34 billing specialist jobs found

Job Summary : Perform all tasks necessary to ensure healthcare providers are successfully credentialed, re-credentialed and terminated with all third party payers timely.   Responsible for completion of enrollment documents, building and maintaining provider table files, fee schedules, department table files, and enrollment and numbers table files. Educate CMG practices at the time of enrollment regarding the use of supervising physicians for mid-level billing, and supervising physicians for newly enrolled physicians and locum tenens.        Qualifications : Bachelors Degree preferred; high school degree required. Minimum of one year experience with physician insurance credentialing or with insurance companies in the area of physician billing and insurance follow up.   Must demonstrate excellent analytical, organizational and communication skills.   Must be able to effectively use Excel and Word.   Attention to detail, accuracy and completeness a must.   Be...

Job Summary: Provides complete access management to the patient population that utilizes the services of CaroMont Health, including responsibility for positive patient identification and providing excellent customer service to the population served.   This also encompasses registration, pre-registration, compliance, managed care requirements, and functions as a liaison between patients, physician offices, and third party payors.  Responsible for collecting applicable patient responsibility from patients and providing direct financial counseling and/or staff support to those patients with no or inadequate third party coverage.     Qualifications: High School diploma or equivalent required.  Computer training recommended.   Experience in registration, billing, patient accounting, cash collections or working in a healthcare environment and/or customer service experience preferred.   Knowledge of insurance, Medicare, Medicaid, collections, and other business office...

Job Summary:    To perform diversified coding of clinic encounters to accurately reflect the services provided in the clinic setting, using ICD-10-CM and CPT coding conventions including application of Evaluation & Management guidelines, and appropriate modifier usage. Performs abstract coding functions for each encounter coded by reviewing to validate the documentation supports the codes submitted on claims. Maintain   a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education to effectively apply ICD-10-CM/CPT coding guidelines to professional fee billed encounters.   Qualifications:    Education and formal training:  High school graduate/diploma required.  Training in ICD-10 and CPT coding conventions.  Applicants must be eligible for a qualifying certification but has not taken an exam, or has taken and passed an exam but has less than 2 years of...

DUTIES - Conduct comprehensive assessments of individuals seeking behavioral health services - Develop and implement treatment plans based on individual needs and goals - Provide individual and group therapy sessions using evidence-based behavioral therapy techniques - Collaborate with other healthcare professionals to coordinate care and ensure holistic treatment - Maintain accurate and up-to-date medical documentation in compliance with legal and ethical standards - Utilize coding systems such as ICD-10 and ICD-9 for accurate diagnosis and billing purposes - Monitor progress and evaluate the effectiveness of treatment interventions - Provide case management services to assist individuals in accessing necessary resources and support REQUIREMENTS - Valid license as a Licensed Clinical Addiction Specialist(LCAS) and/or Licensed Clinical Social Worker(LCSW) and/or Licensed Clinical Mental Health Clinician(LCMHC) - Experience in behavioral health specifically substance use...

SUMMARY : The Cash Management Support Specialist is responsible for supporting the Cash Management Sales effort for the Bank and ensuring the operational excellence of the Cash Management Services department. This position is responsible for set up of all Cash Management products and providing excellent customer service to internal and external clients, including all after-sales servicing, while meeting regulatory guidelines and mitigating risk for the Bank and the client. ESSENTIAL JOB FUNCTIONS : Provide exceptional support to new and existing Bank clients and prioritize internal and external contacts with service requests, inquiries or technical issues related to specific Cash Management services Support the Cash Management Sales Manager and Sales team Responsible for system set up of Cash Management products and solutions, and handling customer issues related to Cash Management products Build/establish customer files and maintain them accurately...

The Provider Support Line Specialist handles calls from providers and answers questions about joining the network, contracts, enrollment, billing, member information, navigating the EHR, claims submissions, authorization requests, onboarding into our network, troubleshooting various technology platforms, and NCTracks The Provider Helpdesk is open Monday through Saturday 7AM to 6:30PM, Employee schedules may vary to cover the Helpdesk and will include working holidays. This position is full-time remote opportunity. The selected candidate must reside in North Carolina.  Responsibilities & Duties Provide coverage of the Provider Network Helpdesk phone within Department expectations Guide providers through process of initiating credentialing during times of network expansion Assist providers in navigating the EHR and other portal platforms Respond to requests for information in writing and over emai Assist providers...

The primary function of the Histology Core Specialist Senior is to supervise laboratory process streams by providing oversight of daily operations, quality management, staffing, and strategic direction in partnership with the Laboratory Director. The Histology Core Specialist Senior performs independent complex histology techniques for diagnostics and research studies and testing. Bench duties are in a Histology Core Laboratory and include acquiring and logging in samples and performing resulting testing. They are responsible for maintaining instrumentation, software, and databases that are laboratory specific and necessary to remain compliant with federal guidelines. The associate must be able to perform tissue processing, paraffin embedding, cryostat sectioning, microtomy, routine histology stains, advanced staining methods and perform tissue microarray studies. The position includes automated and manual immunohistochemistry skills. Experience with multiplex antigen...

Kernersville, NC, USA Full time R25_0000043196 SUMMARY: Under minimal direction, the CSR Specialist is responsible for calls of a non-routine nature that require deviation from standardized procedures. This role handles situations that may require additional research depending upon customer response. The CSR Specialist has extensive knowledge of the company's products and services. This role ensures customer expectations are accurately determined and are fully met. The CSR Specialist develops and broadens relationships within customer organization to fully understand needs and wants. The CSR Specialist functions as the inside half of the sales team to ensures transactions are error free, and provides guidance and technical advice to less experienced Customer Service Representatives. JOB DUTIES: • Responds to customer inquiries, provides quotes and takes customer orders via telephone, fax, email, electronic methods or walk-in (counter sales). Due to experience &...

Kernersville, NC, USA Full time R25_0000040179 SUMMARY: Under minimal direction, the CSR Specialist is responsible for calls of a non-routine nature that require deviation from standardized procedures. This role handles situations that may require additional research depending upon customer response. The CSR Specialist has extensive knowledge of the company's products and services. This role ensures customer expectations are accurately determined and are fully met. The CSR Specialist develops and broadens relationships within customer organization to fully understand needs and wants. The CSR Specialist functions as the inside half of the sales team to ensures transactions are error free, and provides guidance and technical advice to less experienced Customer Service Representatives. JOB DUTIES: • Responds to customer inquiries, provides quotes and takes customer orders via telephone, fax, email, electronic methods or walk-in (counter sales). Due to experience &...

Pre-Sales Engineer    This role has been designated as ‘Remote/Teleworker’, which means you will primarily work from home. Who We Are: Hewlett Packard Enterprise is the global edge-to-cloud company advancing the way people live and work. We help companies connect, protect, analyze, and act on their data and applications wherever they live, from edge to cloud, so they can turn insights into outcomes at the speed required to thrive in today’s complex world. Our culture thrives on finding new and better ways to accelerate what’s next. We know varied backgrounds are valued and succeed here. We have the flexibility to manage our work and personal needs. We make bold moves, together, and are a force for good. If you are looking to stretch and grow your career our culture will embrace you. Open up opportunities with HPE. Job Description:     A Pre-Sales Engineer at Zerto (HPE) is responsible for driving technical...

The Supervisor I-Member & Recipient Services is responsible for the day-to-day management of staff, overseeing performance and providing supervision and problem-solving assistance to Call Center staff.  Responsibilities include but are not limited to maintaining service coverage without gaps, training, data integrity, computer support, problem-solving, development of procedures and participation in hiring, onboarding, and line-specific coverage. This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office may be required.   Responsibilities & Duties Manage Call Center Services  Assure Screening, Triage and Referral function is in accordance with DHHS contracts, Federal and State requirements Provide procedural staffing of cases in real-time throughout the Call Center workday Provide procedural and telephonic support during line-specific operational hours Enforce Call Center...

Nemours Children's Health is seeking an experienced Certified Director of the Credentials Verification Office (CVO) to manage the operations of Enterprise credentialing functions. T he director is responsible for overseeing the operational function and daily activities of the CVO and ensures compliance with all relevant regulations and standards. This position provides best practice administrative management services for all aspects of the Department. The position serves as a liaison between CVO, Medical Staff Services, practice leaders and other customers. The ideal candidate must have Certification from the National Association Medical Staff Services as a Certified Professional In Medical Staff Services Management (CPMSM) or a Certified Provider Credentials Specialist (CPCS) The candidate must have a strong background in Medical Staff credentialing functions. The CVO supports two Medical Staffs of approximately 2400 physicians, nurse practitioners, physician...

The IRB Specialist independently performs various administrative tasks and provides support to the Director of the Office of Human Subjects Protection (NOHSP), NOHSP staff, and the Institutional Review Boards. About Us Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income. As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much...

Battle Staff Training C4I Specialist Threat Tec, LLC, a rapidly growing Veteran-Owned Business, is the leader of Operational Environment (OE) replication and Threat Emulation/Wargaming solutions. Threat Tec brings innovative thinking and extensive experience to complex challenges for public and private sector customers. We work alongside our nation's defenders, developing solutions that drive success and protect our future. Join a team that is embodied by an unwavering commitment to professionalism, honesty, and innovation. Job Description: As a Battle Staff Training (BST) C4I Specialist at Threat Tec, you will provide expert command, control, communications, computers, and intelligence (C4I) support for Marine Raider Battle Staff Training exercises. In this critical role, you will develop and script operational vignettes, integrate and de-conflict internal and external C4I assets, and mentor Special Operations command staffs on current and emerging C4I systems. Your work will...

The Care Manager l - Waiver assures that individuals and families with special health care needs receive integrated whole-person-person centered care management, including coordinating across physical health, behavioral health, pharmacy and unmet health-related resource needs to ensure they are linked to services and supports in an effort to maximize potential outcomes and decrease the unnecessary use of hospitals and emergency services by assuring that appropriate quality care is in place. The Care Manager I focus on a specified population of members utilizing health care services while ensuring all member health needs and referrals are addressed. The Care Manager l will collaborate with other community systems to work in partnership to support the identified population .  This position will require extensive travel and may include going into homes of members we serve.  Responsibilities & Duties  Complete Assessment/Planning Complete comprehensive...

Step into the future with us at Merz Therapeutics, where our family roots meet a bold new vision. Together, we're embarking on a transformative journey, blending time-honored traditions with exciting new products. As a private, family-owned company, we have the liberty and support to make decisions for ourselves, our customers and the patients we serve. We pride ourselves on building an inclusive culture where there is room to celebrate individual growth with the ability to contribute to a common good as a collaborative team. Our mission is grounded in a long-term view of making a difference for the common good, while growing together as a family. If you're looking to immerse yourself in a passionate team rooted in community, connection and camaraderie, then we're looking for YOU! #IAmMerz Are you ready to galvanize a team around a culture of care, putting patients first to spark change? The Contract Operations Specialist will be responsible for contracting within the...

Modeling & Simulations - Graphics/Multimedia Artist IV Threat Tec, LLC, a rapidly growing Veteran-Owned Business, is the leader of Operational Environment (OE) replication and Threat Emulation/Wargaming solutions. Threat Tec brings innovative thinking and extensive experience to complex challenges for public and private sector customers. We work alongside our nation's defenders, developing solutions that drive success and protect our future. Join a team that is embodied by an unwavering commitment to professionalism, honesty, and innovation. Threat Tec is seeking a skilled Modeling and Simulations (M&S) Capability Subject Matter Expert (SME) to join our team. The selected candidate will support the development and execution of M&S-based military training programs for the Marine Corps Forces Special Operations Command (MARSOC) component exercise program. Responsibilities Collaborate with the M&S Government lead to build an M&S capability within the MARSOC...

REGISTERED NURSE CASE MANAGER Liberty Cares With Compassion Liberty Medical Care Services is currently seeking an experienced: REGISTERED NURSE CASE MANAGER Full Time Job Summary: Providing care for assigned patients. Conducts assessments for assigned patients based on the model of care requirements. Completes acute assessments to evaluate patient conditions. Focus on early identification of changes in condition as well as strong management of chronic conditions. Completes assessment on members within 72 hours of discharge from ED, Hospital, SNF, or Home Health episode to ensure stability and continuity of care. Communicate effectively with any transition of care. Encourages advanced care planning and end of life decisions for patients requiring these services. This may include initiating and providing palliative care services as necessary. Documents patient assessment and plan of care in the electronic medical record....

Job Summary: The Department of Anesthesiology and Perioperative Medicine at Nemours Children's Hospital, Wilmington, DE, is seeking a highly motivated and dynamic leader to serve as the Vice Chair for Research and Programmatic Development in Pediatric Anesthesiology. This full-time role is crucial for advancing our research initiatives, developing innovative programs to enhance pediatric anesthesiology practices, including the development of a Fetal Anesthesiology program, and advancing the mission and vision of the department. This Vice Chair will collaborate with the Chair of Anesthesiology and other departmental and institutional leadership in these areas as well as others as the department evolves over time. Key Responsibilities: Collaborate with department and institutional leaders to enhance the department's research infrastructure and programmatic development, including fetal anesthesiology and other areas as the department evolves. Lead and coordinate research...

Human Resource Manager Who We Are Essity is a global leader in health and hygiene with our corporate headquarters in Stockholm, Sweden, and North American headquarters in Philadelphia, PA. We are a multi-billion-dollar company that is committed to breaking barriers to well-being. Essity does this through innovative brands in the areas of Professional Hygiene, Consumer Goods, and Health & Medical Solutions. Working at Essity is not just a career; it is a chance to directly make the world a healthier, more hygienic and safer place. With impactful innovations coupled with sustainable solutions, we strive to reach more people every year with the necessary and essential solutions for well-being. At Essity you will find a caring and compassionate culture where we remain grounded in our beliefs & behaviors. About the Role Essity North America Human Resources team is looking for an experienced HR Manager supporting the implementation and administration of...