Role Description Reporting to the Director of Reimbursement, the Revenue Cycle Specialist is responsible for managing and resolving outstanding claims to achieve maximum reimbursement. This role requires strong knowledge of medical collections, accounts receivable, insurance billing and verification, denial management, appeal submission, and EOB review. - Timely follow-up and resolution on all outstanding A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement. - Manage daily work queue to prioritize high dollar claim balances. - Review & work incoming insurance and patient correspondence including refund requests. - Send appeals when appropriate or provide the requested medical documentation. - Ability to review medical documentation to justify medical necessity. - Review patient balances to ensure accuracy and follow up with patients to obtain payments. - Take incoming patient phone calls to resolve inquiries, billing issues, or outstanding balances. - Review insurance payments and determine accuracy of reimbursement based on contracts, fee schedules or summary plan documents. - Leverage knowledge of Medicare, state Medicaid, and local coverage determinations (LCD’s) for claim resolution. - Negotiate payment amounts for procedures with Third Party Administrators for out of network providers. - Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation. Qualifications - 2+ years of ASC and/or orthopedic revenue cycle OR orthopedic collections experience. - Ability to read and interpret insurance explanations of benefits and managed care contracts. - Must communicate effectively, both verbally and in writing, with internal and external clients. - Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines. - Knowledge or experience working with a variety of health care insurance payers is preferred. - Intermediate computer proficiency in Microsoft Office including Excel and Outlook. - Greenway Intergy, MedInformatix, and/or Nextgen Practice Management experience a plus but not required. - High School Diploma or equivalent.

Position Title: Project Billing Senior Associate Position Location: Remote - work virtually from anywhere in the United States Job Summary The Project Billing Senior Associate is responsible for managing the complete billing lifecycle for assigned projects. This role ensures accurate and timely invoicing in accordance with contract terms while partnering with Project Managers to monitor financial performance, manage WIP, and support margin goals. Essential Functions Project Accounting (75%) - Prepare and issue client invoices for T&M, Fixed Fee, Milestone, and Cost-Plus contracts - Review and validate time entries, expenses, subcontractor costs, and supporting documentation - Interpret contract terms to ensure billing compliance - Monitor unbilled revenue and WIP; proactively drive timely billing - Track retainage and ensure proper release - Partner with Project Managers on billing schedules, project performance, and margin awareness - Resolve billing discrepancies and client inquiries - Support month-end and year-end close activities related to revenue and billing - Maintain documentation and audit-ready billing support Audit / Process Improvements (25%) - Analyze billing, cost, and revenue variances - Analyze billed vs. projection and reporting on variances - Ensure project data accuracy by monitoring reporting and auditing projects as needed - ERP master user to review current processes and provide insight for further automation, workflow or process improvements. Completion of Assigned Tasks and Deliverables on Time and on Budget - Performs other related duties as assigned Position Requirements (Intermediate level for all the following) - Experience with multiple contract types (T&M, Fixed Fee, Milestone, Cost-Plus) - Skilled using MS Office Suite (Excel, Word, Outlook, PowerPoint, Teams) - Strong understanding of revenue recognition fundamentals - Ability to work successfully in a remote environment thru effective communication and organizational skills, self-motivation, proactiveness and resourcefulness in a distraction free workspace - Ability to communicate verbally and in writing technical and non-technical information - Ability to identify problems, evaluate alternatives and implement effective solutions - Ability to accurately prepare, update and maintain records, files and reports - Ability to work under pressure and meet close deadlines - Organizational skills, with the ability to manage multiple tasks simultaneously Physical Demands The following physical demands must be met by the 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. While performing the duties of this job, the employee is - Frequently required to remain in a stationary position - Frequently moving through home office, facility and other environments - On occasion the employee may move equipment or other items weighing up to 25 pounds Travel / Relocation Requirements - Up to 5%, this may include travel to any or all 50 US states - Travel is defined as physically leaving home on behalf of business activities including but not limited to client sites, meetings with other employees, meetings for business development purposes, running errands on behalf of the business, attending industry conferences, etc. Education / Experience - Bachelor’s degree in finance, accounting or related field PLUS - Minimum of 2 years of experience in project accounting or billing and experience with accounting software (ERP / billing software experience with VantagePoint a plus) Benefits DLB Associates offers a very competitive benefits package; highlights include - Choice of comprehensive medical plans (including two PPO-style plans and a HDHP w/ HSA option) - Flex spending accounts (FSA) - Dental and vision plans - Comprehensive medical, dental and vision benefits extended to spouse / domestic partner and dependent children up to age 26 - 401k with company match and self-directed brokerage account option - PTO including additional paid time off during the last week of the year - Company paid life insurance coverage for employees and their eligible dependents - Short and long-term disability, AD&D coverage - Professional development opportunities, tuition reimbursement and professional licensing assistance - Paid parental leave after one year of employment CO, CA, IL, NY, WA, and Washington DC residents only: In accordance with CO, CA, IL, NY, WA, and Washington DC law, the range provided is DLB's reasonable estimate of the base compensation for this role. The actual amount may differ based on non-discriminatory factors such as experience, knowledge, skills, abilities, and location. DLB Associates is an EEO/Affirmative Action Employer and participates in the E-Verify program with the Department of Homeland Security. We encourage diversity in our workforce. Are you ready to challenge yourself and redefine standards in the AEC industry? Apply now and join our award-winning team!​ ​NOTICE TO THIRD PARTY AGENCIES: DLB does not accept unsolicited resumes from recruiters, employment agencies, or other staffing services. Unsolicited resumes include any resume or hiring document sent to DLB in the absence of a signed Service Agreement where DLB has expressly requested recruitment/staffing services specific to the position at hand. Any unsolicited resumes, including those submitted to hiring managers or other business leaders, will become the property of DLB and DLB will have the right to hire that candidate without reservation – no fee or other compensation will be owed or paid to the recruiter, employment agency, or other staffing service.

• Claims Management: Generate trial claims regularly to identify and resolve billing errors prior to final submission. • Billing Cycle Oversight: Ensure all prior-month claims are billed immediately following the Triple Check date. • Unbilled Claims Management: Maintain a cumulative list of all unbilled claims; provide daily updates until all prior-month claims are released. • Clearinghouse Maintenance: Review Waystar for rejected claims daily and ensure corrections are made. • Contractual Expertise: Maintain knowledge of payer contracts and ensure billing aligns with contract provisions. • Denial Management: Monitor insurance portals for status updates and submit formal appeals as appropriate. • Collection Module Oversight: Monitor PointClickCare for outstanding accounts and provide feedback. • Cash Posting & Reconciliation: Post all payer-appropriate cash to PCC daily and perform reconciliations. • Trend Identification: Analyze accounts receivable aging reports to identify trends. • Management Reporting: Keep executive leadership informed by providing summaries regarding the region's financial health.

Role Description We are currently looking for top talent to fill the role below: - Role: Invoice Coder/Processor (AP/AR Processing) - Monthly Rate: $900-1100 - Availability: Full-time - 40 hours/week - Time Zone: EST timezone To streamline your application, please carefully review and complete ALL THREE items below before proceeding to the application form. What to Prepare: - English Proficiency Rating – You will need to enter your CEFR English proficiency level in the application form. If you’re unsure of your rating, you can take a quick assessment here: EF SET Quick Check. - Coconut VA Profile (Resume) – Before submitting your application, please create your Coconut VA profile using this template: Coconut VA Profile Template. ⚠️⚠️⚠️ YOUR RESUME MUST FOLLOW THIS FORMAT AND SHOULD BE IN ENGLISH. This is a test of how keen you are with details and how well you follow instructions. ⚠️⚠️⚠️ - 1-Minute Introduction Video – Record a short introduction video (preferably using Loom) and provide the link in your application. Before you do, check out these video tips and sample videos. Important: By submitting your video, you grant Coconut permission to share it on our platforms to help increase your chances of being matched with a client. Videos with broken or dummy links will result in disqualification. Qualifications - Prior experience with invoice coding in a multi-entity or high-volume environment (Good to have) - Experience working with US-based accounting teams (Good to have) - Familiarity with tools like QuickBooks, NetSuite, Xero, or similar ERPs (Good to have) - Exposure to month-end close processes (Good to have) - Process improvement mindset (Good to have) Requirements - Strong attention to detail and high accuracy rate - Basic understanding of accounting principles, especially AP and AR workflow - Ability to follow structured processes and SOPs consistently - Comfortable working with accounting systems or ERP tools - Reliable internet connection and ability to meet productivity benchmarks - Strong written communication for internal coordination Benefits - ✅ Competitive Salary – We recognize your skills and experience with a great compensation package. - ✅ 13th Month Pay – Enjoy an extra month’s salary—because who doesn’t love a little bonus? - ✅ Paid Time Off – Recharge with 12 days of PTO to use however you like—vacation, self-care, or just a break from it all! - ✅ US Holidays Off – Enjoy 12 paid US holidays throughout the year. - ✅ Maternity & Paternity Leave – We support growing families with dedicated leave for new parents. - ✅ Comprehensive Healthcare – We’ve got you and your family covered with quality healthcare benefits. - ✅ Life Insurance* – Our full-time HMO plan includes life insurance for extra peace of mind. - ✅ Mental Health Support – Prioritize your well-being with access to mental health consultations and wellness resources. - ✅ Milestone Gifts & Birthday Treats – We celebrate your achievements and make your special day even better! - ✅ Exciting Team Experiences – Think island getaways, virtual town halls, and regional meetups—because work should be fun, too! - ✅ Stay Connected – Be part of a supportive network where you can learn, grow, and connect with amazing people.