Role Description We are looking for a Full-time Medical Biller with experience in psychiatric and mental health services. Manage incoming and outgoing payments for medical treatment. The role is to communicate with clients about their outstanding balance and handle the administrative responsibilities of billing insurance and processing payments. - Checking clients’ eligibility and coverage on a daily basis (Online & through call if necessary) - Review and resolve the to-do list daily - Accept inbound calls and document the conversation to Billing Comments of Therapy Notes - Calling clients to collect aging balances - Resolve claims denial - Contracting and credentialing knowledge - Other billing-related work Qualifications - Experienced to check eligibility - Experienced in collections - Inbound/outbound experienced - Hardworking - Reliable person - Reliable computer/internet (Backup is a MUST) - Willing to learn - Good communication skills - Organizational skills - Customer service skills - Ability to handle various tasks - Attention to details - Team player Requirements Rate: $4.00/hr Benefits - Possible raise of pay - $10.00 per month for internet allowance assistance after 90 days - Additional $20.00 per month for health allowance plus 5-day vacation leave and 3-day sick leave credits (not convertible to cash) if passed the annual evaluation - Promotions - Teleremote work Core Values New U Therapy Center & Family Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all.

Role Description We are seeking a detail-oriented and analytical Revenue Cycle Coding Denial Specialist (Remote) to join our team. This role plays a key part in identifying denial trends, supporting Accounts Receivable (AR) workflows, and driving resolution through research, coding review, and appeal preparation. The ideal candidate brings strong coding expertise, sharp critical thinking skills, and a solid understanding of the full-billing and reimbursement lifecycle. This position also serves as a coding float, providing flexible support and coverage across coding teams as needed. Must have an active CPC certification with credentialing from AHIMA and/or AAPC. Schedule: Full-time, Monday - Friday. Must live in one of the following states or be willing to relocate to: WA, ID, FL, NC, AZ, OH, OR, TN, TX, or RI. Key Duties and Responsibilities - Review and analyze denied claims to determine root cause and appropriate resolution - Identify denial trends and collaborate with coding, billing, and AR teams to improve outcomes - Prepare and submit detailed, compliant appeal letters with supporting documentation - Perform coding reviews to ensure accuracy and alignment with payer guidelines, CPT, ICD-10-CM, and HCPCS standards - Partner with AR team members to resolve complex accounts and reduce aging receivables - Communicate with providers and staff to obtain necessary documentation or clarification - Assist with education and feedback to coding and billing staff based on denial findings - Maintain up-to-date knowledge of payer policies, regulatory requirements, and coding updates - Provide coding support across specialties as needed in a float capacity - Participate in process improvement initiatives to enhance revenue cycle performance - Demonstrates appropriate utilization of coding software and coding reference material - Follow up with providers on any documentation that is insufficient, missing, or unclear - Assist providers with questions regarding coding and documentation guidelines - Provide ongoing feedback based on observations from coding documentation and identify opportunities for education and communicate trends to leaders - Keep up to date on carrier policies/guidelines to ensure all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or Payer-specific guidelines Qualifications - Minimum 3 years of coding/medical billing experience - Active CPC certification with credentialing from AHIMA and/or AAPC, must be maintained annually - ICD10 certified and/or extensive work experience - Strong understanding of medical terminology, anatomy, and physiology - Experience with denial management, AR workflows, and appeals - Orthopedic coding experience strongly preferred - Experience with NextGen and SIS systems preferred Knowledge, Skills and Abilities - A strong understanding of physiology, medical terms, and anatomy - Thorough attention to detail - Excellent written and verbal communication skills - Self-motivated team player able to multi-task and prioritize - Excellent organization and interpersonal communication skills - Strong computer skills - Experience with Microsoft Excel, Outlook, and Adobe - Working experience navigating EHR’s to abstract documentation 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. - Work may be performed in a remote office and clinical environment - Requires corrected vision and hearing to normal range - While performing the duties of this job, the associate is regularly required to talk or hear - The associate is required to sit for long periods of time, stand and walk, bend and stretch - Use of telephone and computer is required - Manual dexterity required for use of computer keyboard - Occasionally lifts and carries items weighing up to 40 pounds - May require working under stressful conditions or working irregular hours

Coder, Special Investigations Unit Location: Akron United States Hybrid Job Description: Certified Coder, Special Investigations Unit (SIU) SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 hours / Days - Hybrid or Remote Join a mission‑driven health plan where precision and expertise protect both members and resources-we're seeking a certified coder who can identify discrepancies others miss, analyze coding patterns with accuracy, and turn complex clinical data into clear, actionable insights; if you bring deep knowledge of coding standards, a sharp analytical mindset, and a passion for ensuring integrity in healthcare claims, this is your opportunity to make a meaningful impact and strengthen the quality of care delivery. Summary: Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are met. Makes recommendations to Medical Directors, Compliance, Internal Audit and the Fraud, Waste and Abuse (FWA) Committee for investigations and provider communication. Maintains knowledge of current schemes and ensures the SIU processes and procedures reflect industry norms. - Formal Education Required: a. Bachelor's Degree, or equivalent combination of education and experience. - Experience & Training Required: a. Three (3) years of health insurance or provider office experience to include: clinical review of medical records, and appropriate claims coding b. Three (3) years' experience of ensuring coding is accurate and compliant with federal regulations, payer policies, and organizational guidelines. c. Active AAPC Coding certification - Certified Professional Coder (CPC). d. Accredited Healthcare Fraud Investigator (AHFI) certification preferred. e. LSS Yellow Belt Certified preferred. Essential Functions: 1) Conducts comprehensive medical record reviews to ensure billing is consistent with the information contained in the medical record. 2) Maintains a working knowledge of coding rules and industry coding guidelines. 3) Provides detailed written summary of medical record review findings. 4) Articulates findings to investigators, plan leadership, law enforcement, legal counsel, providers, state regulators, etc. 5) Reviews and discuss cases with Medical Directors to validate decisions. 6) Assist with investigative research related to coding questions, and state and federal policies. Makes recommendations for additional claim edits. 7) Identifies potential billing errors and provides suggestions for provider education and/or plan payment policies. 8) Identifies opportunities for savings related to potential cases resulting in a prepayment review. 9) Maintains appropriate records, files, documentation, etc. 10) Able to travel for meetings and to testify in legal hearings. - Other Skills, Competencies and Qualifications: a. Demonstrate intermediate proficiency in MS Office, Project, and database management. b. Maintain excellent working knowledge of process improvement techniques, methodologies and principles applying these in the normal course of operations. c. Demonstrate excellent analytical and problem-solving skills. d. Effectively conduct statistical analyses and accurately work with large amounts of data. e. Ability to apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions. f. Ability to organize and manage time to accurately complete tasks within designated time frames in fast paced environment. g. Maintain current knowledge of and comply with regulatory and company policy and procedures. - Level of Physical Demands: a. Sit for prolonged periods of time. b. Bend, stoop, and stretch. c. Lift up to 20 pounds. d. Manual dexterity to operate computer, phone, and standard office machines. Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2026 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits. $28.10/hr - $42.15/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. - Basic Life and Accidental Death & Dismemberment (AD&D) - Supplemental Life and AD&D - Dependent Life Insurance - Short-Term and Long-Term Disability - Accident Insurance, Hospital Indemnity, and Critical Illness - Retirement Savings Plan - Flexible Spending Accounts - Healthcare and Dependent Care - Employee Assistance Program (EAP) - Identity Theft Protection - Pet Insurance - Education Assistance - Daily Pay

Role Description - Learn new systems of clients and effectively transfer knowledge to subordinates. - Lead designated team, ensuring accurate and timely submission of deliverables. - Coach subordinates and develop their skills. - Assist Supervisor/Assistant Manager/Manager in directing the team towards the company's goals. - Ensures compliance with company guidelines and procedures. - Addressing any conflicts within the team that may arise. - Create accurate medical insurance claims and ensure timely submission. - Rectify claim denials with resubmission or appeals. - Formulate and execute strategies to mitigate claim denials. - Learn and implement specialty, state, carrier specific billing requirements. Qualifications - Graduate of any allied medical course (Nursing, PT, MedTech, etc.) preferred but not required. - At least 2–3 years of experience in medical billing, preferably with US healthcare accounts. - With leadership or supervisory experience in a medical billing team is preferred. - Strong knowledge of medical insurance claims processing, claim submissions, denials, and appeals. - Experience in analyzing and resolving claim denials and implementing strategies to reduce them. - Strong coaching, mentoring, and team management skills. - Ability to monitor team performance and ensure timely and accurate submission of deliverables. - Strong organizational, problem-solving, and conflict resolution skills. - Excellent communication and coordination skills. - Able to work from home with reliable internet and a backup connection. Benefits - Work from Home - Equipment/company computer is provided