• Support the CFO with financial and billing operations • Manage monthly and periodic billings within the Deltek Costpoint system • Submit and track invoices through PIEE/WAWF or other customer-required platforms • Monitor and track DFAS and customer payments to ensure timely receipt • Interface with Government CORs and other points of contact to resolve billing and payment issues • Assist in developing reports related to billing activities, including subcontractor integration • Provide monthly financial reports to Delivery Managers and leadership • Coordinate with Delivery Managers to resolve invoice rejections tied to operational issues • Set up and maintain projects and employee data in Deltek Costpoint per contract requirements • Report on outstanding billings to the CFO on a monthly basis • Manage subcontractor invoicing, including data entry and coordination with the Subcontracts Manager • Serve as a backup for critical finance and accounting functions as needed

Role Description As a Cloud Billing Operations Associate, you will provide support to the cloud billing process, invoicing, suspension, termination, bad debt, and credit card processing. You will manage the support case queue, perform account reconciliations, answer customer cloud billing disputes, address field inquiries, perform ad-hoc reporting for the monthly billing cycle, process Return Authorizations, and participate in cloud billing optimization projects, among other tasks. You will partner closely with customer support and engineering teams. A self-starter, problem solver, meticulous, flexible, and focused on creating an excellent experience for both internal and external customers. To succeed in this position, the Cloud Billing Operations Associate will be both an independent contributor and a team player; and will have a passion for recognizing areas of improvements and implementing change to contribute to enhancements of the overall workflow process. What You Will Be Doing - Supporting cloud billing and invoicing process - Working directly with customers as well as internal customers to understand and resolve their issues via email or sometimes by phone - Managing, prioritizing, and tracking your work in a case management system - Generating reconciliation reports from various platforms - Processing Return Authorizations and Credit Memos in NetSuite - Collaborating with various teams including Support, Legal, OrderOps, Engineering, etc. on advanced billing & contract issues to resolve customer disputes - Working with the Cloud Billing (Eng) Team to review/verify accounts subject to suspension due to nonpayment - Performing light collections for monthly subscribers through a credit card payment platform - Submitting invoices through 3rd party payment platforms as necessary - Submitting evidence for Chargeback disputes through our credit card payment gateway - Understanding the current business systems and workflows to help us make proactive process improvements - Performing root cause analysis and problem solving Qualifications - High level of enthusiasm and pride in your work - Strong ability to learn and see change and challenges as opportunities - Experience in a fast-paced, high-growth, global environment - 3-5 years of professional experience in billing operations or related financial operation - Work hours flexibility: need to work at calendar day 1 at quarter end (even if holiday/weekend) and work US hours for at least day 1-2 of each month - Strong communication skills, both verbal and written - Strong attention-to-detail - Creative problem solving skills - Strong ability to work independently and prioritize in a distributed, dynamic, fast-paced environment - Ability to interact with customers and other teams - Accustomed to working with case management system - Positivity and a love for what you do - Proficiency in MS Excel or Google Spreadsheet - VLOOKUP, pivot tables, analysis - Basic proficiency in SQL/Query language and/or Excel Macros Bonus Points - Understanding of cloud technologies, e.g., AWS, Azure, Google and cloud billing models - Experience with NetSuite, Salesforce, Stripe - Comfort using basic AI tools to increase efficiency and support day-to-day operations Benefits - Competitive pay based on the work you do here and not your previous salary - Health coverage for you and your family in many locations - Ability to craft your calendar with flexible locations and schedules for many roles - Generous number of vacation days each year - We match up to $2000 (or local currency equivalent) for financial donations and service - Up to 40 hours each year to use toward volunteer projects you love - Minimum of 16 weeks of parental leave

Role Description The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements. The ARM Manager will conduct huddles and team meetings as needed. Additional responsibilities include: - Identifying deficiencies within the group and escalating them to the Director - Building positive relationships both internally and externally - Maintaining Key Performance Indicators (KPIs) - Delivering annual reviews with staff, along with corrective actions when necessary - Understanding all aspects of the billing and accounts receivable process Essential Duties and Responsibilities: - Maintain staffing schedules to ensure proper oversight for each account - Manage employee performance through biweekly one-on-ones, annual reviews, and system reporting - Coordinate workflow between teams and interface with internal and external resources - Assist with interdepartmental issues to help coordinate problem-solving in an efficient and timely manner - Collaborate with internal departments to identify and update efficient processes - Develop AR policies, procedures, and KPIs to support company revenue cycle goals - Identify deficiencies with employees and ensure the proper training is provided - Support employee development through additional training specific to ARM - Manage all aspects of the ARM process and the ARM Specialists - Communicate account-specific changes to team members - Conduct group meetings and huddles; may occasionally participate in client-facing meetings - Perform quality checks on assigned claims - Perform monthly reviews and process write-offs for assigned accounts - Prepare and deliver employee productivity reports monthly, as well as annual performance reviews - Analyze AR trends to identify process gaps, payer issues, or team training needs - Oversee day-to-day operations and long-term strategy for the Accounts Receivable department - Lead cross-departmental efforts to improve collections, reduce denials, and enhance payer communication - Mentor AR leads and specialists, fostering accountability and professional growth - Manage reporting cadence for leadership, including aging, denial metrics, and appeal outcomes - Drive technology adoption and process automation within AR workflows - Obtain ambulance biller certification within 6 months of employment - Adhere to all QMC HIPAA privacy policies and procedures; this includes always maintaining the confidentiality and security of sensitive patient information - Additional job duties as assigned Qualifications - High School Diploma or equivalent required; BA/BS Degree preferred - 5+ years of collections, billing, and/or claims experience - Minimum of 2 years of supervisory experience preferred - Demonstrated mastery of billing and accounts receivable procedures, as well as compliance regulations - Hands-on experience preparing and submitting insurance appeals, including understanding payer denial codes and timely filing limits - Familiarity with ICD-10, HCPCS, and general medical terminology - EMS billing experience strongly preferred; experience in other medical specialties will be considered - Proficiency with various web platforms, including billing software and payer portals - Prior customer service experience, with the ability to work collaboratively with other departments and team members - Intermediate computer skills, including proficiency in Microsoft Word, Excel, and Outlook - Working knowledge of the full revenue cycle management process - Detail-oriented with strong organizational skills - Strong written and verbal communication skills - Ability to lead and motivate a team - Positive attitude with strong interpersonal skills - Ability to create agendas, prepare presentations, and conduct meetings - Strong investigative and research skills, with the ability to resolve complex billing issues - Effective critical thinking and analytical abilities - Ability to work independently in a fast-paced, adaptive environment with minimal supervision - Strong customer service skills and experience Benefits - Competitive salary, commensurate with experience - Comprehensive benefits package, including 401(k) Plan Company Description Sarnova is an Equal Opportunity Employer. Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.

Billing Specialist Location: Nashville, TN, USA Remote Description The Billing Specialist is responsible for performing day-to-day billing activities for Urology, Radiation Oncology and Imaging services. This role focuses on accurate claim preparation, submission, and follow-up to ensure timely reimbursement, reduced denials, and compliance with payer requirements. Key Responsibilities - Prepare, review, and submit clean claims for Urology, Radiation Oncology, and Imaging services. - Research, correct, and resubmit rejected or denied claims. - Verify authorizations, referrals, and provider credentials prior to submission. - Apply payer-specific billing rules, LCDs/NCDs, and medical policies. - Maintain accurate documentation of billing activity and any payer communications. - Respond to inquiries from payers, patients, and internal teams professionally and timely. - Collaborate with coders, providers, and leads to resolve discrepancies. - Maintain daily productivity and quality standards. Requirements Skills and Knowledge – Billing Specialist - 2+ years of medical billing experience preferred. - Experience billing for Urology, Radiation Oncology and Imaging services. strongly preferred. - Knowledge of insurance reimbursement processes and payer rules Education and Experience – Billing Specialist - High school diploma or GED required; additional billing education preferred. - Strong attention to detail and accuracy. - Effective time management and organizational skills. - Ability to work independently in a fast-paced environment. - Strong written and verbal communication skills. Benefits & Pay - $22.00/hour - Career Growth – Build experience in the healthcare and insurance space - Excellent Benefits – Including medical insurance, dental reimbursement, and life insurance