Join Synergy’s high performing revenue cycle team as a Pre-Bill Review Specialist! We are seeking a detail driven, compliance focused professional to ensure accuracy and completeness of all documentation before claims are submitted. Your commitment to precision will directly support clean claims, faster reimbursement, and the overall financial health of our patient centered services. About the Role The PreBill Review Specialist is responsible for conducting comprehensive audits of patient charts prior to claim submission. This role ensures that all required documentation, authorizations, visit notes, orders, and payerspecific elements are complete, compliant, and correctly aligned with billing requirements. As a critical part of the revenue cycle, this position helps prevent denials, accelerate reimbursement, and safeguards regulatory compliance across Home Health and Hospice programs. Key Responsibilities Chart Review & Audit - Perform detailed prebilling audits on all Home Health and Hospice charts to verify documentation completeness and accuracy. - Confirm all visit notes, supervisory notes, plans of care, OASIS assessments, certifications, and recertifications are signed, dated, and compliant with payer and regulatory requirements. - Completes an administrative record audit following patient discharge or prior to billing and forwards abnormal results to the Clinical Director or their designee for clinical audit. - Supervises the use of the clinical records information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements. Authorization & Eligibility Verification - Validate patient eligibility, insurance coverage, and authorization requirements prior to claim release. - Ensure authorizations are active and applicable to the dates, disciplines, and service types billed. Compliance & Quality Assurance - Identify missing or noncompliant documentation and collaborate with clinical teams to resolve deficiencies prior to billing. - Ensure all documentation adheres to federal and state regulations, Medicare/Medicaid requirements, and internal policies. - Ensures clinical record systems are maintained in compliance with state, federal and regulations. - Maintains comprehensive working knowledge of state, federal regulations and serves as a resource for appropriate organization personnel. Coordination & Communication - Work closely with clinical, scheduling, and billing teams to resolve documentation gaps that may delay claim submission. - Provide timely feedback and clarification on documentation discrepancies to ensure efficient workflow. - Communicates effectively, professionally, and thoroughly with staff regarding coordination of care expectations, educates and enforces deadlines, and establishes and maintains positive working relationships with current staff and contract staff. Regulatory & Billing Alignment - Maintain current knowledge of Home Health and Hospice regulatory requirements, and payerspecific prebilling criteria. - Verify that documentation supports the codes, service lines, frequencies, and episodes billed. Qualifications Required - Minimum of 1 year of experience in Home Health or Hospice documentation review, QA, billing, or coding. - Understanding Medicare, Medicaid, Government, and Commercial payer documentation requirements. - Experience working within an EMR and familiarity with workflow queues, chart audits, and documentation compliance. - Knowledge of corporate business management and governmental regulations - Demonstrates good communication skills and public relations skills. Preferred - Prior experience conducting prebilling or QA reviews in a Home Health or Hospice setting. - Familiarity CMS requirements for Home Health and Hospice admissions, signed orders compliance, regulatory forms and criteria for compliant billing. - Use of Home Care Home Base (HCHB) EMR, Mosai (formerly known as Forcura) e-fax portal. Skills and Competencies - Exceptional attention to detail and strong commitment to documentation accuracy. - Ability to identify compliance issues and communicate them clearly and professionally. - Highly organized with the ability to manage multiple charts and deadlines simultaneously. - Strong criticalthinking skills to evaluate chart completeness and identify potential issues before claims are submitted. - Collaborative and proactive approach to working with clinical and billing teams. - Ethical and compliancedriven mindset. If you take pride in accuracy, compliance, and ensuring a smooth revenue cycle, we invite you to apply for the role of PreBill Review Specialist today! The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Scheduled Hours 40 Position Summary This position works to complete insurance verification, examination and tracking of insurance authorizations, and validation of referral record accuracy. Enters demographic and insurance/referral information into necessary portions of the patient medical record. Performs varied professional services to ensure therapy services are reviewed and completed in an efficient manner. Ensures maximum reimbursement with all payers by securing necessary authorizations, completes insurance verifications, and updates Epic EMR database. Performs specialized duties with minimal supervision. Copying and faxing medical records as required. This position is remote, however, travel to on-site business location(s) is expected, as needed, for trainings and meetings. Job Description Primary Duties & Responsibilities: - Contacts necessary insurance companies for benefit verification and pre-certification of therapy procedures; notifies coding staff for missing, or inaccurate coded services. - Works with referring physician offices to provide updated orders. - Verifies ICD-10 diagnosis application with review of Epic database for follow-up visits. - Collects data for internal/external requests. - Stays abreast of coding changes. - Attends applicable meetings and reports results. - Obtains insurance information from patients and reviews medical record for accuracy. - Supplies all documentation required during pre-certification process to insurance companies. - Maintains open communication with providers and referring physicians. - Maintains written log of all pre-certifications in process. - Documents and notifies necessary parties of pre-certification when received. - Reviews, follow-ups, and reconciliation of pre-arrival, patient, and financial work queues as transpired. - Provides support to patient/office and pre-arrival processes when required. - Performs other duties as assigned. Working Conditions: Job Location/Working Conditions - Normal office environment. Physical Effort - Typically sitting at a desk or table. Equipment - Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles. Preferred Qualifications Education: No additional education unless stated elsewhere in the job posting. Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Clinical Practice, Communication, Confidential Data Handling, Confidentiality, Critical Thinking, Detail-Oriented, Epic Applications, ICD Coding, Insurance, Interpersonal Communication, Managed Care, Medical Billing and Coding, Medical Terminology, Microsoft Office, Multitasking, Office Equipment, Organizing, Teamwork, Telephone System, Third Party Payers, Working Independently, Written Communication Grade C06-H Salary Range $17.34 - $25.40 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal - Up to 22 days of vacation, 10 recognized holidays, and sick time. - Competitive health insurance packages with priority appointments and lower copays/coinsurance. - Take advantage of our free Metro transit U-Pass for eligible employees. - WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness - Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family - We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered. - WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.

Job Seekers can review the Job Applicant Privacy Policy by clicking here. Job Description: Summary The Contractual Associate II, CPI & Surcharge ensures the accuracy and quality of CPI rate implementations and surcharge billing processes by analyzing and auditing reconciliations, reviewing account setup, and completing manual reconciliations. The role supports specialized billing needs, creates customized customer and departmental spreadsheets, and reconciles assigned balance sheet accounts. Serving as a liaison across departments, the Associate II strengthens communication, identifies process gaps, and recommends improvements. The position also partners with management and IT to test, validate, and support the rollout of system and process enhancements. Essential Functions - Review and interpret contractual language for CPI and Surcharge and update systems. Process surcharge and CPI changes, generate company projections, and revenue reports to be distributed to Sr. Management. - Complete customer mileage/hours reconciliations and audits. Research mileage variances, update odometer database and coordinate changes with Contractual Billing team. - The subject matter expert for CPI and Surcharge functions and issues, supporting the internal and external customers within our business processes - Gather and compile data for reports, and complete assigned compliance tasks, month end JE’s, customized customers spreadsheets and process approvals - Develop and maintain protocols, desk procedures, training guides, and internal control documentation, including adherence and support on internal and external SOX audit controls. - Perform intermediate level analysis and problem solving to assist in the development of business process improvements. - Additional Responsibilities - Performs month end accounting and finance close duties and reconciliations as assigned. - Supports Ryder in projects to include department, SSC, division and corporate initiatives. - Recommends improvement to departmental and or SSC procedures and protocols. - Performs other duties as assigned. Skills and Abilities - Possesses strong technical aptitude Requires full use and application of relevant principles, theories, concepts and techniques. Functional/Technical skills., Required - Demonstrates a high commitment to quality. Must have decision quality, approachability, composure and creativity., Required - Ability to build strong customer relationships, Required - Ability to create and maintain professional relationships within all levels of the organization (peers, work groups, customers, supervisors)., Required - Advanced Problem-Solving skills., Required - Strong verbal and written communication skills, Required - Flexibility to operate and self-driven to excel in a fast-paced environment, Required Qualifications - 4 years or more experience in Billing, Receivables, Customer Service, Collections, Payables or other financials support role with a High School Diploma., Required - 4 years or more experience in Billing, Receivables, Customer Service, Collections, Payables or other financials support role with a bachelor's degree., Preferred - Basic understanding of Business Finance, controls and metrics; intermediate level. Intermediate, Required Job Category Credit & Collections Compensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate’s relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. The position may also be eligible to receive an annual bonus, commission, and/or long-term incentive plan based on the level and/or type. Compensation ranges for the position are below: Pay Type: Salaried Minimum Pay Range: $60,000.00 Maximum Pay Range: $65,000.00 Benefits Information: For all Full-time positions only: Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off for vacation, illness, bereavement, family and parental leave, and a tax-advantaged 401(k) retirement savings plan. Ryder is proud to be an Equal Opportunity Employer and Drug Free workplace. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Important Note: Some positions require additional screening that may include employment and education verification; motor vehicle records check and a road test; and/or badging or background requirements of the customer to which you are assigned. Security Notice for Applicants: Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire. During an interview, Ryder will never ask for any form of payment or banking details and will never solicit personal information outside of the formal submitted application through www.ryder.com/careers. Should you have any questions regarding the application process or to verify the legitimacy of an interview or Ryder representative, please contact Ryder at careers@ryder.com or 800-793-3754. Current Employees: If you are a current employee at Ryder, please click here to log in to Workday to apply using the internal application process. Job Seekers can review the Job Applicant Privacy Policy by clicking here.

Where You’ll Work Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system. Job Summary and Responsibilities - Validates the appropriate posting of money to the accounts receivable and applies denials using the collection tool and policies and procedures to achieve department and hospital goals. - Researches accounts and documentation to determine validity of refunds. - Posts adjustments for appropriate account reconciliation and resolution. - Meets productivity standards for processing refunds in an effort to achieve account resolution. - Maintains and facilitates communication within the business and clinical divisions. - Responds professionally and within appropriate timeframes to telephone, e-mail and task inquiries. - Participates in staff meetings, performance improvement activities and committees as assigned. - Utilizes issues log when necessary. - Supports the cash management function by providing backup to all Cash Management positions as needed. - Other job duties as assigned. Job Requirements - High School graduate or GED. - Accounts receivable experience. - One year of hospital or clinic collection experience. - Knowledge of coding rules and guidelines and the ability to appropriately interpret EOBs for acute care and ambulatory services. - Basic knowledge of accounting principles. - Knowledge of 835 processes to ensure accurate refunds are processed to correct payer. - Ability to resolve accounting issues related to cash posting. - Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service. - Excellent organizational skills and the ability to handle multiple priorities/tasks simultaneously in a fast paced environment. - Ability to maintain acute attention to detail. - Basic computer literacy and proficiency in Microsoft Windows. - Basic proficiency with MS Office (Outlook, Word, Excel). - Experience with insurance billing computer applications preferred. - Ability to operate 10 key calculator.