Unbilled Representative

Job Description
-Obtaining all essential forms required for billing from patients
-Securing prescriber orders signature from the MD for billing and DIF requirements
-Working to resolve patients on Work Lists Daily
-Working to resolve claim issues on EPIC ques daily

Pay Range
The typical pay range for this role is:
Minimum: 17.00
Maximum: 27.90

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit

jobs.CVSHealth.com/benefits

Required Qualifications
1 year of experience working in a healthcare enviornment

Knowledge of:

· General knowledge of medical terminology. Minimum one year of experience in a healthcare related environment.

Skill In:

· Microsoft Office to include Outlook, Word and Excel.

Ability To:

-Utilize appropriate analytical and problem solving skills

-Pay attention to detail and multi-task

· Multitask in face paced environment, prioritize urgent needs, attention to detail, excellent time management, Customer service skills. Flexible schedule when required to meet needs of business, overtime as needed and availability for on call shifts daily and on weekends.

· Ability to work independently with minimal guidance and as part of a team

· Regular and predictable attendance is required.

· Must be able to stay in a stationary position with occasional moving about office to access file cabinets, office machinery etc.

· Constantly operates a computer and other office productivity equipment such as calculator, copy machine and printer.

· Often on the phone, listening and talking to others; while typing and inputting information patient tracking database.

· Any additional tasks as directed by supervisor or manager.

Preferred Qualifications
2-3 years of experience

Knowledge of:

· Home infusion experience, insurance related skills (verification of insurance, authorizations etc)

· Medical Billing Terminology

Skill in:

· Matrix environment, collaborating across different functional teams

Ability To:

· Learn new processes quickly

· Handle change

-Previous experience with medical billing procedures and forms requirements

-Pharmacy, PBM, or Specialty Pharmacy experience

Education
High School Diploma or General Equivalent Development (GED)

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. 

APPLY HERE

Accounts Receivable Representative, Commercial Denials,

Providence St. Joseph Health is calling a Patient Accounts Representative to work remotely within our footprint states: AK, CA, MT, OR, TX and/or WA.

The Patient Accounts Representative contributes to the achievement of departmental and Providence Health and Services (PH&S) goals by:

  • Providing accurate and timely claims billing and account documentation.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Revenue Cycle Business Servicesand thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required qualifications:

  • 1 year of Medical billing experience.
  • A track record in organizing and planning with a proven ability to effectively manage time, multi-task, and achieve results in a fast paced environment.

Preferred qualifications:

  • Upon hire: Certified Patient Account Technician (CPAT)

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Salary Range:

NorCal (Napa, Sonoma)

Min:$22.69, Max: $35.34

Southern California, NorCal (Humboldt) Alaska (Kodiak, Seward, Valdez)

Min:$20.22, Max: $31.50

WA Puget Sound Oregon (Portland) Alaska (Anchorage)

Min: $19.40, Max: $30.22

Oregon (Hood River, Medford, Seaside)

Min: $18.08, Max: $28.17

Eastern Washington (Richland, Spokane, Walla Walla)

Min: $17.26, Max: $26.89

Montana

Min: $15.62, Max: $24.33

Texas

Min: $14.80 , Max: $23.05

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

APPLY HERE

Medicare Claims Analyst

At WelbeHealth, it’s our mission to serve our communities’ most vulnerable seniors through shared intention, pioneering spirit, and the courage to love. These core values and our participant-focus lead the way no matter what.

The Encounter Data Specialist is a key member of the WelbeHealth configuration team and is accountable for ensuring the successful and compliant submission of encounter data reporting to both CMS (Federal) and State authorities.

Essential Job Duties:

  • Ensure encounter data submissions meet Federal and State requirements
  • Analyze and interpret encounter data errors to identify potential issues and trends
  • Review and resolve encounter errors in a timely manner to achieve and maintain high encounter submission acceptance rates
  • Monitor monthly Federal and State encounter data reports and create error resolution plans
  • Work closely with our external and internal partners to identify issues and perform root cause analyses on encounter rejections related to claims data and eligibility
  • Support new implementations of encounter submissions to CMS & State necessary to accommodate company growth

Job Requirements:

  • High school diploma or equivalent
  • Minimum of three (3) years of experience in encounter data submissions and resolution or five (5) years of experience as a healthcare Claims Supervisor or above
  • Minimum of three (3) years of experience with encounter data submissions and resolution or healthcare high level claims
  • Experience with office and electronic communication (e.g., Microsoft Office)

Benefits of Working at WelbeHealth: Apply your expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.

  • Medical insurance coverage (Medical, Dental, Vision)
  • Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and sick time
  • 401 K savings + match
  • Advancement opportunities – we’ve got a track record of hiring and promoting from within, meaning you can create your own path!
  • And additional benefits

Salary/Wage base range for this role is $56, 920- $71, 150 + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications.

APPLY HERE

Technical Specialist (Tier 3)

At U.S. Bank, we’re on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed.  We believe it takes all of us to bring our shared ambition to life, and each person is unique in their potential. A career with U.S. Bank gives you a wide, ever-growing range of opportunities to discover what makes you thrive at every stage of your career. Try new things, learn new skills and discover what you excel at—all from Day One.

Job Description

talech is an innovator in the Point-of-Sale space for small and medium businesses (SMB).  In 2019 it was acquired by US Bank and is now driving the development of a comprehensive digital experience for SMBs where the interface to the customers is the talech POS.  

This role as a Technical Specialist will:

  • work first shift, M-F
  • Perform account creation management in Salesforce for our Onboarding Team
  • Will work with data files to run queries, provision scripts, etc.
  • Perform remote Tier 3 technical support for merchant installation.
  • Provide project and analytical support to assigned business line or functional area.
  • Perform research, analysis, review, development, implementations, and monitoring of new and/or revised products/services.
  • Act as a project liaison with other departments.
  • Compile and analyze information for an assigned project or areas making recommendations based on findings.

Basic Qualifications
– Bachelor’s degree, or equivalent work experience
– Three to five years of experience in project management activities

Preferred Skills/Experience

  • Expert level in Power BI dashboards strongly preferred
  • Proficient in MS Suite (EXL, WD, OUT, PWPT)
  • Comfortable with Jira preferred
  • Proficiency with Atlassian tools preferred
  • Proficient in Salesforce
  • POS experience preferred (hardware/software)
  • POS Installation experience preferred
  • 1-3 years of Tier 3 technical support experience preferred
  • Experience troubleshooting Windows, Android and iOS
  • Bilingual in Spanish a plus
  • SaaS experience a plus
  • Thorough knowledge of assigned business line or functional area
  • Strong organizational and analytical skills
  • Thorough knowledge of project management
  • Ability to identify and resolve exceptions and to analyze data

If there’s anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants.

Learn how the way we work at U.S. Bank drives meaningful relationships with our customers and collaboration across the company.

Benefits: 

Our approach to benefits and total rewards considers our team members’ whole selves and what may be needed to thrive in and outside work. That’s why our benefits are designed to help you and your family boost your health, protect your financial security and give you peace of mind. Our benefits include the following (some may vary based on role, location or hours):

  • Healthcare (medical, dental, vision)
  • Basic term and optional term life insurance
  • Short-term and long-term disability
  • Pregnancy disability and parental leave
  • 401(k) and employer-funded retirement plan
  • Paid vacation (from two to five weeks depending on salary grade and tenure)
  • Up to 11 paid holiday opportunities
  • Adoption assistance
  • Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law

The salary range reflects figures based on the primary location, which is listed first. The actual range for the role may differ based on the location of the role. In addition to salary, US Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401k contribution and pension (all benefits are subject to eligibility requirements). Pay Range: $56,950.00 – $67,000.00 – $73,700.00

APPLY HERE

Area Credit Coordinator

The Area Credit Coordinator provides credit support for local customers performing customer set up function, approving credit terms based on approval matrix, monitoring customer terms and compliance; managing credit holds/releases; collecting delinquent accounts; negotiating payment schedules as required; maintaining collection communications with local account sellers, Support Office third party collections, and/or customer with some degree of latitude and judgment using existing systems and procedures. This role may assist their manager or supervisor with mitigation / investigation of credit risks and may perform customer set up function.

This position is been determined to be “Remote Anywhere”: The work is completed 100% remote anywhere in the U.S. except Hawaii or United States Territories.

Typical pay for this role is around $27.00 – $30.00 per hour depending on experience and location.

Workstream Specific Responsibilities- 95%

• Makes credit decisions and establishes payment terms within assigned authorities per Corporate Credit Policy Matrix. Collects on delinquent accounts and maintaining portfolio for analysis, accuracy, and deadlines; negotiate policy compliant payment schedules as necessary
• Monitors and controls customer account applications/set ups for ownership linkage ensuring national or local account exposures are linked with the same ownership ID for aggregation purposes
• Responsible for gathering financial and other credit information to be used in risk analysis to develop/modify credit limits for potential/existing customers
• Establishes and maintains communication with sellers and/or USF customers within assigned portfolio to ensure expeditious collections with rapid resolution of past due accounts
• Monitors open accounts receivable for terms compliance, ensures skipped invoices, short paid invoices, credit memos, and unapplied cash are resolved timely
• Implements and where necessary creates amicable, effective payment plans on past due accounts and coordinate collections/customer credit issues/resolutions with Sellers and/or customer; follows protocol for courtesy and demand letters as necessary to effect proper collection
• Prepares annual credit reviews/ write-ups and recommends credit limits in accordance with the Corporate Credit Policy.
• Assists their manager or supervisor to ensure compliance with all regulatory requirements including Sarbanes Oxley (Sox)controls
• Files or assist the manager or supervisor with UCC filings if applicable
• Provide documentation of uncollectible accounts to the centralized third-party collections group at the Support Office; may code and recommend accounts for write-off
• Assists with credit reporting requirements
• Participates in special projects or tasks as assigned/requested by manager or supervisor
• Other duties as assigned by manager

Personal Development – 5%

• Update to personal Individual Development Plan (IDP) and prepare for check-ins with your leader.
• Engage in formal US Foods performance management process.
• Strive to learn and benchmark against industry trends as well as be engaged in industry peer groups.
• Pursue other personal learning and development initiatives.

SUPERVISION: None

ROLE SEGMENTATION: Remote

QUALIFICATIONS

Education/Training:
• High School Diploma or GED Required
• Associates degree or Credit Business Associate (CBA) Certification is desired
Related Experience/Requirements:
• 2 years’ data entry experience working in Credit/Collections performing account reconciliations or in a financial related role is required
• 1-2 years’ approving credit terms, managing portfolio for adherence to credit terms, collecting amounts due, and resolving aged items is required
• 1-2 years’ experience utilizing D&B, and other financial & risk management tools required
• Food service or similar distribution experience is desired

Knowledge/Skills/Abilities: 
• Intermediate MS Office skills required with strong Excel skills (ability to create pivot tables, VLOOKUP and basic formulas required).
• Ability to effectively communicate both verbally and in writing in a clear and concise manner under pressure so others will understand while collaborating cross functionally with internal and external stakeholders
• Ability to work using multiple screens using different applications while balancing multiple priorities and meeting deadlines.
• Ability to make risk management decisions for customers and collaborate with next level management on those with high degree of complexity
• Strong problem-solving skills with the ability to find the root cause of issues.
• Must have attention to detail while working independently and in a professional manner.

Physical Requirements:
• Must be able to perform data entry and focus on work for 8 hours a day

The following information is provided in accordance with certain state and local laws. Compensation depends on experience, geographic locations, and other factors permitted by law.  In New York City, the expected compensation for this role is between $27.00 and $30.00 per hour. This role is also eligible for overtime compensation. Benefits for this role include health insurance, pre-tax spending accounts, retirement benefits, paid time off, short-term and long-term disability, employee stock purchase plan, and life insurance.  

APPLY HERE