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The University of California, Irvine, has a Billing Manager career opportunity in the School of Medicine, Physicians Billing Group (PBG).

The incumbent serves as the principal billing manager for assigned department(s)/division(s). This position is responsible for the complex and comprehensive management, analysis, organizational development and education of all activities related to professional fee billing and collections for PBG and clients. Essential to this position is a comprehensive understanding of all patient care services, registration and scheduling, billing activity and financial reporting in adherence to University guidelines. Responsible for managing, analyzing and overseeing all the daily operations of the billing units, including but not limited to: registration, batching, coding, charge entry, collections, audits and reporting. Responsible for the development, implementation and quality assurance of all policies and procedures as they relate to PBG operations to provide maximum efficiency and reimbursement. Effective communication of billing issues and trends between PBG and the respective assigned departments as well as the various internal units of PBG. UCI offers excellent benefits including a minimum of 3 weeks vacation per year.

University Physicians, the Faculty Practice for University of Mississippi Medical Center is seeking an Associate Director-Physician Revenue Cycle to join our Central Billing Office (CBO) team. With nearly 500 providers, University Physicians is the largest group practice in the State of Mississippi. This key position manages daily operations of the CBO with a focus on managing the insurance follow-up teams. The Associate Director is an integral part of the revenue cycle management team reporting to the Director of Physician Revenue Cycle.The Associate Director is responsible for hiring, training and retaining the best insurance follow-up staff. The Associate Director is also responsible for building payor relations, and resolving outstanding payor issues. Candidates must possess a Bachelors degree. The ideal candidate will have in-depth knowledge of large group physician billing and collections, insurance contracting, payment analysis and denial management practices. A strong, proven track record in a large physician group revenue cycle setting is highly desirable. Academic experience is a plus.

A growing Multispecialty and Rural Health Medical Practice in Southern Illinois (over 40 providers) is seeking a Revenue Cycle Manager.

This is a critical position that reports directly to the Director of Finance for the physician organization. Candidate will be a strategic thinker and be responsible for managing, directing and supervising coding, data entry, billing, insurance follow-up, denial management and cash processing functions. Must possess the ability to work with the clinical and operational management teams to maintain controls over charge entry and point-of-service data integrity and identify improvement opportunities for the revenue cycle. Bachelors degree and Next Gen experience preferred with at least five years of experience managing a Medical Practice business office and a proven track record of successful revenue cycle management.

OmniClaim is a leader and innovator in healthcare cost containment. A privately held, rapidly growing entrepreneurial company, OmniClaim provides a wide range of pre- and post-payment cost containment services, all designed to ensure that its clients are not overpaying on claims. With an impressive, blue-chip client list which includes many of the nation´s largest and most well known insurers, OmniClaims disciplined approach, e-Business strategy and proprietary programs are saving healthcare payors millions of dollars every month. For more information see www.omniclaim.com OmniClaims Data Mining program is designed to ensure that all claims have been paid properly and in accordance with contract terms. Leveraging proprietary software, OmniClaim identifies a wide range of overpayments, including duplicate payments, retro-terminations, misapplied contract terms, violations of payment policies, and COB issues. Their tremendous success in Data Mining presents an opportunity for a dynamic and entrepreneurial leader who, as Director of Data Mining can take the program to new levels. Growing this division creates an additional opportunity for OmniClaim clients to recognize additional savings which would otherwise remain on the table.The right candidate for Director of Data Mining will have a background incorporating claims management for a major hospital, or perhaps cost containment for a health insurer or HMO, with an understanding of data mining and/or overpayment detection. Promising, high caliber candidates with other types of background will be considered. Strong analytical skills are essential; he or she should be comfortable working with complex algorithms and very large data sets. A track record of success in client relationships and project management is important. The Director of Data Mining must be someone with solid managerial skills who can lead, motivate, educate and grow a workforce. He or she is a relationship-builder with strong people skills, and is motivated by providing exceptional service to clients.

Omniclaim seeks Director of Overpayment Recovery

OmniClaim is a leader and innovator in healthcare cost containment, providing a wide range of pre- and post-payment cost containment services, all designed to ensure that its clients are not overpaying on claims. OmniClaim boasts an impressive, blue-chip client list that includes many of the nation´s largest and most well known insurers. As the industry leader in healthcare cost containment, OmniClaim´s disciplined approach, e-Business strategy and proprietary programs are saving healthcare payors millions of dollars every month. OmniClaim is led by a highly experienced management team with extensive backgrounds in healthcare. For more information see www.omniclaim.com Leveraging proprietary software in all their divisions DRG Validation, Implantable Audit, Data Mining, Carve-out or Hospital Bill Audits -- OmniClaim identifies a wide range of overpayments made by their insurance company clients. Overpayment Recovery is a natural extension of the cost containment services provided by OmniClaim, adding more value to their clients. The Director of Overpayment Recovery is a newly-created position that will report directly to the President/COO. This position will work across all OmniClaim divisions and clients in a visible and influential role, in a stimulating and diverse setting. This opportunity is to significantly grow the Overpayment Recovery capability, serving all OmniClaim divisions internally and outside clients - independent of the other OmniClaim divisions - externally. There is no limitation on growth potential.The right candidate for this position must clearly be a business builder. He or she must have a thorough understanding of the billing and collections process, including basic re-auditing of overpayments and dealing with provider appeals. A Claims, Billing or Revenue Cycle background will best equip candidates for this position. The right candidate is a highly professional relationship-builder, with excellent diplomacy and interpersonal sensitivity. He or she has strong analytical and computer skills, is organized, thorough, disciplined and detail oriented; just as importantly, the right candidate must also see the big picture and appreciate how to grow a business line. An open communication style, informal demeanor and motivation to serve clients exceptionally well thrive best in OmniClaim´s culture.

Global Healthcare is looking for an Account (Collection) Manager. Job SummaryThis individual will have a critical role in A/R Management, Client Satisfaction & will be involved in the critical stages of system implementation with our client offices. This position will require travel, based on the clients assigned and may involve overnight stays during the implementation stage. The ideal candidate will have exemplary knowledge of professional medical billing procedures and practices, including all aspects of billing and collections. Tasks include participating in the development of training tools for collection staff, assisting with the writing and implementing policies and procedures, development of audit procedures for tickler files, adjustments and write offs. Candidate must have be able to interpret payer contracts to understand expected reimbursement and must have experience with billing procedures, appeals and collection processes. Role will include reviewing the client’s month end data to identify process improvement in all aspects of collections.Roles and Responsibilities• In coordination with Assistant Director, manage collection staff to achieve established collection and day revenue in accounts receivable goals for specific clients assigned• Analyze denial data, financial reports, fee schedules, payer trends, and A/R measurement statistics with Assistant Director and present findings in a timely manner (monthly) to client or clients management team• Participate in the implementation process for new clients with GHA implementation team• Provide ideas and recommendations for collector training tools, including a training plan and a sign off document to ensure new collectors have thorough knowledge of system and goals• Acts as a Liaison between client offices and collections team to ensure GHA is proactive in resolving any client issues that may occur• In coordination with Assistant Director, complete audits, and be able to benchmark client’s data against national and regional levels of productivity (i.e. MGMA, TMA, etc)• Provide enhancement ideas to further improve the software package(s) offered by our organization• Maintain client logs and document all issues, resolutions and client meetings• Approve collector and refund coordinator adjustments and refund requests to MSO clients• Build and improve customer service by presenting findings in a positive and proactive manner with all internal and assigned external customers Qualifications• BA/BS degree in healthcare, business administration or finance preferred and/or equivalent or at least 7 years relevant experience• 5-7 years experience in revenue cycle management with an emphasis on client relations/customer service, physician billing/collections, and training• Strong computer systems and physician practice management system experience• Knowledge system implementation processes• Ability to clearly and professionally present information to large and small groups• Flexibility, able to perform multiple tasks simultaneously to balance staff and client needs• Ability to develop training materials and competency testing• Strong analytical skills • Knowledge of medical terminology/coding• Excellent customer service skills• Self-motivated/directed with exemplary organizational skills• Excellent written and verbal communication skills

Hebrew SeniorLife (HSL) is a 100+-year-old organization dedicated to providing seniors with the highest quality of life through an integrated network of health care, research, housing and teaching programs in the Greater Boston area.

It is the largest nonprofit provider of senior health care and housing in New England. Our mission is to honor our elders by respecting and promoting their independence, spiritual vigor, dignity and choice and by recognizing that they are a resource to be cherished. Our health-care network comprises Hebrew Rehabilitation Center, a long-term, sub-acute, and long-term medical acute care facility in Boston; three senior housing sites- Jack Satter House in Revere, Simon C. Fireman Community in Randolph, and Center Communities of Brookline; and Orchard Cove, a life-care community in Canton. The Institute for Aging Research in Boston, affiliated with Harvard Medical School, is one of the most prestigious aging research facilities in the country. HSL´s NewBridge on the Charles, our premier multigenerational continuing care retirement community in Dedham, consists of 256 independent living units, 50 assisted living units, 41 memory support assisted living units, and a 268-bed Health Care Center, which offers long-term and sub-acute care. Hebrew SeniorLife also offers services to the community, including Adult Day Health programs and outpatient clinics in audiology, exercise, memory disorders, osteoporosis screening, and rehabilitation.* Under the direction of the Department of Medicine Administrator, the Business and Credentialing Assistant is responsible for the administrative support related to employing clinical staff. * In addition, demonstrate a strong commitment to the philosophy and goals of the mission of Hebrew SeniorLife and recognize members´ dignity and choice in aspects of daily life. * Work with team to meet all needs of the member and the assisted living facility by actively participating in activities, work and the social environment. * Strive to make every encounter with a member into a positive and meaningful experience and opportunity, while providing safe and efficient quality of care.Qualifications: - Associate´s Degree required; Bachelor´s degree in Business or related field, preferred. - 2-3 years of administrative assistant experience required.- Previous experience working with physician credentialing and billing preferred. - Must be professional, proactive, collaborative, conscientious and results-oriented individual. - Must have an optimistic and positive demeanor, excellent oral and written communication skills, good intuition and able to adapt to changing priorities and display good, sound judgment with a sense of humor. - Superb organizational skills. - Must have solid analytical skills. - Must be creative and proactive yet disciplined, discriminating and able to streamline work volume in order to maintain bottom line efforts in midst of multi-tasking and daily re-prioritizing. - Must have ability to innovate, think strategically and conceptually, manage multiple projects simultaneously and handle even difficult situations. - Must be motivated to learn and flexible to change.JOB REQUIREMENTS: Hebrew SeniorLife (HSL) is an equal opportunity employer, and we offer a competitive compensation and comprehensive benefit package, as well as many opportunities for personal and professional growth. If you are motivated by new opportunities and seek a stimulating and rewarding career, we invite you to join our diverse team of talented professionals who are dedicated to helping seniors and their families. Everything we do flows from these tenets and are further inspired by the duty of tikkun olam-to heal the world.

The Billing Manger is responsible for managing, analyzing and overseeing all daily operations of the billing department, including but not limited to: registration, batching, coding, data entry, denials and appeals, A/R collections, compliance and reporting. Additionally the manager is responsible for the development, implementation, and compliance with internal policies and procedures. Foot & Ankle Care Associates is one of New Jerseys largest podiatry practices. At Foot & Ankle Care Associates we strive to provide our patients with the utmost service, quality and personal care. Please visit our website at www.njfootdoctors.com for more information.

Lake Wales Clinic

Performs a wide variety of patient care activities and accommodates services for staff. The Coder/Biller is responsible for insurance authorizations, insurance denials, end of the day charge entry and recording patient vitals prior to physician encounter with patients. Qualifications Education•High School Diploma or GED requiredExperience:•Must have prior experience in a physician´s office with coding and billing experience.Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to physicians, practice managers, clinic staff, and other employees of the organization. Ability to effectively communicate with insurance carrier staff and vendor staff. Reasoning Ability: Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. Computer Skills: To perform this job successfully, an individual must have knowledge of general computer applications and practice management systems.

Job Summary:The position of Biller/Collector is corporate based and will report to the CFO, Physician Services. The Biller/Collector will have responsibility for billing and collecting for facilities within the LifePoint Network of facilities as the need arises. General Responsibilities:-Receives and reviews charge documents from the clinic.-Ensures charge information provided is correct and accurate.-Balances Charge Summary to tickets keyed before updating charges.-Bill primary and secondary insurances using whatever billing system the practice uses to bill their claims.-Contact insurance companies and/or third party payers to determine the reason(s) payment is being delayed and take the necessary steps to resolve the claim and collect the money.-Demonstrate the ability to effectively work with other related systems such as insurance eligibility, filing, and claim statusing systems.-Files corrected claims/adjustments when situations warrant this type of action. -Documents all actions taken on a patients account in the notes section.-Files secondary claims with the appropriate supporting attachments (EOBs) on an as-needed basis.-Releases patient responsible balances to the patients upon notification by the insurance company remits or phone calls made to the insurance companies.-Keeps supervisor apprised of matter regarding charge entry.-Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement.Minimum Qualifications (Experience, Education and Special Certifications)*Minimum of 5 years of recent physician practice billing/collections experience working with a variety of billing/collection system, preferably MISYS and eClinicalWorks systems.*Bachelor’s degree preferred.*Knowledge of medical terminology.*Working knowledge of federal/state regulations regarding billing/collection practices.*Possess good oral and written communication skills.*Must be highly proficient and possess basic working knowledge of Microsoft Word and Excel.*Skill in organization.*Ability to read and understand an EOB.*Must be assertive and relentless in resolving unpaid claims.