by twochickswithasidehustle | Jun 11, 2025 | Uncategorized
Investigates, analyzes, negotiates, resolves, documents and reports on consumer and commercial billing issues and complaints against the organization | Identifies solutions that address billing issues and presents appropriate resolution options to customers | Negotiates and authorizes billing settlements within established limits and adjusts customer accountsBusiness Support
by twochickswithasidehustle | Jun 11, 2025 | Uncategorized
- Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing.
- Secures needed medical documentation required or requested by third party insurances.
- Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
- Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
- Responsible for consistently meeting production and quality assurance standards.
- Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
- Updates job knowledge by participating in company offered education opportunities.
- Protects customer information by keeping all information confidential.
- Processes miscellaneous paperwork.
- Ability to work with high profile customers with difficult processes.
- May regularly be asked to help with team projects.
- Ensure all claims are submitted daily with a goal of zero errors.
- Timely follow up on insurance claim status.
- Reading and interpreting an EOB (Explanation of Benefits).
- Respond to inquiries by insurance companies.
- Denial Management.
- Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles.
- Review late charge reports and file corrected claims or write off charges as per client policy.
- Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer’s rules and the client’s policy.
- Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.
Business Support
by twochickswithasidehustle | Jun 11, 2025 | Uncategorized
Job Summary:
The Billing & Posting Resolution Provider position is responsible for acting as a liaison for hospitals and clinics using TruBridge’s complete business office services. They work closely with TruBridge management and hospital employees to bill insurance companies for all hospital, hospital-based physician and clinic bills. They pursue collection of all claims until payment is made by insurance companies; and perform other work associated with the billing process.
Essential Functions:
In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
- Prepares and submits hospital, hospital-based physician and clinic claims to third-party insurance carriers either electronically or by hard copy billing.
- Secures needed medical documentation required or requested by third party insurances.
- Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
- Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers.
- Responsible for consistently meeting production and quality assurance standards.
- Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer.
- Updates job knowledge by participating in company offered education opportunities.
- Protects customer information by keeping all information confidential.
- Processes miscellaneous paperwork.
- Ability to work with high profile customers with difficult processes.
- May regularly be asked to help with team projects.
- Ensure all claims are submitted daily with a goal of zero errors.
- Timely follow up on insurance claim status.
- Reading and interpreting an EOB (Explanation of Benefits).
- Respond to inquiries by insurance companies.
- Denial Management.
- Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles.
- Review late charge reports and file corrected claims or write off charges as per client policy.
- Review reports identifying readmissions or overlapping service dates and ignore, merge, or split-bill according to the payer’s rules and the client’s policy.
- Review credit reports, resolve credits belonging to a payer when able, and submit a listing of credits to the facility as required by the payer.
Minimum Requirements:
Education/Experience/Certification Requirements
- 3 years of recent Critical Access or Acute Care facility billing or 3 years of physician billing experience.
- Medicare Billing Experience Required.
- Computer skills.
- Experience in CPT and ICD-10 coding.
- Familiarity with medical terminology.
- Ability to communicate with various insurance payers.
- Experience in filing claim appeals with insurance companies to ensure maximum reimbursement.
- Responsible use of confidential information.
- Strong written and verbal skills.
- Ability to multi-task.
Why join our team?
- Work remotely with a work/life balance approach
- Robust benefits offering, including 401(k)
- Generous time off allotments
- 10 paid holidays annually
- Employer-paid short term disability and life insurance
- Paid Parental Leave
by twochickswithasidehustle | Jun 11, 2025 | Uncategorized
About Us
Cast AI is the leading Application Performance Automation (APA) platform, enabling customers to cut cloud costs, improve performance, and boost productivity – automatically.
Built originally for Kubernetes, Cast AI goes beyond cost and observability by delivering real-time, autonomous optimization across any cloud environment. The platform continuously analyzes workloads, rightsizes resources, and rebalances clusters without manual intervention, ensuring applications run faster, more reliably, and more efficiently.
Headquartered in Miami, Florida, Cast AI has employees in more than 32 countries worldwide and supports some of the world’s most innovative teams running their applications on all major cloud, hybrid, and on-premises environments. Over 2,100 companies already rely on Cast – from BMW and Akamai to Hugging Face and NielsenIQ.
What’s next? Backed by our $108M Series C, we’re doubling down on making APA the new standard for DevOps and MLOps, and everything in between.
Core values that hold us all together:
PRACTICE CUSTOMER OBSESSION. Focus on the customer journey and work backwards. Strive to deliver customer value and continuously solve customer problems. Listen to customer feedback, act, and iterate to improve customer experience.
LEAD. Take ownership and lead through action. Think and act on behalf of the entire company to build long-term value across team boundaries.
DEVELOP AND HIRE THE BEST. Strive to raise the performance bar by continuously investing in yourself, the team and by hiring the best possible candidates for every position. Drive towards personal development and professional growth, and mentor others to raise the collective bar.
EXPECT AND ADVOCATE CHANGE. Strive to innovate and accept the inevitable change that comes with innovation. Constantly welcome new ideas and opinions. Share insights responsibly with unwavering openness, honesty, and respect. Once a path is chosen, be ready to disagree and commit to a direction.
Role overview
We’re a hyper-growth SaaS company seeking a detail-obsessed, proactive Billing Associate to ensure our global invoicing engine runs smoothly. You’ll partner with Finance, Sales, Customer Success, and Legal teams to manage customer invoicing, subscription changes, contract billing terms, and revenue reporting—delivering accurate, timely billing and an exceptional customer experience.
- Invoice processing: prepare and issue accurate invoices based on customer contracts and usage data
- Marketplace billing: assist with billing and reconciliation for sales through third-party marketplaces (e.g AWS, Azure, GCP) ensuring compliance with each platform’s invoicing requirements
- Customer’s contract data: Maintain and update billing records for new contracts, upgrades, downgrades, and renewals
- Inquiry resolution: resolve billing inquiries from Sales, TAMs, and customers within SLA targets
- Month-end close: assist with billing cut-off, revenue reconciliations, and reporting
- Collections: support outreach to customers for overdue accounts and follow up on payments
- Ad-hoc administration: handle tasks such as customer account setup, vendor form processing, and audit support
- Process improvements: contribute to testing and implementations of process automations
Requirements
- Based on the US East Coast
- Able to collaborate effectively across EU and US time zones
- 2–3 years of experience in billing, accounts receivable, or order management – SaaS experience a plus
- Familiarity with billing systems and marketplaces is preferred
- Advanced Excel / Google Sheets skills (vLookups, Pivot tables)
- Meticulous attention to detail and a strong customer-first mindset
- Experience with SaaS metrics (ARR, MRR)
- Exposure to CRM systems like Salesforce
- Familiarity with revenue recognition principles
What’s in it for you?
- Team of highly skilled professionals to work with and learn from
- Impact and visibility. Our organization is flat, getting in touch with CEO or CTO is a common practice here
- Flexible working hours. We deliver instead of sitting in the office 8 to 5
- Skin in the game. Every employee gets a share of the company
- 10% time to focus on self-improvement or personal projects.
by twochickswithasidehustle | Jun 10, 2025 | Uncategorized
Description
Become a part of our caring community and help us put health first
The E-Referral Specialist is an integral part of the referral process as this role is the initial contact point for the client or referral source to promote the continuity of care. The role is responsible for data collection and documentation, compliance, and consistent follow up on the initial referral process and decision.
Essential Functions:
- Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications.
- Monitor email continuously for request to pull referrals from all applicable referral systems. Perform timely follow-up and manage all related communication.
- Quickly scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.)
- Assists, as needed, with authorizations to ensure all are submitted in a timely manner.
- Monitors status of all referrals received, follow up with each throughout process, reports on status weekly.
- Communicate with branch, sales, leadership via email and/or phone for status updates and referral decisions as required.
- Daily manage and update ERST log with all referrals and ROCs decisions.
- Maintain acceptable productivity level, as determined by work assignment and departmental standards.
- Comply with and adhere to all regulatory compliance areas, policies and procedures and company best practices.
- Performs other related duties as assigned.
Use your skills to make an impact
Required Experience/Skills:
- High School Diploma or its equivalent; Associates degree preferred
- Healthcare insurance verification experience preferred
- Minimum 1 year customer service or other healthcare related experience; preference working in a home health environment
- Good knowledge of the issues related to the delivery of home health services preferred
- Working knowledge of Medicare enrollment and guidelines governing home health agencies preferred
- Demonstrate ability to type 40 wpm
- Ability to comprehend and apply principles of basic math while analyzing data and generating reports
- Good logical thinking and decision making skills
- Able to work well under pressure and adhere to strict timelines
- Possess excellent customer service skills; ability to communicate professionally and effectively with all levels of management
- Strong attention to detail with ability to multi-task and work with multiple screens/systems.
- Good time management skills and are able to work in a fast-paced environment
- Strong adaptability to change
- Must read, write and speak fluent English
- Must have good and regular attendance
- Approximate percent of time required to travel: 0%
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:
- Health benefits effective day 1
- Paid time off, holidays, and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities
Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.
Scheduled Weekly Hours
1
Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$39,000 – $49,400 per year
Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
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