• Medical Billing: Manage the full medical billing cycle, including claim submission, insurance claim follow-up, payment posting, denial resolution, and overall billing workflow. • Patient Communication: Handle inbound and outbound calls professionally. • Respond to billing inquiries from patients and insurance companies. • Provide timely follow-up regarding outstanding balances or claim-related concerns. • Athena EMR & Documentation: Accurately document billing activities and communications in Athena EMR. • Maintain organized billing records. • Ensure timely follow-up on outstanding accounts. • Team Collaboration: Work closely with the office team to resolve billing questions, account discrepancies, and other payment-related issues.

Role Description Provides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care. - Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials. - Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately. - Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff. - Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment. - Builds positive relationships between providers and the business by providing coding assistance as needed. - Facilitates administrative duties such as planning, chart reviews scheduling, medical records procurement, provider training and education. - Assists in coordination of management activities with other departments including finance, revenue analytics, claims, encounters and enterprise/plan medical directors. - Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies related to medical coding in the managed care industry. Qualifications - At least 2 years medical coding experience, or equivalent combination of relevant education and experience. - Certified Professional Coder (CPC). - Certified Coding Specialist (CCS). - Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. - Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). - Ability to effectively interface with staff, clinicians, and management. - Excellent verbal and written communication skills. - Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and all other customers. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications - Certified Risk Adjustment Coder (CRC). - Certified Professional Payer – Payer (CPC-P). - Certified Coding Specialist – Physician Based (CCS-P). - Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. - Background in supporting risk adjustment management activities and clinical informatics. - Experience with risk adjustment data validation. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Role Description We are seeking a highly organized, detail-oriented, and tech-savvy Medical Billing Specialist to manage the practice's billing operations and provide excellent support to patients regarding billing-related concerns. Experience with Athena EMR is strongly preferred. Primary Responsibilities: - Medical Billing: - Manage the full medical billing cycle, including claim submission, insurance claim follow-up, payment posting, denial resolution, and overall billing workflow. - Patient Communication: - Handle inbound and outbound calls professionally. - Respond to billing inquiries from patients and insurance companies. - Provide timely follow-up regarding outstanding balances or claim-related concerns. - Athena EMR & Documentation: - Accurately document billing activities and communications in Athena EMR. - Maintain organized billing records. - Ensure timely follow-up on outstanding accounts. - Team Collaboration: - Work closely with the office team to resolve billing questions, account discrepancies, and other payment-related issues. Qualifications - Previous medical billing experience of at least 1 year. - Strong experience using Athena EMR (preferred). - Excellent phone etiquette and communication skills. - Ability to multitask in a fast-paced environment. - Strong organizational and time-management skills. - Comfortable working independently in a remote setting. - Highly detail-oriented and dependable. - Tech-savvy with experience using digital communication and organizational tools. Requirements - Must speak and write English clearly and professionally. - Must have relevant work experience. - Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). - Must be available to attend video meetings with camera on when required. Technical Requirements - Computer: Reliable laptop or desktop computer. - Internet: Stable high-speed internet connection (minimum 25 Mbps). - Audio: Noise-canceling headset. - Video: Working webcam for virtual meetings. - Workspace: Quiet and professional work environment. Benefits - Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

Role Description We’re seeking a Payer Contracting Specialist (Temp to Perm) for a contract consulting engagement supporting payer contracting and network development across multiple states. This role is ideal for an experienced managed care or provider contracting professional who understands: - Payer relationships - Provider participation agreements - Healthcare reimbursement - Network development The successful candidate will work as an extension of the client’s leadership team, helping advance payer contracting activities with: - Commercial health plans - Medicare Advantage organizations - Medicaid Managed Care Organizations The Payer Contracting Specialist will collaborate closely with: - Credentialing - Legal - Operations - Revenue cycle - Physician recruitment - CWH engagement leadership to ensure payer contracting efforts are aligned with market expansion, provider onboarding, and launch priorities. Qualifications - Minimum of 5 years of experience in healthcare payer contracting, managed care contracting, provider relations, or network development. - Bachelor’s degree or equivalent combination of education and relevant healthcare experience. - Experience working with physician groups, provider organizations, health systems, virtual care companies, or similar healthcare organizations. - Strong understanding of commercial health insurance, Medicare Advantage, Medicaid Managed Care, and provider contracting processes. - Experience coordinating or supporting provider participation agreements. - Strong project management, organizational, and follow-up skills. - Ability to manage multiple payer relationships, contracting timelines, documentation requirements, and stakeholder priorities simultaneously. - Clear, professional communication skills with payers, providers, client stakeholders, legal teams, and executive leaders. - Ability to translate contracting status, risks, and next steps into practical updates for leadership and project teams. - Strong attention to detail and a disciplined approach to documentation, tracking, and reporting. - Advanced proficiency with Microsoft Office, including Excel, Word, Outlook, and Teams. Requirements - Multi-state managed care contracting experience. - Experience supporting telehealth, virtual care, or national provider network expansion. - Familiarity with physician credentialing and provider enrollment workflows. - Experience with contract lifecycle management systems, payer contract management platforms, or contracting workflow tools. - Existing relationships with national or regional health plans. - Consulting, project-based, or client-facing healthcare experience. Benefits - Support a high-impact payer contracting initiative for a rapidly expanding healthcare organization. - Work alongside experienced healthcare operators, advisors, and engagement leaders. - Apply your managed care contracting expertise in a focused, execution-oriented consulting role. - Help expand provider network access and support market readiness for a national virtual care platform. - Earn competitive consulting rates in a flexible, remote-first environment. Travel This role is primarily remote. Travel is expected to be limited and may be required based on client needs or market-specific contracting activities.