home health billing specialist

Zue Pvt Ltd

Job Title: US Healthcare Billing Specialist - DME Location: Main Shahra-e-Faisal, Karachi (On-site) Employment Type: Full-time Shift Timings: 07:00 PM to 04:00 AM PST Working Days: Monday to FridayJob Responsibilities<ul><li>Verify claim status with payers and portals; record outcomes.</li><li>Review processed claims/ERAs to confirm accuracy and spot denials.</li><li>Fix errors and submit corrected claims/resubmissions.</li><li>Submit reconsiderations and appeals with required support.</li><li>Follow up with payers until the claim is resolved/paid.</li><li>Manage A/R for denied claims to reduce aging.</li><li>Analyze denial reasons and take action to resolve/prevent repeats.</li></ul>Job Requirements<ul><li>Experience in US healthcare billing or revenue cycle is a plus.</li><li>Basic knowledge of US insurance claims, denials, and payments.</li><li>Excellent and clear English communication skills.</li><li>Well-organized, detail-oriented, and able to handle multiple tasks.</li><li>Comfortable using billing software, payer portals, and spreadsheets.</li><li>Quick learner who can adapt to payer rules and updates.</li></ul>Perks &amp; Benefits:<ul><li>OPD &amp; IPD health coverage for self, dependents, and parents.</li><li>Life insurance for self.</li><li>Fuel card for male employees.</li><li>Free pick &amp; drop for female employees.</li><li>In-house gym facility.</li><li>Paid leaves &amp; US holidays.</li><li>Referral bonus program.</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>What is your current salary?</li><li>What is your expected salary?</li><li>If selected? Would you be able to join immediately?</li><li>Residential Area in Karachi?</li><li>Are you comfortable working onsite in the night shifts from 07:00 PM to 04:00 AM PST?</li></ul>Work Location: In person

US Healthcare Billing Specialist - DME

Carle Health

<div>Overview: Proficient in Revenue Cycle Account Billing Specialist 2 responsibilities. Additionally, serves as an expert resource for escalated account activities for multiple payer product lines. Responsible for downloading, reviewing, and interpreting payment remittance advice in order to post insurance payments, denials, transfers, and adjustments. Represents Carle in external accounts receivable efforts (examples: court appearances, fair hearings, meetings with employers and insurance companies). Assists with mentoring, training and observing staff for quality assurance. Assists with creating training materials and process flows. Participates in projects. Involved in system testing and development. Builds and analyzes management summary reports. Serves as a liaison with third party vendors assisting with collection of accounts receivable. Responsibilities: Must be able to perform essential job functions of Revenue Cycle Account Billing Specialist 2. Assists with developing policies and procedures, training materials and process flows to ensure best practice. Mentors, trains, observes and educates staff for quality assurance. Facilitates maximization of revenue by ensuring correct coding initiative and payer specific guidelines are applied appropriately and claims are appealed as necessary. Assists with daily department flow, ensures appropriate staffing and optimal productivity levels. Handles escalated patient, provider and third party issues in absence of supervisor. Responsible for downloading, reviewing and interpreting payment remittance advice in order to post insurance payments, denials, transfers, and adjustments. Monitors age trial balance reports for assigned business line to optimize collection of accounts receivable. Participates in system testing and development related to system upgrades and process improvements. Prepares and submits quarterly Medicare credit balance report. Gathers requested documentation for Medicare ADR, CERT and RAC audits. Assists in evaluation of billing opportunities related to new technology and/or services. Builds and analyzes management reports to identify patterns and trends and recommends opportunities for improvement. Participates in projects. Conducts team meetings and provides direction to team members. Represents Carle in external venues such as court appearances, fair hearings, meeting with employers, attorneys, insurance companies, community events etc. Qualifications: Certifications: , Education: Associate's Degree, Work Experience: Healthcare business operations Carle Health Company Overview:

Find it here.
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance &ndash; and opportunities meet flexibility. Find it all at Carle Health. 
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet&reg; designations, the nation&rsquo;s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world&rsquo;s first engineering-based medical school, and Health Alliance&trade;. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.<div></div><div> 
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.</div>
Salary Range: The compensation range for this position is $18.33per hour - $29.69per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate&rsquo;s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.</div>

Rev Cycle Billing Spec 3- Experience with HomeHealth, Epic, Denials, Follow up and Billing

Physicians Revenue Group

Designation: VOB &amp; Eligibility Specialist &ndash; US Medical Billing Department: Revenue Cycle Management Location: On-site | Shift: US Night ShiftRole Summary: Responsible for verifying insurance benefits and patient eligibility to ensure accuracy prior to service delivery and claim submission, helping reduce denials and improve cash flow.Key Responsibilities:<ul><li>Verify insurance coverage via payer portals, IVR, and insurance calls.</li><li>Confirm eligibility, copays, deductibles, coinsurance, and benefit limits.</li><li>Identify authorization requirements and coverage limitations.</li><li>Update and validate patient insurance data in EMR/EHR systems.</li><li>Resolve eligibility issues and coordinate with billing, coding, and front office teams.</li><li>Maintain accurate documentation within defined TAT.</li><li>Stay updated on Medicare, Medicaid, and commercial payer guidelines.</li></ul>Required Skills &amp; Qualifications:<ul><li>Bachelor&rsquo;s degree (mandatory).</li><li>Minimum 1 year experience in US Medical Billing (VOB/Eligibility preferred).</li><li>Strong knowledge of PPO, HMO, Medicare, Medicaid, and Workers&rsquo; Comp.</li><li>Excellent communication and attention to detail.</li><li>Experience with EMR/EHR, clearinghouses, and payer portals.</li><li>Ability to meet productivity and quality benchmarks.</li><li>Willingness to work US night shifts.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs60,000.00 per monthAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Application Question(s):<ul><li>Are you available to work from 7:00 PM to 4:00 AM?</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>1year: 1 year (Preferred)</li></ul>Location:<ul><li>Lahore (Preferred)</li></ul>Work Location: In person

VOB & Eligibility Specialist – US Medical Billing

Jewish Family Home Care Inc

<div>ob Summary:
The Onboarding Specialist is responsible for assisting with all Human Resources (HR) activities for Jewish Family Home Care as required. Activities include but are not limited to recruitment, selection, hiring, onboarding, benefits, and employee relations.
Job Responsibilities:
<ul><li>Recruits, prescreens, interviews, tests, and selects employees to fill vacant positions for Jewish Family Home Care.</li><li>
Actively participates in recruiting and interviewing for higher-level positions or other roles as requested.</li><li>
Upon selection, performs employment verifications, reference checks, OIG, Sex offender, AHCA, MVR, and drug screenings.
</li><li>Collects all necessary documentation required by the position.</li><li>
Enters and maintains employee-required documents up to date.</li><li>
Upon offer, processes all required forms, schedules, and verifies drug tests, and conducts all other checks and background screenings to confirm hiring.</li><li>
Maintains files in a secure, confidential, and orderly manner, according to regulations.
</li><li>Maintains tracking system to monitor renewal of licensure, certification, examinations, and performance evaluations as indicated by regulation and/or policy.</li><li>
Assists with employees&rsquo; communications and notifications as needed.</li><li>
Assesses and makes recommendations regarding HR strategies and policies.</li><li>
Identifies and understands all legal requirements and government reporting regulations affecting employment and ensures compliance.</li><li>
Assists with employee benefits, including employee enrollment and education.</li><li>
Processes information and produces necessary reports timely and accurately, utilizing HRIS and other required software.</li><li>
Complies and assists in compliance with all the organization&rsquo;s policies and procedures.</li><li>
Participates in HR projects like electronic systems implementation, employee recognition programs, and other similar programs.</li><li>
Coordinates and participates in audits, site visits, and other regulatory activities, ensuring HR complies.</li><li>
Performs other duties as assigned.
</li></ul>Salary $65,000 to $75,000 Annually
Generous Benefits Package including paid holidays, PTO, and health benefits
Notice: Background screening via the Florida Care Provider Background Screening Clearinghouse is required for this position. Visit https://info.flclearinghouse.com for details and screening instructions.
Job Qualifications
To perform this job successfully, an individual must satisfactorily perform their essential duty. The requirements listed below represent the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Education
Bachelor&rsquo;s degree in human resources or related field preferred. PHR or SHRM-CP certification is highly recommended.
Experience
Minimum of three (3) years of HR experience, including handling multiple HR functions. S/he must have healthcare or home care industry experience. Specific experience in nonprofit, healthcare, or home healthcare is highly recommended.
Knowledge and Skills
Bilingual in English/Spanish or English/Russian preferred. Proven ability to establish and maintain quality relationships with internal and external contacts. Detail-oriented and highly organized to ensure proper processing of data and recordkeeping to ensure compliance. Excellent communication and presentation skills. Computer knowledge must include Microsoft Office, HRIS, Time Keeping, and other applicable software applications.</div>

HR Onboarding Specialist- Home Care Agency

Christus Health

Description POSITION SUMMARY: Responsible for performing billing, collections and reimbursement services of claims and duties of the hospital business office. In doing so, ensures that all claims billed and collected meet all government-mandated procedures for Integrity and Compliance. Requirements EDUCATION: HS Diploma or equivalency requiredCERTIFICATION/LICENSES: None requiredSKILLS: <ul><li>Must have good verbal and written communication skills in order to present and explain information to internal and external customers</li><li>Ability to write letters using proper English, grammar, spelling, vocabulary, and punctuation</li><li>Must have practical experience with Adobe, Word, Excel and Microsoft Outlook applications. Also, any other computer applications related to the work (document imaging systems, Organizational Share Point, Revenue Cycle systems) </li><li>Must have ability to make independent decisions that are generally guided by established procedures.</li><li>Must have a desire to learn ethical and compliant business practices. </li><li>Must be able to handle sensitive, stressful and confidential situations and account information. </li><li>Must have excellent keyboarding and 10-key skill-set.</li><li>Must have knowledge to perform functions requiring the use of the Internet.</li><li>Willingness and ability to learn new task.</li><li>Understanding of alternative Business Office financial resources</li><li>Ability to provide information and/or recommendations related to sources of recovery</li><li>Knowledge of general hospital A/R accounts</li></ul><ul><li>GENERAL/ORGANIZATIONAL COMPETENCIES: </li></ul><ul><li>Quality/Compliance: Achieves a standard of excellence with work processes and outcomes, honoring Organizational policies and all regulatory requirements.</li><li>Customer focus: Strives for high customer satisfaction, going out of our way to be helpful and pleasant, making it as easy as possible on the patient, family member or customer rather than our department or organization.</li><li>Safety Mindset: Promptly reports or corrects any unsafe condition. Records/reports the need for service maintenance or repair of equipment and removes any faulty equipment from service.</li><li>Communication: Balances listening and talking, speaking and writing clearly and accurately, influencing others, keeping others informed.</li><li>Collegiality: Is helpful, respectful, approachable and team oriented, building strong working relationships and a positive work environment.</li><li>Initiative: Takes ownership of the work, doing what is needed without being asked, following through</li><li>Efficiency: Plans, manages time well, is on time, is cost conscious, and thinks of better ways to do things.</li><li>Coach-ability: Is receptive to feedback, demonstrates a willingness to learn, and embraces continuous improvement.</li><li>Demonstrates an ability to work in a collaborative manner. </li><li>Diversity: Acknowledges and respects cultural diversity in all interactions. </li></ul>EXPERIENCE: Two years of experience preferred in any of the following: Medicare, Medicaid and/or Commercial Insurance billing, collections, payment and reimbursement verification and/or refunds. College education in business and/or accounting may substitute for experience on a year for year basis up to two years.NATURE OF SUPERVISION: Responsible to: Manager, Business OfficeENVIRONMENT: -Bloodborne pathogen: AWorks in a clean, well-lighted smoke free environment.PHYSICAL REQUIREMENTS: Long periods of sitting, walking. Must be flexible in work schedule. Subject to stressful situations. Extended use of video display terminal and keyboard utilizing sound ergonomic principles. May be required to push, pull or lift up to 20 pounds.

HB Revenue Cycle Business Specialist II/ Patient Account Services / Full-Time

South Shore Health

<div>Job Description Summary
Reporting to the Vice President, Chief Compliance and Audit Officer, the Compliance Coding and Billing Manager is responsible for promoting ethical coding and billing practices across the entire spectrum of South Shore Health. In this leadership role, the Compliance Coding and Billing Manager oversees two coding and compliance auditors and has responsibility for developing and leading activities to ensure compliance with applicable laws, regulations and standards applicable to the South Shore Health System. The individual filling this role will serve as an expert in billing compliance related issues, offer guidance, and lead, as well as participate in, compliance investigations as required. They will coordinate all billing audit activities related to the billing compliance program. Develops and monitors a system of routine audits and monitoring that will assure that systems and processes are functioning correctly in order to comply with applicable laws.
Job Description
Job Responsibilities:<ul><li>
Monitors organization wide compliance with federal and state billing regulatory guidance.</li><li>
Conducts prospective or retrospective coding and billing compliance audits.</li><li>
Serves as an independent resource to clinical or operational departments on coding, documentation and regulatory guidelines.</li><li>
Develops, prepares and reports compliance metrics to the Compliance Audit and Risk Committee and as needed.</li><li>
Assists the Chief Compliance Officer with the development and implementation of the annual compliance risk assessment and internal work plan.</li><li>
Participates in development training tools and materials.</li><li>
Delivers education to providers, clinical and department staff on compliant documentation and regulatory guidelines.</li><li>
Manages the Compliance audit team within the Compliance office.</li><li>
Identifies trends in billing, coding and documentation errors. Recommends and monitors implementation of corrective action plans.</li><li>
Develops SSH compliance policies and procedures as required.</li><li>
Performs other related duties as assigned.</li></ul>
Job Requirements:
Minimum Education - Preferred
Bachelor's Degree
Minimum Work Experience
5 plus years
Required Certifications<ul><li>
CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or</li><li>
CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or</li><li>
CCS-P - Certified Coding Specialist-Physician Based (AHIMA-American Health Information Management Assoc) or</li><li>
CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or</li><li>
CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or</li><li>
RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Assoc)</li></ul>
Knowledge, Skills and Abilities required:<ul><li>
In depth knowledge and experience with Centers of Medicare and Medicaid Services regulatory guidance</li><li>
Audit methodology</li><li>
Ability to develop and effectively deliver coding/billing education to physicians and organization colleagues</li><li>
Proficiency with Microsoft Office applications</li></ul></div>

Compliance Coding/Billing Manager

Stalwarts Servicios

Job SummaryWe are seeking a Software Implementation Specialist to manage end-to-end deployment, configuration, and support of EMR (Electronic Medical Records) / HMS (Hospital Management System) software across hospital client sites. The role requires strong SQL/database skills, hands-on implementation experience, and the ability to work closely with hospital IT staff, clinicians, and internal product teams to ensure smooth go-live and post-implementation support.Key Roles &amp; Responsibilities1. EMR / HMS Software Implementation<ul><li>Execute end-to-end implementation of EMR/HMS software at hospital sites.</li><li>Configure system modules including:</li><li>Patient Registration &amp; ADT</li><li>OPD / IPD</li><li>Billing &amp; Insurance</li><li>Pharmacy, Lab, Radiology</li><li>Reports &amp; MIS</li><li>Support on-site and remote implementations, including UAT and production go-live.</li></ul>2. Database &amp; SQL Support<ul><li>Work with MS SQL Server / MySQL / Oracle databases.</li><li>Write and execute SQL queries for:</li><li>Data validation and reconciliation</li><li>Migration verification</li><li>Report accuracy checks</li><li>Assist with database setup, backups, and basic performance troubleshooting.</li><li>Support report customization (Crystal Reports / SQL-based reports).</li></ul>3. Data Migration &amp; Validation<ul><li>Support data migration from legacy hospital systems into EMR/HMS.</li><li>Validate migrated data including:</li><li>Patient records</li><li>Billing data</li><li>Master data (doctors, services, tariffs)</li><li>Ensure data accuracy, completeness, and compliance.</li></ul>4. Testing &amp; Go-Live Support<ul><li>Conduct functional, integration, and UAT testing with hospital users.</li><li>Support go-live activities including:</li><li>Cutover planning</li><li>Issue tracking and resolution</li><li>On-site stabilization support</li><li>Perform post-go-live validation and monitoring.</li></ul>5. Client Training &amp; Support<ul><li>Train hospital staff including:</li><li>Doctors</li><li>Nurses</li><li>Front-office staff</li><li>Billing and admin teams</li><li>Provide user manuals, SOPs, and workflow documentation.</li><li>Act as the primary technical point of contact during implementation.</li></ul>6. Issue Resolution &amp; Application Support<ul><li>Troubleshoot EMR/HMS application issues.</li><li>Perform root cause analysis (RCA) for production issues.</li><li>Coordinate with development and support teams for bug fixes.</li><li>Ensure SLA adherence and timely resolution.</li></ul>7. Documentation &amp; Compliance<ul><li>Maintain implementation documents:</li><li>Configuration checklists</li><li>Issue logs</li><li>Deployment reports</li><li>Support audits, compliance, and hospital IT documentation requirements.</li><li>Ensure adherence to healthcare data security and privacy standards.</li></ul>8. Travel &amp; Field Deployment<ul><li>Travel to hospital client locations as required.</li><li>Support extended on-site implementation periods (up to 30 days).</li><li>Provide remote HQ support when not traveling.</li></ul>Required Skills &amp; QualificationsTechnical Skills<ul><li>Strong SQL skills (queries, joins, basic stored procedures).</li><li>Experience with relational databases:</li><li>MS SQL Server / MySQL / Oracle</li><li>Experience in healthcare software or enterprise application implementation.</li><li>Basic understanding of:</li><li>Networking</li><li>Application servers</li><li>Windows/Linux environments</li><li>Ideal Candidate Profile</li><li>Hands-on implementation specialist with strong SQL skills.</li><li>Comfortable traveling and working on hospital sites.</li><li>Client-oriented, proactive, and able to manage implementations independently.</li><li>Quick learner with interest in healthcare IT systems.</li></ul>Job Types: Full-time, PermanentPay: ₹500,000.00 - ₹600,000.00 per yearBenefits:<ul><li>Cell phone reimbursement</li><li>Health insurance</li><li>Internet reimbursement</li><li>Provident Fund</li><li>Work from home</li></ul>Work Location: Hybrid remote in Mumbai, Maharashtra

Software Implementation Specialist

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