Role Description We have an immediate opening for a Billing and Collection Specialist to join our remote team at Ovation. Schedule: Monday through Friday, 8:00AM to 4:30PM CST This role provides the opportunity to grow within a nationally respected organization while remaining closely connected to the patients and teams you support every day. In this role, the Billing and Collection Specialist will: - Maintain excellent customer service - Respond to patient & internal inquiries within 24-48 hours; including emails and voice messages - Process and post credit card payments - Be knowledgeable on FDCPA requirements and Shady Grove Fertility Financial Programs - Utilize reports to identify patient balances, move unapplied credits, and contact patients to collect payment - Utilize collection module or spreadsheet to work past due accounts - Review patient balance, payments, and or adjustments for accuracy - Review, skip trace mail returned statements - Answer incoming calls and follow up with patients if necessary - Be responsible for balancing work daily - Apply credit money to open encounters as appropriate - Research account credits and create refund tasks following the current refund policy and procedure - Apply adjustments utilizing accurate adjustment codes. PC adjustments have appropriate back up documentation - Process NSF checks & chargebacks per policy and procedure - Post collection check(s) monthly - Prelist accounts for collections - Emailing Dr(s) collection write off requests - Process accounts to bad debt utilizing NextGen’s bad debt function - Generate demand for payment letters to patients as necessary - Be responsible for giving call volume, and any applicable feedback to supervisor to improve patient satisfaction - Document accounts accurately utilizing Artworks and NextGen - Review accounts receivable reports monthly to evaluate accounts aging over 90 days - Prepare collections accounts and transmit patient demand letters on a daily, weekly, or monthly basis - Review and process accounts for bad debt. Prepare appropriate accounts for supervisor review - Communicate effectively with patients, coworkers, and supervisors - Able to work within a team setting (i.e. assisting team members and sharing knowledge) - Other duties as assigned Qualifications - Associate Degree in accounting or business. High School Diploma acceptable with appropriate hands-on experience - Minimum 2 years' experience with associate degree, or minimum 5 years' experience without associate degree - Ability to access, input, and retrieve information from a computer. Medical software program experience required - Microsoft Excel experience - Knowledge of office procedure and office machines (i.e., computer, fax, copier, etc.) - Ability to demonstrate good judgment - Ability to communicate accurately and concisely - Ability to remain calm and poised under stress - Excellent interpersonal skills Benefits - Medical, dental, and vision insurance - 401(k) with company match - Tuition assistance and professional development support - Performance-based bonus opportunities - Generous paid time off, paid holidays, and paid parental leave - Life and disability benefits - Fertility Discount Program - Employee wellness and recognition programs

• Contact past due customers, communicating professionally and persistently to facilitate resolution. • Negotiate payment plans, hardship plans and settlements within established parameters for customers unable to pay their full balance. • Handle escalated calls and complex account investigations, applying sound judgment to resolve issues and deliver a high quality customer experience. • Maintain accurate and up to date customer records, ensuring all account information and status changes are properly documented. • Meet or exceed department performance targets through organized, proactive, and effective collections efforts. • Provide peer feedback and support to internal and BPO team members, contributing to a culture of continuous improvement and shared accountability. • Assist with onboarding and training of new team members, leveraging subject matter expertise to reinforce processes and best practices. • Serve as a first-line resource for workflow questions, troubleshooting, and escalations from peers. • Assist with drafting and updating Standard Operating Procedures (SOPs) to reflect current processes, ensuring documentation is accurate, accessible, and easy to follow. • Identify and surface process improvement opportunities to the Team Lead, contributing ideas that improve efficiency, compliance, and customer experience. • Maintain strong working knowledge of all collections systems, tools, and workflows to serve as a reliable SME for the team.

Role Description This Revenue Cycle Specialist III works under general supervision and follows established practices, policies, and guidelines of Revenue Cycle Management supporting Professional Fee billing and collections. Duties include but are not limited to: - Reviewing and submitting claims to payors - Performing account follow-up activities - Updating information on patient accounts - Reviewing and processing credits - Posting payments and account reconciliations Positions at this level require expert knowledge, skill, and proficiency in CS-Link functions and multi-specialty areas of the revenue cycle. Incumbents have expert knowledge and understanding of: - Regulatory requirements - Payor contracts - CSHS policies governing billing and collections Incumbents are expected to: - Research, analyze, and resolve complex cases and problem accounts with minimal assistance - Serve as a technical resource (subject matter expert) to others - Act in the absence of the lead and/or supervisor - Be cross-trained in other revenue cycle functions and provide back-up coverage Develops and maintains excellent working relationships with Cedars-Sinai Clinical Departments, external clients, and patients, performing duties that include: - Identifying, analyzing, resolving, and responding to client inquiries, concerns, and issues - Following up on accounts to ensure resolution - Responding to patient, insurance company, and other authorized third-party inquiries Makes recommendations for improved operational processes so that billing information is received from client groups in a timely and accurate manner. Keeps informed if rules and regulations affect coding and reimbursement by maintaining current CPT and ICD-10 knowledge of assigned areas for accurate assessment of charge review. Creates manual invoices and follows up for payment. Directs billing to the correct entity (Vision Plan, Personal Family, or Non-Covered). Distributes payments to avoid inaccurate billing to patients. Identifies possible coding deficiencies through charge/medical record review and coordinates coding review to ensure accurate charge capture, enhancing third-party reimbursement and minimizing audit liability. Attends huddles as requested and participates in group problem-solving. Escalation of fee schedule discrepancies and system errors. Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas Qualifications - Expert knowledge of Revenue Cycle Management - Proficiency in CS-Link functions - Understanding of regulatory requirements and payor contracts - Ability to research and resolve complex cases - Strong communication skills Requirements - Experience in Professional Fee billing and collections - Knowledge of CPT and ICD-10 coding - Ability to maintain excellent working relationships - Experience in analyzing and resolving billing issues Benefits - Health care - Paid time off - 403(B) plan

Role Description Bring your passion to Texas Health so we are Better + Together. Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011 Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion) Department Highlights: - Gain a sense of accomplishment by contributing to a teamwork environment. - Receive excellent mentorship, comprehensive training, and dedicated leadership resources. What You Will Do: - Receivables Management Collections - Verify validity of account balances by researching, reviewing, and ensuring accuracy of payment and adjustment posting. - Takes initiative to resolve accounts with and without supervision. - Contact payors, networks, patients, employers, and other responsible parties to acquire timely and accurate/expected payment on assigned Accounts Receivable inventory. - Take necessary steps needed to acquire and provide information needed for claims that have a zero payment. - Use payor-specific contract terms to resolve claims that are in process or have a payment variance. - Refer claims that have a clinical denial to the Denials team for review and follow-up. - Prepare appeal letters to dispute payor denials when appropriate. - Process &/or request rebills and other system actions, as needed. - Understand and apply appropriate system discounts. - Enter all communications regarding patient accounts in the host system. - Accounts should be worked daily, with an emphasis on quality and resolution. - Worklists should be stratified to ensure high dollar and/or aged accounts are the top priority, with the overall goal of resolving assigned inventory each week. - Works toward department goals and visions as an individual and as a team player. - Meet, and maintain, quality and productivity performance metrics set forth by applicable leadership. - Maintain proficiency in the host system. - Receivables Management related to Financial Assistance PAR II’s - Review financial assistance application for completion prior to processing. Determines if application is complete. If incomplete, requests additional documents from consumer by phone, mail, or email following HIPAA privacy guidelines. - Documents, receipt of application in system and creates a Case in Financial Assistance Module. Uses appropriate activity code in Epic to ensure productivity is accurate. - Review incoming applications received by mail, email or MyChart, to determine if all the required information was submitted. If incomplete, requests additional documents from consumer by phone, mail, or email following federal HIPAA regulations. - Processes accounts timely, according to age, and consumer request. Uses appropriate activity code in Epic to ensure productivity is accurate. - Prepare and mails all approval/denial letters. Prepares documents for scanning, removes non-essential information from packets to protect consumers financial information. Focus on Service - Provide excellent service when dealing with payors, patients, employers, management, hospital staff and other parties within and outside of THR. - Communication should be clear, concise, and professional. - Requests should be addressed timely, with the goal of completion within 3 days to avoid delinquency. - Requests deemed as "escalated" should receive immediate attention. Payor Issues - Identify and resolve problems related to payor contracts and reimbursement in a timely manner. - Inform Business Operations Supervisor, Manager and/or Payor Champion of any potential trends that might delay accurate payment (via appropriate mechanism - spreadsheet, email, etc...) - Recommend accounts for placement with an outside collection/legal vendor when appropriate resolution is not obtained timely. Compliance - Compliance with THR policies and procedures. - Complies with all applicable regulations with the operating systems, entity, and system policies and procedures. - Complete assigned tasks in a timely and effective manner. - Maintain up-to-date knowledge of local, state, and federal guidelines for communication and collections. Qualifications - Education: H.S. Diploma or Equivalent Req - Experience: 2 Years Healthcare Revenue Cycle Accounts Receivable Experience, healthcare or related organization. Req - Skills: - Computer skills required in advanced word processing, spreadsheets, and graphic skills. - Ability to organize and coordinate workflow as well as meeting deadlines. - Must possess excellent communication, problem solving documentation, training and customer service skills. - Must be familiar with organizing, managing workflow and ability to absorb and retain details. - General knowledge of medical and insurance terminology required. - Experience in Epic preferred. Requirements - Supervision: Individual Contributor - ADA Requirements: - Extreme Heat 1-33% - Extreme Cold 1-33% - Extreme Swings in Temperature 1-33% - Extreme Noise 1-33% - Working Outdoors 1-33% - Working Indoors 67% or more - Mechanical Hazards 34-66% - Electrical Hazards 1-33% - Explosive Hazards 1-33% - Fume/Odor Hazards 1-33% - Dust/Mites Hazards 1-33% - Chemical Hazards 1-33% - Toxic Waste Hazards 1-33% - Radiation Hazards 34-66% - Wet Hazards 1-33% - Heights 1-33% - Other Conditions 1-33% - Physical Demands: Sedentary