Third party biller Job at South Shore Health (Weymouth)

Pfs Representative Iii - Medicare Biller

Medicare Billing Specialist: Performs complex review and reconciliation of Medic...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High School diploma or General Education Degree (GED)
Three (3) years of related experience, specific to role specialty such as medical billing or third-party collection, or customer service in a hospital, payer, or physician setting
Technical experience in CMS/Medicaid regulations and/or commercial payer billing requirements
Minimum three (3) years’ experience in a windows environment, including Excel
Relevant professional certification encouraged within 2 years
Knowledge of medical insurance practices and policies and regulations
Knowledge of HMO, PPO, and Indemnity third party billing guidelines
Knowledge of either UB04 hospital or CMS physician billing forms
Knowledge of government and non-government uniform billing guidelines
Knowledge of medical terminology and coding Related to hospital billing and/or professional billing such as revenue, CPT diagnosis codes, modifiers, occurrence codes, value codes, and the appropriate usage of these codes

Job Responsibility

Performs complex review and reconciliation of Medicare patient accounts
Communicates with Medicare regulatory or, state agencies, related to Medicare billing, collection or refund activities
Works independently to resolve problems and demonstrates complete understanding of payer requirements to ensure timely and accurate payment
Completes reconciliation and billing of accounts making independent decisions based on situations
Works directly with Finance Director on any Medicare payment discrepancies and works directly with Compliance on CMS Regulatory requirements
Works with Health Information Management (HIM) on coding issue and local coverage determination (LCD) issues
Assists management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows
Ensures UB04 and HCFA 1500 claims and/or self-pay patient accounts are billed in a timely, complete, and accurate manner in accordance with appropriate guidelines
Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence
Demonstrates understanding of the entire revenue cycle

Fulltime

Controller

We are in search of a Controller to join our team in the healthcare industry, ba...

Location

United States , Manassas

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Candidate must possess at least 10 years of experience in a healthcare/NHS environment
proven proficiency in Month End Close processes
extensive experience in Medicaid Billing and Medicare Billing is essential
previous involvement in Annual External Audit processes
demonstrated skills in Financial Reporting
proficiency in Budgeting and Forecasting within the healthcare/NHS industry
prior experience working with Assisted Living Residences
CPA Designation is a requirement for this role

Job Responsibility

Oversee and manage the entire financial accounting and budget of the organization
direct the residence billing process, ensuring accuracy and timeliness
develop and present financial projections to inform strategic planning
liaise with banks and third-party billers to resolve any issues or discrepancies
oversee collections, ensuring all payments are received in a timely manner
handle Medicaid and Medicare billing processes, ensuring compliance with all regulations
coordinate auditing activities, working closely with internal and external auditors
oversee the accounts payable function, ensuring all payments are made on time and records are kept accurately
prepare and present census reports as required
utilize Sage Intacct and Budget Mastro for various financial operations, ensuring data accuracy and integrity

What we offer

medical, vision, dental, and life and disability insurance
eligibility to enroll in company 401(k) plan

Fulltime

Medical Biller

The Medical Biller will be responsible for managing patient billing processes, e...

Location

United States , Scranton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent
associate degree in healthcare, business, or a related field is preferred
proven experience in medical billing or a related role (minimum 1–2 years preferred)
knowledge of medical billing software and electronic health record (EHR) systems (e.g., Epic, Cerner, Medisoft)
strong understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and insurance processes
excellent attention to detail, organizational skills, and ability to multitask
strong written and verbal communication skills for interaction with patients, insurance companies, and healthcare professionals
knowledge of regulatory compliance and proficiency in handling sensitive patient information (HIPAA)

Job Responsibility

Process, review, and submit claims to insurance carriers efficiently and accurately
verify patient insurance coverage and eligibility
resolve claim errors or discrepancies, including follow-ups with insurance providers and patients
generate billing statements for patient accounts and ensure proper posting of payments
communicate with insurance companies, patients, and other third-party payers regarding claims and payments
monitor and follow up on outstanding accounts receivable balances and unpaid claims
maintain knowledge of current billing codes (e.g., ICD-10, CPT, HCPCS) and updates to healthcare regulations
collaborate with other departments (e.g., medical records or patient services) to gather accurate information
ensure compliance with industry standards and regulations, including HIPAA

What we offer

medical
vision
dental
life and disability insurance
company 401(k) plan

Sr Architects, Technical

Sr. Architects, Technical is located in Frisco, TX will write data load parsers ...

Location

United States , Frisco

Salary:

141336.00 - 155000.00 USD / Year

T-Mobile

Expiration Date

Until further notice

Requirements

Bachelor’s degree or foreign equivalent in Computer Science, Computer Programming, Computer Engineering, or related, and 5 years of relevant work experience in any occupation in which the required experience is gained
Master’s degree or foreign equivalent in Computer Science, Computer Programming, Computer Engineering, or related, and 3 years of relevant work experience in any occupation in which the required experience is gained
Requires experience in each of the following skills: Building, configuring, and maintaining database ETL (Extract, Transform, Load) tools and techniques, particularly in handling large-scale data feeds
Configure and maintain the ETLs using the Diamond tool
Using programing languages Shell, C, Python, and Pearl for ETL activities
Data integration using data control monitoring to ensure timely (QLIK), complete and accurate loading
SQL language, performance tuning, and integration with third-party systems using Oracle databases
Using SQL and Oracle to develop Oracle Triggers, Packages, Store Procedures and Functions
SUBEX ROC Revenue Assurance (RA) system, including configuring Measures and Audits to detect discrepancies between systems
Presenting outputs through dashboards to support monitoring and decision-making

Job Responsibility

Leverage low code/no code tool for configuration of ETLs and reconciliations
Resolve production defects reported by customers and Financial Model audits by analyzing, simulating, triaging, and driving collaborative technical resolution across enterprise functions
Support changes to ongoing data feeds and manage reconciliation processes
Serve as technical support to end-users to resolve customer and Financial Model-reported problems and bugs, etc.
Work closely with the operations and development teams to bring the product bugs fixes and enhancement change requests into production environment for user benefit and process stability
Troubleshoot issues related to the Financial Model in Snowflake and integration with Samson biller, OFSLL financing system, SAP ERP, Oracle ERP and Subex ROC Revenue Assurance product

What we offer

Competitive base salary and compensation package
Annual stock grant
Employee stock purchase plan
401(k)
Access to free, year-round money coaches
Annual bonus or periodic sales incentive or bonus based on role
Year-end bonus based on company and/or individual performance for most Corporate employees
Monthly bonuses for certain Customer Care positions based on individual and/or team performance
Monthly or quarterly sales incentives for Retail and Business Sales roles
Annual Stock Grant for all employees

Fulltime

Receptionist

We are looking for a detail-oriented Receptionist to join our team in Miami, Flo...

Location

United States , Miami

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proficiency in using a multi-line phone system for managing calls
Strong customer service skills with the ability to handle inquiries professionally
Experience in data entry with attention to detail and accuracy
Ability to communicate effectively through email correspondence
Excellent interpersonal skills to interact with staff and visitors
Competence in Microsoft Excel, Outlook, and Word for administrative tasks
Organizational skills to manage files and maintain office order
Capability to schedule appointments and coordinate meetings efficiently

Job Responsibility

Oversee access to the office, ensuring security and proper protocols are followed
Manage the stocking and organization of supplies in the kitchens to maintain efficiency
Maintain the cleanliness and orderliness of the office environment to ensure a neat appearance
Handle incoming phone calls using a multi-line phone system, providing courteous and efficient service
Assist with scheduling appointments and coordinating meetings as needed
Perform accurate data entry tasks to support administrative functions
Organize and maintain files, ensuring easy accessibility and proper documentation
Communicate effectively via email to address inquiries and provide information
Execute various ad hoc projects and tasks as assigned to support office operations

What we offer

medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Psychiatrist

Astrya Global, a San Diego–based medical staffing agency, is hiring Psychiatrist...

Location

United States , San Bernardino

Salary:

Not provided

Astrya Global

Expiration Date

Until further notice

Requirements

Active CA licensure
Board certification
Active CA DEA
New graduates eligible

Job Responsibility

Evaluate and diagnose mental health disorders
Develop and implement treatment plans
See 15+ patients per day completing initial and follow up appointments
Prescribe and refill medications
Collaborate with up to 4 NPs as needed

What we offer

Malpractice Insurance
Weekly pay
Full-service credentialing and licensing department
Dedicated corporate travel team with airfare, car rental and hotel booking
Referral Bonus up to $5,000

Fulltime

Cook

Boston Pizza Cooks are the engine of the entire restaurant! They are responsible...

Location

Canada , Campbell River

Salary:

17.85 - 22.00 CAD / Hour

Boston Pizza

Expiration Date

Until further notice

Requirements

Collaborative
Team Player
Multi Tasker
Self-Starter
Detail Oriented
Efficient

Job Responsibility

Creating delicious menu items perfectly every time for every guest
Ensuring Guests have an excellent Boston Pizza experience from start to finish
Championing a fun and safe work environment
Contributing to a thriving workplace culture
Works alongside their team members
Builds relationships by finding common ground and working cohesively with all team members
Committed to championing the 'Heart of Hospitality', Boston Pizza's Brand Standards and Food Safety
Dedicated to providing Perfect Food Every Time to our Guests
Maintains composure and thrives in a fast pace environment
Works with a sense of purpose and always prioritize Guest’s orders

What we offer

Flex scheduling, days or nights
A discount on Canada's best gourmet pizza
A company entrenched in community service with opportunities to give back
Staff parties, pizza recipe contests etc
Work as part of an amazing team
BPI Scholarship Awards
Flexible scheduling that fits your lifestyle and contributes to your life-work balance
Exciting opportunities for career growth within the restaurant or at Boston Pizza head office
Build relationships and give back to your local community
Boston Pizza Scholarship Program

Specialist Education Support Assistant

Are you looking to get into supply or long‑term school-based support work? Are y...

Location

United Kingdom , South Gloucestershire

Salary:

Not provided

AFFINITY WORKFORCE

Expiration Date

Until further notice

Requirements

Hold an Enhanced Child DBS on the Update Service (or be willing to apply through AWS)
Have the ability to develop, encourage and promote learning
Have a passion for making a positive difference to children’s lives
Bring experience working within a UK school environment
Hold a valid safeguarding certificate
Demonstrate strong communication skills with children, staff and parents

Job Responsibility

Delivering targeted interventions
Supporting behaviour and pastoral needs
Helping pupils overcome barriers to learning
Providing lunchtime support

What we offer

Competitive daily rate
Opportunities to gain valuable, varied school experience
Access to exclusive rewards hub offering training, discounts & cashback
Generous referral bonus
Flexible work schedule
Temp-to-perm opportunities
Weekly pay

Third party biller

South Shore Health

Location:
United States , Weymouth

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 20, 2026

Expiration:
July 29, 2026

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