Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Use software to develop standardized reports, meet with clients, respond to coding questions in clear, concise, grammatically correct English, and provide support for other members of the revenue cycle consulting team. Client education, written FAQ answer preparation, and other duties as assigned.
This is a remote position
ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Reports To: Director of HIM/Audit Services (RCM Services)
Location: Remote USA; work from home office
FLSA Status: Full time, exempt
Summary: Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Use software to develop standardized reports, meet with clients, respond to coding questions in clear, concise, grammatically correct English, and provide support for other members of the revenue cycle consulting team. Client education, written FAQ answer preparation, and other duties as assigned.
QUALIFICATIONS
5+ years of current directly related experience
Expert knowledge in revenue cycle and Outpatient coding (ER, SDS, OBS, ancillary, IR, Profee, E/M facility, I&I)
CCS, COC or CPC certification required
Medical Terminology and anatomy knowledge is required
Clinical Documentation and Inpatient coding experience is preferred. New hires will be expected to learn IP during employment.
Must have strong understanding of revenue cycle, CMS Manual/guidelines, Medicaid guidelines.
Strong Microsoft Excel, PowerPoint, Word and OneNote skills
Must have strong understanding of the Official Coding Guidelines, OP coding and billing (i.e. including but not limited to knowledge of rev codes, HCPCS, MUE and CCI edits, UoS and ICD-10 CM)
Strong analytical capability, independent thinker and good decision-making skills
Excellent written and verbal communication and presentation skills
Strong computer and technology knowledge and skills
Highly professional demeanor, great client satisfaction skills
ESSENTIAL DUTIES AND RESPONSIBILITIES
Become proficient in the use of the PARA Data Editor, our proprietary software;
Select and review claims for review based on trends/data analysis in the PARA Data Editor; organize information and access to medical documentation.
Audit all aspects of claim including (but not limited to):
-Omitted or incorrect charges,
-Review OPPS and CAH charges and apply guidelines.
-CMS/Payer specific guidelines
-Coding accuracy for ICD-10 CM, CPT/HCPCS (including but not
limited to 10000-69999, 80000, 90000, J codes, G codes, Q codes,etc)
-Departmental review for inaccuracies, omitted data/documentation
and charges
-NCCI edits, MUE edits, Medi-cal and Medicare guidelines/CMS
Manual guidance,
-Units of services
-E/M Profee/Facility
-Units of services
-Documentation improvement.
Assist in preparing written documents for publication under the direction of the Director, HIM, i.e., Q&A entries.
Develop a working understanding of the outpatient hospital reimbursement process, including documentation, coding, and billing.
Participate in presentations to clients and prospective clients, typically over web meetings.
Develop and maintain the skills and knowledge necessary related to the assigned specialty areas and the related services. Keep current on all related information from journals and bulletins. Distribute and pass on all necessary materials, including copying for reference files when relevant.
Maintain current certifications and accreditations (as applicable).
Research new guidelines, data elements, payer specifications, etc.
Other duties may be assigned as necessary.
This is a remote position
PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
The Billing Charge Entry Specialist II – RCM supports and promotes charge entry demographic processes, including troubleshooting mismatched records, validating accurate registration through escalation processes, or completing specialty registration, manual document extraction, and ensuring accurate billing to prevent revenue leakage.
At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska.
The base pay estimate for this role is $16.49 – $26.39 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)
Supports core demographic production teams through escalation and clarification.
Troubleshoots cases as needed to determine the appropriate course of action, including escalation when necessary.
Reviews escalated charge tickets to ensure accuracy of supporting details and proper registration.
Manually extracts and attaches required documentation from external billing systems when necessary.
Contacts facilities as needed to obtain necessary information to ensure accurate and complete case billing.
Maintains strictest confidentiality.
Performs other duties as assigned.
Qualifications
KNOWLEDGE/SKILLS/ABILITIES (KSAs):
High school diploma or equivalent required.
Billing experience in a healthcare organization preferred.
Minimum of 2 years’ experience in a healthcare business office.
Knowledge of organizational policies, procedures, and systems.
Experience collecting, organizing, and reporting information.
Computer applications skills including MS Word and Excel.
Keyboarding/data entry skills.
Verbal and written communication skills.
Must have a pleasant disposition and be a team player.
Ability to read, write, and speak English.
Ability to communicate well with the public.
Ability to work independently with limited supervision.
Ability to work effectively with staff, physicians, and external customers.
Ability to meet minimum production and quality requirements once initial training is complete.
*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Occasional Standing
Occasional Walking
Frequent Sitting
Frequent hand, finger movement
Use office equipment (in office or remote)
Communicate verbally and in writing
US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
Remote Hours: M-F 8:30-5:00 pm EST (or based on business needs)
What Revenue Cycle Management (RCM) contributes to Cardinal Health
Revenue Cycle Management team focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.
Responsibilities
Submitting medical documentation/billing data to insurance providers
Researching and appealing denied and rejected claims
Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing
Following up on unpaid claims within standard billing cycle time frame
Calling insurance companies regarding any discrepancy in payment if necessary
Reviewing insurance payments for accuracy and completeness
Qualifications
HS, GED, bachelor’s degree in business related field preferred, or equivalent work experience preferred
2 + years’ experience within Revenue Cycle Management preferred
Strong knowledge of Microsoft Excel
Ability to work independently and collaboratively within team environment
Able to multi-task and meet tight deadlines
Excellent problem-solving skills
Strong communication skills
Familiarity with ICD-10 coding
Competent with computer systems, software and 10 key calculators
Knowledge of medical terminology
Prior EdgePark and/or Cardinal Health at Home Customer Operations preferred
What is expected of you and others at this level
Applies basic concepts, principles, and technical capabilities to perform routine tasks
Works on projects of limited scope and complexity
Follows established procedures to resolve readily identifiable technical problems
Works under direct supervision and receives detailed instructions
Develops competence by performing structured work assignments
Anticipated hourly range: $20.02 per hour – $25.78 per hour
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close: 6/01/2026 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position includes a variety of claim administrative and technical tasks that support a Claim Unit and/or vendor staff, as well as the Claims Team and serves as a liaison for any internal departments.
In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times. Also advise team members regarding claim processing procedures.
Job Description o Resolve client, employee/member, or provider issues regarding escalated or complex claims. o Review and release over-authority claims up to limit specified by corporate policy. o Handle claim referrals, including pre-determinations, using internal and external resources as needed. Advice Claim Analysts and/or vendor regarding claim processing. o Handle network referrals as well as PPO repricing disputes. o Review, analyze and interpret claim forms and related documents. o Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports. o Appropriately investigate, pend and refer claims based on claim procedures and guidelines. o Accurately handle correspondence, claims, and referrals in the established timeframes and/or performance guarantees. o Support the Claims reinsurance team, in the research and resolution of claims as assigned o Handle complex or technical claim adjudication using internal and external resources as needed, e.g. transplants, experimental & investigational, chemotherapy, etc. o Research and respond to vendor reconciliation requests. o Mentor and assist with onboarding new Analysts, including the oversight of work o Support the management, monitoring, and tracking of performance in collaboration with the Supervisor. o Provide mentoring and coaching o Assist Supervisor in documenting processes for analysts o Other duties as needed/assigned
Required Job Qualifications: o High School diploma or GED equivalent o 3 years prior medical claim processing experience o Ability to work in a fast-paced, customer centric & production driven environment o Excellent verbal and written communication skills o Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff o Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form o Flexible; open to continued process improvements o Self-directed individual who works well with minimal supervision o Good leadership, organizational and interpersonal skills o Ability to effectively handle with complex situations and reach resolution o Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs) o Ability to adapt to various system platforms, and to effectively use MS Excel/Word
Preferred Job Qualifications: o Health Insurance/Third Party Administrator Experience o High School diploma or GED equivalent
Required Job Qualifications:
High School diploma or GED equivalent
3 years prior medical claim processing experience
Ability to work in a fast-paced, customer centric & production driven environment
Excellent verbal and written communication skills
Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
Flexible; open to continued process improvements
Self-directed individual who works well with minimal supervision
Good leadership, organizational and interpersonal skills
Ability to effectively handle with complex situations and reach resolution
Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
Ability to adapt to various system platforms, and to effectively use MS Excel/Word
Preferred Job Qualifications:
Health Insurance/Third Party Administrator Experience
Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
EEO Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Pay Transparency Statement:
At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
Bring your skills to a deeply purposeful, financially rewarding career
Thrivent is more than a financial services company – we’re a community that puts generosity at the heart of saving and investing. At Thrivent, you’ll have the opportunity to grow a meaningful career providing clients with purpose-based advice around investments, insurance, banking and generosity, empowering lives of service and faith.
As a Virtual Financial Advisor, you’ll play a vital role in delivering meaningful financial guidance that helps clients achieve greater financial confidence and take action. Leveraging Thrivent’s robust advice framework, you’ll use your strong interpersonal and consultative skills to connect with clients, build trust, and provide tailored recommendations that support their financial well-being.
This role focuses on re-engaging existing Thrivent clients—many of whom have not recently worked directly with a financial professional—by proactively reaching out to schedule and hold meaningful appointments via phone, shared screens, and video. You’ll also have the opportunity to engage and serve your own natural market.
Supported by Thrivent’s commitment to community engagement and a collaborative team environment, you’ll gain a strong foundation in sales and client service. Within 18-24 months, you’ll be equipped to join a local team or build your own practice with our support.
This is a remote role. You’ll meet with clients virtually using tools like Microsoft Teams and Zoom. You’ll also receive training and connect with your colleagues virtually, with occasional opportunities for in-person development and teambuilding.
Your Success; Our Blueprint
Nothing influences your success more than a solid roadmap to your growth. Your onboarding will be an immersive and engaging experience. You’ll receive the support, stability and opportunity of a Fortune 500 leader. And if you’re new to the financial services industry, we offer up to 3 months of pay and coaching as you obtain the state insurance and securities licenses necessary for this position.
Role Description
As a Virtual Financial Advisor at Thrivent, you’ll:
Leverage your relationship-building skills and build sales experience to engage clients with confidence and clarity.
Guide Christians and others who align with Thrivent’s mission and values to create and maintain their financial plans, enabling lives of service and faith.
Meet with clients virtually to provide personal, actionable and achievable advice and connect clients to Thrivent products and programs.
Have access to a large existing client base with the ability to also help your friends, family and natural market.
Access robust tools like the Thrivent Planning Platform, Salesforce, MoneyGuidePro® and Morningstar, and have modern computer hardware provided.
Get the support of collaborative culture with colleagues and leaders who want you to be successful and are willing to help you do so.
What You Bring
Our culture and our people are special. Whether you’re a seasoned sales professional or looking for a career change, you could be a successful Virtual Financial Advisor if you’re:
Self-disciplined, independent and driven to succeed.
Motivated by helping others and seeing them achieve their goals, not just selling products.
A natural coach or guide with strong interpersonal skills.
Positive, energetic and results oriented.
Collaborative and excited to contribute to your team.
Successful Thrivent financial advisors have come from a variety of career backgrounds, including outside sales, account executives, real estate, client services, hospitality, business development, recruiting, education, fundraisers, ministry and similar roles. Skills acquired in these fields transition well into the Virtual Financial Advisor role.
Requirements
Bachelor’s degree or equivalent experience. Military veterans are encouraged to apply.
FINRA Series 7, 63/65 or 66 required or obtained within 90 days.
State insurance licensed and appointed in life, health and variable lines of authority or obtained within 90 days.
Eligibility to be securities registered and insurance licensed in all 50 states.
Satisfactory background check (criminal and financial).
Compensation and Benefits
You’ll get all the benefits of a Fortune 500 organization and more. Here, you’ll enjoy:
A base pay of $21.64-$28.85 per hour with additional monthly sales bonuses based on sales results and your client impact. The average total compensation for this full-time role is $78,000, and our top Virtual Advisors exceed $120,000 in total compensation.
Comprehensive medical, vision and dental.
401(k) matching and a pension plan.
Life and disability income insurance.
Maternity/paternity leave as well as adoption and surrogacy assistance.
Tuition reimbursement.
Four weeks of paid time off, plus up to 20 hours of volunteer time off.
Well-being programs to help you manage your physical, emotional and financial health.
Gift matching program to double your contributions to eligible nonprofit organizations and volunteer programs that support your efforts to make a difference.
About Thrivent Thrivent is a diversified financial services organization that, with its subsidiary and affiliate companies, serves more than 2.4 million clients, offering advice, insurance, investments, banking and generosity products and programs. For more than 120 years, Thrivent has been helping Christians build their financial futures and live more generous lives. Today, Thrivent is a not-for-profit, membership-owned Fortune 500 company with $194 billion in assets under management/advisement (as of 12/31/24). Thrivent carries ratings from independent rating agencies which demonstrate the strength and stability of the organization, including an A++ rating from AM Best; an Aa2 rating from Moody’s Investors Service; and an AA+ rating from S&P Global Ratings. Ratings are based on Thrivent’s financial strength and claims-paying ability, but do not apply to investment product performance.
To learn more about the privacy of your information, visit ourworkforce privacy policy at thrivent.com/privacy.
Thrivent is the marketing name for Thrivent Financial for Lutherans. Insurance products, securities and investment advisory services are provided by appropriately appointed and licensed financial advisors and professionals. Only individuals who are financial advisors are credentialed to provide investment advisory services. Visit Thrivent.com or FINRA’s Broker Check for more information about our financial advisors.Pay Transparency
ezCater is the #1 food tech platform for workplaces in the US. The company makes it easy for any organization to manage its food needs and order from over 125,000 restaurants nationwide. For workplaces, ezCater provides flexible and scalable solutions for everything from employee meal programs to one-off meetings, all backed by beyond helpful 24/7 service and business-grade reliability. For restaurant partners, ezCater helps grow their business by bringing them new high-value customers and large orders.
Our 125k+ restaurants partners all began their journey at ezCater with a first impression, and our Onboarding Specialists make up the team responsible for creating that first impression today. When restaurants seek to join our platform, our Onboarding Specialists evaluate them and bring their account parameters to life using a mixture of technology, transcription, and human connection. Each restaurant partner’s individual account setup requires an incredible amount of detail, quality, and consistency in order to enable the restaurant to go live and fulfill orders successfully.
And what does the actual onboarding process look like? Our Onboarding team is responsible for upholding our onboarding requirements and qualifying the inbound restaurants that are interested in joining our platform. From there, they process the restaurant addition through our Guided Onboarding tool and direct phone & email communication with the restaurant. The Onboarding team is also responsible for building out the restaurant’s profile in our homegrown system, reviewing the work of our account automation tools, communicating cross-functionally with relevant stakeholders, and working within project management frameworks for larger restaurant onboarding rollouts.
When all is said and done, our Onboarding Specialists are the ultimate experts in the account setup of our restaurant partners, from the smallest mom & pop indies to the largest enterprise chains. In this role you will learn the ins & outs of our system and help us make it better.
What You’ll Do:
Synthesize Information: You’ll work to onboard new and existing catering partners using our partner-facing Guided Onboarding tool as well as other automation tooling to translate data points into Freedom to create stores.
Prioritize: You’ll juggle multiple work streams along with competing stakeholder priorities and SLAs.
Uphold: We have onboarding requirements that are proven to set our partners up for success. We’ll need you to be well versed and comfortable with explaining “the why” behind the requirements and upholding them, both internally and externally.
Communicate: You’ll work with restaurant partners directly; from those who want to expand their footprint on our Marketplace to new partners who are eager to join. You’ll need to go beyond helpful to make every catering partner’s experience easy and efficient.
Collaborate: Solution-oriented feedback is our bread and butter. We’ll need your help in improving our process and tools.
Make an Impact: You’ll make an immediate impact on our company goals and will be an essential part of the success of thousands of restaurant partners.
Identify, test, and support the implementation of process improvements in our team tools.
Get Scrappy: You’ll be at the forefront of the testing & implementation of new processes and we’ll need you to be nimble, solution-oriented, and vocal with feedback.
What You Have:
Devoted to details: There are many moving pieces and you’ll need to keep track of them all.
A confident communicator: You’ll need to be comfortable explaining our processes, standards, and timelines to our restaurant partners and prospects.
A big-picture thinker: Our team innovates as a group, and we’ll expect you to meet us two steps ahead.
Hungry for change: If something isn’t working, we fix it. And then we fix it again.
A circus-level juggler: You’re comfortable with a high-volume list of varied tasks and prioritizing them feels like second nature to you.
Tech-knowledgeable: You have experience with technical services and platforms (Hubspot is a plus).
Adaptable & Inquisitive: You’re a natural problem solver – constant change is your fuel and you thrive in ambiguous situations.
Driven towards excellence: We’ll expect you to consistently meet or exceed expectations on delegated performance objectives.
A team player: You’ll work with teams across our department and will need to build relationships with internal stakeholders to ensure success for all parties.
Ability to travel up to 5 days per quarter for Together Weeks, team gatherings and other events, when applicable.
The national total targetcash compensation range for this position, including base salary and bonus target, is $50,872 – $60,848 annually.*
*Please note: Final offer amounts are determined by multiple factors, including prior experience, expertise and region & may vary from the amount above. This range does not represent additional compensation benefits (such as equity, 401K or medical, dental or vision insurance).
ezCater does not sponsor applicants for work visas or legal permanent residence.
What You’ll Get from Us:
You’ll get a terrifically compelling experience in an innovative, high performing environment. You’ll get to work with engaged and passionate colleagues on challenging and impactful projects. You will have opportunities to grow in your career, and work in a place that values work/life harmony.
Oh, and you’ll get all this: Market competitive salary, stock options that you’ll help make worth a lot, 12 paid holidays, flexible PTO, 401K with ezCater match, health/dental/FSA, long-term disability insurance, mental health and family planning resources, remote-hybrid work from our awesome Boston office OR your home OR a mixture of both home and office, a tremendous amount of responsibility and autonomy, wicked awesome co-workers, employee meal program (and many more goodies) when you’re in our office, and knowing that you helped transform the food for work space.
ezCater is an equal opportunity employer. We embrace humans of every background, appearance, race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, and disability status. At the same time, we do not employ jerks, even brilliant ones. Following a conditional offer of employment, ezCater may require a background check.
For information on how ezCater collects and uses job applicants’ personal information, please visit our Job Applicant Privacy Policy.
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