922 Healthcare Billing jobs in the United States

Working with us means being part of something special: A team that is passionate about making an impact on our patients lives each and every day.Unlike the typical hospital setting, our facility offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.

We are in search of a qualifiedFinancial Specialist Assistant to join our team of dedicated professionals at Aspire Physical Recovery Center at Cahaba River.

The selected applicant will perform and/or oversee the successful and timely completion of all business and financial functions within the established parameters, guidelines, state and federal regulations, and as needed to achieve the financial goals of the facility. Promote an environment that provides optimal efficiencies and superior quality of the business office.

QUALIFICATIONS:

1. BS degree in Accounting, Finance or Healthcare Management highly preferred
2. Thorough understanding of Generally Accepted Accounting Principles (GAAP).
3. Intermediate to advanced experience in MS Excel, and ability to use other MS Office products.
4. Intermediate to advanced knowledge of major accounting software packages for both general ledger and statutory accounting.
5. Must be able to effectively handle multiple projects simultaneously in a deadline driven environment.
6. Excellent verbal, written communication and interpersonal skills.
7. Healthcare billing and collection experience with nursing home receivable which includes Medicaid and Medicare Part A & B, HMO's preferred .
8. Experience with Medicaid Applications perferred
9. Fundamental knowledge of accounting practices and agency reimbursement programs preferred

We offer the following benefits for you and your family:

1. Competitive Wages
2. Elite Low Cost Gold Plan Blue Cross Blue Shield Health Insurance
3. Dental Insurance, Life Insurance, Vision Insurance
4. 401K with company match
5. Paid Holidays and Paid Vacation

EOE

Required

Preferred

Job Industries

• Accounting & Finance

The Revenue Cycle Specialist acts as one of the primary liaisons between Revenue Cycle Operations and the assigned service line in all Revenue Cycle matters. This includes, but is not limited to, providing, coordinating, and enabling timely access to accurate patient and financial information in order to provide various functional information in the most effective and meaningful format, as well as analyzing and validating Epic Reports needed for the assigned service line.

Required:

• Three years Revenue Cycle business; Three years reporting and analysis
• Bachelor Degree

Desired:

• EPIC Certification

The Revenue Cycle Specialist acts as one of the primary liaisons between Revenue Cycle Operations and the assigned service line in all Revenue Cycle matters. This includes, but is not limited to, providing, coordinating, and enabling timely access to accurate patient and financial information in order to provide various functional information in the most effective and meaningful format, as well as analyzing and validating Epic Reports needed for the assigned service line.

Required:

• Three years Revenue Cycle business; Three years reporting and analysis
• Bachelor Degree

Desired:

• EPIC Certification

This position is being handled internally. We are not accepting solicitations from external recruiters or staffing agencies at this time.

Job Details

Description

Why work for us?

• Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care.
• Through our joint venture with Evergreen Nephrology we are a growing organization with opportunities for professional and personal growth.
• We will help you grow in your leadership experiences while learning the new value-based care world.
• Comprehensive benefits package that includes medical, dental & vision on the 1st of the month 30 days after hire.
• Employer contribution of up to 10% of annual pay for your 401K.
• Generous paid time off plus 8 paid holidays!
• Company paid life insurance.
• Join a fast-growing fi eld - employment of medical and health services managers is projected to grow 32 percent from 2020 to 2030, much faster than the average for all occupations.
• Voted 4 years in a row as a Top Workplace of San Diego !

Our Values: Patient-centered I Accountability I Respect I Innovation I Data-Driven

Our Mission: to consistently deliver superior care – Balboa Care – to every patient with kidney disease.

Work Location: Hybrid

• Works out of our Executive Square office in La Jolla, San Diego, CA.
• Eligible for hybrid schedule upon successful completion of onboarding/training. Position is usually in office 2-3days a week, based on business needs.
• Employee must reside within San Diego County, California.

Position Summary:

The Manager of Revenue Cycle reports to the Director of Revenue Cycle Management, and is responsible for planning, coordinating and managing the daily activities of assigned teams including authorizations, claims, payments & credits, medical records, and accounts receivables. The manager works in collaboration to monitor key performance indicators, adjust team priorities, identify risks, and continually improve outcomes.

Pay Range: $80,000 - $90,000/year, with 10% annual bonus

Essential Duties and Responsibilities:

• Oversees day-to-day activities, provides leadership, training, and support while ensuring compliance with policies and procedures.
• Monitors volumes, workqueues, and Key Performance Indicators and adjusts priorities and workflows as necessary to ensure performance metrics are achieved.
• Reviews denials and other issues impacting timely submission and payment and works to improve performance.
• Researches payor policy to ensure proper billing, compliance, and payor/plan setup. Works with EHR vendor to address issues and maintain system.
• Runs reporting, trends, summarizes findings, and implements changes or makes recommendations to improve performance.
• Documents and maintain written standard operating procedures and reference materials.
• Strategizes and implements measures to increase efficiency, reduce costs, and minimize denials and reimbursement delays.
• Demonstrates strong leadership in fostering a collaborative and supportive environment within the team and with other departments both internal and external.
• Supports and actively participates in process improvement initiatives.
• Assists with other duties to support the revenue cycle process and Balboa’s core values.

Required Qualifications:

• High School graduate or equivalent required.
• Five years of current and related experience with oversight of billing and collections operations in a large medical practice, OR a bachelor’s degree in a related area plus 3 years of current and related experience with oversight of billing and collections operations in a large medical practice.
• Thorough and demonstrated knowledge of EPIC EHR in revenue cycle functions.
• Extensive and demonstrated knowledge of Revenue Cycle, Key Performance Indicators and the drivers of high performing revenue cycle teams.
• Experience analyzing trends and adjusting priorities in order to effectively lead to optimal performance and meet Key Performance Indicators.
• Metrics driven with strong analytical skills.
• Ability to effectively supervise and prioritize activities of subordinate staff and to manage complex workflows and multiple priorities involved with billing and/or collections operations.
• Clear communication skills, both oral and written, to be able to effectively manage team and to work with staff, providers, and outside organizations.
• Superb customer service skills.
• Strong proficiency with Microsoft Windows (ability to navigate, create and rename folders, save and organize files), Strong proficiency with Microsoft Office products (Outlook, OneNote, Teams, Excel, Word), proficiency with Adobe PDF. Ability to type 30 words per minute.

Preferred Qualifications:

• 7 Years current experience managing billing and collections for a large medical group practice
• Bachelor’s degree in Business Administration or Healthcare
• Nephrology billing and collections experience
• Six Sigma or other Lean Management certification
• Certification in billing and collections such as HFMA CRCR or CSPPM

Other considerations:

• Background check required
• Travel to other sites located within San Diego County may be required
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
• Supervisory duties – Yes

Language Skills

• While performing duties, the employee is regularly required to talk, hear, read, write, type and respond in English and understand clinical/medical vocabulary written and spoken.

Vision Requirements

Vision requirements include close vision, ability to adjust focus, and see color.

Physical Demands

Physical requirements may vary slightly and should be reviewed with your manager. In general, this position requires the ability to lift up to 35 pounds unassisted; ability to stand for extended periods of time and to perform repetitive stooping, walking, stretching, reaching and some sitting; ability to use full range of body motions required to lift patients, wear a lead apron, and lift and move supplies. Must be able to safely ascend and descend stairs as a core part of the job, with or without reasonable accommodation, when no elevator or lift is present.

Work Environment

Job required tasks routinely involve a potential for mucous membrane or skin contact with blood, body fluids, tissues or potential spills or splashes. Use of appropriate personal protection measures is required for every healthcare provider in these positions. Require to routinely use standard office equipment such as laptop, computer, mouse, and photocopier.

About Balboa United

Beginning in 1973, Balboa has grown from two physicians to a comprehensive nephrology team of 52 board certified physicians and 8 advanced practitioners. On January 1, 2018, Balboa Nephrology Medical Group (BNMG) launched Balboa United, a full-service medical practice management services organization. From one small office, BNMG now has 24 clinical offices throughout San Diego, Imperial, Orange and Riverside counties. In addition to office and hospital-based patient care, Balboa physicians manage the dialysis treatments of approximately 4,500 patients at 88 dialysis centers and conduct Nephrology based clinical research at 6 centers throughout Imperial and San Diego counties (California Institute of Renal Research).

EEO Statement Balboa United is an equal opportunity employer and makes employment decisions on the basis of merit. We want to have the best available person in every job. Our Company policy prohibits unlawful discrimination based on race, color, creed, religion (including religious dress & grooming), sex (including pregnancy, childbirth or related medical conditions), gender (including gender identity and gender expression),marital status, registered domestic partner status, military status, age, national origin or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), genetic information, sexual orientation, or any other basis protected by applicable federal, state, or local law. We also prohibit unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics. The Company is committed to compliance with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee of Balboa United, including managers and co-workers. If you believe you have been subjected to any form of unlawful discrimination, submit a written complaint to your manager or Human Resources (HR). Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your complaint, or if you prefer to make a complaint in person, contact the Company's Human Resources Department. We will immediately undertake an effective, thorough, and objective investigation and attempt to resolve the situation.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Revenue Cycle Manager

Location: 6374 N Lincoln Ave, Chicago, IL 60659

Salary: $80,000–$110,000 (DOE)

Reports To: Chief Financial Officer

Department: Finance

Position Summary:

Midwest Refuah Health Center is seeking an experienced and strategic Revenue Cycle Manager to oversee all billing, coding, collections, and reimbursement operations. This role ensures compliance with FQHC regulations and payer requirements while optimizing revenue cycle performance. The manager will supervise a small billing and coding team and collaborate closely with leadership to improve processes and enhance financial sustainability.

Key Responsibilities:

• Lead end-to-end revenue cycle operations including charge capture, claims, denials, collections, and A/R.
• Supervise billing and coding staff, providing training, support, and performance oversight.
• Ensure compliance with Medicare, Medicaid, commercial insurance, and FQHC billing regulations.
• Monitor KPIs such as denial rates and days in A/R; implement improvements to drive efficiency and cash flow.
• Maintain and update fee schedules and the Sliding Fee Discount Program based on federal guidelines.
• Manage escalated billing inquiries and ensure excellent patient communication.
• Coordinate with leadership on audits, financial planning, and cost reporting.
• Provide training to clinical and front desk staff on documentation and billing practices.
• Stay current with payer rules, billing software, and industry best practices.
• Other duties as assigned

Qualifications:

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field.
• Minimum 5 years of revenue cycle experience across medical, dental, and behavioral health services; 2+ years in a supervisory role. Strong knowledge of Medicaid/Medicare billing and FQHC requirements.
• Proficiency in EHR/billing systems (e.g., eClinicalWorks, EPIC, Athena) and coding standards (ICD-10, CPT, HCPCS).
• Excellent analytical, leadership, and communication skills.
• Certifications such as CRCR, CHFP, CRCP, or CPC preferred.

Benefits:

• Medical, dental, and vision insurance
• 401(k) with employer contribution
• Generous PTO and paid holidays
• Life and disability insurance
• Tuition reimbursement and professional development support

Midwest Refuah Health Center is an equal opportunity employer and Federally Qualified Health Center (FQHC). We encourage candidates passionate about our mission of providing accessible, quality healthcare to apply. The Revenue Cycle Manager will be a key contributor to our team, driving financial sustainability while upholding our commitment to patient care.

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.

Join our team as the expert you are now and create your future.

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.

The Coder-Inpatient provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Organizational business needs may require this coder to also code other outpatient health records.

KEY RESPONSIBILITES:

Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.

• Assigns appropriate code(s) by utilizing coding guidelines established by:

o The Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting

o American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification

o American Health Information Management Association (AHIMA) Standards of Ethical

o Coding

o Revenue Excellence/HM coding procedures and guidelines

• Knows, understands, incorporates, and demonstrates Huron's Vision, and Values in behaviors, practices, and decisions.

• Navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APR DRGs, and identify HACs and PSIs or other indicators that could impact quality data and hospital reimbursement.

• Codes Inpatient health records utilizing encoder software and consistently uses online tools to support the coding process and references to assign ICD codes, MS-DRG, APR DRGs, POA, SOI & ROM indicators.

• Reviews Inpatient health record documentation, as part of the coding process, to assess the presence of clinical evidence/indicators to support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials.

• Works Inpatient claim edits and may code consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios.

• Adheres to the Inpatient coding quality and productivity standards established by the organization.

• Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.

• Utilizes EMR communication tools to track missing documentation or Inpatient queries that require follow-up to facilitate coding in a timely fashion.

• Works with HIM and Patient Financial Services (PFS) teams, when needed, to help resolve billing, claims, denial and appeals issues affecting reimbursement.

• Maintains CEUs as appropriate for coding credentials as required by credentialing associations.

• Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for Inpatient coding e.g., Hospital at Home.

• Identifies, and attempts to problem solve, coding and/or EMR workflow issues that can impact coding.

• Exhibits awareness of health record documentation or other coding ethics concerns. Notifies appropriate leadership for assistance, resolution when appropriate.

• Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

• Performs abstracting of additional data elements.

• Performs other duties as assigned by Leadership.

CORE QUALIFICATIONS:

• Current permanent U.S. Work Authorization required.

• Three (3) years of current acute care or Inpatient coding experience is required.

• Extensive, comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG, APR DRG assignment.

• Must be proficient in identifying POA, SOI and ROM indicators for Inpatient records as well as HACs and PSIs to ensure accurate hospital reimbursement.

• Current experience utilizing encoding/grouping software and Computer Assisted Coding (CAC) is preferred.

• Ability to use a standard desktop/laptop, email and other Windows applications, if needed, Internet and web-based training tools preferred.

• Strong oral and written communication skills. Ability to communicate effectively with individuals and groups representing diverse perspectives.

• Ability to research, analyze and assimilate information from various sources based on technical and experience-based knowledge.

• Must exhibit critical thinking skills, strong problem- solving skills and the ability to prioritize workload.

• Excellent organizational and customer service skills. Ability to perform frequent detailed tasks and provide productivity standard driven results.

• Ability to adapt to change and be flexible with work priorities and interruptions.

• Must be comfortable functioning in a virtual, collaborative, shared leadership environment with minimal supervision and able to exercise independent judgement.

• Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Huron.

PHYSICAL DEMANDS:

• This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.

TECHNICAL QUALIFICATIONS:

• Required Certifications:

• Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Documentation Improvement Practitioner (CDIP)

• Registered Health Information Administrator (RHIA) preferred

• Encoder experience (3M/Solventum, Encoder Pro, Codify) preferred

• Epic experience preferred

• Cerner experience preferred

• Meditech experience preferred

Position Level

Analyst

Country

United States of America

At Huron, we're redefining what a consulting organization can be. We go beyond advice to deliver results that last. We inherit our client's challenges as if they were our own. We help them transform for the future. We advocate. We make a difference. And we intelligently, passionately, relentlessly do great work.together.

Are you the kind of person who stands ready to jump in, roll up your sleeves and transform ideas into action? Then come discover Huron.

Whether you have years of experience or come right out of college, we invite you to explore our many opportunities. Find out how you can use your talents and develop your skills to make an impact immediately. Learn about how our culture and values provide you with the kind of environment that invites new ideas and innovation. Come see how we collaborate with each other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to make a difference in partnership with our clients, shareholders, communities and colleagues.

Huron Consulting Group offers a competitive compensation and benefits package including medical, dental, and vision coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous Paid Time Off policy; and paid parental leave and adoption assistance. Our Wellness Program supports employee total well-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as well as ongoing programs recognizing major events in the lives of our employees throughout the year. All benefits and programs are subject to applicable eligibility requirements.

Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace.

Revenue Cycle Specialist

Cameo Dental Specialists

We are seeking a detail-oriented and motivated Revenue Cycle Specialist to join our team. Under the direction of the Revenue Cycle Supervisor, the Revenue Cycle Specialist is responsible for a variety of revenue cycle functions, including charge entry, payment posting, A/R follow-up, and denials management in accordance with the center's policies and procedures. This role plays a key part in ensuring accurate financial processes, timely reimbursements, and overall operational efficiency.

Schedule: Full Time at our LaGrange location

• Liaise with insurance providers to clarify patients' coverage and resolve disputes regarding rejected claims

• Thoroughly read and interpret EOBs to identify payment discrepancies

• Review and manage aging reports for assigned payors

• Communicate new or revised billing and coding guidelines to providers and their assigned specialties

• Make appropriate changes to incorrectly billed services, add missing unbilled services, provide missing data as needed, and correct CDT codes

• Confirm that the correct fee schedule is applied

• Collaborate with other operational areas to provide coding and reimbursement assistance; help identify and resolve incorrect claim issues; assist with drafting appeal letters as needed

• Post insurance payments and apply appropriate contractual write-offs

• Analyze and resolve complex accounts

• Communicate with patients regarding co-payments, insurance shortfalls, outstanding balances, and related billing issues

• Understand and explain dental and medical insurance plan benefits

• Effectively communicate with general dental offices, insurance companies, patients, and others regarding insurance benefits and procedure-related costs

• Handle multiple assignments and tasks simultaneously

Additional responsibilities may be assigned as needed

Requirements:

• High school diploma or equivalent

• Two years experience in billing/collections within a healthcare or dental setting

Preferred:

• Knowledge of dental and/or oral surgery operations

We Offer

• Competitive Compensation
• Benefits Package: Medical, Dental, Vision, 401K, Flexible Spending Accounts, Paid Time Off, Paid Holidays and much more!

Specialized Dental Partners, its affiliates, related companies and independently owned supported clinical practices are proud to be Equal Opportunity Employers. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

The salary range for this role is $23-$25 per hour. At Specialized Dental Partners, its affiliates, related companies and independently owned supported clinical practices, we are committed to ensuring fair and equitable pay for all employees. We adhere to all applicable federal, state, and local laws regarding pay equity and non-discrimination. Our compensation practices are designed to ensure that employees are paid fairly based on their role, experience, performance, and contributions to the company, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. We regularly review our compensation practices and conduct pay equity audits to identify and address any disparities. By fostering a culture of transparency and fairness, we aim to create an inclusive workplace where all employees feel valued and respected.

#LI-DNI

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