Overview Care Hospice is looking for a self-motivated Medical Billing Specialist to join our Team. We offer the opportunity to take on new challenges and a culture of teamwork that sets us apart. The Medical Billing Specialist is an organized professional who is responsible for a variety of tasks including initiating payment processes, transferring patient and insurance information and appealing denied claims. The ideal candidate will be well-versed in billing software, medical insurance regulations, and proficient at responding to insurance inquiries. Hospice experience is preferred. This is a remote position working Mon-Fri 8a-5p Eastern Standard Time Zone. Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. ** Who we are: At Care Hospice, we're not just a company; we're a team united by a common goal – providing exceptional hospice and palliative care to those in need. We take immense pride in being a mission-driven, patient-centered leader in end-of-life care. Guided by our vision to be the most trusted partner in hospice care, we surround our patients and their loved ones with unwavering support, comfort, and compassion. At Care Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch. We offer a supportive, growth-oriented environment along with a comprehensive benefits package that includes: - Comprehensive Health, Dental, & Vision Insurance - Company matching 401(k) to secure your future - A generous time-off package with 15 days of PTO & 10 Holidays to rest and recharge - Tuition Reimbursement & Certification Assistance to support your professional growth - Wellness & Discount Programs to help you lead a healthy and balanced life - Cell Phone, Mileage, & Gym Membership Reimbursement for your convenience Responsibilities - Execution of high-volume monthly client billing for Hospice provider (Medicare, Medicaid, and Commercial). - Responsible for working with multiple branch offices to ensure timeliness and accuracy of content is received and available for billing. - Prepare, Bill, and Correct Per Diem billing for multi-state agency to include all payers. - Recreate submission files for rejected claims. - Create Adjustment Claims when appropriate. - Monitor status of aging invoices and provide monthly explanation. - Assist with monthly reporting. Qualifications - A minimum of 2 years billing experience. Multi-state and/or location experience preferred. - Hospice billing experience with Medicare, Medicaid, and Commercial insurance a plus. - Knowledge of MatrixCare a plus! - Experience working with Waystar and Availity. - Proficient with Microsoft Office Suite. Intermediate to advanced Excel skills required. $21.00 - $26.00 per hour (Average Pay Range). The pay range listed represents a general guideline for the role and is not a guarantee of the final offer. Compensation will be determined based on the selected candidate’s relevant experience and the specific responsibilities of the position. Final compensation rate will be discussed and confirmed at the conclusion of the interview process. FLORIDA ONLY: This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse. Visit https://info.flclearinghouse.com for more information.

• Review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types • Validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals • Perform documentation review and assessment for accurate abstracting of clinical data • Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types • Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures • Abstract clinical data from the record after documentation review • Complete assigned work functions utilizing appropriate resources • Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements

The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: - Receives claim and processes based on state rules and regulations - Determines validity and compensability of the claim using CorVel proprietary programs - Makes recommendations and communicates claim status to to referring office - Read and comprehend all medical reports - Adhere to client and carrier guidelines and participate in claims review as needed - Assists other claims professionals with more complex or problematic claims as necessary - Maintain HIPAA compliance - Additional duties as assigned KNOWLEDGE & SKILLS: - Ability to learn rapidly to develop knowledge and understanding of claims practices - Strong organizational skills - Ability to meet or exceed performance competencies - Effective and professional verbal and written communication skills - Ability to handle demanding situations while using critical and strategic thinking skills - Demonstrated outstanding leadership, problem solving, and analytical skills - Ability to think and work independently, while working in an overall team environment - Proficient in Microsoft Office, especially Excel and Outlook EDUCTION & EXPERIENCE: - High School diploma or equivalent - Current AAPC certification (which must be maintained throughout employment as current and active status) - Certification as CPC with the AAPC for more than 2 years (w/ surgical or office experience) - Current or recent orthopedic billing/coding experience - EncoderPro software experience - E/M coding/down-coding experience - Texas workers' compensation experience is preferred - Pain Management/Anesthesia/General Surgery coding experience is preferred PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $48,143 – $71,852 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERIS: CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Opportunities with Reliant Medical Group, part of the Optum family of businesses. Join a community-based, multi-specialty, physician-led organization where you will work with talented peers on a common purpose: improving the quality, cost and experience of health care. Here, we focus on delivering the best patient care, rather than volume. Through innovation and superior care management, we support patients and your well-being as a team member. Join a team at the forefront of value-based care and discover the meaning behind Caring. Connecting. Growing together. Position Details: - Location: Remote- Worcester, MA - Schedule: Full Time - Department: Medical Coding- Manager Responsible for the supervision and day-to-day instruction of assigned employees and activities to ensure efficient and accurate claims coding and denials. Assists in maintaining department operations and acts as a leader in Manager’s absence. Primary Responsibilities: - Assists Management with the daily operations of the coding and denials teams to ensure efficient productivity and quality standards. Distributes and monitors the flow of work for assigned staff - Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, training, and payroll processing. Makes recommendations on staffing levels, employee hires transfers, promotions, salary changes, discipline, terminations, and other similar actions. Resolves grievances and other personnel problems within position responsibilities - Coordinates and prioritizes the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved - Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation, and fosters the effective integration of efforts with organization-wide initiatives - Provides training and technical assistance to employees within assigned work area - Assists Manager in ensuring that assigned employees are provided with appropriate resources and materials - Ensures appropriate follow-up of coding-related payor rejections and denials. Monitors and communicates trends to Manager - Performs quality control checks on charge documents/encounter forms in preparation for charge entry - Maintains and reports on productivity, quality standards and processing timelines as established by Revenue Operations Metrics - Responds to coding related inquiries from providers and support staff and others, as requested - May perform the duties of the Coding Specialist, as needed, due to employee absence or business need. Coordinates team member time off in a manner the does not negatively impact necessary daily functions - Must keep abreast of governmental and other payor coding and reimbursement rules and requirements - Ensures compliance with payor filing deadlines - Adheres to all governmental and third party compliance issues as directed. Cooperates fully with all governmental and third party insurer audits - Ensures compliance with regulatory agencies. Develops and maintains procedures necessary to meet regulatory requirement - Ensures that assigned area comply with established policies, quality assurance programs, safety, and infection control policies and procedures - Ensures adequate equipment and supplies for assigned area - Ensures compliance to all health and safety regulations and requirements - Enhances professional growth and development through educational programs, seminars, etc. - Performs similar or related duties as required or directed - Regular, reliable and predicable attendance is required You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - High School graduate - Certified Coder: CPC, CCS-P - Demonstrated leader with 3+ years of supervisory experience - 3+ years of professional experience, including 2+ years of experience in a managerial/supervisory role - Proficient in billing software within 6 months - Extensive knowledge of third party billing and payors, coding principles and denials and appeals processes - Thorough knowledge of medical terminology and ICD-10 and CPT4 coding - Solid computer and office skills including phone, keyboard, computer and computer applications, MSOffice, Internet, and E-mail Preferred Qualifications: - EPIC experience - Proven excellent problem-solving ability - Ability to multi-task in a fast-paced environment - Solid analytical ability with excellent organizational and communication skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.