Third party biller Job at South Shore Health (Weymouth)

Medical Biller Collector

A large hospital system is seeking a detail-oriented Medical Biller Collector to...

Location

United States , Van Nuys

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 3 years of experience in hospital billing and collections
Proficiency in managing Medicare, managed care, and commercial insurance claims
Strong understanding of hospital revenue cycle processes, including inpatient and outpatient billing
Expertise in handling medical denials and appeals
Familiarity with HMO and PPO insurance plans
Ability to analyze and resolve account discrepancies effectively
Excellent communication skills for interacting with patients, providers, and payers
Strong organizational skills and attention to detail in managing complex billing cases

Job Responsibility

Submit accurate and timely medical claims to insurance carriers, government payers, and other third-party payers
Follow up on outstanding accounts to resolve denied, underpaid, or unpaid claims
Review patient accounts for billing accuracy, eligibility, authorizations, and coding-related issues
Work denials and appeals, including researching payer requirements and preparing supporting documentation
Post payments, adjustments, and contractual write-offs as needed
Communicate with insurance representatives, patients, and internal departments to resolve billing questions and account issues
Maintain productivity and quality standards in a fast-paced hospital billing environment
Ensure compliance with HIPAA, payer regulations, and hospital billing policies
Document account activity thoroughly and accurately in the billing system
Assist with special projects and reporting related to accounts receivable and collections performance

What we offer

Medical insurance
Vision insurance
Dental insurance
Life and disability insurance
401(k) plan

Fulltime

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

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

Resident Assistant

If you’re looking for a job that goes beyond the basics to deliver purpose and j...

Location

United States of America , Hillsboro

Salary:

18.00 - 20.00 USD / Hour

Leisure Care

Expiration Date

Until further notice

Requirements

Demonstrated experience in a caregiving role
Current CNA a plus!

Job Responsibility

Assists resident with activities of daily living (ADL's) and all personal care skills (bathing, dressing, grooming, toileting)
Makes appropriate observations about the resident’s condition in every interaction
Records and follows-up with changes in resident’s condition in a timely manner
Assists residents with laundry and housekeeping services as needed

What we offer

Medical, Dental and Vision
Early Wage Access (access to earned wages when needed!)
401k
10 days vacation & 1 hour Sick Leave earned for every 30 hours worked
Bereavement & Jury Duty Leave
6 Holidays
2 Float Holidays
Flexible Spending Accounts (Health and Dependent Care)
Meal Discounts
Tuition Assistance

Fulltime

Traffic Management CAD Technician

FM Conway is currently recruiting a Traffic Management CAD Technician to join ou...

Location

United Kingdom , Ipswich

Salary:

Not provided

360 Resourcing Solutions

Expiration Date

July 04, 2026

Requirements

Strong knowledge of Traffic Management operations
experience using CAD, BricsCAD and Cone 11 software
ability to read and translate blueprints and technical drawings
ability to work well under pressure, prioritise tasks effectively and have excellent attention to detail
M7 Lantra qualification is highly desirable, but not essential

Job Responsibility

Working within a team of Traffic Management development designers and Project Engineers to ensure that drawings are to a high and legal standard
Producing clear drawings, signage placement layouts and diversion route strategies
Developing safe and efficient traffic management plans for work sites and road network
Carrying out on site assessments as required
Designing sites in accordance with Chapter 8 TSM
Engaging with Project Teams & Engineers to respond effectively to working methods that require traffic Management designs that conform to a legal standard

What we offer

Career and professional development
23 days holiday plus bank holidays
Life assurance
Opportunities for internal and external training
Access to a wide range of shopping discounts through Rewarding Great People platform
Health and well-being benefits including 24-hour advice lines
Support from in-house mental health first aiders

Fulltime

Registered Nurse, CVOR

Baptist Downtown is hiring a Registered Nurse for our Cardiovascular Operating R...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

1-2 years Operating Room Nursing Experience Required
Basic Life Support (BLS) Required
Advanced Cardiac Life Support (ACLS) Required
Licensed Registered Nurse Required
Associate of Science, Nursing
Registered Nurse (RN) - State Nursing Boards
Driver's License - DMV
Basic Life Support (BLS) - AHA
Advanced Cardiac Life Support (ACLS) - AHA

Job Responsibility

Providing for patient needs as recognized through use of the nursing process
Supervision of care provided by supportive personnel and coordination of care provided by ancillary services
Including patients and significant others (SO)/families in developing an individualized plan of care
Education of patients/SO/families to their disease process and plan of care
Coordinating and preparing assigned operating room/case
Assessment of patient care needs and the anticipation of needs of the case
Circulating, scrubbing, assisting on Cardiothoracic and vascular procedures

Fulltime

Pediatric Occupational Therapist

Wolfson Children's Hospital Rehab Services is hiring a Pediatric Occupational Th...

Location

United States , Jacksonville

Salary:

Not provided

Baptist Health (Florida)

Expiration Date

Until further notice

Requirements

Bachelor's degree (or higher) in Occupational Therapy Required
Licensed Occupational Therapist from FL Department of Health Required
Basic Life Support (BLS) certification from the American Heart Association Required
Pediatric Occupational Therapy in the outpatient setting is strongly preferred

Job Responsibility

Evaluates and treats patients with developmental, neurological, orthopedic, and medical diagnoses
Extensive patient/family education
Works with multidisciplinary team care

What we offer

$1,000 Sign on Bonus

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