• Posting CDT codes to patient’s ledger based on provider clinical notes according to billing guidelines • Submission of insurance claims using practice management software • Ensuring claims are submitted with correct attachments such as x-rays, narratives, perio charting and intraoral photos • Ascertaining why claims have been rejected and implementing corrective measures • Identifying irregularities such as missing payments, missing procedures etc in patient accounts • Responsible for reconciling all payments received by the practice through multiple payment methods • Processing prior authorizations for procedures on behalf of the patient • Auditing clinical notes by treatment coordinators and posting procedures to patient’s treatment plan • Compiling dental records in response to requests from patients and dental insurances

Role Description We are currently looking for a Billing Assistant to join a US-based provider of ABA therapy services. This role is ideal for someone with experience in US medical billing who enjoys problem-solving, working with insurance claims, and ensuring billing accuracy. - Submit and process billing claims for Medicaid and private insurance providers. - Bill therapy session hours accurately through the Waystar clearinghouse. - Investigate and resolve denied claims by identifying the reason for denial. - Contact insurance companies to obtain claim information and resolve billing issues. - Correct and resubmit denied claims in a timely manner. - Assist with provider and company credentialing with insurance companies. - Ensure clinicians remain credentialed with the appropriate insurance providers. - Maintain accurate records and ensure compliance with billing procedures. Qualifications - Previous experience in US medical billing, specifically submitting or processing claims to US insurance providers. - Experience using Waystar or CentralReach (experience with both is highly advantageous). - Strong communication skills with the ability to liaise professionally with insurance companies. - Excellent attention to detail and accuracy. - Strong critical thinking and problem-solving abilities. - Comfortable using Microsoft Office and Outlook. Requirements - Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (3:00 PM – 12:00 AM South African time – subject to daylight savings). - Public Holidays: This role requires working on both South African and U.S. public holidays (compensation for SA public holidays in accordance with the BCEA). - Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and wired Ethernet capability is mandatory. Applicants without a fixed fibre line cannot be considered. - Power Backup: Reliable backup required to manage load shedding or outages. Applicants without a power backup cannot be considered. - Work Environment: Fully remote. Company Description ISTA Personnel Solutions is a dynamic and fast-growing BPO company. We are not a recruitment agency – we operate as a dedicated extension of our clients’ teams, delivering high-quality service with precision, efficiency, and a personal touch.

Role Description The Payroll & Billing Accounting Specialist will support the finance operations of a growing home care services organization, with primary responsibility for payroll processing, client billing, accounts receivable, and related accounting operations. This role will work closely with the Finance Director, Care Coordinators, and Operations leadership to ensure accurate, timely, and compliant financial processes across a multi-entity, private-pay healthcare environment. The position is designed to support business growth, recent acquisitions, and increased operational complexity. - Coordinate with the Finance Director to support bi-weekly payroll processing, including employee onboarding and offboarding, assignment to departments and cost centers, and maintenance of employee records. - Process and support end-to-end payroll activities for a workforce of approximately 200–300 employees, ensuring accuracy, timeliness, and compliance. - Oversee employee maintenance activities related to payroll, including new hires, resignations, role changes, PTO, sick time, and wage garnishments. - Manage and oversee all payroll-related activities within Paycom, including PTO and sick time tracking, document and task management, and wage garnishments. - Work closely with Care Coordinators to finalize caregiver schedules and ensure accurate and proper use of WellSky for scheduling, payroll, and billing purposes. - Prepare, review, and manage weekly client billing and invoicing for private-pay home care services across approximately 150 active clients. - Coordinate with Care Coordinators to validate schedules, approved hours, and client-specific pricing prior to billing. - Manage accounts receivable (AR) processes, ensuring timely and accurate invoicing and achievement of established AR days targets. - Communicate directly with clients and client families, including Power of Attorney (POA) contacts, to resolve billing inquiries, corrections, late payments, collections, and check deposits. - Serve as a primary point of contact for client billing questions and collection-related issues, handling sensitive matters with professionalism and discretion. - Maintain overall responsibility for Long-Term Care Insurance (LTCI) coordination, including: - Following up with clients and families to collect insurance contact information - Submitting invoices, completed care notes, proof of licensure, and liability documentation to LTCI providers - Following up with LTCI companies on reimbursement issues, denials, or questions on behalf of clients or their POAs - Reconcile payroll, billing, and related accounting reports; identify discrepancies and work with internal stakeholders to resolve issues. - Support month-end accounting activities related to payroll, billing, and revenue recognition. - Maintain accurate and confidential payroll and billing records in compliance with internal controls, healthcare standards, and regulatory requirements. - Coordinate with internal stakeholders to address payroll questions, billing adjustments, and operational clarifications. - Assist with transition and knowledge transfer from departing payroll and billing resources. - Support finance leadership with ad hoc accounting tasks, reporting, and process improvement initiatives as needed. Qualifications - 3–5 years of experience in payroll, billing, or accounting operations - Hands-on experience supporting payroll processing and client billing - Strong attention to detail and ability to manage confidential financial data - Experience working with finance teams in a fast-growing or multi-entity environment - Strong written and verbal English communication skills Requirements - Experience supporting healthcare, home care, or private-pay service organizations - Exposure to payroll and billing processes in U.S.-based companies - Experience with payroll, scheduling, or billing systems such as Paycom, WellSky, or similar platforms - Experience managing accounts receivable and client billing communications - Experience supporting finance operations during periods of growth or acquisitions Educational Requirements & Certifications - Bachelor’s degree in Accounting, Finance, or a related field - Relevant accounting or payroll certifications are a plus but not required Benefits - HMO with 1 free dependent upon hire - Life Insurance - 10% Night Differential - 20 PTO credits annually - VL and SL cash conversion - Annual Performance-Based Merit Increases and Employee Recognition - Great Company Culture - Career Growth and Learning - WORK FROM HOME - NIGHT SHIFT - Php 40,000 to 44,500 all in

Title: Family Services Specialist II- Foster Care/Adoption Worker (Albemarle) Location: Albemarle County United States Job Description: Hiring Range: $72,802 to $80,466 Full Time or Part Time: Full Time Additional Detail Job Summary/Objective: Performs responsible, equitable, and professional casework in an inclusive team environment in accordance with established social work/counseling principles. Uses an asset-based approach to engage with the client system in developing and implementing individualized service plans involving the application of casework methods and applicable program policies. Supports and assists clients with safety, personal, family, social, health, and economic needs. Empowers the client/family to attain their highest level of self-sufficiency. As an organization, ACDSS is committed to building a diverse team of contributors who believe and work from the foundation of our core values of equity and inclusion, hope, respect, opportunity, and self-determination. Starting offer is based on applicable education, experience and internal equity. Essential Functions: - Interprets laws, policies and regulations as applied to specific area of responsibility. - Assesses cognitive, emotional, and behavioral functioning of children and their families, and develops and implements sophisticated psychosocial case plans which integrate psychodynamic, systemic, medical, and social-ecological intervention approaches. - Provides direct counseling, applying family-systems treatment models to complex family situations, in such a way as to strengthen families and prevent family dissolution. - Plans, oversees and participates directly in court intervention to protect children and to achieve goals of safety, permanency and well-being of children. - Informs clients of specific and related service programs, rules/regulations, and right to participate. - Presents cases in supervisory, team and other settings to determine appropriate services and writes/implements service plans. - Provides case management services and monitors outcomes of services. - Assesses, secures, and monitors financial resources for which the child is eligible (e.g. social security, child support, etc.). - Follows the requirements for funding authorization and service payments for services for children and their families. - Completes necessary federal, state and local planning and reporting requirements, including documentation entered into OASIS. - Coordinates with other agencies and participates in multi-disciplinary and interagency teams providing services to customers. - Serves as resource to clients and the community in area of expertise. - Provides coverage after hours and on weekends, on a rotating on-call basis, for emergencies involving abuse or neglect of children and adolescents, and for situations requiring immediate attention regarding children in the legal custody of the Department of Social Services. - Participates in staffing of emergency shelters as required. - Performs other duties as may be assigned. Competency: Knowledge/ Skills/Abilities: - Working knowledge of social work principles and practices; - Knowledge of social, economic and health problems; institutions and the methods of the helping process; individual and group behavior. - Knowledge of child and adolescent growth and development, family structure and dynamics, the impact of handicapping physical and mental conditions on families, and crisis intervention. - Skill in using personal computer with associated software; - Ability to identify social problems and needs and to assess the ability to individual and families to utilize services in problem solving; - Ability to accept the rights, responsibilities and differences of others; - Ability to work effectively through counseling and other methods with individuals and families in helping them solve their problems; - Ability to plan and organize work; - Ability to understand and interpret laws, policies and regulations; - Ability to communicate and establish effective working relationships with clients, coworkers, other professional and technical staff, social agencies and the general public; - Ability to plan and organize work; - Ability to prepare reports and maintain records. Required Education and Experience: - Minimum of a Bachelor"s Degree in a Human Services field or minimum of a Bachelor"s Degree in any field and minimum of two years of appropriate and related experience in a Human Services area. - Experience in assigned program area and completion of required training programs or equivalent combination of training and experience which provides the required knowledge, skills and abilities. Preferred Qualifications/Certifications: - Possession of a BSW or MSW degree and a Commonwealth of Virginia Social Work license are desirable. Masters preferred. Physical and Mental Requirements: - Possession of a valid appropriate driver"s permit issued by the Commonwealth of Virginia. Workers in this position are required to drive and they must meet eligibility requirements of the County's safe driver policy. - Administers work to the public, frequently in home settings, including remote rural areas. - Involves office-based work for purposes of documentation and data entry. • Frequent contacts with clients and their families; coordination with professionals and representatives of other public and private agencies (i.e. school, courts, clinics, etc.) are required. - Involves frequent driving, walking, standing. - Must be able to assist physically dependent individuals. Remote Work: This position is not eligible for remote work. All County staff must maintain residence within the Commonwealth of Virginia. Albemarle County Core Values: Albemarle County holds its employees to the highest standards in fulfilling the County's Vision and Mission. We believe in excellence in public service through Community: We expect diversity, equity and inclusion to be integrated into how we live our mission. Integrity: We value our customers and co-workers by always providing honest and fair treatment. Innovation: We embrace creativity and positive change. Stewardship: We honor our role as stewards of the public trust by managing our natural, human, and financial resources respectfully and responsibly. Learning: We encourage and support lifelong learning and personal and professional growth PLEASE INCLUDE COVER LETTER, RESUME AND THREE REFERENCES Contact Information: For questions related to this posting, please contact: Kiersten Trader ktrader@albemarle.org