-4, and HCPCS Level II coding Understanding of Medical Terminology Knowledge of Medicare and other insurance carrier's coding and compliance guidelines Previous experience in Pediatric, Urology, Physiatry and Pain Management coding a plus Ability to work independently while meeting deadlines Ability to communicate on all levels, fostering positive relationships to further benefit the Company

Medical Billing A/R Follow-Up Representative - Advanced Billing Services, Inc - Hawthorne, NY

DESCRIPTION To ensure accurate and timely receipt of medical claims to insurance carriers in order to receive maximum monies. DUTIES Research and process medical claim submissions Review all claims for correct payment through diagnosis and procedure codes within individual contracts and medical guidelines.Contact insurance carrier and/or member regarding outstanding balances. Update member file Send appeal correspondence for certain (underpayments/denials) claims to insurance carriers. Follow-up with insurance carriers on all submitted claims. Verify paid claims with the customer service department. Maintain and improve client relationships Performs related duties or special projects as required. QUALIFICATIONS Educational Requirements: High school diploma or equivalent. Experience Requirements: ICD9 and CPT Coding Experience Required Minimum 2-3 years office experience. Medical Billing and Medical Claims Experience. Knowledge, Skills and Abilities: Must possess the ability to be professional, confident, and articulate. Customer service oriented with a pleasant voice/manner. Basic computer knowledge. Ability to pay close attention to detail. Must be able to work with multiple levels of the organization and be flexible to assist with a variety of company projects.

Administrator Medical Billing - Clifford Medical Billing Specialists Inc - Naples, FL, FL

DESCRIPTION We are looking for a highly motivated and experienced executive team member to join our company. We are creating a position for an Administrator who will be responsible for providing direct, hands-on assistance to the executive team. The ideal candidate will have extensive management experience in a physician office or billing service. You should have a complete understanding of revenue cycle management including both the day-to-day billing as well as the technical structure of HL7 interface, EDI, ERA, and similar processes. Additional skills include employee supervision and marketing. Position requires you to work directly with multiple physician offices. You must be able to function in a team-oriented environment, display strong investigative and organizational skills, pay high attention to detail with consistent follow through, and be able to productively manage high volumes of work. Position will require some management of personnel. Minimum requirement of 5 years medical office and/or billing experience in a physician office or third party billing company. Experience with Intergy software is a plus. Prefer candidate with AHIMA/CCHIM or CPC certification. Hours are 9-5, Mon - Fri, no part-time, no telecommuting. DUTIES Daily duties will vary and are constantly evolving. Will be responsible for both short term and long term projects including software support, report development, data analysis, ICD-10 implementation, etc. Candidate will provide excellent customer service skills and professional telephone conduct with patients, physician clients, software vendors, and insurance company representatives. QUALIFICATIONS Must have extensive knowledge and experience with the technological processes in health care settings. Must also have a throrough understanding of the overall billing process. This includes but is not limited to understanding remittances, denials, ICD-9 & CPT-4 codes; write-offs, payer contracts & EOB's. Must have experience with EDI and ERA posting. Familiarity with commercial insurances, private carriers, HMO's, Medicaid and Medicare is required. Minimum of 5 years medical office and/or billing experience. In your response to our advertisement, we ask that you provide a complete resume in Word document, professional references, salary requirement, and contact information. We appreciate your interest in this opportunity.

HIM Administrator - Clifford Medical Billing Specialists Inc - Naples, FL, FL

DESCRIPTION We are looking for a highly motivated and experienced executive team member to join our company. We are creating a position for an HIM Administrator who will be responsible for providing direct, hands-on assistance to the executive team. The ideal candidate will have extensive management experience in a physician office or billing service. You should have a complete understanding of revenue cycle management including both the day-to-day billing as well as the technical structure of HL7 interface, EDI, ERA, and similar processes. Additional skills include employee supervision and marketing. Position requires you to work directly with multiple physician offices. You must be able to function in a team-oriented environment, display strong investigative and organizational skills, pay high attention to detail with consistent follow through, and be able to productively manage high volumes of work. Position will require some management of personnel. Minimum requirement of 5 years medical billing experience in a physician office or third party billing company. Experience with Intergy software is a plus. HIT degree preferred with AHIMA/CCHIM certification. CPC also a plus. Hours are 9-5, Mon - Fri, no part-time, no telecommuting. DUTIES Daily duties will vary and are constantly evolving. Will be responsible for both short term and long term projects including system issues with software interfaces, report development, data analysis, ICD-10 implementation, etc. Candidate will provide excellent customer service skills and professional telephone conduct with patients, physician clients, software vendors, and insurance company representatives. QUALIFICATIONS Must have extensive knowledge and experience with the technological processes in health care settings. Must also have a throrough understanding of the overall billing process. This includes but is not limited to understanding remittances, denials, ICD-9 & CPT-4 codes; write-offs, payer contracts & EOB's. Must have experience with EDI and ERA posting. Familiarity with commercial insurances, private carriers, HMO's, Medicaid and Medicare is required. Minimum of 5 years medical billing experience. Requires Microsoft Office and medical billing software experience; Intergy experience preferred. In your response to our advertisement, we ask that you provide a complete resume in Word document, professional references, salary requirement, and contact information. We appreciate your interest in this opportunity.

Medical Billing Specialist - Clifford Medical Billing Specialists Inc - Naples, FL, FL

DESCRIPTION We are looking for a highly motivated and experienced medical biller to join our medical billing office. The ideal candidate will possess great people skills, a professional phone demeanor, will be very articulate, self-confident and dependable, as well as a team player. Multi-tasking, efficiency, accuracy, attention to detail, and knowledge of the industry is required. Position requires you to work directly with multiple physician offices. You must be able to function in a team-oriented environment, display strong investigative and organizational skills, pay high attention to detail with consistent follow through, and be able to productively manage high volumes of work. Minimum 3 years medical billing experience in a physician office or third party billing company. Experience with Intergy software is a plus. CPC also a plus. Hours are 9-5 or 8-4, Mon - Fri, no part-time, no telecommuting. DUTIES Candidate will be responsible for posting charges and adjustments, posting payments, managing accounts receivable; contacting insurance companies; making payment arrangements with patients and other claim related tasks. Candidate will provide excellent customer service skills and professional telephone conduct with patients, physician clients, and insurance company representatives. QUALIFICATIONS Must have knowledge and experience of the general overall billing process. This includes but is not limited to understanding remittances, denials, ICD-9 & CPT-4 codes; write-offs, payer contracts & EOB's. Must have experience with EDI and ERA posting. Familiarity with commercial insurances, private carriers, HMO's, Medicaid and Medicare is required. Minimum of 3 years medical billing experience. Requires Microsoft Office and medical billing software experience; Intergy experience preferred. No telecommuting. Local candidates only should apply.

Excellent Opportunity Medical Billing Marketing - A-One Biz Solutions - Ashland, KY

DESCRIPTION We are a growing revenue cycle management firm specializing in the field of Medical billing,. transcription, software development and other outsourced services. We are looking for a dynamic individual with at least 5 years of experience in Medical Billing. We will even consider investing in existing Medical Billing companies that want to expand their horizons. Our preferred candidate will have an excellent track record generating business for Medical billing and tremendous confidence in his/her abilities to generate business. Excellent compensation with ability to work from home!! DUTIES * Marketing Outsourced Revenue Cycle Management services to Medical billing companies; * Marketing to individual physician practices; * Marketing to hospitals; * Client Servicing QUALIFICATIONS At least 5 or more years experience in Medical Billing. Experience marketing medical billing services strongly preferred.