• Prepare and submit accurate claims, invoices and required documentation for services, including coding diagnoses and procedure codes • Monitor and track claims to ensure timely submission and investigate and resolve billing inaccuracies and billing related issues • Check eligibility and benefit verification to determine client’s eligibility and if additional private health insurance exists for each client • Collaborate with funders and insurance companies to resolve billing inconsistencies and errors • Communicate with program and QA staff regarding any changes to a client’s eligibility • Bill and collect copays/deductibles from parents/guardians in applicable programs • Upload files to respective systems to apply payments and adjustments and provide reports from the electronic health record system • Review billing denial queues and billing-related reports on a daily basis to ensure the timely processing of claims and denials • Resubmit claims as needed • Communicate with program staff regarding corrections or necessary changes in documentation • Input, complete, and review billing and payment invoices using internal and external Electronic Health Record (EHR) and Clearinghouse systems for assigned program(s) and submit reports in a timely manner • Maintain proper documentation for each claim, including relating to the approval or denial of claims, utilizing the appropriate county forms and systems • Reconcile payments and resolve discrepancies • Work with payers to appeal and correct errors • Stay up to date on changes in billing codes, regulations, and payer policies • Attend all required trainings and meetings

• Own the end-to-end billing process across subscription and usage-based revenue • Ensure timely and accurate invoice generation • Manage billing queue, prioritization, and execution • Review and resolve complex billing scenarios (proration, expansions, terminations) • Make real-time decisions to ensure billing continues moving forward • Reduce dependency on manual review by standardizing workflows • Manage AR team supporting billing and collections • Ensure work is completed accurately and on time • Provide guidance, prioritization, and accountability • Partner with systems teams to improve automation and workflows • Provide feedback on process gaps and inefficiencies • Support adoption of new tools and processes • Identify opportunities to simplify billing workflows • Reduce manual effort through better process design • Improve invoice quality and reduce customer inquiries • Track and report on key billing metrics, including billing efficiency, cycle time, and accuracy

Role Description As a Billing Specialist, you play a vital role in our mission to improve lives. As part of Billing Operations, you will be: - Verifying insurance coverage of payers - Identifying account classification - Processing billing exceptions - Identifying the correct Financial Class and entering it in the billing system - Posting extracts and correcting validation errors in the system - Identifying trends and communicating to the leadership team - Reviewing incoming documentation to identify the correct payer for accounts - Researching eligibility to ensure correct insurance coverage of payer - Ensuring payer mapping (crosswalk) is set up correctly - Identifying contract matrix discrepancies and/or gaps and communicating accordingly - Analyzing decision log errors related to the daily census - Analyzing pre-submission errors to identify root causes and recommending solutions - Processing denials related to eligibility to identify the correct payer or payer request - Processing electronic rejections, identifying root causes, and recommending/making appropriate updates to accounts - Processing returned mail, write-off accounts, and daily exception reports - Processing Laserfiche folders (duplicate, pending review, etc.) to ensure documentation is processed timely - Identifying Work in Process (WIP) and creating exception reports for management - Processing activity codes for Account Classification or account suspended issues - Retrieving missing documentation for payer accounts from various applications and/or site portal - Printing, sorting, and filing miscellaneous billing-related documentation - Completing daily log via manual entry into the billing system - Time tracking for manual sites - Training fellow team members as requested or needed Qualifications - High school diploma or GED required - One or more years of experience in billing operations required - Prior experience working in the healthcare industry preferred - Knowledge of payer Financial Classifications for billing - Knowledge of account exception processes in billing operations - Ability to read and interpret Explanation of Benefits (EOB) from various payers - Ability to communicate trends to leadership team clearly - Ability to problem solve challenges that may not be previously outlined in a payer manual - Ability to communicate effectively in writing and verbally - Ability to analyze, interpret, and create various billing-related reports - Knowledge of and ability to apply basic math concepts - Ability to complete duties with attention to detail and high degree of accuracy - Ability to prioritize workflow and work autonomously - Basic understanding of Microsoft Office applications (Word, Excel, and Outlook) - Ability to comply with RCM billing policies and procedures Benefits - Superior health plan options - Dental, Vision, HSA/FSA, Life and AD&D coverage, and more - Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service) - Generous paid time off starting 3-4 weeks annually - Student Loan Refinancing Discounts - Professional and Career Development Program - EAP and travel assistance included - Wellness program - Purpose-driven culture focused on improving the lives of our patients, communities, and employees

Role Description Phi International, Inc. is looking for a dedicated Online Chat Support Specialist to join our remote team. In this role, you will be responsible for providing real-time assistance to customers through our online chat platform, addressing their inquiries, resolving issues, and ensuring a positive customer experience. The ideal candidate will have excellent written communication skills, a customer-focused attitude, and the ability to multitask effectively in a fast-paced remote environment. This position offers the flexibility of remote work while playing a crucial role in maintaining strong customer relationships and satisfaction. - Respond promptly and professionally to customer inquiries via online chat. - Provide accurate information about products, services, and policies. - Troubleshoot and resolve customer issues or escalate them as necessary. - Document customer interactions and maintain detailed records of chats. - Maintain a high level of customer satisfaction through effective communication. - Collaborate with team members and other departments to resolve customer concerns. - Adhere to company policies and guidelines in all communications. Qualifications - High school diploma or equivalent; associate's or bachelor's degree is a plus. - Prior experience in online chat support, customer service, or related roles preferred. - Exceptional written communication skills with attention to detail. - Ability to multitask, manage time efficiently, and work independently in a remote setting. - Proficient with chat platforms, CRM software, and basic computer skills. - Strong problem-solving skills and customer-centric mindset. - Reliable internet connection and suitable home workspace for remote work. Benefits - Health Care Plan (Medical, Dental & Vision) - Retirement Plan (401k, IRA) - Life Insurance (Basic, Voluntary & AD&D) - Paid Time Off (Vacation, Sick & Public Holidays) - Training & Development - Wellness Resources