Description Soleo Health is seeking a Billing Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion billing experience required. - Competitive Wages - 401(k) with a Match - Referral Bonus - Paid Time Off - Great Company Culture - Annual Merit Based Increases - No Weekends or Holidays - Paid Parental Leave Options - Affordable Medical, Dental, and Vision Insurance Plans - Company Paid Disability and Basic Life Insurance - HSA and FSA (including dependent care) Options - Education Assistance Program The Position: The Billing Specialist will primarily be responsible for insurance and self-pay billing, excluding Medicare. This role is also responsible for submitting electronic and paper claims. Follows up with clearing house vendors on accepted and working rejections. Responsibilities include: - Preparation of accurate medical claims based on contracted agreements for services to various payers (e.g. Commercial Payers, Government Payers, Employer/ Institutional Payers). - Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules. - Creates and submits secondary electronic pharmacy and medical claims in a timely manner. - Billing of manufacturer copays, which includes entering the necessary information into portal or billing via paper at time of initial billing. - Monitors billing requirements pursuant to contracts with third party payers or government programs. - Answer insurance/billing questions from branch staff and help educate. - Review information from electronic medical records in patient account (IE: auth, benefit verification, orders, accounts receivable, etc.) to ensure preparation and submission of clean claims. - Perform routine revenue review of claims billed within the current month. - Answering incoming calls and triage if necessary. - Create claim batches and process them via electronic submission. - Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections, and resubmit. - Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers. - Daily review and follow up of unbilled delivery tickets in billing review and ready to bill queues. - Accurately notate patient accounts to reflect all actions made including marginal, split claim notes, missing COGS, etc. - Coordinates with the pharmacy team daily to ensure any PBM issues are addressed and resolved, accepted into revenue and billed timely - Effectively utilize time and resources to meet performance goals. - Provides exceptional Customer service to internal and external customers. - Ensures compliance with federal, state, and local governments, third party contracts, and company policies. - Clearly communicate any billing related issues to all appropriate parties including: Intake, collections, RBL, and manager. - Monitoring the unbilled-pending invoices queues and communicate to the branch on missing or needed documents or information. - Maintain current knowledge of departmental and organizational policies. Schedule: - 8:30a-5p, Monday-Friday Requirements - 2 years or more of home infusion billing required - High School Diploma or equivalent - Knowledge of HCPC coding and medical terminology - Experience providing customer service to internal and external customers - Must be computer literate - Must be dependable. Excellent phone and email communication skills. - Working knowledge of ICD10, CPT, NCCI; must be familiar with modifier application and standard billing regulations About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords:billing representative, accounts receivable, collections, claims, medical coding and billing

• Lead, mentor, and manage a team of billing specialists and coordinators responsible for the billing performance of assigned facilities. • Oversee day-to-day billing operations, ensuring the team submits claims in a timely and accurate manner. • Provide training, development, and performance feedback to the billing team to ensure adherence to best practices and regulatory compliance. • Set performance goals for the team, monitor progress, and ensure key metrics such as days in accounts receivable (AR) and collection rates are met. • Serve as the primary point of contact for a portfolio of SNF customers, ensuring their billing needs are met and addressing any concerns or issues related to billing or revenue cycle management. • Serve as primary point of contact for our offshore portfolio, including vendor management, SOPs, staffing needs, and general project management to optimize our offshore A/R processes. • Monitor the billing performance of each SNF in the portfolio, identifying trends, potential issues, and opportunities for improvement. • Develop customized strategies for each client to optimize billing processes, reduce claims denials, and maximize collections. • Collaborate with clients to ensure they understand their billing performance, and work with them to resolve any discrepancies or challenges. • Oversee the submission of claims for the SNF portfolio, ensuring accuracy and compliance with Medicare, Medicaid, and other payer requirements. • Ensure timely follow-up on unpaid claims, manage denials, and coordinate with insurance providers to resolve disputes. • Implement best practices in billing operations, continually seeking opportunities to improve the efficiency and effectiveness of billing processes for customers. • Work closely with executive leadership to develop and refine policies and procedures related to billing and revenue cycle management. • Ensure that all billing activities are compliant with state and federal regulations, including HIPAA, Medicare, Medicaid, and other third-party payer rules. • Stay updated with changes in reimbursement models, billing regulations, and industry best practices. • Conduct regular audits of the billing processes for the SNF portfolio to ensure accuracy and compliance. • Prepare and present reports on billing performance, revenue collection, and other key financial metrics to senior management and SNF customers. • Build and maintain strong relationships with clients, acting as a trusted advisor on billing and revenue cycle matters. • Provide regular communication with customers regarding billing issues, financial performance, and resolution of any disputes. • Work to proactively resolve issues before they escalate, providing clients with clear communication on their billing status. • Other tasks and projects as needed and assigned.

Role Description The Warehouse Lending Specialist position will be a client-facing role with internal duties and responsibilities. This person will be expected to correspond with clients in a timely, respectful, and professional manner. - Funding: Work in unison with peers in managing funding requests, processing additional wires, new title agent approvals, and end-of-day reporting requirements. - Collateral: Receive, process, and release all collateral (notes). Responsible for the safekeeping of the note in a fire-proof vault while in First Bank’s possession. - Settlements: Assist in processing daily settlements and manage the flow of settlement wires to ensure the GL’s balance daily. This is a Funding role within Mortgage warehouse lending. Mortgage Warehouse knowledge is a plus but not required. Basic knowledge of industry products is preferred. Qualifications - High School diploma or equivalent. - Proficient in Microsoft Office product Suite: Outlook, Word, & Excel. - Experience with or ability to quickly learn the bank's Warehouse System of record. - Familiarity with loan documentation or ability to be trained quickly. - Prior mortgage warehouse lending experience preferred, but not required. Requirements - Responsible for corresponding with clients in a timely, respectful, and professional manner to meet daily demands of SLAs. - Adhere to various types of funding requirements per industry product codes/document types. - Process loan settlements to balance to GL’s daily. - Receive, process, and ship collateral to the final takeout investor, ensuring it meets all requirements. - Confirm borrowers' signatures are original, not copies. - Ship all daily collateral release requests and make the daily mail drop, on or off site. - Manage the missing collateral report by tracking Promissory Notes that have not been received within the allotted period. - Complete the MERS assignment in the MERS database (members.mersinc.org), when applicable. - Maintain current and accurate Investor endorsement verbiage at all times. - Engage in frequent communication with management and client’s shipping team regarding any pertinent investor changes. - Assist in processing settlements daily. - Cross-train with other departments to assist when other team members are out. - Complete and pass all required regulatory compliance training as assigned by the Bank. Benefits - Compensation range: $25.00 - $30.00, based on factors such as prior experience, skill set, training, and geographic location. Working Conditions - Generally works in an office environment or from a remote home office. Physical Requirements - Must be able to remain in a stationary position up to 75% of the time. - Must be able to occasionally move about inside the office to access file cabinets, office machinery, etc. - Continually operates a computer and/or other office equipment, such as a copy machine, printer, etc. - Frequently communicates with peers and clients, exchanging accurate information via phone, TEAMS chat, email, or in person.

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40 Compensation: Salary Range: $15.00 - $22.00 Union Position: No Department Details Remote role with flexible work schedule, independent work linked to quality and patience experience. Communicating with patients in a way to support patients with health maintenance gaps in care. Summary Greatly contributes to the success of integrated primary care ensuring overall quality patient care through prevention and wellness strategies. Supports a clinic by managing and coordinating care for their panel of patients. Monitor attribution, identify gaps in care, coordinate preventative services, and make outreach to patients or health care providers to ensure coordination of care. Ensure patient’s needs are being met by connecting to appropriate and available services, care team members, and resources to promote optimal health and wellbeing. Job Description Assists the clinic care team in managing and coordinating preventative screenings and wellness strategies for optimal health and wellbeing. Provides oversight to provider's patient panels by monitoring patient attribution contributing to integrity of the EMR, coordinating wellness screenings for specific specialties, supporting office visit, procedure, and scheduling screenings as appropriate, and managing the appropriate chronic disease registries, provider score cards, and result reconciliation. Promotes quality initiatives and improved patient outcomes. Participates in care for age related patients in all phases of preventative care and health maintenance. Functions within the administration pre-defined scope of practice guidelines. Track and report quality measures and validate accuracy and integrity of patient records. Participates in the care of patients by collecting subjective and objective data from the patient or caregiver to identify potential barriers to care (SDoH) and refers to care management roles as appropriate. Communicates collected data and obtains appropriate orders to support the health care team and follows through on the patient's plan of care under the direction of the care team. Demonstrates computer literacy including using Microsoft Office products and electronic health record (EHR). High level of computer skills and ability to run registries. Demonstrates experience and professionalism in the following skills, but not limited to: customer service, critical thinking, multi-tasking, medical and medication terminology, and medical paperwork knowledge including insurance completion/submission requirements. Qualifications Post secondary education of one - two years, with an emphasis in healthcare or medical related field is preferred. A minimum of one year work experience in ambulatory care, community outreach, patient or provider support, customer service, and/or various integrated care systems preferred. Training in Motivational Interviewing and/or Mental Health First Aid preferred. Background as a Certified Medical Assistant (CMA) is preferred. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.