• Responsible for collecting active A/R from insurance payers including but not limited to commercial, Blue Cross, Blue Shield, Aetna, Uniform Medical, United Healthcare, HMOs, PPOs, and other payers. • Contact insurance payers by either phone or online inquiry regarding unpaid hospital claims. • Review remaining balances on account after insurances have paid to determine appropriate next action. • Review denials by insurances for entire claims and for line items to determine if additional follow up is needed or assistance from other departments and forwarded to them as needed, including Care Coordination, Revenue Coordination, Registration, etc.

Role Description The person in this position will be responsible for monitoring and researching cases that are in-house and on the discharged not final billed report to mitigate any potential denials and ensure that claims are clean before billing. The individual will work closely with Clinical Resource Management (CRM) to ensure cases reflect the correct clinical level of care and ensure clinical information is received by the insurance carrier for timely level of care authorizations by the payers. - Monitor and report payer authorization delays and stall tactics as they occur. - Follow-up with all insurance carriers to facilitate timely and correct reimbursement for high balance cases. - Investigate and report reasons for non-payment and delays. - Perform root cause analysis of the various trends identified. - Write appeals to recover denied and underpaid claims. - Support payer escalation process by ensuring high balance cases are prepared for outsourcing to attorney. - Gather documentation and summarize issues for attorney. Qualifications - High School Diploma or GED (Required) - 5 years related patient accounting experience required, especially related to denial mitigation, root cause analysis, and LOC reconciliation (Required) Requirements - Review inpatient cases before billing to ensure that leveling, authorization, eligibility, and any other function to ensure a clean claim is released for billing. - Continuously monitor the pending report with CRM to ensure issues are resolved in a timely manner. - Maintain OP DNFB to include updating DX codes from PPM. - Conduct root cause analysis of issues reducing reimbursement & slowing payment cycle. - Identify key issues and assist in tracking, trending, and reporting. - Respond in a timely fashion to any deviation from established and required processes and standards. - Conduct analysis on a wide variety of issues related to billing, collections, and denial processes. - Make process improvement recommendations based on findings. - Interact at all levels of CNMC, including senior management. - Assist in the development of solutions, training & education to resolve issues. - Continuously work to improve the design and performance of the established reporting and tracking systems. - Ensure all high dollar denials & underpayments are appealed & followed up timely. - Manage large volumes of denials, denial amounts, and various appeal deadlines. - Process individual denials and ensure written appeals are clear, concise, and within timely appeal limits. - Check for payment posting and receive a list of unpaid claims from the system. - Proactively follow-up on submitted claims to determine payment status. - Collect information from carriers about what specific documentation is needed to pay claim. - Contact internal departments for information and documentation to facilitate claim payment. - Track appeals of denied claims to determine status and work with carrier for payment. - Prioritize work to facilitate payment of higher account balances. - May follow-up with parent if insurance has paid parent to receive reimbursement. - May recommend adjustments and write-offs to bill within identified parameters. Benefits - Speak up when team members appear to exhibit unsafe behavior or performance. - Continuously validate and verify information needed for decision making or documentation. - Stop in the face of uncertainty and take time to resolve the situation. - Demonstrate accurate, clear, and timely verbal and written communication. - Actively promote safety for patients, families, visitors, and co-workers. - Attend carefully to important details - practicing Stop, Think, Act, and Review in order to self-check behavior and performance. Organizational Accountabilities - Anticipate and respond to customer needs; follow up until needs are met. - Demonstrate collaborative and respectful behavior. - Partner with all team members to achieve goals. - Be receptive to others’ ideas and opinions. - Contribute to a positive work environment. - Demonstrate flexibility and willingness to change. - Identify opportunities to improve clinical and administrative processes. - Make appropriate decisions, using sound judgment. - Use resources efficiently. - Search for less costly ways of doing things.

Title: Billing Collections Coordinator Location: Framingham United States Job Description: ID 2026-16078 # of Openings 1 Category Billing Overview HealthDrive is seeking full-time Billing Collections Coordinator/Facility Collector to join our team! This individual is responsible for the timely collection and resolution of outstanding facility balances related to ancillary and primary care services. This role requires strong organizational skills, attention to detail, and the ability to manage high-volume account follow-up activities. The ideal candidate is comfortable learning new billing and invoicing systems, communicating professionally with facility representatives, and documenting collection activities accurately and efficiently. The hourly pay rate for this position is $20.00 per hour. This role is in person 5 days a week at our Framingham, MA office with the potential for 1-2 days remote after training. We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building! What's in it for you: PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, monthly meal program, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses. HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence. Responsibilities - Generate and distribute facility invoices using internal billing and accounting systems. - Learn and navigate new software platforms and billing tools efficiently. - Conduct high-volume outbound collection calls to facilities regarding outstanding balances. - Follow up consistently on unpaid invoices and aging accounts receivable balances. - Communicate professionally with facility staff regarding billing discrepancies, payment status, and account resolution. - Document all collection activity, account updates, and communication notes accurately within company systems. - Research and resolve billing issues, payment delays, and account discrepancies. - Maintain organized tracking of assigned accounts and follow-up schedules. - Collaborate with internal departments including billing, operations, and clinical teams to support account resolution. - Meet productivity expectations for call volume, documentation, and collection follow-up timelines. - Maintain confidentiality and compliance with HIPAA and company policies. Qualifications Education & Qualifications: - High school diploma or equivalent required; associate degree preferred. - Previous collections, medical billing, accounts receivable, or healthcare administrative experience preferred. - Experience working with ancillary healthcare services, primary care, or skilled nursing facility billing is a plus. - Strong computer skills with the ability to quickly learn new systems and software. - Excellent verbal and written communication skills. - Ability to work independently in a fast-paced, high-volume environment. - Strong attention to detail and organizational skills. - Proficient in Microsoft Office, particularly Outlook and Excel. Core Competencies - Account follow-up and collections - High-volume documentation - Customer service and relationship management - Time management and prioritization - Problem-solving and critical thinking - Adaptability and system learning Work Environment - Office or hybrid based administrative environment. - Frequent phone and computer use throughout the workday. - High-volume workflow with daily productivity expectations.

Title: Senior Collections Specialist, Public Sector Location: New York United States Job Description: Applicants must be authorized to work for any employer in the country in which the role is being hired. We are unable to sponsor or take over sponsorship of an employment visa at this time. Mark43's mission is to empower communities and their governments with new technologies that improve the safety and quality of life for all. We build powerful, scalable, and elegant software that sets a new standard for the tools upon which our first responders rely. Our users are diverse, and we are committed to embracing diversity of thought and experience within our team. Mark43 partners exclusively with U.S. government agencies across federal, state, county, and local jurisdictions, as well as government agencies in the United Kingdom. Our customers operate in complex procurement, budgeting, appropriation and invoicing environments. We are looking for a Senior Collections Specialist with public sector experience to improve cash collections, reduce days sales outstanding, and strengthen our public-sector order-to-cash process. Role Summary Mark43 is seeking a highly motivated Senior Collections Specialist, Public Sector to support collections and accounts receivable activities for our government customers. This is a hands-on role for someone who understands that collecting from government customers requires more than sending invoice reminders. The ideal candidate has experience working with or collecting from public-sector entities, including cities, counties, states, federal agencies, law enforcement agencies, public safety departments, school districts, transit authorities, or other government organizations. You understand how government payment processes work, including annual appropriations, purchase orders, encumbrances, invoice approvals, auditor or controller review, council or board approvals, milestone acceptance, and supporting documentation requirements. In this role, you will partner closely with Revenue Accounting, Customer Success, Sales, Deal Desk, and Professional Services Implementation teams to identify and resolve payment blockers. You will help ensure invoices are submitted with the right documentation, purchase order details, billing references, and customer approvals so that Mark43 can reduce avoidable delays and improve cash predictability. What You'll Do - Support collections activities for Mark43's public-sector customer portfolio, with a focus on reducing DSO and accelerating cash collections. - Identify, document, and resolve payment blockers related to missing purchase orders, insufficient PO balances, annual appropriations, invoice approval workflows, customer acceptance, contract references, and supporting documentation. - Help create and maintain customer-specific payment profiles, including fiscal year, budget cycle, PO requirements, AP portal instructions, approval contacts, payment run cadence, council or board approval thresholds, and escalation paths. - Proactively follow up on upcoming annual renewals, recurring invoices, and milestone billings to confirm that required POs, funding, and customer approvals are in place. - Partner with Revenue Accounting to ensure invoices include required PO numbers, contract references, billing periods, milestone support, tax-exempt treatment, remit-to details, and agency-specific invoice requirements. - Escalate payment issues professionally and appropriately when customer payment blockers require support from other stakeholders. - Help improve internal playbooks and processes for government collections, including common public-sector payment scenarios such as non-appropriation, council or board approvals, auditor review, grant-funded invoices, and advance-payment restrictions. - Assist with collections reporting, cash forecasting inputs, AR aging reviews, and support month-end close activities by providing timely status updates on outstanding receivables, expected cash collections, and high-risk invoices. What You'll Need - 6+ years of experience in collections, accounts receivable, credit and collections, billing, revenue operations, public-sector finance, government contracting, or a related finance function. - Experience collecting from or working directly with government entities, including federal, state, county, municipal, public safety, or other public-sector customers. - Understanding of government payment processes, including purchase orders, encumbrances, annual appropriations, invoice approval workflows, auditor/controller review, governing body approvals, and prompt-payment expectations. - Ability to read and interpret contracts, order forms, statements of work, purchase orders, billing schedules, invoice terms, and customer payment requirements. - Strong customer-facing communication skills, including the ability to follow up on past-due invoices while maintaining positive customer relationships. - Strong cross-functional collaboration skills, with the ability to work effectively with across stakeholders and executive leadership. - High attention to detail and strong organizational skills. - Ability to manage multiple customer accounts, payment issues, deadlines, and escalation paths at the same time. - Experience using NetSuite, Salesforce, billing systems, collections tools, customer portals, or similar systems. - Strong analytical skills and ability to identify trends in aging, DSO, payment delays, and collections root causes. - Comfort operating in a fast-paced environment where processes are still being improved, documented, and scaled. What Success Looks Like Within the first 90 days, you will have become familiar with Mark43's government customer portfolio, collections process, billing structure, and highest-risk receivables. You will have built relationships with internal stakeholders and begun identifying the primary drivers of delayed payment across assigned accounts. Within six months, you will be actively supporting a more proactive government collections process, including improved PO follow-up, stronger invoice documentation, clearer customer payment profiles, and better visibility into payment blockers. Within twelve months, you will have helped reduce avoidable payment delays, improve cash predictability, strengthen public-sector collections playbooks, and create a more scalable process for managing government receivables. Location Our team is based in New York City and we follow a hybrid model, with team members working from the office 2-3 days per week. We support flexible work within that structure and believe in high trust, high transparency collaboration. Mark43 is approved to hire in Canada, the UK, and 36 U.S. states, including Alabama, Arizona, California (excluding San Francisco), Colorado, Connecticut, Washington D.C., Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Kansas, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, North Carolina, Nebraska, New Hampshire, New Jersey, New Mexico, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Washington, Wisconsin, and West Virginia. Before applying to a remote role, please ensure that you are able to perform the position in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.