Role Description As a Healthcare Billing Recovery Case Specialist I, you will work Group Healthcare (GHP) and/or Non-Group Healthcare (NGHP) Provider delinquent accounts under the CMS Medicare Secondary Payer recovery program. The medical billing specialist in this role will come with strong knowledge of: - Medical claim billing - Medical terminology and medical coding - Forms UB04 and CMS 1500 - Coordination of Benefits and Third Party Liability (COB/TPL) - Medicare Secondary Payer (MSP) claims - Procedural challenges regulations - Experience generating or auditing medical claims and billing - Ability to gather and interpret Explanation of Benefits (EOB) - Effective communication with carriers to recapture payments What You’ll Do: - Review account claim and other documentation to verify payment liability for claims that may have been paid by Medicare in error. - Leverage your knowledge and expertise in medical billing/COB/MSP to review documentation and claim billing, build the case file to determine/validate liability, evaluate and respond to defenses refuting payment liability, status the account and initiate appropriate letter correspondence. - Initiate correct action with applicable party (health insurance carrier, auto/home/worker’s comp insurance carrier, or legal representative) and documentation based upon payment option. - Update client and/or company systems with clear and accurate information such as contact and updated demographic information, notes from contact dialog and attempts, payment commitment, as well as account status updates. - Initiate applicable claim activities; follow-up and follow through accordingly to ensure documentation and activity is on-time and accurate in accordance with policies and procedures. - Support internal groups or functions with interpretation of EOB (explanation of benefits). - Arrive to work on time, work assigned schedule, and maintain regular good attendance. - Follow and comply with company, departmental and client program policies, processes and procedures. - Utilize resources to ensure compliance with client requirements, HIPAA, as well as applicable federal or state regulations. - Successfully complete, retain, apply and adhere to content in required training as assigned. - Consistently achieve or exceed established metrics and goals assigned, including but not limited to, production and quality. - Complete required processes to obtain client required clearances as well as company regular background and/or drug screening. - Demonstrate Performant core values in performance of job duties and all interactions. - Correct areas of deficiency and oversight received from quality reviews and/or management. - Work overtime as may be required. - May be required to work some Performant holidays due to client requirement. - Perform other duties as assigned. Qualifications - Minimum 6 months of medical billing experience, including Medicare. - Minimum 2 years of experience in customer service, billing reclamation or recovery, or call center role. - High School diploma or GED is required. - Knowledge and experience with medical claim billing procedures, medical terminology and medical coding. - Familiarity with information in forms UB04 and CMS 1500. - Experience with Coordination of Benefits, Third Party Liability, Medicare Secondary Payer. - Proven ability to gather and interpret Explanation of Benefits (EOB). - Ability to communicate professionally and effectively with providers, carriers, beneficiaries and other audiences regarding claims and billing payment. - Experience in handling Medicare and Medicaid claims. - Protected patients’ privacy, understands and adheres to HIPAA standards and regulations. - Remarkable interpersonal and communication skills. - Self-motivated and thrives in a fast-paced business operations department. - Proficiency using standard office technology. - Ability to apply knowledge learned in training. - Ability to follow process, procedures and regulations in the workplace. - Ability to effectively perform work independently and work cooperatively with others. - Ability to adapt quickly and transition effectively to changing circumstances. - Ability to consistently perform job responsibilities. - Ability to obtain and maintain client required clearances. - Completion of Teleworker Agreement upon hire, and adherence to the Agreement. - Possess a personality type that is ethical, friendly, hard-working and proactive. Benefits - Work from anywhere in the US! Machinify is digital-first. - Top Medical/Dental/Vision offerings. - FSA/HSA. - Tuition reimbursement. - Competitive salary, 401(k) with company match. - Additional health and wellness benefits and perks. - Flexible and trusting environment where you’ll feel empowered to do your best work. - Pay range: $19.00 - $20.00. Equal Employment Opportunity at Machinify We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law.

Role Description Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to: - Observation - Radiation Oncology - Chemotherapy Infusion - Cardiac Cath/Electrophysiology - Interventional Radiology and Surgery This role supports Revenue Cycle goals for timely billing. Utilizes: - International Classification of Disease (ICD-10-CM and PCS) - Healthcare Common Procedure Coding System (HCPCS) - Current Procedural Terminology (CPT) - Other coding references to ensure accurate coding. Qualifications - 3-5 years of experience required. - High School/GED required. - One or more of the following certifications required: - RHIA - RHIT - CCS - CIC - COC - CPC - CCA - CCC - CIRCC - CCVTC - Any of the Core Credentials or specialty credential of AAPC or AHIMA Benefits - Comprehensive benefits program including health, dental, vision, life, disability, and retirement. - Attractive working conditions. - Opportunities for career growth through professional development. Company Description At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Discover why Cooper University Health Care is the employer of choice in South Jersey.

Role Description Labcorp is seeking a U.S. remote Billing Coordinator. Work schedule: Monday-Friday 9am-6pm EST Responsibilities - Billing Data Entry involved which requires 10 key skills - Compare data with source documents and enter billing information provided - Research missing or incorrect information - Verification of insurance information - Ensure daily/weekly billing activities are completed accurately and timely - Research and update billing demographic data to ensure prompt payment from insurance - Communication through phone calls with clients and patients to resolve billing defects Qualifications - High School Diploma or equivalent - 1 year or more work experience Requirements - Alpha-Numeric Data Entry Proficiency (10 key skills) - Previous RCM Experience Benefits - Comprehensive benefits for employees regularly scheduled to work 20 or more hours per week, including: - Medical - Dental - Vision - Life - STD/LTD - 401(k) - Paid Time Off (PTO) or Flexible Time Off (FTO) - Tuition Reimbursement - Employee Stock Purchase Plan - 401(k) Plan eligibility for employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees. - Employees on a 7 on/7 off schedule are eligible for all benefits except PTO or FTO.

Role Description Under limited supervision the Coder ER reviews medical records and performs coding on all diagnoses, procedures, DRG/APC and charge codes. The Coder ER uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder ER will be charged with maintaining the confidentiality of patient records and procedures. - Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records. - Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. - Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. - Abstracts and codes pertinent medical data into multiple software programs and/or encoders. - Follows official coding guidelines to review and analyze health records. - Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations. - Extracts pertinent data from the patient’s health record, and determines appropriate coding for reports and billing documents. - Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients. - Track and document productivity in specified systems, maintain productivity levels as defined by the client. - Maintain 95% quality rating. - Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance. Qualifications - Ability to prioritize and multi-task in a fast-paced, changing environment. - Demonstrate ability to work in all work types and specialties. - Demonstrate ability to self-motivate, set goals, and meet deadlines. - Demonstrate leadership, mentoring, and interpersonal skills. - Demonstrate excellent presentation, verbal and written communication skills. - Ability to develop and maintain relationships with key business partners by building personal credibility and trust. - Maintain courteous and professional working relationships with employees at all levels of the organization. - Demonstrate excellent analytical, critical thinking and problem-solving skills. - Skill in operating a personal computer and utilizing a variety of software applications. - Knowledge of coding convention and rules established by the AHIMA, American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes. - Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation. Requirements - Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two to four years of current production coding experience in both acute care and profee. - Must have the following certificates and/or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P. Benefits - Health, dental, and vision coverage. - Voluntary insurance options. - 401(k) plan with employer match. - Professional development opportunities. - Paid time off and holiday pay. - Opportunity to participate in bonus programs, commissions, or other variable incentive plans. Company Description Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines.