New Ultimate Billing, LLC

Essential Responsibilities Request and obtain medical records and supporting documentation from healthcare facilities. Follow up on outstanding requests through email, phone, and internal systems. Track and update the status of document requests. Review received records for completeness and identify missing information. Escalate unresolved issues to leadership as needed. Maintain accurate documentation and workflow notes. Meet established productivity and quality standards. Communicate professionally with clients, hospitals, and internal team members. Assist with special projects and other administrative tasks as assigned. Minimum Qualifications High school diploma or GED required. Strong computer skills, including Microsoft Outlook, Excel, and Teams. Excellent written and verbal communication skills. Strong attention to detail and organizational skills. Ability to manage multiple tasks while maintaining accuracy. Ability to work independently in a remote...

Daily tasks and responsibilities include, but not limited to: Accurately complete payer enrollment and facility appointment applications for providers. Provides support and assistance for new practice setup as needed. Track progress of outstanding applications and communicate with provider relation representatives ensuring enrollment completion. Maintains accurate and current information in the provider records which includes credentialing software database and in provider electronic folders. Maintains credential files in an orderly and current manner. Provides research and administrative support for special projects. Ensures HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities. Other duties may be assigned from time to time.   Important Note: This Job Description is subject to any reasonable adjustment in accordance with the changing and developing...

You'll use it to turn raw legacy schemas and documentation into first-pass mapping specs, reconcile inconsistent field names and codes across systems, and catch data-quality problems that manual review would miss before they hit production. Key Responsibilities Lead the architectural design of integration strategies and solutions that connect various internal and external systems to our central platform. AI-accelerated mapping & data quality: use AI/LLM tools to speed up schema mapping, field reconciliation, and anomaly detection. Data modeling & mapping: build data models and source-to-target mapping specs from Practice Management (PM) systems to our AI platform. Pipelines: design and build ETL processes and REST/SOAP APIs that move data into Resolv Core, per the architect's design. Data wrangling: cleanse, structure, and enrich source data into Resolv Core's target format. Pave the path where there's no existing playbook; several of these...

Essential Functions Manages work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts. Verifies completeness and accuracy of billing data and revises any errors. Reads and interprets denied claims in order to resolve discrepancies; resubmits or files appeal for reconsideration. Reviews aging accounts in order to collect amounts due or initiates escalation procedures for collections, according to established guidelines. Notes follow-up on billing records and maintains supporting documents and notes in established files; verifies that remittances meet contractual obligations. Audits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out of network procedures and refers adjustments according to established guidelines. Receives telephone calls; answers inquiries and resolves patient account questions; contacts patients to obtain or relay account information. Requires regular and prompt attendance....

The Revenue Integrity/Accounts Receivable Representative is responsible for supporting the financial performance of the physician practice by ensuring accurate charge capture, compliant billing, and timely reimbursement. This role works across departments to identify and correct billing discrepancies, reduce denials, and enhance overall revenue cycle efficiency. The ideal candidate demonstrates strong analytical skills, attention to detail, and the ability to manage multiple priorities in a fast-paced healthcare environment. This remote role welcomes candidates anywhere in Canada and the US. What your impact will be: Review physician charges and supporting documentation for accuracy, completeness, and compliance with CPT, ICD-10, and payer guidelines. Identify, research, and resolve billing and charge capture errors prior to claim submission. Manage AR aging reports and follow up on unpaid, underpaid, or denied claims to ensure timely collections. Collaborate with...

Job Overview: Mail & Data Processor position handling incoming and outgoing mail in an organized fashion. Prepares and scans checks for bank deposits. Prepares and uploads charges provided by various physician offices. Prints claims and correspondence to be mailed from Edmond, OK office. Primary Responsibilities: Open and sort incoming mail. Scan insurance payment and denial batches.  Process patient payments for client accounts. Scan checks for bank depositing. Run tapes on checks for balancing purposes. Sort correspondence for necessary processing. Process and input payment transmittal sheets on the computer for client accounts. . Prints claims and correspondence to be mailed and shipped Maintain Excel spreadsheets with daily batches. Process outgoing mail including checks for patient and insurance refunds  Required Skills: 10-key by touch and alpha numeric skill proficiency Must have knowledge of computer programs and operations (Word, Excel,...

Job Overview: Mail & Data Processor position handling incoming and outgoing mail in an organized fashion. Prepares and scans checks for bank deposits. Prepares and uploads charges provided by various physician offices. Prints claims and correspondence to be mailed from Edmond, OK office. Primary Responsibilities: Open and sort incoming mail. Scan insurance payment and denial batches.  Process patient payments for client accounts. Scan checks for bank depositing. Run tapes on checks for balancing purposes. Sort correspondence for necessary processing. Process and input payment transmittal sheets on the computer for client accounts. . Prints claims and correspondence to be mailed and shipped Maintain Excel spreadsheets with daily batches. Process outgoing mail including checks for patient and insurance refunds  Required Skills: 10-key by touch and alpha numeric skill proficiency Must have knowledge of computer programs and operations (Word, Excel,...

An Emergency Medicine Coding Team Lead  manages a team of medical coders, ensuring accurate, compliant coding (ICD-10, CPT) of medical records, acting as a liaison for complex issues, conducting audits, providing training/mentorship, monitoring performance, and collaborating with providers for documentation clarity, driving quality and efficiency while staying updated on regulations. Key duties include quality assurance, team development, issue resolution, and workflow management for revenue cycle success.  Key Responsibilities Team Supervision:  Assign workloads, monitor productivity, conduct performance reviews, and provide coaching/support. Quality Assurance:  Perform audits, review coding for accuracy (ICD-10, CPT, HCPCS, modifiers), and ensure compliance with guidelines. Training & Mentorship:  Onboard new hires, develop training materials, and provide ongoing education to the team. Issue Resolution:  Serve as the escalation point for complex coding questions...