Billing Specialist I locations Remote - USA time type Full time job requisition id R5653 Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The medical biller is responsible for the timely submission of technical or professional medical claims to insurance companies. Duties & Responsibilities - Utilize various hospital/physician systems to verify patient, billing and claim information for accuracy - Perform compliant primary/secondary, tertiary and rebill billing functions which can include electronic, paper and portal submission to payers. - Edit claims to meet and satisfy billing compliance guidelines for electronic and hardcopy submission. - Respond timely to emails and telephone messages as appropriate. - Communicate issues to management, including payer, system or escalated account issues. - Participate and attend meetings as requested, training seminars and in-services to develop job knowledge. - Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards. - Enhances billing department and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. - Update patient demographics/insurance information in appropriate systems - - Monitor claims for missing information, authorization, and control numbers (ICN//DCN) - Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems. - Secure needed medical documentation required or requested by third party insurance carriers. - Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure. - Perform other related duties as required. Qualifications & Competencies - 1-2 years of medical collections/billing experience - Basic knowledge of ICD-10, CPT, HCPCS and NCCI - Basic knowledge of third-party billing guidelines - Basic knowledge of billing claim forms (UB04/1500) - Basic knowledge of payor contracts - Working Knowledge of Microsoft Word and Excel - Basic working knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient Accounting Systems, etc.) Preferred Qualifications - Working knowledge of one or more of the following Patient accounting systems - EPIC, Cerner, STAR, Meditech, CPSI, Invision, PBAR, All Scripts or Paragon - Working knowledge of DDE Medicare claim system - Knowledge of government rules and regulations Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $18.00 to $20.00. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.

Coding Integrity Specialist locations Remote, USA time type Full time job requisition id R260000003119 R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Coding Integrity Specialist, you will works with the Coding Integrity Manager and Director of Coding Operations to establish open lines of communication regarding potential coding quality concerns. Every day you will, leads, coordinates, and performs coding quality reviews. To thrive in this role you must, strong analytical skills and ability to comprehend and analyze large quantities of operational data, ability to review complex medical records and strong ability to multi-task and prioritize work assignments Here’s what you will experience working as a Coding Integrity Specialist: - Conduct complex coding reviews related to reimbursement, public reporting, and pay for performance. - Collaborates with the CDI team, assisting with the resolution of documentation inconsistencies, DRG variances, and CDI and internal operations to ensure KPIs, SLA, RIS, and DNFB requirements. - Ensures that the DRG or reimbursement accurately reflects the services/utilization of resources provided by the hospital to optimize the impacts of case mix index reporting. - Collaborates with hospital/client leadership to validate proper coding for appropriate reimbursement for specific service lines and technology which assists hospitals in determining if that technology is a positive return on investment - Performs second level focused pre-bill and post-bill account reviews to ensure accurate coding, review for quality and risk (HAC, PSI, Mortalities, Core Measures and CMS Initiatives) and escalation for final review which may include approval for write-off. - Conduct complex 360 coding reviews which include identification and correction of coding, and trending for the following issues: documentation, coding denials i.e medical necessity, billing, and charging - Evaluate for coding accuracy/specificity to assist with preventing possible loss of revenue for the hospital related to value-based payment programs and public reporting - Provide education/feedback to coders/coding managers regarding coding corrections via automated individual notifications - Identify coding trends that require formal education by the R1 Education and Training team and work with integration teams and project management teams to test and give feedback on updates to systems and mappings - Perform ad hoc, Cloudmed DRG Validation Reviews or requests based on client specific wants or needs. - Compensation: $42.50–$45.50/hour (based on experience & location) Required Skills: - Bachelor's or associate’s degree in HIM related fields or CCS credential is required. - Minimum 5 years of inpatient coding. For this US-based position, the base pay range is $28.24 - $40.21 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package. R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent To learn more, visit: R1RCM.com Visit us on Facebook

• Generating, finalizing, and distributing invoices to clients based on their agreements and company procedures. • Accurate set-up and creation of billing contracts for revenue streams based on review of applicable documents. • Create invoices for daily billings and monthly renewals. • Handling and processing orders, ensuring accuracy and compliance with billing process. • Project setup and billing requirements as outlined in the Statement of Work (SOW). • Monitor and send reminders to project managers on billing milestones not yet billed. • Preparing billing/collection reconciliations to support internal departments in resolving customer inquiries. • Prepare quotes required by customers to initiate PO’s and payments. • Upload invoices to customer portals, maintain up to date portal information. • Maintain and verify customer contact information, invoicing instructions and other pertinent billing information are noted on the customer account. • Coordinate the setup of vendor forms, payment methods, and portals with customers to ensure accurate and timely payments. • Research and resolve a variety of internal inquiries concerning account status. • Identifying and implementing improvements to billing processes and procedures. • Perform other administrative duties as assigned.

Role Description Law firm seeks Billing Coordinator with understanding of time and billing software and e-billing platforms, to join growing Accounting team. - Review and enter changes to bims in accounting program to ensure invoices are rendered according to client requirements. - Prepare electronic invoices using LEDES files, supporting documentation and ensure successful submissions via designated electronic billing systems. - Maintain billing information and special instructions in accounting database. - Create new matters in electronic billing systems. - Monitor and submit case budgets in electronic billing systems. - Monitor and submit timekeeper billing rates and staffing plans in electronic billing systems. - Respond to various billing/appeal/deductions related inquiries. - Retrieve invoice, deduction, and appeal backup from various electronic billing systems. - Provide attorneys with detailed analysis of deductions. - Monitor appeal due dates, follow up for responses and submit appeals timely. - Assisting with reporting and special projects as needed. Qualifications - Minimum of 2 years of previous experience in legal billing. - Familiarity and working knowledge of UTBMS codes and LEDES1998B format. - Ability to work independently with minimum supervision and as part of a team environment. - Strong communication, organizational, and analytical skills. - Ability to manage multiple priorities and meet deadlines in a fast-paced environment. - Knowledge of LMS, LMSV/SurePoint time and billing system and e-billing platforms. - Advanced Excel, MS Word and Outlook skills. Requirements - Salary Range: $60,000 – $80,000 annually (hourly rate: $32.97 - $43.96; 35-hour work week). - The salary offered to a successful candidate will be dependent on several factors that may include, but are not limited to, years of experience within the job, years of experience within the required industry, education, etc. - The candidate may have the option to work in the New York City, Westchester or Parsippany, New Jersey office. - The responsibilities of this job description are not necessarily all inclusive; additional duties may be assigned and requirements may vary from time to time.