Role Description The Reimbursement Assistant is responsible for handling in-bound patient calls and reviewing co-pay assistance claims. The position will assist in collecting and processing patient payments including contacting patients to resolve outstanding balances. The ideal candidate will have strong customer service skills, communication and problem-solving skills and work in a fast-paced environment. The position requires attention to detail, the ability to work independently, and proficiency with Microsoft 365. - Strong customer service and interpersonal skills. - Effective written and verbal communication. - Excellent organization, problem-solving skills, and attention to detail. - Meet the quality assurance and benchmark standards set by the management team. - Ability to communicate with patients, payers, and outside agencies through telephone, electronic, and written correspondence. - Document all activity in the patient account. - Processing of credit card payments. - Manage/scan/file and/or distribute forms, documents, etc. - Perform other duties as assigned. Qualifications - Manage assigned book of business: Transfer of balance due, charging of patient ACH and Credit Card and one-time credit cards for copay assistance payments, and contractual adjustments requests of accounts. - Review patient unapplied account and verify accuracy of payment prior to posting to the correct open account receivable. - Review accounts with patients and resolve questions or transfer to appropriate staff member. - Helpful, knowledgeable, and polite while maintaining a positive attitude. - Interpret a variety of instructions in a variety of communication mediums. - Maintain confidentiality and practice discretion and caution when handling sensitive information. - Multi-task along with attention to detail. - Ability to accurately perform simple mathematical calculations using addition, subtraction, multiplication, and division. - Self-motivation, organized, time-management and deductive problem-solving skills. - Work independently and as part of a team. Requirements - High School diploma or GED. - Proficiency in the Microsoft Office Suite. - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. - For this position, we anticipate offering an hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location. - This role is also anticipated to be eligible to participate in an annual bonus plan. Benefits - Comprehensive range of benefits focused on supporting your whole health. - Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment. - 401(k) plan. - Company paid life insurance. - Tuition reimbursement. - A minimum of 18 days of paid time off per year and paid holidays. Company Description Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers, and patients. Join us in driving growth and improving lives.

Role Description The Specialist, Billing is responsible for managing the daily billing and ensuring timely accurate clean claims, claim reviews and resolves billing daily claim edits and ensuring compliance with Insurance billing policies and regulations. - Extensive understanding of billing guidelines for UB/1500 claims and a deep understanding of each claim field requirement. - Maintain a list of split billing requirements by payer and add to the team crosswalk and keep abreast of any payer changes. - Well versed in Payer portal appeal uploads and assist with providing the internal team feedback when necessary. - Import claims from host system into claims processing system when required. - Review claims that are pended for edits and resolve. - Prepare and submit accurate claims for patient services, ensuring compliance with third party payer guidelines and regulations. - Review patient accounts and reconcile payments with secondary payers and review remittance advice, ensuring all payments are posted correctly and outstanding balances are addressed before filing the secondary payer. - Ensure all billing and collection practices are compliant with CMS regulations, HIPAA, and company policies. - Maintain accurate records of all claims and ensure proper documentation in the patient account system. - Meet daily productivity and quality standards as assigned. - Work with internal departments, such as patient financial services, finance, and billing, to address any issues or disputes affecting patient accounts. - Assist management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows. Qualifications - Proven experience in third party insurance billing, collections, or patient accounts, preferably in a healthcare setting. - In-depth knowledge of billing codes, guidelines, and regulations. - Familiarity with electronic health record (EHR) systems, billing software, and remittance advice processing. - Strong communication skills, with the ability to explain Medicare billing details and resolve patient concerns effectively. - Ability to handle sensitive information and maintain confidentiality in accordance with HIPAA regulations. - Detail-oriented with strong organizational skills and the ability to manage multiple accounts simultaneously. - Problem-solving abilities, particularly regarding billing discrepancies and denied claims. Requirements - Experience utilizing Payer portals, client systems and clearing house requirements. - 3-5 years of experience as a primary biller in hospital Business Office. - Medical Terminology, ICD-10, CPT and DRG knowledge preferred, knowledge of third-party Insurance payer guidelines. - High school diploma or equivalent; additional training in medical billing is a plus. Working Conditions and Physical Requirements - Work from home and remote location with a stable internet connection, a quiet and dedicated workspace free of distractions, and access to necessary office equipment. - The ability to have daily communication with team members, management, and clients through email, phone calls, video meetings and other collaborative tools. - Primarily requires sitting at a desk for extended periods. Proper lighting and ergonomics should be maintained to reduce eye strain. Travel Requirements - None

Role Description The Billing Specialist plays a critical role in managing accurate account approvals, maintaining parent-child account relationships, and ensuring data integrity within the billing system. This position is responsible for verifying account information, preventing duplicate account creation, and supporting timely and precise invoicing processes. The ideal candidate will have strong attention to detail, excellent analytical skills, and the ability to collaborate effectively across departments to maintain clean and compliant accounts receivable records. - Review and approve new customer accounts, ensuring all required documentation is complete and accurate before account activation. - Verify the accuracy of account data captured to maintain data integrity and compliance with company policies. - Update and maintain customer account information as needed, including adjustments and corrections to ensure ongoing accuracy. - Generate, review, and process invoices, ensuring all necessary information such as itemized charges, pricing, discounts, taxes, and payment terms are accurate and compliant with company policies and relevant regulations. - Scrutinize billing data for completeness, addressing discrepancies proactively to minimize billing disputes and delays. - Work closely with internal departments such as sales, customer service, and finance to resolve billing issues, clarify account details, and support billing operations. - Respond professionally and promptly to customer inquiries related to billing and account status, providing clear explanations and resolving disputes to maintain positive client relationships. - Maintain detailed and organized accounts receivable files and documentation to support audits, reconciliations, and management reporting. - Ensure adherence to company policies, financial controls, and regulatory requirements related to billing and accounts receivable activities. - Participate in special projects related to billing process improvements, system upgrades, or policy updates as assigned by management. Qualifications - At least 2 years of professional experience working with financial transactions, billing, or accounts receivable functions in a corporate environment. - High school diploma/GED required (Associate degree in a business-related field preferred). - Proficiency with billing software and ERP systems (experience with Dynamics or similar platforms preferred). - Strong data entry and data validation skills with high attention to detail. - Ability to analyze account data, identify discrepancies, and resolve billing issues efficiently. - Excellent verbal and written communication skills for effective collaboration with internal teams and external customers. - Strong organizational abilities to manage multiple accounts and billing tasks simultaneously. - Familiarity with financial regulations and internal controls related to billing and accounts receivable. Requirements - Exceptional attention to detail to ensure accuracy in billing, account data, and documentation. - Ability to prioritize tasks effectively and meet deadlines in a fast-paced environment. - Comfortable adjusting to new systems, processes, and changing business requirements. - Collaborative mindset with a willingness to support colleagues and contribute to team success. - Strong commitment to providing excellent service and resolving billing inquiries professionally. - Proactive in identifying potential issues and implementing solutions before problems escalate. - Intermediate knowledge of MS Outlook, MS Word, and MS Excel. Company Description Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Role Description The position is remote and can be located anywhere in the US the job is posted. We're looking for a talented individual to join us as a Processing Specialist I for Integrated Customer Services! In this remote role, you will be responsible for ensuring the Integrated Customer Service (ICS) team meets program deliverables by processing rebates accurately. Responsibilities: - Data entry and validation of energy rebate requests - Consistently meet outlined Key Performance Indicators (KPIs) - Contribute to process improvements in a team-based environment Expectations: - Maintain 90% or greater production standards, an accuracy rating of 99%, and minimize critical errors per month - Follow outlined standard operating procedures to ensure success - Maintain a high level of professionalism - Develop new skills for new programs and tasks to meet utilization goals set by Supervisor Qualifications - Previous experience in data entry a plus - Resourceful and inquisitive with high energy - Strong organizational skills. Experience with Microsoft office applications a plus - Flexibility with schedule; split shifts may be required as needed. Schedule may change with minimal notice. May be asked to work evenings and/or Saturdays at times of increased volume Requirements Remote Work Requirements: - We provide a laptop, software, and all necessary equipment - Home Internet requirements: Internet speed that meets our minimum standard: 10 Mbps upload / 20 Mbps download / 99% latency - Ability to hardwire internet, plug directly into router Environment: - Dedicated home office space, free of personal disruptions - Two power connections - You are scheduled to be on the phone throughout the entirety of your shift – no flexibility to answer the door or be on-call care for others during scheduled work hours Compensation - $16 / hour + $65 / month internet stipend DOT Requirements - If applicable, meet all DOT qualification requirements and comply with all applicable federal, state, and local transportation regulations. Equal Opportunity Employer As an Equal Opportunity Employer, we are committed to ensuring equal employment opportunities for all job applicants and employees. Employment decisions are based upon job-related reasons regardless of an applicant’s race, color, religion, national origin, marital status, age, sex, gender identity, sexual orientation, status as a qualified individual with a disability or protected veteran, or any other protected status.