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.

JOB SUMMARY Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. - Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary, - Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. - Follow specific payer guidelines for appeals submission - Escalate exhausted appeal efforts for resolution - Work payer projects as directed - Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled Managed Care System (IMaCS) adjudication issues, and referral to refund unit on overpayments. - Perform research and makes determination of corrective actions and takes appropriate steps to code the DCM system and route account appropriately. - Escalate denial or payment variance trends to NIC leadership team for payor escalation. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Intermediate understanding of Explanation of Benefits form (EOB), Managed Care Contracts, Contract Language and Federal and State Requirements - Intermediate knowledge of hospital billing form requirements (UB-04) - Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology - Intermediate Microsoft Office (Word, Excel) skills - Advanced business letter writing skills to include correct use of grammar and punctuation. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. - High School Diploma or equivalent, some college coursework preferred - 3 - 5 years experience in a hospital business environment performing billing and/or collections PHYSICAL DEMANDS The physical demands described here are representative of those that must 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. - Ability to sit and work at a computer terminal for extended periods of time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Call Center environment with multiple workstations in close proximity As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation - Pay: $18.60 - $28.00 per hour. Compensation depends on location, qualifications, and experience. - Position may be eligible for a signing bonus for qualified new hires, subject to employment status. - Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: - Medical, dental, vision, disability, and life insurance - Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. - 401k with up to 6% employer match - 10 paid holidays per year - Health savings accounts, healthcare & dependent flexible spending accounts - Employee Assistance program, Employee discount program - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. - For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.