Role Description Join TriHealth as a Senior Coding Specialist! In this role, you’ll apply your advanced ICD‑10‑CM and CPT knowledge to ensure accuracy, compliance, and optimal reimbursement while working alongside a supportive team that relies on your insight as a subject matter expert. - Abstract codes and assigns both ICD-10-CM and CPT codes based on official coding guidelines and regulations. - Provides coding expertise to outside departments to assist in proper coding and billing. - Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information. - Analyzes medical records and identifies documentation deficiencies. - Serves as a resource and subject matter expert to other coding staff. Qualifications - Bachelor’s Degree or GED (Required) - 3 - 4 years’ experience in a related field, concentration in professional auditing or coding (Required) - Other Certified Pension Consultant (CPC) Required - Other RHIA - Registered Health Information Administrator Required - Other RHIT - Registered Health Information Technician Required - Other CCA - Certified Coding Associate and CCS-P and any applicable dual certification Required Requirements - Abstracts ICD-10-CM and CPT codes for services reported based on clinical documentation. - Identifies discrepancies, potential quality of care, and billing issues. - Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies. - Maintains close working relationships with all departments to ensure appropriate coding and billing procedures. - Responsible for mentoring staff in one or more specialty areas. - Supports coding leads, supervisors, and management in resolving coding issues. - Strong verbal and written communication skills. - Ability to work independently in a remote location with little to no supervision. Benefits - Comprehensive benefits package including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Working Conditions - Climbing - Rarely - Concentrating - Consistently - Continuous Learning - Consistently - Hearing: Conversation - Consistently - Hearing: Other Sounds - Frequently - Interpersonal Communication - Consistently - Kneeling - Rarely - Lifting <10 Lbs. - Rarely - Lifting 50+ Lbs. - Rarely - Lifting <50 Lbs. - Rarely - Pulling - Rarely - Pushing - Rarely - Reaching - Rarely - Reading - Consistently - Sitting - Consistently - Standing - Occasionally - Stooping - Rarely - Talking - Consistently - Thinking/Reasoning - Consistently - Use of Hands - Consistently - Color Vision - Occasionally - Visual Acuity: Far - Frequently - Visual Acuity: Near - Frequently - Walking - Occasionally TriHealth SERVE Standards and ALWAYS Behaviors - Serve: ALWAYS welcome everyone, acknowledge when patients/guests are lost, and refrain from using cell phones in public spaces. - Excel: ALWAYS recognize and take personal responsibility for service breakdowns and work on improving quality, safety, and service. - Respect: ALWAYS respect cultural and spiritual differences and honor individual preferences. - Value: ALWAYS value the time of others and be a good steward of resources. - Engage: ALWAYS acknowledge wins and show courtesy and compassion with customers and team members.

Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. The Patient Pay Billing Representative plays a critical role within Optum, a division of UnitedHealth Group, supporting patient account resolution and delivering a high-quality financial experience. This role contributes directly to improving healthcare access and outcomes by ensuring accurate, timely, and compliant collection of patient balances. As part of one of the fastest-growing organizations in healthcare, the representative works in a dynamic, patient-focused environment and collaborates with cross-functional teams to drive results. The position offers the flexibility to work remotely within the United States while being part of a high-performing team dedicated to operational excellence and patient satisfaction. This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 10:00am - 7:00pm CST including a one-hour lunch break. This will be on the job training and the hours during training will be normal business hours from Monday – Friday. Primary Responsibilities: - Review and prioritize open Accounts Receivable (AR) for patient collections - Handle inbound patient calls and conduct outbound collections outreach - Ensure timely and accurate follow-up on delinquent accounts - Collaborate with onshore and offshore teams to drive account resolution within target timelines - Analyze, document, and manage key accounts and escalations - Identify trends or issues and escalate to leadership as needed - Deliver excellent customer service to patients and internal stakeholders - Ensure compliance with all regulatory, payer, and company policies - Process Account Receivable reviews and correction requests within defined turnaround times - Processing patient payments - Support additional tasks and projects as assigned Qualifications - High School Diploma / GED - Must be 18 years of age OR older - 1+ years of experience in pharmacy or medical RCM (Revenue Cycle Management), billing, or collections - 1+ years of experience handling patient billing customer service (via phone, email, etc.) - Proficiency using Microsoft Office (Microsoft Excel, Microsoft Outlook, Microsoft Word) - Ability to read and interpret EOBs (Explanation of Benefits) - Ability to work any full-time shift between 10:00 AM and 7:00 PM CST, including a one-hour lunch break Preferred Qualifications - Background in Healthcare Revenue Cycle Management (RCM) - Experience in Infusion or Specialty Pharmacy - Knowledge of NDC, ICD-10, HIPAA, and compliance regulations - Understanding of collections practices aligned with FDCPA guidelines - Experience in a call center or voice-based role - Experience handling patient medical collections, including follow-up and payment resolution Telecommuting Requirements - Ability to keep all company sensitive documents secure (if applicable) - Required to have a dedicated work area established that is separated from other living areas and provides information privacy - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Soft Skills - Strong communication and customer service skills Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Pay The hourly pay for this role will range from $17.98 - $32.12 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Role Description Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Research denied services and alternative resources to pay for treatment. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Responsibilities - Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. - Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. - Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs. - Updates coding/payer guidelines for clinical staff. - Tracks pathways and performs various other business office functions on an as needed basis. - Obtains insurance authorization and pre-certification specifically for chemotherapy services. - Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. - Research additional or alternative resources for non-covered chemotherapy services to prevent payment denials. - Provides a contact list for patient’s community resources including special programs, drugs and pharmaceutical supplies and financial resources. - Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization. - Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient’s records. - Other duties as requested or assigned. Qualifications - High school degree or equivalent. - Associates degree in Healthcare. - Minimum three (3) years medical insurance verification and authorization required. 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. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. Work Environment The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites. Benefits - M/D/V, Life Ins., 401(k), PTO, Paid Holidays Company Description The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

Role Description The role of the Revenue Cycle Specialist is a valued member of our Revenue Cycle team. As a Revenue Cycle Specialist, you will work remotely and be responsible for overseeing bill processes including: - Charge entry - Billing - Claims - Patient AR - Insurance AR You will also post payments, handle credit resolutions, along with other revenue cycle functions. Location: Proliance Edmonds Orthopedic Center Schedule: Monday - Friday, 8:00am - 5:00pm We are seeking a detail-oriented and motivated Revenue Cycle Specialist to join our Billing Office team. This role focuses primarily on managing patient statements, patient account follow-up, and resolving patient billing inquiries. The ideal candidate is organized, customer-service oriented, and experienced in healthcare billing processes. Qualifications - High School diploma or GED - Minimum 1-2 years medical billing experience - CPC or other equivalent certification - Orthopedic Coding Experience a plus - Experience with Nextgen and Amkai Billing Systems preferred Requirements - Verify information for claims is correct prior to billing - Review Surgical coding for accuracy prior to billing - Process all Primary, Secondary, and tertiary claims and address any edits or rejections - Post all patient payments - Post all Insurance and third-party payments - Credit Resolution for both Insurance and Self pay credits - Insurance AR - Patient AR - Process bad debt - Answer phones - Complete duties and assist others as directed - Must follow all policies as introduced during new teammate On-Boarding, updated real-time and outlined in Teammate Handbook Knowledge, Skills and Abilities - High level of independence, adaption, and accuracy - Ability to navigate online Payor portals and websites - Ability to effectively use Office equipment - Basic knowledge of Microsoft Office Word and Outlook - Superior customer service skills - Great interpersonal skills; demonstrating patience, composure, and cooperation; working well with all patients, physicians, and staff - Understanding of and adherence to all safety, risk management and precautionary procedures, including the consistent respect for confidentiality (HIPAA) - Using time efficiently, with meticulous attention to detail, accuracy, and completion - Ability to manage multiple factors for the best result - Resourcefulness in addressing first level problems and tenacity to see things through to solution - Ability to remove oneself personally from given situations, remaining objective - Able to adapt to change, delays or unexpected events while maintaining a positive mindset - Clear oral and written communication - Ability to provide feedback to improve performance - Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision Work Environment/Physical Demands The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.