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Central Billing Representative I at First Choice Community Healthcare INC
South Valley, New Mexico, United States - Full Time
Skills Needed
Billing, Claims Processing, Customer Service, Data Entry, Healthcare, Cpt Coding, Icd 10 Coding, Medicare Guidelines, Medicaid Guidelines, Practice Management Systems, Attention To Detail, Communication, Problem Solving, Teamwork, Hipaa Compliance, Financial Reconciliation
Specialization
A high school degree or GED is required, along with one to three years of data entry and billing experience in a healthcare setting. Experience in a multispecialty clinic setting is preferred.
Experience Required
Minimum 2 year(s)
Account Manager Healthcare at Manometric
Randstad, , Netherlands - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Assistants - A4 at Warrington and Halton Teaching Hospitals NHS Foundation Trust
Warrington WA5 1QG, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Sales Executive at Privia Health
Orlando, Florida, United States - Full Time
Skills Needed
Sales Orientation, Lead Qualification, Creative Tactics, Self Motivated, Deadline Oriented, Tech Oriented, Metrics Driven, Time Management, Communication Skills, Analytical Skills, Organizational Skills
Specialization
Candidates should have a bachelor's degree and at least 5 years of complex sales or healthcare consulting experience. A proven track record of exceeding sales targets and generating significant revenue is essential.
Experience Required
Minimum 5 year(s)
Healthcare Analyst Advisor at TRIMEDX
Indianapolis, Indiana, United States - Full Time
Skills Needed
Healthcare Analysis, Strategic Thinking, Presentation Skills, Written Communication, Oral Communication, Data Insights, Analytical Skills, Problem Solving, Organizational Skills, Interpersonal Skills, Conflict Management, Customer Orientation, Self Motivation, Adaptability, Microsoft Excel, Project Management
Specialization
Candidates should have a bachelor's degree and at least 5 years of experience as an analyst in the healthcare industry. Strong communication skills and advanced proficiency in Microsoft Excel are essential for this role.
Experience Required
Minimum 5 year(s)
Healthcare Account Manager at Nuffield Health
Ipswich IP4 5SW, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Assistant/Carer at Loudwater Academy
Loughton IG10, , United Kingdom - Full Time
Skills Needed
English, Communication Skills
Qualification
Graduate
Healthcare Call Center Rep at Teksystems Global Services LLC
Chandler, Arizona, United States - Full Time
Skills Needed
Customer Service, Call Center, Customer Support
Specialization
Candidates must have at least one year of recent call center experience and should not have jumpy resumes. Additional requirements include typing at least 30 words per minute and proficiency in computer skills.
Bank Healthcare Technician at Pioneer Clinical Research
Colchester CO4 9PD, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Call Center Rep at Teksystems Global Services LLC
Tempe, Arizona, United States - Full Time
Skills Needed
Customer Service, Call Center, Customer Support
Specialization
Candidates must have at least one year of recent call center experience and should not have jumpy resumes. Additional requirements include typing at least 30 WPM and proficiency in computer skills.
Healthcare Project Manager at Kadean Construction Company INC
Sunset Hills, Missouri, United States - Full Time
Skills Needed
Project Management, Healthcare Compliance, Financial Management, Contract Management, Safety Standards, Client Development, Leadership, Communication, Problem Solving, Negotiation, Risk Management, Construction Management, Scheduling, Documentation, Team Development, Infection Control
Specialization
Candidates should have a bachelor's degree in a related field and 5-7+ years of project management experience, preferably in healthcare projects. Familiarity with regulatory standards and experience leading projects of $5M–$20M is strongly preferred.
Experience Required
Minimum 5 year(s)
CCTV Operator (Healthcare) at GSTS
Manchester, England, United Kingdom - Full Time
Skills Needed
Data Systems, Control Room, Customer Service Skills, Communication Skills
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Healthcare Assistant - ITU at Liverpool University Hospitals NHS Foundation Trust
Liverpool L7 8YE, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Administrator - Healthcare at Wellness International Ltd
WM0, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Assistant (HCA) at Mill Bank Surgery
Stafford ST16 2AG, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Project Manager at Hourigan
Richmond, Virginia, United States - Full Time
Skills Needed
Construction Management, Project Management, Healthcare Construction, Financial Reporting, Scheduling, Communication, Interpersonal Skills, Safety Procedures, Team Leadership, Quality Control, Contract Management, Change Order Management, Estimating, Document Administration, Problem Solving, Mentoring
Specialization
Candidates should have a B.S. in Construction Management, Engineering, or a related field, along with 5-7 years of general contracting experience. Extensive knowledge of healthcare construction projects and familiarity with relevant design and code standards is also required.
Experience Required
Minimum 5 year(s)
Sales Recruiter Healthcare at Brightstar Nursing Australia Pty Ltd
HN2, , Australia - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Bank Healthcare Technician at ESS Clinical
Hounslow TW3, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Sales Executive at Privia Health
Nashville, Tennessee, United States - Full Time
Skills Needed
Sales Orientation, Lead Qualification, Creative Tactics, Self Motivated, Deadline Oriented, Tech Oriented, Metrics Driven, Time Management, Communication Skills, Analytical Skills, Organizational Skills
Specialization
Candidates must have a bachelor's degree, with an advanced degree preferred, and at least 5 years of complex sales or healthcare consulting experience. A proven track record of exceeding sales targets and generating substantial revenue is essential.
Experience Required
Minimum 5 year(s)
Healthcare Privacy Partner at Emory Healthcare
Tucker, Georgia, United States - Full Time
Skills Needed
Healthcare Compliance, Privacy Laws, Hipaa, Audits, Investigations, Corrective Action Plans, Communication Skills, Analytical Skills, Problem Solving, Microsoft Office, Regulatory Research, Compliance Education, Risk Management, Breach Investigations, Regulatory Reporting, Policy Development
Specialization
Candidates must have a bachelor's degree in healthcare or a business-related field and at least seven years of experience in healthcare compliance. Certification in healthcare compliance or a comparable credential is also required.
Experience Required
Minimum 5 year(s)
Central Billing Representative I at First Choice Community Healthcare INC
South Valley, New Mexico, United States -
Full Time


Start Date

Immediate

Expiry Date

29 Dec, 25

Salary

0.0

Posted On

30 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Billing, Claims Processing, Customer Service, Data Entry, Healthcare, CPT Coding, ICD-10 Coding, Medicare Guidelines, Medicaid Guidelines, Practice Management Systems, Attention to Detail, Communication, Problem Solving, Teamwork, HIPAA Compliance, Financial Reconciliation

Industry

Hospitals and Health Care

Description
Description Job Title: Central Billing Representative I Position Code: A15N Non-Exempt Department: Central Billing Position Category (330): Fiscal and Billing Staff (L30b) Position Category (Rphca): Administration Staff Union Exempt: Yes The following statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. A. POSITION SUMMARY Under the direct supervision of the Director of Revenue Cycle Management, the Central Billing Representative I is responsible for maintaining a high-performance work environment characterized by positive relationships and a strong orientation towards customer service and timely quality patient billing. The Central Billing Representative I is responsible for direct interaction and assistance to Site Biller Representatives, patients, physicians, colleagues, contractors and consultants for the purpose of billing, collection and reporting of multi-specialty self-pay, third party payer accounts receivable and claims on a daily basis. B. ESSENTAIL DUTIES AND RESPONSIBILITIES Review of site batched patient encounters for charge and payment accuracy, as needed including encounter rate and or other necessary billing adjustments; Monitor and review site unbilled encounters and assist when necessary to meet mutual daily and weekly deadlines; Provide education on encounter batches as appropriate to minimize error reoccurrence and support maximum reimbursement; Meet all EOM (end of month) closing activities and deadlines; Coordinate electronic patient statements on a monthly basis; Post payments received and reconcile system postings to lockbox &/or EOB (explanation of benefits) totals; Record NSF checks returned by bank and notify patient of adjusted balance due; Review credit balance reports and prepare refund requests for overpayments; Participate in billing Helpdesk customer support, by receiving, responding and documenting all incoming account inquiries including electronic, telephone and written correspondence related to billing issues; Review assigned outstanding A/R to identify problems with various insurance payers (-i.e. Medicare, Medicaid, Commercial, Contracts and Self-Pay). Perform all routine and special follow-up on all assigned payer type accounts to affect collection of patient and insurance account balances; Review and resolve all EOB’s including those without payment to initiate clean claim resubmission and claim reimbursement; Demonstrate ability to edit & submit insurance claims for fee for service and prospective payment system reimbursement; Resolve unapplied cash, errors in cash reconciliation and changes in payment allocation to insurance payer types; Communicate payment terms and establish agreed-upon payment plans for overdue patient and insurance account balances. Monitor payment compliance with terms of established plans with patients and insurance plan provider representatives; Evaluate uncollectible patient and insurance accounts and make recommendations concerning account write-offs and/or placement as bad debt status; Complete bad debt process based on FCCH procedure; Document activities on accounts, including corrections and collection activities in the practice management system and additional MS Word software tools provided; Initiate & complete account adjustments to correct account balance and/or comply with contractual and sliding fee scale requirements; Assist and train other staff members as requested in the areas of registration and billing; Assist Site Biller Representatives and cover and perform their functions in their absence. Responsible for all other duties as assigned; Requirements C. MINIMUM EDUCATION AND EXPERIENCE High school degree or GED; One to three years data entry and billing and claims experience in healthcare setting or FCCH billing externship. Education or knowledge may be substituted for the experience requirement; Experience in a multispecialty clinic setting; D. PREFERRED LICENSE/CERIFICATIONS Certified Coder (medical and/or dental); Billing Certificate, the result of graduation from a certified billing school; Coder and/or Billing Certificate may be substituted with demonstrated proficient knowledge of procedural CPT & Dental Coding and/or ICD-10 diagnosis coding; E. KNOWLEDGE, SKILLS, AND ABILITIES General knowledge of computerized practice management systems, preferably Cerner PWPM Practice Management System, Cerner Electronic Health Record System and Dentrix Dental billing and E H R; Ability to learn billing and collection system within federally chartered community health centers (CHC) and RHI/UHI programs; Ability to communicate with tact and diplomacy with diverse groups of people including staff, providers, and insurance companies on behalf of the organization. Ability to display sensitivity to the patient population being served; Ability to work on a variety of assignments concurrently within established deadlines; Ability to work with others in a problem solving and team environment and to work alongside staff as needed; Knowledge of HIPAA as it relates to medical, dental & behavioral health billing; Position requires a high level of accuracy and attention to detail; Ability to communicate effectively, both orally and in writing; Ability to respond effectively to sensitive inquiries or complaints; Ability to work independently with minimal supervision; Proficient with computers and MS Windows software programs; Knowledge of Federally Qualified Health Care billing and reimbursement preferred; Working knowledge of CPT, Dental ADA, DSM V and ICD-10 preferred; Knowledge of Medicare and Medicaid guidelines; General knowledge of UB04, HCFA1500 and Dental ADA Electronic and Paper claim forms; Knowledge and familiarity with compliance program. Cooperate fully and comply with laws and regulations; F. AGE OF PATIENT SERVED N/A G. PHYSICAL CHARACTERISTICS/WORKING CONDITIONS A person in this position has to be able to prioritize and respond to the diverse demands of the position. There are frequent opportunities to relax from any physical exertion, change position in work activities, or break from computer application tasks. Physical Effort and Dexterity: Good dexterity to operate personal computer and office equipment. Occasional lifting and carrying related to office duties. Machines, Tools, Equipment required to be operated: Capable of using office machines and personal computers for word processing, data entry and spreadsheet applications. Visual Acuity, Hearing, and Speaking: Must be able to read a computer monitor and outputs accurately. Must be able to clearly and accurately communicate for work, safety and compliance. Environment/Working Conditions: Work is mostly inside an office in a controlled environment. Normal office safety precautions and practices are required. Position requires travel throughout the Albuquerque metropolitan area. Work regularly scheduled Monday-Friday, although weekends and evenings may be required to meet with members of the Board of Directors and meet deadlines.
Responsibilities
The Central Billing Representative I is responsible for maintaining a high-performance work environment focused on customer service and timely patient billing. This role involves direct interaction with various stakeholders for billing, collection, and reporting of accounts receivable and claims.
Central Billing Representative I at First Choice Community Healthcare INC
South Valley, New Mexico, United States - Full Time
Skills Needed
Billing, Claims Processing, Customer Service, Data Entry, Healthcare, Cpt Coding, Icd 10 Coding, Medicare Guidelines, Medicaid Guidelines, Practice Management Systems, Attention To Detail, Communication, Problem Solving, Teamwork, Hipaa Compliance, Financial Reconciliation
Specialization
A high school degree or GED is required, along with one to three years of data entry and billing experience in a healthcare setting. Experience in a multispecialty clinic setting is preferred.
Experience Required
Minimum 2 year(s)
Account Manager Healthcare at Manometric
Randstad, , Netherlands - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Assistants - A4 at Warrington and Halton Teaching Hospitals NHS Foundation Trust
Warrington WA5 1QG, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Sales Executive at Privia Health
Orlando, Florida, United States - Full Time
Skills Needed
Sales Orientation, Lead Qualification, Creative Tactics, Self Motivated, Deadline Oriented, Tech Oriented, Metrics Driven, Time Management, Communication Skills, Analytical Skills, Organizational Skills
Specialization
Candidates should have a bachelor's degree and at least 5 years of complex sales or healthcare consulting experience. A proven track record of exceeding sales targets and generating significant revenue is essential.
Experience Required
Minimum 5 year(s)
Healthcare Analyst Advisor at TRIMEDX
Indianapolis, Indiana, United States - Full Time
Skills Needed
Healthcare Analysis, Strategic Thinking, Presentation Skills, Written Communication, Oral Communication, Data Insights, Analytical Skills, Problem Solving, Organizational Skills, Interpersonal Skills, Conflict Management, Customer Orientation, Self Motivation, Adaptability, Microsoft Excel, Project Management
Specialization
Candidates should have a bachelor's degree and at least 5 years of experience as an analyst in the healthcare industry. Strong communication skills and advanced proficiency in Microsoft Excel are essential for this role.
Experience Required
Minimum 5 year(s)
Healthcare Account Manager at Nuffield Health
Ipswich IP4 5SW, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Assistant/Carer at Loudwater Academy
Loughton IG10, , United Kingdom - Full Time
Skills Needed
English, Communication Skills
Qualification
Graduate
Healthcare Call Center Rep at Teksystems Global Services LLC
Chandler, Arizona, United States - Full Time
Skills Needed
Customer Service, Call Center, Customer Support
Specialization
Candidates must have at least one year of recent call center experience and should not have jumpy resumes. Additional requirements include typing at least 30 words per minute and proficiency in computer skills.
Bank Healthcare Technician at Pioneer Clinical Research
Colchester CO4 9PD, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Call Center Rep at Teksystems Global Services LLC
Tempe, Arizona, United States - Full Time
Skills Needed
Customer Service, Call Center, Customer Support
Specialization
Candidates must have at least one year of recent call center experience and should not have jumpy resumes. Additional requirements include typing at least 30 WPM and proficiency in computer skills.
Healthcare Project Manager at Kadean Construction Company INC
Sunset Hills, Missouri, United States - Full Time
Skills Needed
Project Management, Healthcare Compliance, Financial Management, Contract Management, Safety Standards, Client Development, Leadership, Communication, Problem Solving, Negotiation, Risk Management, Construction Management, Scheduling, Documentation, Team Development, Infection Control
Specialization
Candidates should have a bachelor's degree in a related field and 5-7+ years of project management experience, preferably in healthcare projects. Familiarity with regulatory standards and experience leading projects of $5M–$20M is strongly preferred.
Experience Required
Minimum 5 year(s)
CCTV Operator (Healthcare) at GSTS
Manchester, England, United Kingdom - Full Time
Skills Needed
Data Systems, Control Room, Customer Service Skills, Communication Skills
Qualification
Graduate
Experience Required
Minimum 5 year(s)
Healthcare Assistant - ITU at Liverpool University Hospitals NHS Foundation Trust
Liverpool L7 8YE, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Administrator - Healthcare at Wellness International Ltd
WM0, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Assistant (HCA) at Mill Bank Surgery
Stafford ST16 2AG, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Project Manager at Hourigan
Richmond, Virginia, United States - Full Time
Skills Needed
Construction Management, Project Management, Healthcare Construction, Financial Reporting, Scheduling, Communication, Interpersonal Skills, Safety Procedures, Team Leadership, Quality Control, Contract Management, Change Order Management, Estimating, Document Administration, Problem Solving, Mentoring
Specialization
Candidates should have a B.S. in Construction Management, Engineering, or a related field, along with 5-7 years of general contracting experience. Extensive knowledge of healthcare construction projects and familiarity with relevant design and code standards is also required.
Experience Required
Minimum 5 year(s)
Sales Recruiter Healthcare at Brightstar Nursing Australia Pty Ltd
HN2, , Australia - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Experience Required
Minimum 1 year(s)
Bank Healthcare Technician at ESS Clinical
Hounslow TW3, , United Kingdom - Full Time
Skills Needed
Good Communication Skills
Qualification
Graduate
Healthcare Sales Executive at Privia Health
Nashville, Tennessee, United States - Full Time
Skills Needed
Sales Orientation, Lead Qualification, Creative Tactics, Self Motivated, Deadline Oriented, Tech Oriented, Metrics Driven, Time Management, Communication Skills, Analytical Skills, Organizational Skills
Specialization
Candidates must have a bachelor's degree, with an advanced degree preferred, and at least 5 years of complex sales or healthcare consulting experience. A proven track record of exceeding sales targets and generating substantial revenue is essential.
Experience Required
Minimum 5 year(s)
Healthcare Privacy Partner at Emory Healthcare
Tucker, Georgia, United States - Full Time
Skills Needed
Healthcare Compliance, Privacy Laws, Hipaa, Audits, Investigations, Corrective Action Plans, Communication Skills, Analytical Skills, Problem Solving, Microsoft Office, Regulatory Research, Compliance Education, Risk Management, Breach Investigations, Regulatory Reporting, Policy Development
Specialization
Candidates must have a bachelor's degree in healthcare or a business-related field and at least seven years of experience in healthcare compliance. Certification in healthcare compliance or a comparable credential is also required.
Experience Required
Minimum 5 year(s)
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