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medical billing specialist

Empowerment Resource Center

<p></p><div><div><b>Job Classification: Billing &amp; Coding Specialist</b></div><div><b>
Reports To: Client Services Supervisor</b></div><div><b>
FLSA Status: Part -Time not to Exceed 29 Hours week</b></div><div></div><div><b><br>
Summary: </b>Reports to the Client Services Supervisor. The Billing &amp; Coding Specialist is responsible for managing the end-to-end medical billing process, including claim submission, payment posting, denial resolution, and reconciliation across EMR and QuickBooks systems and payer compliance to ensure timely and accurate revenue collection for the organization. . This position ensures compliance with payer contracts and coding standards, promotes accurate reimbursements, and supports financial transparency. The role plays a vital part in maintaining the organization&rsquo;s financial health, improving cash flow, and ensuring alignment with private insurance carrier agreements.</div><div></div><div><br>
The Billing &amp; Coding Specialist must have a strong understating of CPT, ICD-10 and insurance billing codes, as well as, working knowledge of payer contracts, private carrier reimbursement methodologies, and compliance requirements, The incumbent ensures that all claims are processed correctly, reimbursement are maximized, and revenue is maintained through careful monitoring, auditing, and collaboration with internal departments and payers. The role supports and enhances the insurance billing function through diligent claim management, payer communication, and reconciliation activities that promote accurate reimbursement and financial transparency.</div><div></div><div><b><br>
Essential Duties and Responsibilities:</b></div><div></div><h1 class="jobSectionHeader"><b><br>
Insurance Claims Management</b></h1><div><ul><li>
Verify CPT codes prior to claim submission in the EMR system to ensure compliance and maximize reimbursement.</li><li>
Collaborate with coding and revenue cycle teams to resolve complex CPT coding issues beyond standard expertise.</li><li>
Prepare, review, and submit insurance claims through the EMR system, ensuring compliance with payer-specific and contractual requirements.</li><li>
Monitor and manage claim submissions to ensure accuracy, timely filing, and proper follow-up on rejections or denials.</li><li>
Research claim denials and rejections, determine root causes, and take corrective actions to resolve issues promptly.</li><li>
Revise and resubmit corrected claims with necessary documentation and coding updates to secure proper reimbursement.</li><li>
Participate in weekly meetings with clinic leadership to analyze denials, rejections, and claim status for continuous improvement.</li><li>
Monitor the adjudication of submitted claims to verify timely processing, accuracy, and alignment with contracted reimbursement rates.</li><li>
Represent and advocate for corrected or underpaid claims during follow-up with insurance carriers.</li><li>
Ensure all billing activities comply with payer contracts, including fee schedules, covered services, and filing deadlines established by private carriers.</li></ul><p>
Payment Processing</p><div><ul><li>
Post all insurance payments&mdash;checks, ACH, and virtual card payments&mdash;into the EMR system, ensuring proper allocation to patient accounts.</li><li>
Collaborate with Accounts Receivable (A/R) to review outstanding claims, address aged accounts (91+ and 121+ days), and ensure all posted payments are reflected accurately.</li><li>
Track unpaid claims, follow up with insurance companies, and execute collection procedures on delinquent accounts to minimize write-offs.</li><li>
Pull and review A/R reports regularly to identify trends, payment delays, or discrepancies</li></ul></div><p>
Contract Compliance and Payer Relations</p><div><ul><li>
Maintain up-to-date knowledge of payer contracts, reimbursement terms, and policy changes for private carriers.  Verify that all claims, payments, and adjustments adhere to negotiated fee schedules and contractual obligations.</li><li>
Identify and report patterns of underpayment or contract violations by payers to management.</li><li>
Assist leadership with payer audits, renegotiations, and periodic reviews to ensure continued compliance and optimal reimbursement.</li><li>
Serve as a liaison between the organization and private insurance carriers to promote positive working relationships and resolve contract-related billing concerns.</li><li>
Participate in regular meetings with A/R and billing support teams to align on claim status, outdated accounts, and reconciliation needs.</li><li>
Communicate professionally with insurance representatives, patients, and internal teams to facilitate timely resolutions and optimize reimbursement workflows.</li></ul></div><p><b>
Qualifications: </b>To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><div><ul><li><b>
Education and/or Experience: </b>High school diploma or equivalent required; Associate&rsquo;s or Bachelor&rsquo;s degree in Healthcare Administration, Accounting, or related field preferred. 2+ years of experience in medical billing, insurance claims, or accounts receivable management required. Proficiency in EMR systems. Strong understanding of CPT, ICD-10, and insurance billing codes (certified coder preferred but not required). Working knowledge of payer contracts, private carrier reimbursement methodologies, and compliance requirements. Excellent organizational, analytical, and problem-solving skills. Strong communication skills and attention to detail.</li><li><b>
Certifications, Licenses, Registrations: </b>Certified coder preferred, but not required.</li><li><b>
Language Skills:</b> Fluency in English and Spanish is preferred. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, participants, funders, and the general public.</li><li><b>
Computer Skills: </b>Must possess extensive computer skills and experience with software use (Word, Excel, PowerPoint, Publisher, Adobe, etc.). Must be proficient in Microsoft Office Suite; Electronic mail software; Microsoft Exchange. Medical software &ndash; Electronic medical/health records software and Client management software. Helpful if you have experience in Greenway, and any Telemedicine platform. Knowledge of Quest and LabCorp systems.</li><li><b>
Mathematical Skills: </b>Basic math, bookkeeping and accounting skills.</li><li><b>
Reasoning Ability: </b>Effective computer skills to use bookkeeping and account management software in a timely and efficient manner. Strong communication, including writing, speaking and active listening. Must be a great communicator, meticulous, and possess excellent interpersonal skills. Great customer service skills, including interpersonal conversation, patience and empathy. Good problem-solving and critical thinking skills. Organization, time management and prioritization abilities. Ability to be discreet and maintain the security of patient or customer information. Understanding of industry-specific policies, such as HIPAA regulations for health care. Demonstrate the ability to exercise discretion, independent judgment, and business acumen. Exhibit the finesse to handle private, confidential, protected, and sensitive information. Possess a genuine empathy for clients and a willingness to help others. Possess excellent communication skills and the tact to deal effectively with clients, guests, program staff, medical and behavioral health professionals, and executive-level staff. Must have the ability to interact with professional staff and clients from diverse socioeconomic background, races, and cultures. Must have the ability to conduct Internet research. Must possess strong leadership, team-building, management, organizational, and time management skills. Must possess the ability to develop innovative action plans to improve efficiency and processes, minimize cost/waste, and meet quality standards.</li></ul></div></div><p></p><div><p><b><br>
Employment Standards &amp; Conditions: </b>Must successfully pass a pre-employment drug screen and background check.</p><p>
Must be able to work flexible hours when required.</p><p>
Must submit verification of completion of the following current health screenings:</p><p>
Influenza immunization</p><p>
Tuberculin Skin Test (TB) within the past 12 months</p><p>
HBV immunization (required if position requires direct contact with clients)</p><p></p><p><b><br>
Physical Demands: </b>The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><p>
While performing the duties of this job, the employee is regularly required to talk and hear.</p><p>
The employee is regularly required to sit, stand and walk.</p><p>
The employee s regularly required to use hands to key, handle, or feel and reach with hands and arms.</p><p>
The employee must occasionally lift and/or move up to 25 pounds.</p><p></p><p><b><br>
Work Environment: </b>The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is moderate.</p><p><i>
Empowerment Resource Center (ERC) values a diverse, respectful, and collaborative work environment. We establish and maintain trustful relationships with our staff, partners, funders, and the communities that we are privileged to serve. ERC makes all hiring and employment decisions without regard to race, creed, color, age, gender, gender identity, marital or parental status, religion, ancestry, national origin, physical or mental disability, sexual orientation, sexual identity, immigrant status, political affiliation or belief, exoffender status (depending on the offense and position to be filled), and/or unfavorable military discharge.</i></p></div></div><p></p>

Billing & Coding Specialist

Emory Healthcare

<div>Overview:
<div><b>
Be inspired. Be rewarded. Belong. At Emory Healthcare.</b></div><div>
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:</div><ul><li>
Comprehensive health benefits that start day 1</li><li>
Student Loan Repayment Assistance &amp; Reimbursement Programs</li><li>
Family-focused benefits
</li><li>Wellness incentives</li><li>
Ongoing mentorship, <i>development, </i>and leadership programs
</li><li>And more</li></ul>
Description:
<div>
The Transport Invoice Specialist is responsible for the end-to-end management of patient transport invoices across all transport modalities, ensuring financial accuracy, regulatory compliance, and timely reconciliation. This role serves as a financial support partner to the Acute Care Transport Coordination team by managing invoice validation, reconciliation, and reporting processes related to patient transport services.</div><div>
In addition to financial responsibilities, the Transport Invoice Specialist may provide administrative or operational support to the transport coordination team during periods of high operational demand, staffing gaps, or emergency situations to ensure continuity of operations.</div><h3 class="jobSectionHeader"><b>
RESPONSIBILITIES</b></h3><h4 class="jobSectionHeader"><b>
Invoice and Financial Management</b></h4><ul><li><div>
Receive, log, and track patient transport invoices across all transport modalities.</div></li><li><div>
Validate invoice details to ensure accuracy and alignment with services rendered.</div></li><li><div>
Ensure invoices comply with contractual agreements, memorandums of understanding (MOUs), and organizational policies.</div></li><li><div>
Reconcile billing discrepancies with vendors and resolve invoice-related issues.</div></li><li><div>
Maintain documentation to support financial validation, regulatory compliance, and audit readiness.</div></li><li><div>
Prepare routine and ad-hoc financial reports related to transport operations and expenditures.</div></li></ul><h4 class="jobSectionHeader"><b>
Process Improvement, Compliance, and Safety</b></h4><ul><li><div>
Identify trends related to invoice errors, delays, cost drivers, and vendor performance concerns.</div></li><li><div>
Ensure transport-related financial processes comply with local, state, and federal regulations as well as organizational protocols.</div></li><li><div>
Participate in continuous quality improvement (CQI) initiatives to enhance the efficiency and safety of transport services.</div></li><li><div>
Support process improvement efforts related to financial controls and transport operations.</div></li><li><div>
Assist with standardizing invoice workflows, documentation templates, and tracking tools.</div></li><li><div>
Support leadership with data collection and analysis for vendor evaluations and contract discussions.</div></li></ul><h4 class="jobSectionHeader"><b>
Operational Support for Transport Coordination</b></h4><ul><li><div>
Provide administrative or operational support to Transport Coordinators during high call volume periods, staffing shortages, inclement weather, or emergency operations.</div></li></ul><h4 class="jobSectionHeader"><b>
Emergency Preparedness Support</b></h4><ul><li><div>
Assist with emergency preparedness and surge operations, including inclement weather or high-acuity events.</div></li><li><div>
Provide documentation support, financial oversight, and limited coordination assistance during emergency operations when needed.</div></li></ul><h4 class="jobSectionHeader"><b>
Additional Responsibilities</b></h4><ul><li><div>
Perform other duties as assigned.</div></li></ul><h3 class="jobSectionHeader"><b>
Work Environment</b></h3><ul><li><div><b>
Work Type:</b> On-site position requiring work in an office or operational command environment with face-to-face collaboration with colleagues.</div></li><li><div><b>
Travel:</b> Less than 10% travel may be required.</div></li></ul><h3 class="jobSectionHeader"><b>
MINIMUM QUALIFICATIONS</b></h3><div><b>
Education</b></div><ul><li><div>
Associate&rsquo;s degree in healthcare, business administration, or a related field required.</div></li></ul><div><b>
Experience</b></div><ul><li><div>
Minimum of five (5) years of experience in one or more of the following areas:</div><ul><li><div>
Prehospital healthcare</div></li><li><div>
Emergency Medical Services (EMS)</div></li><li><div>
Patient transport operations</div></li><li><div>
Emergency communications</div></li><li><div>
Public safety operations</div></li></ul></li></ul><div><b>
Licensure</b></div><ul><li><div>
Valid state driver&rsquo;s license required.</div></li></ul><h3 class="jobSectionHeader"><b>
Required Knowledge, Skills, and Abilities</b></h3><ul><li><div>
Proficiency with <b>Microsoft Outlook</b> for professional communication and coordination.</div></li><li><div>
Strong working knowledge of <b>Microsoft Excel</b> for data tracking, reconciliation, and reporting.</div></li><li><div>
Proficiency with <b>Microsoft Word</b> for documentation and report preparation.</div></li><li><div>
Strong attention to detail with the ability to verify financial and operational information.</div></li><li><div>
Ability to manage multiple tasks and prioritize responsibilities effectively.</div></li></ul><h3 class="jobSectionHeader"><b>
Preferred Qualifications</b></h3><div><b>
Education</b></div><ul><li><div>
Bachelor&rsquo;s degree in healthcare, business administration, or a related field preferred.</div></li></ul><div><b>
Experience</b></div><ul><li><div>
Ten (10) years of experience in areas such as:</div><ul><li><div>
Medical billing or healthcare invoicing</div></li><li><div>
Revenue cycle operations</div></li><li><div>
Patient transport coordination</div></li><li><div>
Healthcare logistics</div></li></ul></li></ul><div><b>
Certification</b></div><ul><li><div>
Emergency Medical Technician (EMT) or Paramedic certification preferred.</div></li></ul><div><b>
Preferred Knowledge, Skills, and Abilities</b></div><ul><li><div>
Familiarity with dispatch, scheduling, and transport management systems.</div></li><li><div>
Strong analytical and critical thinking skills, including the ability to identify discrepancies and financial irregularities.</div></li><li><div>
Ability to quickly learn and navigate healthcare operational and financial systems.</div></li><li><div>
Ability to support operational teams in dynamic or high-pressure environments.</div></li></ul><div><br>
PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs., 0-33% of the work day (occasionally) Lifting 25 lbs. max; Carrying of objects up to 25 lbs.; Occasional to frequent standing &amp; walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
<br>
<br>
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste chemicals/gases/fumes/vapors, Communicable diseases, Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.</div><div>
.</div></div>

Transport Invoice Specialist

GI Care for Kids

<div><div><b>SUMMARY</b></div>
<div>The Billing and Collections Specialist must be customer service oriented, detailed in performing their job functions in accounts receivables with insurance companies and self-pays, and possess the ability to manage multiple tasks daily.</div>
<div><b>ESSENTIAL DUTIES</b></div>
<ul><li> Follow up on all accounts within the timely filing guidelines of the insurance company assigned to the biller.</li></ul>
<ul><li> Correcting claim issues, and/or rebilling claims to third party payers. Claims must be corrected and rebilled within the timely refiling guidelines of the insurance company assigned.</li></ul>
<ul><li> Write appeal letters.</li></ul>
<ul><li> Communicating with all departments, i.e., front desk staff, nursing and providers to ensure appropriate collection of co-pays and self-pay balances prior to patient visits.</li></ul>
<ul><li> Contact patients after obtaining auth to discuss collection of out-of-pocket expenses prior to patient visits.</li></ul>
<ul><li> Documenting the appointment desk, calling guarantors and communicating balances that need to be collected.
</li></ul><ul><li> Handles inquiries and answers questions for clerical staff, clinical staff, and insurance companies within a 24-hour turnaround time</li></ul>
<ul><li> Daily monitoring of assigned insurance A/R&rsquo;s, statuses on delinquent self-pay accounts, and all assigned WQ&rsquo;s.</li></ul>
<ul><li> Meets deadlines of completing all assigned WQ&rsquo;s prior to the end of the month.</li></ul>
<ul><li> Identifies and resolves patient billing questions in the office and incoming calls to the business office.</li></ul>
<ul><li> Daily collection and/or posting payments from insurance companies and patients as assigned daily.</li></ul>
<ul><li> Reviews accounts and makes recommendations regarding non collectible accounts when working delinquent and collection accounts.</li></ul>
<ul><li> Notifies manager of non-collectible self pays and insurance balances.</li></ul>
<ul><li> Verifies patient eligibility through various third-party sources.
</li></ul><ul><li> Understands patient benefits from various all insurance carriers and determines out of pocket and in and out of network status prior to visits in the office.</li></ul>
<ul><li> Documents payments collected, A/R, and phone call resolutions in software system.</li></ul>
<ul><li> Understands fee schedules and updates manager of fee schedule changes and effective dates timely</li></ul>
<ul><li> Monitors changes in policy and fee schedules for all insurance carriers assigned and informs manager.</li></ul>
<ul><li> Answers business office phone calls daily and on a rotating weekly schedule.</li></ul>
<ul><li> Explain out of pocket expenses to guarantor</li></ul>
<ul><li> Assist in the enrollment and explain drug rebate programs such as Care Path and Entyvio Connect and Pfizer</li></ul>
<ul><li> Assist patients in completion of paperwork, explain and follow up patient assistance programs when needed.</li></ul>
<ul><li> Communicate effectively with professional staff and patients.</li></ul>
<ul><li> Daily monitoring of personal business office phone line, business office phone calls and emails.</li></ul>
<ul><li> Ensures voicemails are returned within a 24-hour time period.</li></ul>
<ul><li> Responds to all emails and staff messages from manager, staff and patients in a 24-hour time period</li></ul>
<ul><li> Daily collection of business office mail, and routing to appropriate billers.</li></ul>
<ul><li> Filing of manually posted payments</li></ul>
<ul><li> Cross trained to fill in for other job functions on an as needed basis.</li></ul>
<ul><li> Additional duties as assigned by management.</li></ul>
<div></div><div><b>EDUCATION &ndash; EXPERIENCE- KSA&rsquo;s &ndash; OTHER QUALIFICATIONS</b></div>
<ul><li> Associate&rsquo;s degree, or equivalent, 3 to 5 years related experience, or Medical Billing Certification.</li></ul>
<ul><li> Experience working with medical payers including Medicaid, CMO&rsquo;s and Commercial insurance.</li></ul>
<ul><li> Working knowledge of medical billing systems, particularly Epic.</li></ul>
<ul><li> Working knowledge of CPT and ICD-10 coding systems.</li></ul>
<ul><li> Ability to research and problem solve A/R disputes</li></ul>
<ul><li> Customer service oriented</li></ul>
<ul><li> A productive, dependable, self-starter</li></ul>
<ul><li> Excellent organizational skills</li></ul>
<ul><li> Proficiency in Microsoft Office Suite</li></ul>
<ul><li> Excellent verbal and written skills</li></ul>
<ul><li> Knowledge of medical billing / collection practices required</li></ul>
<ul><li> Strong keyboard skills.</li></ul>
<ul><li> Works well in environment with firm deadlines; results oriented.</li></ul>
<ul><li> Perform multiple tasks effectively.</li></ul>
<ul><li> Able to work both independently and as part of a team.</li></ul>
<ul><li> Strong analytical skills required.</li></ul>
<ul><li> Capable of making timely, independent decisions</li></ul>
<div></div><div><b>COMPETENCIES</b></div>
<div></div><div>Ethics - Treats people with respect; keeps commitments; inspires the trust of others; works with integrity and ethically; upholds organizational values.</div>
<div>Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.</div>
<div>Interpersonal Skills - focuses on solving conflict, not blaming; maintains confidentiality; listens to others without interrupting; keeps emotions under control; remains open to others' ideas and tries new things.</div>
<div>Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values; benefits organization through outside activities; supports affirmative action and respects diversity.</div>
<div>Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests; able to build morale and group commitments to goals and objectives; supports everyone's efforts to succeed.</div>
<div></div><div><b>PHYSICAL DEMANDS AND WORK ENVIRONMENT</b></div>
<div></div><ul><li> Frequent sitting, grasping, and speaking</li></ul>
<ul><li> Occasional reaching, bending and stooping</li></ul>
<ul><li> Frequent use of computer, keyboard, copy/fax machine, and phone</li></ul>
<ul><li> Possible exposure to infectious specimens (blood or bodily fluids or airborne pathogens).</li></ul>
<ul><li> May be required to wear Personal Protective Equipment (PPE).
</li></ul><ul><li> While performing the duties of this job, the noise level in the work environment is usually quiet to</li></ul>
 <div>moderate.</div>
<ul><li> Fast paced environment with occasional high pressure or emergent situations.</li></ul>
<ul><li> Work hours subject to office needs to ensure coverage during all hours of operation.</li></ul></div>

Billing and Collections Specialist

GoHealth Urgent Care

<div><p>You&rsquo;re more valuable than ever &ndash; And that&rsquo;s just how we&rsquo;ll make you feel.</p><p></p><p><b>
Summary</b><br>
The Patient Account Specialist is responsible for taking all inbound phone calls, researching customer issues, collecting customer information, collecting payments from customers, responding to all customer inquiries via fax/email/calls.</p><div><b><br>
Qualifications</b><br>
<b>Education Required:</b><br>
<ul><li>High School Diploma or GED</li></ul></div><div><b><br>
Work Experience Required:</b><br>
<ul><li>3+ years of healthcare, billing, or service experience</li></ul></div><div><b><br>
Preferred Qualifications, Education, Licenses, Certifications, Experience, etc.:</b><br>
<ul><li>3 years Medical Billing experience</li><li>CPAR &ndash; Certified Patient Account Representative</li><li>Associate&rsquo;s degree in business administration or related field</li><li>Medical insurance billing and claims processing</li><li>Epic or eClinicalWorks experience</li><li>Bilingual (Spanish)</li></ul></div><p></p><div><b>
Knowledge, Skills, and Abilities</b><br>
<ul><li>This role is patient facing and involves interaction and collaboration with other</li></ul>
departments and requires excellent judgment and interpersonal skills.<br>
<ul><li>Strong interpersonal skills including sound judgement while working with cross functional departments.</li><li>Understanding of basic medical terminology and common healthcare documentation.</li><li>Highly experienced in Microsoft Excel and Word for data entry, reporting, and</li></ul>
documentation.<br>
<ul><li>Strong working knowledge of medical billing codes such as Current Procedural Terminology</li><li>(CPT) and International Classification of Diseases (ICD) coding for accurate billing and claims processing.</li><li>Exceptional phone and communication skills with the ability to interact effectively across departments and with customers.</li><li>Ability to organize and prioritize tasks efficiently in a fast-paced environment.</li><li>Proficient in navigating computer systems and performing mathematical calculations related to customer accounts and billing.</li><li>Ability to maintain strict customer confidentiality in compliance with HIPAA and company policies.</li><li>Demonstrated ability to follow through with customer inquiries and resolve issues with professionalism and sound judgment.</li><li>Demonstrate flexibility and open mindedness when approaching problem solving and adapting to changing workflows or priorities.</li><li>Ability to calculate deductibles and co-insurance accurately.</li><li>Ability to read and interpret Explanation of Benefits (EOBs).</li><li>Skilled in performing collection activities related to follow-up and account resolution.</li><li>Ability to identify under and overpayments from payors and take appropriate action.</li><li>Experience with third party payor portals for eligibility verification, claim status and account resolution.</li></ul></div><div><b><br>
Essential Duties and Responsibilities</b><br>
Administrative and Data Accuracy<br>
<ul><li>Accurately update and maintain customer demographic and insurance information.</li><li>Update and document patient account clearly and thoroughly to include information received and given during patient interaction.</li><li>Conduct thorough review of patient accounts to verify that required documentation is properly scanned and recorded, ensuring no unnecessary or duplicate documentation requests are made.</li></ul>
Customer Service and Communication<br>
<ul><li>Deliver high-level customer service to internal customers, payors and urgent care centers.</li><li>Provide exceptional service to customers, ensuring a positive and professional experience.</li><li>Manage each customer inquiry through resolution to include collaborating with internal teams as needed and ensuring timely follow-up.</li><li>Address service-related issues professionally when interacting with customers, guests, physicians and team members.</li><li>Communicate clearly with customers regarding medical and financial matters via phone, email and other communication channels.</li><li>Serve as an effective extension of Company urgent care centers, supporting their mission and values.</li><li>Maintain composure and focus while managing multiple tasks and customer interactions in a high-pressure environment.</li><li>Actively listen to patients to identify financial needs and assist with financial assistance applications when appropriate.</li><li>Minimize patient escalations through one-call resolution.</li></ul>
Patient Account Management and Collections<br>
<ul><li>Responsible for collecting unpaid customer balances and assisting with credit card payments.</li><li>Provides effective review of accounts leading to patient collection of outstanding balances.</li><li>Documents and updates patient accounts information for all payment and contested balances.</li><li>Performs research and analysis of account issues to timely and accurately resolve accounts.</li><li>Ability to review an account and offer prompt pay discounts to increase collections.</li><li>Accurately and timely submit for patient adjustments to satisfy balances if applicable.</li></ul>
Insurance and Billing Analysis<br>
<ul><li>Accurately calculate customer deductibles and co-insurance amounts based on insurance plan details and service charges.</li><li>Review and interpret Explanation of Benefits (EOBs) from insurance carriers to ensure appropriate account handling and customer communication.</li><li>Reviews patient claims to articulate the reason for outstanding balances, including claim review, over/underpayment identification, claim non-submittal, contractual adjustments, deductibles and overall patient responsibility.</li><li>Ability to review claims and take appropriate action, including identifying why a claim denied and resubmitting for processing.</li><li>Validating commercial insurance, including patient eligibility, referrals and authorizations as necessary to secure carrier payment.</li></ul>
Internal Communication and Collaboration<br>
<ul><li>Maintain consistent daily communication with Team and Section leaders.</li><li>Share relevant information with team members to support collaboration and continuity of care.</li><li>Appropriately document any barriers in issue resolution and escalate as needed for review.</li><li>Assist colleagues with tasks and responsibilities when time permits.</li><li>Appropriately identify and assign tasks and responsibilities to internal departments when additional action is required.</li></ul></div><p></p><div><b>
GoHealth Core Values</b><br>
GoHealth&rsquo;s Core Values, listed below, are essential functions of this position:<br>
<ul><li>Collaboration: Takes ownership for collectively establishing productive partnerships and relationships and seek to gain joint understanding of priorities and objectives so that the greater good of the organization and those we serve is always at the forefront.</li><li>Innovation: Consistently uses good judgment, applying creativity to overcome obstacles and increasing effectiveness and efficiency through process and other forms of innovation.</li><li>Diversity &amp; Inclusion: Fosters diversity and inclusion, to be able to better understand team members, our customers and partners. Engages the strengths and talents of each GoHealth team member, creating an environment of involvement, respect and connection where the richness of ideas, backgrounds and perspectives are harnessed.</li><li>Courage &amp; Integrity: Models and practices the highest ethical and professional standards; demonstrates pride and personal interest in our patients, partners and fellow team members, deeply engaging in the business. Makes decisions, with a focus on doing the right thing; treats team members, our customers, partners and vendors with dignity, consideration, open-mindedness and respect.</li><li>Accountability: Always shows initiative, demonstrates a bias to action and gets things done. Actively accepts responsibility for diverse roles, obligations and actions that positively influence patient and customer outcomes, our partnerships and the healthcare needs of our communities.</li></ul>
Additional Requirements<br>
<ul><li>Office Environment: Tasks may be conducted within a climate-controlled office setting.</li><li>Physical Activity: The role may require the ability to lift, carry, push, or pull materials,</li></ul>
supplies, and equipment (up to 15 lbs.) Duties typically involve a combination of sitting,<br>
standing, and walking, with frequent changes in position.<br>
<ul><li>Travel: Travel may be required, including travel between facility locations, remote</li></ul>
facilities, and out-of-town destinations as needed (0-10%)<br>
<ul><li>Safety Equipment: May require the use of safety equipment for infection prevention.</li></ul>
Internet Requirements for Remote Call Center Employees<br>
To ensure an optimal and seamless customer experience, the following internet connection<br>
requirements must be met by all the call center employees working from home.<br>
<ul><li>Connection Type:</li></ul>
o A hardwired (Ethernet) connection is mandatory to ensure stability and<br>
reliability.<br>
o Wireless (Wi-Fi) connections are not permitted for work purposes due to potential<br>
signal fluctuations, interference, and latency issues.<br>
<ul><li>Minimum Internet Speed:</li></ul>
o Download speed: At least 100 Mbps<br>
o Upload speed: At least 10 Mbps<br>
o These speeds are required to handle voice, video calls, and data transmission<br>
simultaneously.<br>
<ul><li>Latency (Ping):</li></ul>
o The network latency must not exceed 100ms to avoid delays in communication.<br>
<ul><li>Internet Service Provider (ISP):</li></ul>
o The employee must subscribe to a reliable ISP that provide high-speed broadband<br>
services (e.g.,Fiber Optic, Cable).<br>
o DSL, satellite, or mobile hotspot connections are not recommended due to higher<br>
latency and potential service disruption.<br>
<ul><li>Backup Internet Connection (Optional but Recommended):</li></ul>
o Employees should have a backup internet source (e.g.,secondary broadband or<br>
mobile data) in case of primary service disruption.<br>
<ul><li>Testing and Compliance:</li></ul>
o Employees are required to perform a speed test using a reliable tool (such as<br>
Speedtest by Ookla) before the start of their shifts.<br>
o A record of compliance may be requested periodically to ensure adherence to these<br>
guidelines.<br>
<ul><li>Equipment:</li></ul>
o Employees are responsible for ensuring that they have the appropriate modem,<br>
router, and Ethernet cable to meet these standards.<br>
o The router should be placed in a location that minimizes interference and<br>
maximizes the signal strength to the modem.<br>
[DO NOT EDIT BELOW THIS LINE]<br>
_________________________________________________________________________________________________________<br>
Note: This Job Description is not inclusive of all the duties of the position. You may be asked by Leaders<br>
to perform other duties. Leadership may revise this job description at any time.<br>
<b>Equal Employment Opportunity Statement</b><br>
The Company and its affiliates, joint venture partners and entities under common management are Equal Opportunity Employers. They do not discriminate based on race, color, religion, national origin, age, sex, disability, veteran status, sexual orientation, gender identity, or any other protected status under federal, state, or local law.<br>
<br>
<b>ADA Accommodation Statement</b><br>
Reasonable accommodations are available for qualified individuals with disabilities upon request. This role defines success by achieving essential function outcomes, not by the method of completion.<br>
<b>Compliance Statement</b><br>
This job will be performed consistent with ADA, FMLA, FLSA, and other applicable federal, state, and local laws regulating employment</div><p></p><p>
Set up email alerts as new job postings become available that meet your interest!</p><p></p><p>
All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business.<br>
<br>
For applicants in California, please review our California Consumer Privacy Statement here. https://www.gohealthuc.com/privacy-policy</p></div>

Patient Account Specialist

Children’s Healthcare of Atlanta Cardiology

<div></div><div><p>Children&rsquo;s Cardiology, a subsidiary of Children&rsquo;s Healthcare of Atlanta, is comprised of more than 60 pediatric cardiologists providing comprehensive services for patients from before birth to age 21 who have acquired or congenital heart disease. The AR Coordinator is responsible for effective and efficient accounts receivable management of assigned commercial and patient payers. The position may handle work collection reports and correspondence, account audits, appeals of denied claims, update accounts, identify denial trends and meet departmental productivity standards. Key responsibilities include following up on outstanding claims, resolving denied claims through appeals, posting payments, and reducing bad debt.</p><p><b>
Minimum Qualifications</b></p><ul><li>
Associates degree preferred or equivalent work experience.</li><li>
Minimum two years of experience with high volume payor denials and claims.</li><li>
Must have healthcare experience including understanding of medical terminology for billing and coding: EOB&rsquo;s, ICD-10 and CPT Codes.</li><li>
Proficient in Microsoft Office.</li><li>
Proficient in 10-Key with no less than 13,500 KPH (50 WPM).</li><li>
Epic experience required, experience with Waystar preferred.</li><li>
Demonstrated effective oral and written communication.</li><li>
Proven attention to detail, organizational skills and follow-through discipline.</li><li>
Ability to prioritize and handle multiple tasks concurrently.</li><li>
Demonstrated excellent customer service skills, good judgement and problem-solving ability.</li></ul><p><b>
Essential Duties and Responsibilities</b></p><ul><li>
Work independently and as part of a team to resolve complex patient account issues.</li><li>
Maintain industry standards for the assigned Accounts Receivable regarding to aging, collection rates, and days in AR.</li><li>
Complete timely follow up and collection of outstanding monies due from the payors and/or assigned patient accounts.</li><li>
Post contractual and courtesy adjustments to accounts and follow up on outstanding insurance claims in a timely manner.</li><li>
Assess Claim Edit, Transaction Editing, Clearinghouse, eligibility or other applicable billing edit messages to resolve any issues preventing release of claims from Epic and or Waystar.</li><li>
Process rejected or denied claims and file appeals or reconsiderations as needed.</li><li>
Monitor assigned aging reports, reducing and maintaining assigned accounts within required benchmarks and documenting resolution.</li><li>
Maintain current payor portal knowledge and functionality, following company procedures to involve the appropriate departments for assistance.</li><li>
Take appropriate action in responding to patient questions within one business day.</li><li>
Provide superior customer service and support the continuous assessment and improvement of the overall patient experience.</li><li>
Meet departmental goals and weekly and monthly individual metrics as assigned.</li><li>
Perform other duties and projects as assigned.</li></ul><div><div><p><b>
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or any protected category.</b></p><p>
As a part of the recruiting and new hire process with Children&rsquo;s Cardiology, employment history will be verified and ANY false statements, omissions or misrepresentations of your application or resume will result in not being hired by the company.</p></div></div></div>

A/R Coordinator

IMC LOGISTICS

<div><div>Work Schedule Comments: Typically, Monday-Friday / Weekends as Needed</div><div></div><p><b><br>
Position Overview:</b> Plans the daily/weekly work schedule of drivers to maximize freight coverage in a timely and cost-efficient manner. Communicate and distribute appointment dates/time to drivers; owner operators and/or fleet. Communicate and coordinate between all IMC locations to maximize drivers&rsquo; time. Assist drivers with any equipment issues, detention time, rail billing, and any additional requests made of driver.</p><p><b>
Essential Functions:</b></p><ul><li>
Must exercise discretion and use independent judgment when relating customer requests, appointment time and assigning orders to specific drivers daily to run road, local or city. Maintain A to B dispatching</li><li>
Complete lines of dispatch in SWS from paperwork that drivers turn in daily relating to completed runs</li><li>
Handle driver service failures up to and including the authority to issue verbal and/or written discipline. Additionally, contact Manager/Cargo Specialist regarding the failure</li><li>
Apply any additional charges including and notify customer service of changes</li><li>
Track/Maintain yard report, MDR, CNI, and Divisional Pool</li><li>
Actively participate in driver recruiting and retention</li><li>
Request rail billing</li><li>
Processes ATP&rsquo;s and Non-Productive pay. Review preliminary payroll</li><li>
Oversee drivers HOS and ELD updating</li><li>
Manage roadside repair</li><li>
Oversee and manage Rail/Port pins &ndash; reservations &ndash; LFD</li><li>
Operating with a sense of urgency while handling challenging environments</li></ul><p><b>
Knowledge/Skills Required:</b></p><ul><li>
Minimum one year of trucking industry dispatch experience</li><li>
Data entry skills; Good communication and organizational skills</li><li>
Intermodal experience preferred</li><li>
DOT Regulations; Hazardous Materials</li><li>
Computer literate</li><li>
Ability to multi-task</li></ul></div>

Dispatcher

City of Atlanta

<div><p><b>Posting expires: March 26, 2026
</b></p><p><b>Salary range: $47,474 - $63,379
</b></p><p><b>General Description:
</b></p><p>The Customer Resolution Specialist is responsible for addressing and resolving inbound customer service inquiries for the Department of Watershed Management (DWM). This position performs high-volume public contact and recordkeeping duties related to the operational, financial, and commercial records of water utilities. The role provides accurate and timely information to utility customers and the general public regarding billing, account issues, and service requests.
</p><p><b>Classification Standards
</b></p><p>This classification performs routine to moderately complex customer service functions involving public contact and account management. Candidates should have prior experience in a customer service or call center setting and demonstrate strong communication and problem-solving skills. Work is performed under moderate supervision, requiring the application of established procedures and policies.
</p><p><b>Supervision Received:
</b></p><p>Works under close to moderate technical supervision. Work in progress and completed tasks are reviewed regularly for quality assurance, accuracy, completeness, and adherence to established procedures and guidelines.
</p><p><b>Essential Duties and Responsibilities
</b></p><ul><li><p>Responds to inbound customer telephone calls regarding Department of Watershed Management (DWM) policies, procedures, services, and account-related concerns.<br>
</p></li></ul><p></p><ul><li><p>Assist customers with inquiries related to billing, adjustments, appeals, meter readings, leaks, and other water and sewer service issues.<br>
</p></li></ul><p></p><ul><li><p>Utilizes active listening and problem-solving skills to understand customer concerns, ask clarifying questions, and provide accurate, policy-based resolutions.<br>
</p></li></ul><p></p><ul><li><p>Communicate with customers through multiple channels including phone, email, mail, and live chat.<br>
</p></li></ul><p></p><ul><li><p>Provides real-time support through live chat by addressing inquiries, assisting with billing questions, and guiding customers through available self-service tools in a professional and timely manner.<br>
</p></li></ul><p></p><ul><li><p>Research customer accounts, records, and databases to investigate and resolve complex inquiries, disputes, and service concerns.<br>
</p></li></ul><p></p><ul><li><p>Coordinates with internal departments such as Billing, Field Services, and Inspections to gather information and facilitate resolution of customer issues.<br>
</p></li></ul><p></p><ul><li><p>Initiates work orders and service requests to address service concerns<br>
</p></li></ul><p></p><ul><li><p>Maintains accurate and detailed documentation of customer interactions, account activity, and case updates across multiple systems in accordance with departmental procedures.<br>
</p></li></ul><p></p><ul><li><p>Assist customers with financial transactions by providing guidance on payment transfers, credit refunds, and submitting requests for processing when applicable.<br>
</p></li></ul><p></p><ul><li><p>Provides support for service-related matters including disconnections, reconnections, meter installations, and service verifications.<br>
</p></li></ul><p></p><ul><li><p>Participates in peer mentoring and knowledge sharing to support training and development of new representatives and departmental staff.<br>
</p></li></ul><p></p><ul><li><p>Performs additional duties assigned to support operational and departmental business needs.<br>
</p></li></ul><p></p><p><b>Knowledge, Skills &amp; Abilities:
</b></p><p>&bull; Strong interpersonal and human relations skills.
</p><p>&bull; Knowledge of personal computer operation in office applications.
</p><p>&bull; Knowledge of proper English usage, including grammar, spelling, and punctuation.
</p><p>&bull; Knowledge of basic business mathematics.
</p><p>&bull; Knowledge of and proficiency in using office technology and computer-based systems to perform daily work-related duties.
</p><p>&bull; Ability to interpret and analyze pertinent procedures, data, and functions quickly.
</p><p>&bull; Ability to exercise sound judgment in interpreting and applying information to a variety of situations, and in taking appropriate action under moderate supervision.
</p><p>&bull; Ability to maintain accurate records.
</p><p>&bull; Ability to speak clearly and concisely.
</p><p>&bull; Ability to demonstrate strong written and verbal communication skills.
</p><p>&bull; Ability to manage multiple tasks, remain detail-oriented, and work efficiently under moderate supervision.
</p><p>&bull; Ability to simultaneously converse with customers and accurately enter data into a computer.
</p><p>&bull; Ability to maintain composure and professionalism during difficult customer interactions.
</p><p>&bull; Ability to actively listen, demonstrate empathy, and respond appropriately to customer concerns.
</p><p>&bull; Ability to resolve customer issues using problem-solving and conflict resolution techniques.
</p><p>&bull; Ability to navigate multiple systems and applications while assisting customers.
</p><p>&bull; Ability to manage time effectively and prioritize tasks in a fast-paced, high-volume environment.
</p><p>&bull; Ability to adapt to changing procedures, policies, and technologies.
</p><p>&bull; Ability to collaborate with team members and internal departments to resolve customer inquiries.
</p><p><b>Minimum Qualifications:
</b></p><p><b>Education:
</b></p><p>High School Diploma or GED required.
</p><p><b>Experience:
</b></p><p>&bull; Minimum of two (2) years of customer service experience.
</p><p>&bull; Experience providing service to customers or the public in a professional environment.
</p><p>&bull; Experience using computer systems, databases, or office applications to document and manage customer interactions.
</p><p>&bull; Experience following established policies, procedures, and service guidelines while assisting customers.
</p><p><b>Preferred Requirements
</b></p><p>&bull; Four (4) or more years of customer service experience, preferably in a high-volume call or contact center environment.
</p><p>&bull; Experience handling billing inquiries, account disputes, or service-related issues.
</p><p>&bull; Familiarity with CRM or contact center systems used to manage customer interactions.
</p><p>&bull; Experience supporting customers through multiple channels, including phone, email, and live chat.
</p><p>&bull; Ability to navigate multiple systems while researching and resolving customer inquiries.
</p><p>&bull; Knowledge or work experience in utility services, municipal operations, or water and sewer billing processes.
</p><p><b>Licensures and Certifications &ndash; N/A</b></p></div><p></p>

Customer Resolution Specialist

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