1,159 Healthcare Billing jobs in the United States

Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, Amazon One Medical

California, California Amazon

Posted 2 days ago

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Job Description

Description
As we continue to expand and transform the primary care experience, we're looking for passionate people to help manage our patient inquiries, using CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist, you'll execute our mission of delivering high-quality care and service. Specifically, you'll take patient phone calls and handle patient conversations to deliver world class care.
You are a strong and innovative problem-solver, who is driven to help people. You have mastered the art of customer-service, administrative work and are motivated to cultivate change in healthcare. You are currently looking for your next opportunity at an organization that is transforming healthcare we would love to connect.
Key job responsibilities
Handle patient phone calls and message inquiries, de-escalate issues, ensure patient satisfaction, and assist with navigating healthcare needs including insurance, billing, medical records, authorizations, and referrals, using impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all interactions to ensure a positive experience.
Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions.
Proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support One Medical's efforts to empower patients in resolving financial responsibilities, and maintain service level agreements in response time to admins and patients.
Assisting admins with our member's billing needs via 1Life's tasking system to provide the best customer service.
Investigating claims through insurance to ensure they were processed according to the patient benefit plan, including Reviewing and reconciling patient and insurance balances for accuracy.
Master our technology suite including but not limited to RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, to be able to interact with team members and patients and complete daily work.
Contribute to team development through rounding, attending team huddles, participating in team problem solving, supporting all in-office providers with urgent & stat patient needs.
Key job responsibilities
A phone customer service healthcare associate for patient billing inquiries at One Medical plays a crucial role in ensuring patient satisfaction and maintaining clear communication regarding financial matters. Key responsibilities include answering incoming calls professionally and efficiently, addressing patients' billing questions and concerns with empathy and accuracy. The associate must have a thorough understanding of medical billing practices, insurance policies, and One Medical's specific billing procedures to provide detailed explanations of charges, co-pays, and deductibles. They are expected to research and resolve billing discrepancies, process payments, and assist with setting up payment plans when necessary. The role requires strong problem-solving skills to navigate complex billing situations and the ability to clearly communicate financial information to patients and deescalate when necessary. Additionally, the associate must maintain patient confidentiality, adhere to HIPAA regulations, and accurately document all interactions in the company's customer relationship management system. They should also be able to escalate complex issues to appropriate departments when needed and follow up with patients to ensure resolution. Excellent customer service skills, attention to detail, and the ability to remain calm under pressure are essential for success in this position.
A day in the life
In this role, you'll handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims, and payment inquiries. Daily activities include reviewing patient accounts, processing payments, explaining EOBs, and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. The role requires documenting all interactions in the electronic health record system and following up on pending issues.
About the team
Amazon One Medical's call center team combines healthcare expertise with Amazon's customer-obsessed culture to deliver exceptional patient support. Our team has focused on making healthcare more accessible and less complicated for members. We handle billing inquiries with empathy and efficiency. Our culture emphasizes leadership principles of ownership and continuous improvement, supported by ongoing training and development. Team members work in a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.
Basic Qualifications
2+ years of customer service experience in a call center environment
1+ years with medical billing, insurance claims, or healthcare revenue cycle
Demonstrated proficiency in Microsoft Office Suite
Experience using electronic health records (EHR) or customer relationship management (CRM) systems
Knowledge of HIPAA compliance and healthcare privacy regulations
High school diploma or equivalent
Preferred Qualifications
Spanish Speaking
Ability to work various shifts
Strong problem-solving and documentation skills
Ability to type 45+ WPM while maintaining accuracy
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $31,200/year in our lowest geographic market up to $50,000/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit . This position will remain posted until filled. Applicants should apply via our internal or external career site.
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Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, Amazon One Medical

Arizona, Arizona Amazon

Posted 2 days ago

Job Viewed

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Job Description

Description
As we continue to expand and transform the primary care experience, we're looking for passionate people to help manage our patient inquiries, using CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist, you'll execute our mission of delivering high-quality care and service. Specifically, you'll take patient phone calls and handle patient conversations to deliver world class care.
You are a strong and innovative problem-solver, who is driven to help people. You have mastered the art of customer-service, administrative work and are motivated to cultivate change in healthcare. You are currently looking for your next opportunity at an organization that is transforming healthcare we would love to connect.
Key job responsibilities
Handle patient phone calls and message inquiries, de-escalate issues, ensure patient satisfaction, and assist with navigating healthcare needs including insurance, billing, medical records, authorizations, and referrals, using impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all interactions to ensure a positive experience.
Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions.
Proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support One Medical's efforts to empower patients in resolving financial responsibilities, and maintain service level agreements in response time to admins and patients.
Assisting admins with our member's billing needs via 1Life's tasking system to provide the best customer service.
Investigating claims through insurance to ensure they were processed according to the patient benefit plan, including Reviewing and reconciling patient and insurance balances for accuracy.
Master our technology suite including but not limited to RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, to be able to interact with team members and patients and complete daily work.
Contribute to team development through rounding, attending team huddles, participating in team problem solving, supporting all in-office providers with urgent & stat patient needs.
Key job responsibilities
A phone customer service healthcare associate for patient billing inquiries at One Medical plays a crucial role in ensuring patient satisfaction and maintaining clear communication regarding financial matters. Key responsibilities include answering incoming calls professionally and efficiently, addressing patients' billing questions and concerns with empathy and accuracy. The associate must have a thorough understanding of medical billing practices, insurance policies, and One Medical's specific billing procedures to provide detailed explanations of charges, co-pays, and deductibles. They are expected to research and resolve billing discrepancies, process payments, and assist with setting up payment plans when necessary. The role requires strong problem-solving skills to navigate complex billing situations and the ability to clearly communicate financial information to patients and deescalate when necessary. Additionally, the associate must maintain patient confidentiality, adhere to HIPAA regulations, and accurately document all interactions in the company's customer relationship management system. They should also be able to escalate complex issues to appropriate departments when needed and follow up with patients to ensure resolution. Excellent customer service skills, attention to detail, and the ability to remain calm under pressure are essential for success in this position.
A day in the life
In this role, you'll handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims, and payment inquiries. Daily activities include reviewing patient accounts, processing payments, explaining EOBs, and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. The role requires documenting all interactions in the electronic health record system and following up on pending issues.
About the team
Amazon One Medical's call center team combines healthcare expertise with Amazon's customer-obsessed culture to deliver exceptional patient support. Our team has focused on making healthcare more accessible and less complicated for members. We handle billing inquiries with empathy and efficiency. Our culture emphasizes leadership principles of ownership and continuous improvement, supported by ongoing training and development. Team members work in a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.
Basic Qualifications
2+ years of customer service experience in a call center environment
1+ years with medical billing, insurance claims, or healthcare revenue cycle
Demonstrated proficiency in Microsoft Office Suite
Experience using electronic health records (EHR) or customer relationship management (CRM) systems
Knowledge of HIPAA compliance and healthcare privacy regulations
High school diploma or equivalent
Preferred Qualifications
Spanish Speaking
Ability to work various shifts
Strong problem-solving and documentation skills
Ability to type 45+ WPM while maintaining accuracy
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $31,200/year in our lowest geographic market up to $50,000/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit . This position will remain posted until filled. Applicants should apply via our internal or external career site.
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Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, Amazon One Medical

98194 Seattle, Washington Amazon

Posted 17 days ago

Job Viewed

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Job Description

Description
As we continue to expand and transform the primary care experience, we're looking for passionate people to help manage our patient inquiries, using CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist, you'll execute our mission of delivering high-quality care and service. Specifically, you'll take patient phone calls and handle patient conversations to deliver world class care.
You are a strong and innovative problem-solver, who is driven to help people. You have mastered the art of customer-service, administrative work and are motivated to cultivate change in healthcare. You are currently looking for your next opportunity at an organization that is transforming healthcare we would love to connect.
Key job responsibilities
Handle patient phone calls and message inquiries, de-escalate issues, ensure patient satisfaction, and assist with navigating healthcare needs including insurance, billing, medical records, authorizations, and referrals, using impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all interactions to ensure a positive experience.
Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions.
Proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support One Medical's efforts to empower patients in resolving financial responsibilities, and maintain service level agreements in response time to admins and patients.
Assisting admins with our member's billing needs via 1Life's tasking system to provide the best customer service.
Investigating claims through insurance to ensure they were processed according to the patient benefit plan, including Reviewing and reconciling patient and insurance balances for accuracy.
Master our technology suite including but not limited to RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, to be able to interact with team members and patients and complete daily work.
Contribute to team development through rounding, attending team huddles, participating in team problem solving, supporting all in-office providers with urgent & stat patient needs.
Key job responsibilities
A phone customer service healthcare associate for patient billing inquiries at One Medical plays a crucial role in ensuring patient satisfaction and maintaining clear communication regarding financial matters. Key responsibilities include answering incoming calls professionally and efficiently, addressing patients' billing questions and concerns with empathy and accuracy. The associate must have a thorough understanding of medical billing practices, insurance policies, and One Medical's specific billing procedures to provide detailed explanations of charges, co-pays, and deductibles. They are expected to research and resolve billing discrepancies, process payments, and assist with setting up payment plans when necessary. The role requires strong problem-solving skills to navigate complex billing situations and the ability to clearly communicate financial information to patients and deescalate when necessary. Additionally, the associate must maintain patient confidentiality, adhere to HIPAA regulations, and accurately document all interactions in the company's customer relationship management system. They should also be able to escalate complex issues to appropriate departments when needed and follow up with patients to ensure resolution. Excellent customer service skills, attention to detail, and the ability to remain calm under pressure are essential for success in this position.
A day in the life
In this role, you'll handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims, and payment inquiries. Daily activities include reviewing patient accounts, processing payments, explaining EOBs, and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. The role requires documenting all interactions in the electronic health record system and following up on pending issues.
About the team
Amazon One Medical's call center team combines healthcare expertise with Amazon's customer-obsessed culture to deliver exceptional patient support. Our team has focused on making healthcare more accessible and less complicated for members. We handle billing inquiries with empathy and efficiency. Our culture emphasizes leadership principles of ownership and continuous improvement, supported by ongoing training and development. Team members work in a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.
Basic Qualifications
2+ years of customer service experience in a call center environment
1+ years with medical billing, insurance claims, or healthcare revenue cycle
Demonstrated proficiency in Microsoft Office Suite
Experience using electronic health records (EHR) or customer relationship management (CRM) systems
Knowledge of HIPAA compliance and healthcare privacy regulations
High school diploma or equivalent
Preferred Qualifications
Spanish Speaking
Ability to work various shifts
Strong problem-solving and documentation skills
Ability to type 45+ WPM while maintaining accuracy
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $31,200/year in our lowest geographic market up to $50,000/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit . This position will remain posted until filled. Applicants should apply via our internal or external career site.
View Now

Customer Service Specialist - Healthcare Billing, Revenue Cycle Management, Amazon One Medical

98507 Tanglewilde, Washington Amazon

Posted 17 days ago

Job Viewed

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Job Description

Description
As we continue to expand and transform the primary care experience, we're looking for passionate people to help manage our patient inquiries, using CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist, you'll execute our mission of delivering high-quality care and service. Specifically, you'll take patient phone calls and handle patient conversations to deliver world class care.
You are a strong and innovative problem-solver, who is driven to help people. You have mastered the art of customer-service, administrative work and are motivated to cultivate change in healthcare. You are currently looking for your next opportunity at an organization that is transforming healthcare we would love to connect.
Key job responsibilities
Handle patient phone calls and message inquiries, de-escalate issues, ensure patient satisfaction, and assist with navigating healthcare needs including insurance, billing, medical records, authorizations, and referrals, using impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all interactions to ensure a positive experience.
Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing issues and questions.
Proactively reach out to patients with open balances to assist with payment options, educate admins and patients on health insurance benefits, answer complex billing inquiries, resolve payment processing issues, support One Medical's efforts to empower patients in resolving financial responsibilities, and maintain service level agreements in response time to admins and patients.
Assisting admins with our member's billing needs via 1Life's tasking system to provide the best customer service.
Investigating claims through insurance to ensure they were processed according to the patient benefit plan, including Reviewing and reconciling patient and insurance balances for accuracy.
Master our technology suite including but not limited to RingCentral, Slack, G-suite, Zoom, and our Electronic Medical Record System 1Life, to be able to interact with team members and patients and complete daily work.
Contribute to team development through rounding, attending team huddles, participating in team problem solving, supporting all in-office providers with urgent & stat patient needs.
Key job responsibilities
A phone customer service healthcare associate for patient billing inquiries at One Medical plays a crucial role in ensuring patient satisfaction and maintaining clear communication regarding financial matters. Key responsibilities include answering incoming calls professionally and efficiently, addressing patients' billing questions and concerns with empathy and accuracy. The associate must have a thorough understanding of medical billing practices, insurance policies, and One Medical's specific billing procedures to provide detailed explanations of charges, co-pays, and deductibles. They are expected to research and resolve billing discrepancies, process payments, and assist with setting up payment plans when necessary. The role requires strong problem-solving skills to navigate complex billing situations and the ability to clearly communicate financial information to patients and deescalate when necessary. Additionally, the associate must maintain patient confidentiality, adhere to HIPAA regulations, and accurately document all interactions in the company's customer relationship management system. They should also be able to escalate complex issues to appropriate departments when needed and follow up with patients to ensure resolution. Excellent customer service skills, attention to detail, and the ability to remain calm under pressure are essential for success in this position.
A day in the life
In this role, you'll handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims, and payment inquiries. Daily activities include reviewing patient accounts, processing payments, explaining EOBs, and coordinating with internal stakeholders such as medical billing specialists, insurance verification teams, and healthcare providers to resolve billing discrepancies. You'll solve problems like incorrect charges, insurance claim rejections, payment plan requests, and billing confusion. Regular communication with insurance companies to verify benefits and claim status is essential. The role requires documenting all interactions in the electronic health record system and following up on pending issues.
About the team
Amazon One Medical's call center team combines healthcare expertise with Amazon's customer-obsessed culture to deliver exceptional patient support. Our team has focused on making healthcare more accessible and less complicated for members. We handle billing inquiries with empathy and efficiency. Our culture emphasizes leadership principles of ownership and continuous improvement, supported by ongoing training and development. Team members work in a diverse, inclusive environment where success is measured by positive patient impact while maintaining the highest standards of healthcare privacy and professionalism.
Basic Qualifications
2+ years of customer service experience in a call center environment
1+ years with medical billing, insurance claims, or healthcare revenue cycle
Demonstrated proficiency in Microsoft Office Suite
Experience using electronic health records (EHR) or customer relationship management (CRM) systems
Knowledge of HIPAA compliance and healthcare privacy regulations
High school diploma or equivalent
Preferred Qualifications
Spanish Speaking
Ability to work various shifts
Strong problem-solving and documentation skills
Ability to type 45+ WPM while maintaining accuracy
Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.
Los Angeles County applicants: Job duties for this position include: work safely and cooperatively with other employees, supervisors, and staff; adhere to standards of excellence despite stressful conditions; communicate effectively and respectfully with employees, supervisors, and staff to ensure exceptional customer service; and follow all federal, state, and local laws and Company policies. Criminal history may have a direct, adverse, and negative relationship with some of the material job duties of this position. These include the duties and responsibilities listed above, as well as the abilities to adhere to company policies, exercise sound judgment, effectively manage stress and work safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the Los Angeles County Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit for more information. If the country/region you're applying in isn't listed, please contact your Recruiting Partner.
Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $31,200/year in our lowest geographic market up to $50,000/year in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. Amazon is a total compensation company. Dependent on the position offered, equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information, please visit . This position will remain posted until filled. Applicants should apply via our internal or external career site.
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Healthcare Billing Customer Service Representative

21117 Owings Mills, Maryland System One

Posted 16 days ago

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Job Description

Job Title: Billing Specialist
Location: Owings Mills, MD
Type: Contract
Compensation: $23.50/HR
Contractor Work Model: Onsite
Hours: Core business hours (M-F)
Job Summary
ALTA IT Services is hiring on behalf of a leading health insurance client. We are seeking a detail-oriented and experienced Healthcare Billing Customer Service Representative to join our team. This role involves managing complex billing issues, reconciling patient accounts, verifying insurance information, and supporting internal and external stakeholders. The ideal candidate must have strong experience in customer service and account reconciliation within a healthcare or insurance setting.
Onsite: Owing Mills, MD
Pay: $23.50/HR
Key Responsibilities
+ Serve as the primary point of contact for patients, insurance carriers, and internal departments regarding complex billing and collection issues.
+ Research and resolve billing inquiries via phone and written communication.
+ Review and validate billing forms for completeness and accuracy prior to submission to insurance payors.
+ Reconcile accounts receivable and ensure timely posting of payments to maximize revenue.
+ Verify patient insurance eligibility, referral, and authorization details as needed.
+ Ensure that all insurance, demographic, and eligibility information is accurately entered into the system.
+ Support the preparation of monthly billing reports and account aging summaries.
+ Comply with HIPAA guidelines and all relevant federal, state, and company regulations and procedures.
+ Identify and recommend process improvements to enhance billing workflows and customer satisfaction.
Qualifications
Required:
+ High School Diploma or GED
+ Minimum 1 years of experience in healthcare billing, reconciliation, customer service, claims operations, or finance
+ Proven experience handling account reconciliation in a healthcare or insurance environment
+ Strong customer service skills with the ability to manage challenging inquiries
Skills & Competencies
+ Proficient in Microsoft Office Suite (Excel, Outlook, Word)
+ Strong analytical and problem-solving skills
+ Excellent written and verbal communication abilities
+ Ability to work in a fast-paced environment with frequent changes in priorities
+ Strong attention to detail and organizational skills
+ Ability to meet deadlines and service expectations
System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
#M2
Ref: #855-IT Baltimore
System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
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Mainframe COBOL - JCL Developer (Healthcare Billing)

12237 Albany, New York InterSources

Posted 14 days ago

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Job Description

Mainframe COBOL - JCL Developer (Healthcare Billing)
Location: Albany, NY 12229
Duration: 2- 3 years Contract Position

Requirements
  • 84 Months Experience developing and maintaining mainframe batch programs using IBM COBOL to add, modify, process data in a mainframe database management system such as CA-IDMS
  • 84 Months Experience with developing/ maintaining a billing system(s) that bills Medicare, Medicaid, & commercial insurance for services rendered
  • 84 Months Experience working with Electronic Data Interchange (EDI) Health Insurance transactions. This includes but is not limited to the 837& 835 transactions
  • 84 Months Experience with IBM JCL utilizing utilities such as IDCAMS, IEBGENER, IEFBR14, SORT, etc.
  • 60 months Experience working with PHI and HIPAA in a complex health related organization.
  • 12 months Experience encrypting data with mainframe ASPG MegaCryption in an IBM zOS environment.
  • 36 months Experience with ORACLE performing functions such as writing complex queries, creating packages, stored procedures, functions, & tables.
Responsibilities
Daily Tasks will include but are not limited to the following:
  • Execute full software development life cycle (SDLC)
  • Use IBM COBOL, JCL, CA-IDMS, CA-ADS to develop/maintain batch/online applications in an IBM z/OS environment. Perform analysis, design, coding, and testing of changes based on State/Federal mandates or requests from the Client State Operations Finance Group.
  • Support billing of Medicare, Medicaid, Third Party Health Insurance (TPHI), & individuals (private parties). Monitor batch production jobs, analyze results, and address any aborts/system failures as needed. Diagnose and debug production issues reported via ITSM.
  • Prepare database scripts for the purpose of creating/modifying Oracle tables, packages, stored procedures, indexes, constraints, triggers, etc .
  • Maintain/support multiple batch based data feeds/exchanges between Oracle and IDMS environments.
  • Maintain/support encryption of mainframe data as needed using ASPG MegaCryption.
  • Work with members of the Billing unit, DBA unit, and the office for Information Technology Services to migrate batch and online application changes to the QA and Production platforms following standard migration procedures.
  • Work with business owners, users, and technical support staff to identify changes that are needed and the solution for implementing them.
  • Mentor and assist other programmers, both state and consultant, providing guidance for debugging, troubleshooting, securing and deploying applications, data access, data communications and system architecture configurations.
  • Report status of current tasks and outstanding issues to supervisor.
If you are interested in this exciting opportunity, please submit your updated resume to or Contact (

About Us:
InterSources Inc. is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. We make reasonable accommodations for clients and employees, and we do not discriminate based on any protected attribute including race, religion, color, national origin, gender sexual orientation, gender identity, age, or marital status. We also are a Google Cloud and Oracle partner company
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Senior Corporate Compliance Consultant- Healthcare Billing

75219 Dallas, Texas Baylor Scott & White Health

Posted 1 day ago

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Job Description

**JOB SUMMARY**
The Hospital or Professional Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations.
**ESSENTIAL FUNCTIONS OF THE ROLE**
This position will be supporting one area of compliance:
**_Hospital or Professional Billing Compliance_**
· Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs.
· Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions.
· Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way.
· Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and entities on compliance matters.
**KEY SUCCESS FACTORS**
· Continually demonstrates initiative by learning business processes and applicable auditing techniques.
· Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity.
· Excellent written and oral communication skills based on level of expertise.
· Proficient in Microsoft Word and Excel.
· Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred.
**BENEFITS**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Immediate eligibility for health and welfare benefits
+ 401(k) savings plan with dollar-for-dollar match up to 5%
+ Tuition Reimbursement
+ PTO accrual beginning Day 1
Note: Benefits may vary based on position type and/or level
**QUALIFICATIONS**
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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Revenue Cycle Manager

90899 Long Beach, California Children's Clinic

Posted 6 days ago

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Job Description

About the Role:

The Revenue Cycle Manager plays a critical role in overseeing and optimizing the revenue cycle process to ensure financial stability and compliance by implementing and enforcing policies and procedures, managing billing support staff under the direction of the Revenue Cycle Director.

This position is responsible for managing billing, coding, and AR clerks, and collections to maximize revenue capture while minimizing denials and delays. The manager will lead a team of revenue cycle professionals, providing guidance, training, and performance management to drive operational excellence. Collaboration with clinical, administrative, and financial departments is essential to streamline workflows and implement best practices. Ultimately, this role ensures that the organization maintains a healthy cash flow and meets regulatory requirements, supporting the delivery of quality patient care.

Minimum Qualifications:
  • Bachelor's degree in Healthcare Administration, Business, or a related field.
  • Minimum of 3-5 years of experience in healthcare revenue cycle management or related financial operations in organization of 300 or more employees
  • Proficiency in CalAim Enhanced Care Management (ECM, CPSP and Dental billing preferred.
  • Ability to manage difficult or emotional customer instances
  • Strong verbal and written communication skills
  • Proficiency with electronic health record (EHR) systems and revenue cycle management software.
  • Demonstrated leadership experience managing teams in a healthcare or financial environment.
  • Shows respect and sensitivity for cultural differences
  • Bilingual in English and Spanish preferred
  • Knowledge of Practice Management Software, EPIC preferred
  • Ability to handle fluctuating volumes of work and be able to prioritize work to meet deadlines
Preferred Qualifications:
  • Experience working within a community health center or similar healthcare setting.
  • Advanced knowledge of healthcare regulations including HIPAA, Medicare, and Medicaid billing requirements.
  • Familiarity with data analytics tools and financial reporting software.
  • Master's degree in Healthcare Administration or Business Administration.
Responsibilities:
  • Manage a team of Billing Clerks, Specialty Billers, AR Clerks and Medical Coders. Provide leadership and support as needed
  • Manage and implement revenue cycle processes
  • Analyze and report on revenue cycle activities
  • Support various business strategies through effective revenue cycle management
  • Manage key performance Indicators (KPIs) related to revenue cycle activities
  • Identify opportunities to improve billing efficiency and accuracy and implement strategies to achieve these goals
  • Monitors A/R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate steps toward resolution using professional judgment
  • Collaborate with clinical and administrative teams to address billing and coding challenges and optimize patient financial experience.
  • Ensure adherence to HIPAA and other regulatory requirements related to patient information and billing practices.

Skills:

The Revenue Cycle Manager utilizes strong analytical skills daily to assess financial data and identify opportunities for revenue enhancement and process improvement. Effective communication skills are essential for collaborating with cross-functional teams, negotiating with payers, and leading staff. Leadership and team management skills are applied to motivate and develop the revenue cycle team, ensuring alignment with organizational goals. Proficiency in healthcare billing systems and coding standards enables accurate oversight of claims processing and compliance. Additionally, problem-solving skills are critical for resolving complex billing issues and adapting to regulatory changes in the healthcare industry.
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Revenue Cycle Manager

32806 Orlando, Florida Devereux Advanced Behavioral Health

Posted today

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Job Description

**Description**
_Are you someone who is inspired by helping others reach their potential? Join Devereux as a Revenue Cycle Manager!_
We are seeking a dynamic, positive Revenue Cycle Manager who embodies the company's servant leadership principles and values and is inspired by ensuring that our operations run flawlessly so we can continually change lives for the better!
Located in Orlando, FL the Revenue Cycle Manager will be responsible for monitoring and reporting on accounts receivable activities for the Devereux Florida Center.Primary Responsibilities:
+ Supervising the Revenue cycle department in various duties, such as account management, communications with insurance providers, collections, cash posting, contract analysis, and billing.
+ Proficient in all Microsoft Office applications as well as Electronic Health Record software. Excel skills using pivot tables, charts, graphs and tables for data analysis.
+ Ensure accurate billing and claims submission for Medicaid, Managed Care, and other third-party payors
+ Hiring and training staff.
+ Managing staff performance by providing regular feedback, performance reviews, and one-on-one meetings.
+ Monitor outstanding receivables and pursue timely collections.
+ Resolve denied or rejected claims, working closely with payors to ensure proper adjudication
+ Validate rate changes against contractual agreements prior to billing.
+ Maintain documentation and adhere to compliance requirements
**Position Details:**
**Salary:** **_Ranges from $63,000 - 71,820 / annual_** (rate is based on education and relevant experience)
**Schedule: Full time position;** **_Monday-Friday 9am-5pm_**
**Location** **_: hybrid; in office days by the Orlando International airport_**
**Benefits and Rewards**
**We strive to create an inclusive environment, and retain the talented employees who make our organization a great place to work. We offer:**
+ **Paid time off** (24 days per year, increase with years of service); **Sick time** (64 hours per year)
+ **Retirement** - 403(b) through TIAA
+ **Quality Low-Cost Benefits** (medical, dental, vision), pet insurance, plus student loan debt assistance and 30-day benefit eligibility waiting period for new hires! **ASCEND - Tuition Program** You deserve to work somewhere that gives back to you! Devereux is proud to offer ASCEND - the first career accelerator program exclusively designed to give behavioral healthcare workers - the career guidance, one-on-one coaching, skills and financial assistance you need to reach your full potential. This program includes 100% of tuition covered (up to $5k reimbursed annually for undergraduate and 25k reimbursed annually for graduate)! Learn morehere.
+ **ASCEND - Student Loan Repayment -** Let Devereux help pay back your student loans with student loan repayment! Learn more **here.**
+ **Free access to Payactiv** , a platform to get a portion of your earned wages between pay periods
+ **Employee Assistance Program and Employee Discounts** - Available the first day of employment through Carebridge
+ **Service Awards** - All employees celebrating a five-year increment (5, 10, 15, etc.) anniversary receive taxable compensation in recognition of their long-term commitment to Devereux.
#sponsored
**Qualifications**
**Education:**
+ Bachelor's degree in Finance, Business or related degree _required_
+ 5+ yearsof experience in Accounts Receivables _required_ ( preferably in a healthcare or behavioral health setting)
**Experience:**
+ Prior supervisory or management experience _preferred_
+ Knowledge of Florida Medicaid, Florida Managed Care Plans, and third-party payer systems
+ Familiarity with regulatory and compliance requirements
+ Understanding of Local and Federal billing requirements per Medicaid, CMS, etc.
**Other:**
+ Valid driver's license _required_
+ Successfully pass pre-employment medical screenings which include: Drug Screen.
**Posted Date** _2 weeks ago_ _(8/12/2025 8:57 AM)_
**_Requisition ID_** _2025-45899_
**_Category_** _Finance_
**_Position Type_** _Full-Time_
The employment policies of Devereux Advanced Behavioral Health are to recruit and hire qualified employees without discrimination because of race, religion, creed, color, age, sex, marital status, national origin, citizenship status, ancestry, disability, veteran status, communication ability, gender identity or expression or sexual orientation and to treat them equally with respect to compensation and opportunities for advancement - including upgrading, promotion and transfer - consistent with individual skills and the needs of Devereux.
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Revenue Cycle Intern

60684 Chicago, Illinois Rush University Medical Center

Posted 1 day ago

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Job Description

**Job Description**
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: Revenue Cycle
**Work Type:** Part Time (Total FTE between 0.5 and 0.89)
**Shift:** Shift 1
**Work Schedule:** 4 Hr (12:00:00 PM - 4:00:00 PM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page ( Range:** $10.00 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
**Summary:**
The Revenue Cycle Student Intern will be responsible for supporting operations and projects related to revenue cycle functions. This includes, but is not limited to front, middle and back end revenue cycle as well as improvement of revenue cycle operations. The role will provide exposure financial operations at Rush across multiple departments. The ideal candidate will be motivated, organized, and driven to learn. Exemplifies the Rush mission, vision and ICARE values and acts in accordance with Rush policies and procedures.
**Other information:**
**Required Job Qualifications:**
- General knowledge of health care organizations; medical terminology, data analysis and Epic.
- Proficient with computer applications; experience with Microsoft Suite preferred; excellent written and
oral communication skills and interpersonal skills; excellent organizational and time management skills.
- Must be able to work independently and efficiently; possess strong analytic and interpersonal skills; ability to work
with a team of professionals.
**Preferred Job Qualifications:**
- Epic experience/training
**Physical Demands:**
**Competencies:**
**Disclaimer:** The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
**Responsibilities:**
1. Assist revenue cycle in completing normal functions as individual skillset allows: greeting patients, processing paper claims, managing paper correspondence, working work queues and other revenue cycle duties as assigned.
2. Performs administrative functions such as scheduling meetings, drafting meeting minutes, monitoring project.
3. Conducts research on revenue cycle topics.
4. Collects and analyzes data related to revenue cycle.
5. Assists with implementation of revenue cycle projects.
6. Rotates among revenue cycle areas to gain hands-on experience.
7. Prepares written and oral reports, presentations, and newsletters that communicate necessary information.
8. Performs related duties as assigned.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
**Position** Revenue Cycle Intern
**Location** US:IL:Chicago
**Req ID** 20528
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