14 jobs found

Job Description L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do. Our employees are unified in a shared dedication to our customers' mission and quest for professional growth. L3Harris provides an inclusive, engaging environment designed to empower employees and promote work-life success. Fundamental to our culture is an unwavering focus on values, dedication to our communities, and commitment to excellence in everything we do. L3Harris is the Trusted Disruptor in defense tech. With customers' mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security. Job Title: Senior Specialist, Program Scheduling Job Code: 47059 Job Location: Cincinnati, OH or Huntsville, AL Job Schedule: 4/10 - Employees work 10 hour days, 4 days a week About L3Harris Technologies: L3Harris Technologies is an agile global aerospace and defense technology innovator, delivering end-to-end solutions that meet customer's mission-critical needs. The company provides advanced defense and commercial technologies across space, air, land, sea, and cyber domains. L3Harris has approximately $18 billion in annual revenue and 47,000+ employees, with customers in more than 100 countries. L3Harris Fuzing and Ordnance Systems (FOS), a division of L3Harris Technologies, provides precision electronic components, subsystems, and systems for the US government and international allies. FOS, located in eastern Cincinnati, OH, is the established leader in design and manufacturing of fuzes, ignition safety devices, and height of burst sensors for US military weapons systems. We offer competitive benefits, an alternative 4/10 work schedule, and the opportunity to work with a talented and diverse group of professionals focused on warfighter success and safety. What We Do Matters. Job Description: L3Harris Fuzing and Ordnance Systems is seeking an experienced Program Scheduler that must understand project management processes and specialize in translating functional plans into detailed resource-loaded Integrated Master Schedules (IMS). Administers the controls of schedules on development and production contracts, some requiring Earned Value Management. Will work with general supervision within established guidelines and procedures, plans for the orderly completion of objectives on assigned programs. Essential Functions: Develop, baseline, & maintain complex resource-loaded integrated master schedules (IMS) using SOW, WBS, and other program information. Perform regular Critical/Driving Path Analysis, Schedule Risk Analysis, Schedule Health Analysis, Variance metrics, Earned Value Management and other project management techniques to gauge progress and identify performance variances to facilitate focus and intervention on critical areas and identify and resolve critical path and network logic conflicts. Communicate within and outside of own function to gain cooperation on operational processes, practices, and procedures; responsibility for communicating with parties external to the organization (ex: customers, vendors, etc.) when necessary. Contribute to achievement of departmental goals and operating plans with direct impact on the departmental results; make/recommend substantial improvements to systems and processes. Ensure program schedules and resource plans are integrated across company functional groups including finance, engineering, material, manufacturing, and quality. Ensure compliance with internal program procedures and project control system guidelines. Conduct extensive investigation to understand root cause of problems. Span a wide range of difficult and unique issues across the function and/or business area. Work to influence others to accept individual or team's views or practices and changes to concepts, practices, and approaches. Create and present project-level reports, lead presentations, briefings to reflect risk and status to program management and senior management relating to matters of importance to their function or business area (visuals may include Gannts, PERT, Network Diagrams, Summary Schedules, and Milestone Charts, etc.). Attention to detail and focus on quality of product/deliverables. High level of Critical thinking and problem solving. Prior experience working in MS Office (Excel, Word, Outlook, PowerPoint). Qualifications: Bachelor's Degree and a minimum of 6 years of prior relevant experience; Or Graduate Degree and a minimum of 4 years of prior related experience; Or, in lieu of a degree, a minimum of 10 years of prior related program scheduling experience. Preferred Additional Skills: Experience working within complex engineering and/or production environment within Aerospace and Defense Industry. Experience in administration of PWA/MS ProjectOnline/MS ProjectServer and SharePoint. Working knowledge of Planning & Scheduling Excellence Guide (PASEG), EVMS Standard (EIA 748-D), Integrated Product and Process Development (IPPD)/ Engineering Lifecycle Stages & Gates, Integrated Program Management Report (IPMR), Monte Carlo Risk Analysis (Schedule Risk Analysis). EVMS - Earned Value Management Systems. Familiarity with scheduling ad-on tools such as Structured Solutions - SSI tools management, Office Timeline or similar scheduling support software. Ability to work within a team and on their own. Experience in creating and/or maintaining an Integrated Master Schedule (IMS) and any Supporting Schedules on assigned projects/programs. Experience in MS Project, minimum of 3 years of use (will consider P6 experience). L3Harris Technologies is proud to be an Equal Opportunity Employer. L3Harris is committed to treating all employees and applicants for employment with respect and dignity and maintaining a workplace that is free from unlawful discrimination. All applicants will be considered for employment without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender (including pregnancy, childbirth, breastfeeding or other related medical conditions), gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, characteristic or membership in any other group protected by federal, state or local laws. L3Harris maintains a drug-free workplace and performs pre-employment substance abuse testing and background checks, where permitted by law. Please be aware many of our positions require the ability to obtain a security clearance. Security clearances may only be granted to U.S. citizens. In addition, applicants who accept a conditional offer of employment may be subject to government security investigation(s) and must meet eligibility requirements for access to classified information. By submitting your resume for this position, you understand and agree that L3Harris Technologies may share your resume, as well as any other related personal information or documentation you provide, with its subsidiaries and affiliated companies for the purpose of considering you for other available positions. L3Harris Technologies is an E-Verify Employer. Please click here for the E-Verify Poster in English or Spanish. For information regarding your Right To Work, please click here for English or Spanish.

Job Description L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do. Our employees are unified in a shared dedication to our customers' mission and quest for professional growth. L3Harris provides an inclusive, engaging environment designed to empower employees and promote work-life success. Fundamental to our culture is an unwavering focus on values, dedication to our communities, and commitment to excellence in everything we do. L3Harris is the Trusted Disruptor in defense tech. With customers' mission-critical needs always in mind, our employees deliver end-to-end technology solutions connecting the space, air, land, sea and cyber domains in the interest of national security. Job Title: Senior Specialist, Program Scheduling Job Code: 47059 Job Location: Cincinnati, OH or Huntsville, AL Job Schedule: 4/10 - Employees work 10 hour days, 4 days a week About L3Harris Technologies: L3Harris Technologies is an agile global aerospace and defense technology innovator, delivering end-to-end solutions that meet customer's mission-critical needs. The company provides advanced defense and commercial technologies across space, air, land, sea, and cyber domains. L3Harris has approximately $18 billion in annual revenue and 47,000+ employees, with customers in more than 100 countries. L3Harris Fuzing and Ordnance Systems (FOS), a division of L3Harris Technologies, provides precision electronic components, subsystems, and systems for the US government and international allies. FOS, located in eastern Cincinnati, OH, is the established leader in design and manufacturing of fuzes, ignition safety devices, and height of burst sensors for US military weapons systems. We offer competitive benefits, an alternative 4/10 work schedule, and the opportunity to work with a talented and diverse group of professionals focused on warfighter success and safety. What We Do Matters. Job Description: L3Harris Fuzing and Ordnance Systems is seeking an experienced Program Scheduler that must understand project management processes and specialize in translating functional plans into detailed resource-loaded Integrated Master Schedules (IMS). Administers the controls of schedules on development and production contracts, some requiring Earned Value Management. Will work with general supervision within established guidelines and procedures, plans for the orderly completion of objectives on assigned programs. Essential Functions: Develop, baseline, & maintain complex resource-loaded integrated master schedules (IMS) using SOW, WBS, and other program information. Perform regular Critical/Driving Path Analysis, Schedule Risk Analysis, Schedule Health Analysis, Variance metrics, Earned Value Management and other project management techniques to gauge progress and identify performance variances to facilitate focus and intervention on critical areas and identify and resolve critical path and network logic conflicts. Communicate within and outside of own function to gain cooperation on operational processes, practices, and procedures; responsibility for communicating with parties external to the organization (ex: customers, vendors, etc.) when necessary. Contribute to achievement of departmental goals and operating plans with direct impact on the departmental results; make/recommend substantial improvements to systems and processes. Ensure program schedules and resource plans are integrated across company functional groups including finance, engineering, material, manufacturing, and quality. Ensure compliance with internal program procedures and project control system guidelines. Conduct extensive investigation to understand root cause of problems. Span a wide range of difficult and unique issues across the function and/or business area. Work to influence others to accept individual or team's views or practices and changes to concepts, practices, and approaches. Create and present project-level reports, lead presentations, briefings to reflect risk and status to program management and senior management relating to matters of importance to their function or business area (visuals may include Gannts, PERT, Network Diagrams, Summary Schedules, and Milestone Charts, etc.). Attention to detail and focus on quality of product/deliverables. High level of Critical thinking and problem solving. Prior experience working in MS Office (Excel, Word, Outlook, PowerPoint). Qualifications: Bachelor's Degree and a minimum of 6 years of prior relevant experience; Or Graduate Degree and a minimum of 4 years of prior related experience; Or, in lieu of a degree, a minimum of 10 years of prior related program scheduling experience. Preferred Additional Skills: Experience working within complex engineering and/or production environment within Aerospace and Defense Industry. Experience in administration of PWA/MS ProjectOnline/MS ProjectServer and SharePoint. Working knowledge of Planning & Scheduling Excellence Guide (PASEG), EVMS Standard (EIA 748-D), Integrated Product and Process Development (IPPD)/ Engineering Lifecycle Stages & Gates, Integrated Program Management Report (IPMR), Monte Carlo Risk Analysis (Schedule Risk Analysis). EVMS - Earned Value Management Systems. Familiarity with scheduling ad-on tools such as Structured Solutions - SSI tools management, Office Timeline or similar scheduling support software. Ability to work within a team and on their own. Experience in creating and/or maintaining an Integrated Master Schedule (IMS) and any Supporting Schedules on assigned projects/programs. Experience in MS Project, minimum of 3 years of use (will consider P6 experience). L3Harris Technologies is proud to be an Equal Opportunity Employer. L3Harris is committed to treating all employees and applicants for employment with respect and dignity and maintaining a workplace that is free from unlawful discrimination. All applicants will be considered for employment without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender (including pregnancy, childbirth, breastfeeding or other related medical conditions), gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, characteristic or membership in any other group protected by federal, state or local laws. L3Harris maintains a drug-free workplace and performs pre-employment substance abuse testing and background checks, where permitted by law. Please be aware many of our positions require the ability to obtain a security clearance. Security clearances may only be granted to U.S. citizens. In addition, applicants who accept a conditional offer of employment may be subject to government security investigation(s) and must meet eligibility requirements for access to classified information. By submitting your resume for this position, you understand and agree that L3Harris Technologies may share your resume, as well as any other related personal information or documentation you provide, with its subsidiaries and affiliated companies for the purpose of considering you for other available positions. L3Harris Technologies is an E-Verify Employer. Please click here for the E-Verify Poster in English or Spanish. For information regarding your Right To Work, please click here for English or Spanish.

Job Description Job Description About the Role: The Billing Representative plays a critical role by ensuring accurate and timely processing of patient billing and insurance claims. This position is responsible for managing billing inquiries, resolving discrepancies, and maintaining detailed records to support financial operations. The role requires close collaboration with healthcare providers, insurance companies, and patients to facilitate smooth billing cycles and optimize revenue collection. The Billing Representative must stay current with healthcare billing regulations and insurance policies to ensure compliance and minimize claim denials. Ultimately, this position contributes to the financial health of the organization by delivering precise billing services and fostering positive relationships with all stakeholders. Minimum Qualifications: High school diploma or equivalent required; associate degree or higher in healthcare administration or related field preferred. Proven experience in medical billing, coding, or a related administrative role within the healthcare industry. Familiarity with healthcare billing software and electronic health record (EHR) systems. eClinicalWorks preferred. Strong understanding of insurance claim processes, including private insurers. Excellent communication and organizational skills with attention to detail. Preferred Qualifications: Certification in medical billing or coding (e.g., Certified Professional Biller or Certified Coding Specialist). Experience working with healthcare compliance standards such as HIPAA. Proficiency in advanced billing software and data management tools. Ability to analyze billing data to identify trends and recommend process improvements. Prior experience in a fast-paced healthcare environment handling high volumes of billing transactions. Responsibilities: Prepare and submit accurate patient invoices and insurance claims in accordance with established guidelines. Review and verify billing information for completeness and accuracy, resolving any discrepancies promptly. Communicate effectively with patients, healthcare providers, and insurance companies to address billing questions and concerns. Monitor accounts receivable and follow up on unpaid or denied claims to ensure timely payment. Maintain detailed records of billing activities and update patient accounts as necessary. Stay informed about changes in healthcare billing regulations, insurance policies, and coding standards. Collaborate with the finance and medical records departments to support audit processes and financial reporting. Skills: The Billing Representative utilizes strong analytical skills daily to review and verify billing information, ensuring accuracy and compliance with healthcare regulations. Effective communication skills are essential for interacting with patients, providers, and insurance representatives to resolve billing issues and clarify account details. Organizational skills enable the representative to manage multiple accounts and follow up on outstanding claims efficiently. Familiarity with billing software and electronic health records supports the accurate entry and processing of billing data. Additionally, problem-solving abilities help identify discrepancies and implement solutions that improve billing workflows and reduce claim denials.

Job Description Job Description Job Summary The Coding Specialist reviews superbills and the corresponding medical record documentation and assigns appropriate CPT, HCPCS, modifiers, and ICD 10 codes and post charges in order to achieve maximum reimbursement in accordance with OSNI protocols and procedures along with CMS and private payer guidelines. The core responsibilities will include: daily charge posting after assignment of appropriate billing and diagnostic codes, review of first level rejected claims in practice management, use of hospital portals to obtain operative reports and patient demographics, scanning of completed work into SRS . Additional responsibilities include querying physicians and ancillary medical staff when medical record requires clarification, ensuring medical record is amended by provider when appropriate and participating in internal provider coding review sessions. Qualifications: High school diploma or an equivalent combination of education and experience. RHIT, CPC, or CCS is required. Associate degree or higher in coding or health information management, accounting or business administration highly desired. Data entry skills (50-60 keystrokes per minutes) Past work experience of at least one year within a healthcare setting, an insurance company, managed care organization or other financial service setting, performing coding or billing functions is required. Knowledge of insurance and governmental programs, regulations and billing processes (e.g., CMS, Anthem, UHC, etc), managed care contracts and coordination of benefits is required. Thorough working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-10, CPT, HCPCS), and basic computer skills are required. Excellent communication (verbal and writing) and organizational abilities. Interpersonal skills are necessary in dealing with internal and external customers. Accuracy, attentiveness to detail and time management skills are required. Responsibilities: Knows, understands, incorporates, and demonstrates the OSNI Core Mission, Vision, and Values in behaviors, practices, and decisions. Performs all coding functions, including CPT/HCPCS and ICD 10 code assignment in accordance with state, federal, and payer guidelines: Reviews medical record to ensure appropriate codes are utilized and documentation supports code use Assigns appropriate CPT, HCPCS, ICD-10 codes along with appropriate modifiers to capture service rendered Queries physicians and medical ancillary staff when necessary for clarification. These functions will be in coordination with the Business Office team. Performs accurate charge data entry into practice management system Reports missing data as required Participates in internal provider coding review sessions Reviews and corrects electronic first level claim rejections in practice management Prints and mails paper claims with corresponding records as appropriate Follows applicable coding guidelines and legal requirements to ensure compliance with federal and state regulations Maintains thorough working knowledge of private payer guidelines Remains apprised of changes to coding guidelines and code sets Communicates with physicians and their office staff, Patient Access, Medical Records/Health Information Management, Utilization Review/Case Management, Managed Care, Ancillary and Nursing staff, as required to clarify discrepancies, and obtain demographic and clinical information. May prepare special reports as directed by the Manager to document coding May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees. Cross- training in various functions is expected to assist in the smooth delivery of departmental services. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, as well as OSNI's Standards of Conduct, and other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. Other duties as needed and assigned by Billing Manager, Practice Manager, and/or CEO Physical Requirements: Ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.) Fine hand manipulation (keyboarding) Must be able to set and organize own work priorities, and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem solving skills are essential. Ability to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery.

Job Description Job Description Procore Implementation Specialist Location: Kansas City, MO Position Type: Long-Term Contract Schedule: No expectation for overtime Position Overview Our client is seeking a Procore Implementation Specialist to support the development, implementation, and optimization of technology solutions that improve project execution, workflow, collaboration, and operational efficiency. The Procore Implementation Specialist will work closely with project teams, project managers, business line managers, and leadership to evaluate existing processes, identify opportunities for improvement, and implement technology-driven solutions. This role will have a strong focus on Procore implementation, adoption, process improvement, and user support , while also contributing to broader technology and innovation initiatives. The ideal candidate will have hands-on Procore experience, strong project and process management skills, excellent communication abilities, and the ability to translate business needs into practical technology solutions. Key Responsibilities Support the implementation, configuration, and deployment of Procore across project teams and business processes. Partner with project teams to document business processes and identify opportunities to improve project execution, workflow, communication, and efficiency. Evaluate existing processes and technology tools and recommend solutions that improve project delivery and operational performance. Assist with the development and presentation of proposed technology solutions, including software, hardware, automated processes, integrations, and other technology applications. Support proof-of-concept activities and evaluate potential solutions based on cost savings, benefits, productivity improvements, and automation opportunities. Implement technology solutions while supporting successful stakeholder adoption and change management. Provide ongoing technology and Procore support to project teams to ensure optimal utilization of available tools and processes. Identify opportunities to improve the use of Procore throughout the project lifecycle. Research emerging technologies and develop innovative approaches to improve services, processes, and client deliverables. Collaborate with project managers, business line managers, division leadership, IT, and other internal stakeholders to develop cohesive technology solutions. Develop and maintain relationships with external technology vendors and evaluate potential integrations into existing business processes. Assist with business cases for significant technology investments, initiatives, partnerships, and new solutions. Support the development and launch of innovative technology products, solutions, and services designed to improve project profitability and operational efficiency. Monitor technology and industry trends and communicate relevant developments to leadership and project teams. Attend industry conferences, trade shows, and other events as appropriate to research emerging technologies and market trends. Assist with identifying opportunities to create new revenue streams and improve project profit margins through technology and process innovation. Facilitate communication and collaboration among technical and non-technical stakeholders. Perform other duties as assigned. Comply with all applicable company policies, procedures, and standards. Required Qualifications Minimum 1 year of Procore experience required. Bachelor's degree in Engineering or a related field from an accredited program and 3 years of relevant experience , preferably in consulting; OR Associate degree and 5 years of relevant experience , preferably in consulting; OR High School Diploma/GED and 7 years of relevant experience , preferably in consulting. Strong knowledge of project and program management principles, processes, and standard practices. Demonstrated ability to learn new technology and apply that knowledge to business and project deliverables. Strong computer skills, including Microsoft Office and familiarity with engineering, project management, CAD, GIS, analysis, or data acquisition platforms. Strong written and verbal communication skills. Excellent presentation skills with both internal and external audiences. Strong analytical and quantitative problem-solving abilities. Demonstrated critical thinking skills and the ability to work methodically in a problem-solving environment. Strong attention to detail, organization, facilitation, collaboration, team-building, and problem-solving skills. Ability to work effectively with project teams, leadership, technical personnel, and other stakeholders. Ability to evaluate business processes and translate identified needs into practical technology solutions. Preferred Qualifications Experience implementing or administering Procore in a construction or engineering environment. Experience with Procore integrations, workflows, reporting, and user adoption. Experience with construction project management processes and technology. Knowledge of computer logic, automation, data analytics, and process improvement. Experience with software implementation, technology consulting, or digital transformation initiatives. Engineering in Training ( EIT ) certification preferred. Experience developing proof-of-concept solutions and business cases. Experience working with technology vendors and third-party software providers.

Job Description Job Description Description: At AMPLIFII, we support Federally Qualified Health Centers who provide comprehensive services-including primary care, dental, pharmacy, behavioral health, health education, and outreach. General Purpose: This position is critical to the success of the revenue cycle. Bill and collect payments for services rendered from a variety of payor sources. The Revenue Cycle Specialist is responsible for timely and accurate coding, billing, claim denials, and payment posting. Essential Duties and Responsibilities: Resolve issues with incomplete and/or inaccurate patient registration Verify charges were entered correctly and update as needed. Work aged receivables utilizing A/R reports/functionality in revenue cycle management (RCM) module Review and assess adjudicated claims for timely and proper payment of outstanding balances Research, correct and resubmit or reprocess unpaid claims as necessary Verify validity of account balance by researching, reviewing, and ensuring accuracy or payment and adjustment posting Review and interpret explanation of benefits (EOB) for denials and reimbursement underpayments Research and resolve denials and underpayments with insurance carriers Submit third party payor appeals and reconsideration requests in a timely manner Meet department and/or organization productivity goals/benchmarks Post third party payors(s), government, grant funded and patient payments Respond to patient inquiries regarding billings Assist other staff as needed to keep department workload current Maintain communication with all interested parties regarding patient account issues Perform other duties as assigned Requirements: Education and Experience: Required: High school diploma or GED. CPC Certification preferred Skills and Expertise: Ability to interact positively and build rapport with patients, coworkers and/or external contacts Ability to work independently and organize work in a manner that ensures accuracy and efficiency Knowledge of medical electronic billing procedures and coding Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the patients. Customer service skills, including the ability to diffuse upset patients Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful Skill in using a variety of computer software including but not limited to the internet and MS Office products Ability to handle sensitive information ethically and responsibly Ability to protect the confidentiality of patients, employee and business information Bilingual Spanish is preferred Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize Required Tools of the Job: Epic EHR Revenue Cycle applications specific to Ambulatory clinic medical billing Additional applications include Centricity EHR (legacy), Faxcom, Citrix Xenapps, Citrix Director Microsoft suite and various audio/video platforms Internal and external IT ticketing systems Working Environment and Physical Activities: Office environment within a clinical setting. Enters data into computer programs via computer, mouse, and keyboard. Moves about the office environment and occasionally to other locations. Moves/transports objects up to 25 lbs. occasionally. Communicate information to others. Discerns/analyzes information from others to assist in decision making. To ensure a successful integration into our team, we implement a 90-day probationary period for all new employees. This timeframe is designed to evaluate performance and assess cultural alignment within our organization. It offers both the employee and the employer the opportunity to determine if the role is a mutual fit, promoting long-term success and satisfaction in your career with us. Join our dedicated team and contribute to our mission of providing quality health care to our community! Work Schedule: Monday-Friday, 8:30am - 5:00pm This hybrid role requires candidates to be located in Colorado or in the process of relocating. AMPLIFII offers a competitive hourly range of $22.00-$26.00, depending on experience. The salary range reflects AMPLIFII's good faith estimate of potential compensation at the time of posting. The final offer for the selected candidate will be determined based on several factors, including experience, education, budget, internal equity, specialty and training. Why AMPLIFII Medical, dental and vision coverage Paid time off and paid holidays Health Savings account (HSA) and Flexible Spending accounts, including dependent care options. 401(K) with matching for eligible employees Work-Life balance-No nights, no weekend and no major holidays Employee Assistance Program (EAP) Employee discount programs on top local attractions Competitive wages AMPLIFII conducts background checks, including criminal history, education, license and certification. AMPLIFII is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to any characteristic protected by law. AMPLIFII complies with the Americans with Disabilities Act, providing reasonable accommodations as needed. Health and Safety commitment: To ensure the safety of our patients, staff, and communities, all new hires at AMPLIFII must receive an annual flu shot or provide an exemption, as well as undergo tuberculosis screening and testing. Application submission closing date: Applicants will be considered until the position is filled.

Job Description Job Description SUMMARY: The Revenue Cycle Specialist is responsible for researching, correcting, resubmitting, and resolving medical claims that have been rejected, denied, underpaid, or otherwise not processed correctly by insurance payers. This position focuses on identifying the causes of claim issues, coordinating necessary corrections with internal departments and external payers, and following claims through to resolution. The Medical Billing Specialist works closely with the Billing Technician, Business Office Manager, providers, coding staff, clinical departments, and insurance representatives to resolve billing issues, reduce preventable denials, and support appropriate reimbursement for services provided by the Health Center. ESSENTIAL DUTIES AND RESPONSIBILITIES will include the following: Electronic Clearinghouse Rejections Monitor the designated electronic clearinghouse for rejected claims, submission errors, and other claim transmission issues. Review and address electronic clearinghouse rejections promptly upon receipt. Research rejection reasons and determine the appropriate corrective action. Correct and resubmit claims when issues can be resolved within the scope of the position. Coordinate with the Billing Technician, registration, coding staff, providers, or other departments when additional information or corrections are required. Document rejection reasons, actions taken, outstanding issues, and follow-up plans. Monitor unresolved rejections until corrected and resubmitted or otherwise appropriately resolved. Ensure no rejection remains unaddressed or without documented follow-up. Denied Claims and Corrected Claim Submission Review remittance advice, explanations of benefits (EOBs), denial reports, and claim status information to identify denied or incorrectly processed claims. Research denial codes, payer explanations, claim history, billing requirements, and supporting documentation to determine the reason for denial. Correct claim information and coordinate necessary documentation or coding clarification. Prepare and submit corrected claims, resubmissions, reconsiderations, and appeals as appropriate. Verify that corrections address the original rejection or denial reason before resubmission. Track corrected claims to confirm receipt and monitor payer processing. Maintain documentation of denial reasons, corrective actions, resubmission dates, payer responses, and outcomes. Escalate claims requiring management review, clinical clarification, or additional intervention. Denial Research and Resolution Investigate recurring and complex denials to identify root causes and prevent repeated billing errors. Research payer policies, eligibility issues, authorization requirements, filing limits, coding requirements, and documentation requirements relevant to denied claims. Contact insurance representatives and use payer portals to clarify denial reasons, claim status, payment decisions, and required corrective actions. Coordinate with providers, coding staff, and clinical departments to obtain missing or corrected information. Prepare and submit appeals or reconsideration requests within applicable payer deadlines when appropriate. Monitor appealed claims until a determination is received. Identify recurring denial trends and report significant issues to the Business Office Manager. Unpaid and Incorrectly Processed Claims Research unpaid, pending, underpaid, and incorrectly processed claims to determine the cause and appropriate resolution. Follow up with payers regarding claims that remain unpaid or have not been processed correctly. Review discrepancies between billed amounts, payer adjudication, remittance advice, and expected reimbursement. Determine whether claim correction, resubmission, additional documentation, reconsideration, or appeal is appropriate. Monitor claims approaching timely filing limits, appeal deadlines, and other payer-specific timeframes. Maintain a tracking system documenting claim status, actions taken, outstanding issues, and follow-up dates. Escalate unresolved claims with significant financial impact or barriers to resolution to the Business Office Manager. Continue follow-up until the claim is resolved, appropriately escalated, or closed with documented justification. Prior Authorization-Related Claim Issues Research claim denials related to missing, incomplete, expired, or mismatched prior authorizations. Coordinate with appropriate clinical or administrative staff to obtain authorization information or supporting documentation. Communicate authorization-related claim issues to the responsible department. Monitor corrected claims related to authorization issues to determine whether the payer has processed them. Document actions taken and escalate unresolved issues as appropriate. This responsibility focuses on authorization issues affecting claim payment. Routine prior authorization requests remain with designated staff unless otherwise assigned. Documentation and Process Improvement Maintain accurate records of rejections, denials, corrected claims, appeals, payer communications, and resolution efforts. Ensure unresolved items have documented actions, next steps, and follow-up dates. Coordinate with the Billing Technician and other departments to address recurring claim issues. Identify opportunities to reduce preventable rejections and denials and improve claim resolution. Assist with billing reviews, payer audits, and quality improvement activities as assigned. Maintain knowledge of payer policies, claim correction procedures, appeal requirements, and applicable billing guidelines. Confidentiality and Compliance Protect patient confidentiality and the security of health records and other confidential information. Comply with applicable privacy and security laws, including HIPAA and the Privacy Act of 1974 when applicable, and Health Center policies. Follow applicable payer requirements and established Health Center procedures. Perform other related duties within the scope of the position as assigned by the Business Office Manager. QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform the essential duties satisfactorily. The requirements listed below represent the knowledge, skills, and abilities needed for the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties. EDUCATION AND EXPERIENCE: Associate of Arts (AA) degree or at least two (2) years of relevant work experience in medical billing, healthcare administration, insurance claims processing, accounts receivable, or a related field. Ability to research billing issues, identify errors, follow established procedures, and complete corrective actions accurately and promptly. Strong attention to detail and ability to organize work, meet deadlines, maintain accurate documentation, and communicate effectively with internal departments and insurance payers. Ability to learn and apply insurance payer requirements, claim correction procedures, and denial resolution processes. Experience reviewing electronic clearinghouse rejections, insurance denials, and payment discrepancies. Experience correcting and resubmitting claims, researching unpaid claims, or assisting with appeals and reconsiderations. Familiarity with electronic clearinghouses, payer portals, electronic health records, or practice management systems. Knowledge of Medicare, Medicaid, commercial insurance, managed care plans, and payer billing requirements. Familiarity with ICD-10-CM, CPT, and HCPCS coding concepts. Medical billing certification, such as Certified Professional Biller (CPB), or medical coding certification, such as Certified Professional Coder (CPC). Experience working in a Tribal Health, Indian Health Service (IHS), community health center, or similar healthcare setting. CERTIFICATES, LICENSES, AND/OR REGISTRATIONS: Medical billing or coding certification is preferred but not required. KNOWLEDGE, SKILLS, AND ABILITIES: Ability to research and resolve claim rejections, denials, and billing discrepancies. Ability to learn payer-specific correction, resubmission, reconsideration, and appeal requirements. Strong organizational, analytical, and problem-solving skills. Effective written and verbal communication skills. Ability to recognize recurring billing issues and communicate potential solutions. Ability to maintain accurate records and protect confidential patient information. Proficiency with standard computer applications, including Microsoft Word and Excel, and the ability to learn designated billing systems and electronic clearinghouse tools. Ability to work independently, manage competing priorities, meet deadlines, and seek assistance when necessary. Ability to coordinate professionally with internal departments and external insurance representatives. PLEASE NOTE: P.L. 93-638, Indian Preference and Tribal Employment Rights Ordinance, (TERO), will be practiced, however all qualified applicants will be considered. IF YOU ARE INTERESTED . click apply for full job details

Job Description Job Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: A/R Follow-up Manager Type: Contract Compensation: $75/hour Location: Remote Role Responsibilities Lead A/R follow-up operations across commercial, Medicare, Medicaid, and managed care payers. Ensure timely resolution of outstanding claims. Evaluate AI-generated A/R follow-up recommendations , claim status inquiry outputs, and payer correspondence drafts for accuracy and effectiveness. Manage claim status follow-up workflows including electronic claim status inquiries (276/277 EDI) , payer portal follow-up, and phone-based resolution. Prioritize A/R queues by aging bucket, payer, and dollar value to maximize revenue recovery. Identify and resolve claim payment discrepancies, payer processing errors, and underpayments. Annotate AI outputs and provide structured feedback to support AI training datasets . Qualifications Must-Have 5+ years of experience in A/R follow-up , payer collections, or revenue cycle operations, with at least 2 years in a management role. Deep knowledge of claim status follow-up workflows, EDI 276/277 transactions , and payer-specific collections processes. Strong understanding of Medicare, Medicaid, and commercial payer claims processing and payment timelines. Experience prioritizing and managing high-volume A/R queues across multiple payers. Proficiency with billing systems and A/R management platforms . Exceptional written and verbal English communication skills. High attention to detail with the ability to identify payment errors and discrepancies in AI-generated A/R content . Preferred CRCR , CPC , or CHFP certification. Experience with RCM technology platforms featuring automated A/R follow-up capabilities. Background in multi-payer follow-up operations in hospital or physician group settings. Familiarity with AI tools and comfort evaluating AI-generated A/R follow-up content . Experience developing A/R reduction action plans and presenting performance to leadership. Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job Description Job Description Title: Billing Supervisor Employment Type: Permanent Compensation Range: $100,000 - $110,000 + 10% bonus Location: Irving, TX Work Schedule: Hybrid Industry: HVAC Services Company Overview A national team of experts driving HVAC innovation through a network of high-performing companies. The organization operates a shared services model that strengthens financial operations, systems, and controls across multiple operating entities while supporting long-term value creation. Position Summary The Billing Supervisor oversees the daily operations of the billing team to ensure accurate, timely, and compliant invoicing across operating companies. This position provides leadership, process oversight, and coaching to billing specialists while maintaining accountability for performance, internal controls, and system integrity within Microsoft Dynamics 365. The role requires a detail-oriented, proactive leader who drives billing accuracy, process standardization, and audit readiness while fostering collaboration and accountability. Key Responsibilities Supervise billing specialists, manage workload distribution, and oversee ticket queues, escalations, and disputes Monitor billing dashboards and validate system data accuracy Conduct audits of invoices, credit memos, and billing exceptions Maintain GAAP and SOX compliance and internal audit readiness Drive process standardization and automation within D365 workflows Identify and resolve process bottlenecks and support transformation initiatives Partner with Finance, Operations, and IT on system enhancements Oversee monthly billing reconciliations and approve close results Report on invoice accuracy, cycle time, rebills, and dispute metrics Align billing outputs with revenue recognition standards Lead billing training programs and support onboarding and cross-functional training Maintain documentation, procedures, and training materials Required Qualifications Associate's degree required 7+ years of billing or accounting experience 2+ years of supervisory or lead experience Experience in project-based, service, construction, or HVAC billing environments Experience with Microsoft Dynamics 365 F&O Knowledge of GAAP and SOX controls Strong proficiency in Microsoft Office Suite Preferred Qualifications Bachelor's degree in Accounting, Finance, or Business Experience with D365 CRM Power BI dashboard and reporting experience Experience with Avalara tax compliance Familiarity with lien filing and waiver processes Experience managing audit documentation and billing systems

Job Description Job Description Company Description Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Job Description Our Corporate Business Office (CBO) is dedicated to ensuring accurate and compliant coding practices that support patient care, medical research, and administrative decision-making. Our team is committed to excellence in healthcare revenue cycle management, driving impactful outcomes for our patients and communities. Role Overview As a CBO Coding Complex Specialist, you will review, analyze, and validate diagnostic and procedural codes for reimbursement and billing purposes. Your work ensures compliance with coding guidelines, supports medical research, and optimizes revenue. This role is critical in maintaining accurate patient databases and promoting provider/patient continuity, directly impacting the quality of care and operational efficiency at Henry Ford Health. Why Henry Ford Health At Henry Ford Health, we are relentless advocates for exceptional care for our patients, communities, and each other. We come to do meaningful work and grow our careers, and we stay for the connection, support, and shared pride in making the impossible, possible. What You Will Do Review and validate diagnostic and procedural codes applied by front-end coding and clinical teams. Abstract information from the electronic health record to compile patient databases for research and evaluation. Ensure compliance with coding guidelines, third-party reimbursement policies, and regulatory standards. Identify patterns and trends in coding data and escalate issues to support root-cause analysis. Assist team members and collaborate with colleagues to optimize coding accuracy and efficiency. Qualifications Required: High school diploma or G.E.D. equivalent. Minimum of two (2) years coding experience. Additional specialty coding certification or five (5) years coding experience. Prior experience in a healthcare revenue cycle position. Certification as a Registered Health Information Technician (RHIT), CPC, or CCS. Proficiency in ICD-10 CM, CPT, and HCPCS coding. Strong knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, and pharmacology. Preferred: One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration, or Medical Record Sciences. Specialty coding experience. Additional Information At Henry Ford Health, you ll find opportunities for career growth, collaboration with dedicated professionals, and the chance to contribute to mission-driven work. We foster a culture of continuous learning and innovation, empowering you to make a meaningful impact in healthcare. Join Our Team Ready to make a difference? Apply now and be part of a team that s transforming healthcare at Henry Ford Health.

Description: We are seeking a highly organized and detail-oriented Pre-Certification Specialist to join our healthcare team. In this role, you will be responsible for obtaining insurance authorizations and verifying patient benefits to ensure services are approved before treatment. This position serves as a liaison between patients, providers, and insurance carriers to ensure medical services meet payer requirements and are authorized before treatment. The specialist helps minimize claim denials, improve reimbursement, and support a positive patient experience. The ideal candidate is knowledgeable in insurance processes, thrives in a fast-paced environment, and is committed to delivering exceptional support to patients and providers. We offer a competitive salary and benefits package, as well as opportunities for growth and advancement within our organization. Looking for a better work/life balance? Our career opportunities have Monday-Fridays work schedules. Competitive Pay & Benefits: Med/Dental/Vision, Paid Personal Time, Paid Holidays, 401K, Paid STD/LTD/Life. What You Will be Doing: Verify patient insurance eligibility, benefits, and coverage. Obtain prior authorizations and pre-certifications for procedures, diagnostic testing and specialty services. Review physician orders and supporting clinical documentation for authorization requirements. Submit authorization requests and required medical records to insurance carriers. Monitor and track authorization approvals, denials, and expirations. Follow up on pending requests to ensure timely completion. Communicate authorization status and patient financial responsibility to providers, staff, and patients. Assist with appeals and reconsideration requests for denied services. Maintain accurate documentation of all authorization activities within the electronic medical record (EMR) and practice management systems. Collaborate with scheduling, clinical, and billing departments to reduce delays and support revenue cycle performance. PM20 Requirements: Qualified applicants should have a minimum of 1-3 years of healthcare authorization, insurance verification, medical billing, &/or revenue cycle experience. Experience working with multiple commercial insurers, Medicare, and Medicaid plans. Experience in a physician practice, outpatient clinic, hospital, or specialty healthcare setting preferred. Good understanding of Insurance plans and medical necessity guidelines. Good knowledge of medical terminology & anatomy. Proficient with ICD-10 & CPT codes. previous experience with pre-certifying surgical procedures Excellent oral and written communication skills required. Proficiency with EMR and practice management systems. PI1c3589ea5-

Job Description Job Description Infopro Digital, the B2B group specialising in information and technology, is currently looking for a Data Qualification Specialist on a permanent contract to strengthen the Infopro Digital Automotive team in Nashville, TN. Infopro Digital Automotive develops digital tools and software dedicated to the performance of decision-makers in the various sectors of the automotive aftermarket industry. Services benefit various automotive stakeholders, such as car manufacturers, aftermarket parts producers, distributors, and workshops. Further brands include ETAI, Eucon, HaynesPro, OATS, Inovaxo, Autronica, ETAI Ibérica, IsiCondal, Carooline, Haynes, DriveRightData, GiPA and Aurelis. Join Infopro Digital and become a Key Player in our Team! With exciting job opportunities worldwide, Infopro Digital opens up a vast universe of professional challenges. Joining our group means plunging into the heart of stimulating collaborations within multidisciplinary teams. The challenge awaiting you: As a Data Qualification Specialist, you are the specialist in vehicle / parts identification and classification, in particular alignment with industry standards ACES/PIES. You ensure that vehicles worldwide are correctly identified and linked to the right technical data, developing the vehicle identification structure the Global Identification Tree (GIT) covering all brands and models, from scooters to passenger cars, from excavators to heavy-duty trucks. Based on manufacturer data and external sources, you ensure that vehicles are correctly connected via VIN numbers, license plate information, and other external data links, so that customers always reach the correct technical data for the right vehicle. You'll be contributing to a variety of projects, while developing your skills and reaching new levels of expertise. The tasks awaiting you: You will be responsible for : Vehicle identification & data modeling. Develop and maintain the hierarchical Global Identification Tree (GIT), translating OEM vehicle data into structured identification logic, interpreting VIN decoding standards (ISO 3779 and manufacturer-specific), and maintaining version control across vehicle lifecycle changes. Data integration & external linking. Implement and validate license plate-to-vehicle type mappings, integrate external data sources into the GIT framework, and ensure consistency between manufacturer data, third-party datasets, and customer systems and APIs. Data quality & validation. Perform data consistency checks and structural validations, resolve identification conflicts or data mismatches, and develop Excel-based validation models and control sheets, supporting BI analysis and reporting. Systems & collaboration. Work within our internal system (WIM), collaborating closely with technical stakeholders, OEM data providers, and IT teams. Requirements You are a technically skilled professional with experience in the automotive industry, and knowledge of ACES/PIES standards. Bachelor's degree or equivalent, with proven experience in the garage/workshop business and strong technical knowledge of vehicles. Advanced Excel skills, with experience working with databases and Power BI. Strong analytical skills and attention to detail, with the ability to work accurately with large datasets. Fluent in English. Team player with a willingness for a hands-on approach. Are you a passionate professional looking for new opportunities? Don't wait any longer and join Infopro Digital's community of professionals! Benefits 20 vacation days (rising to 25 days) 5 paid sick days 11 paid company holidays Medical, dental & vision insurance (including life insurance) 401(k) plan plus match Flexible Spending Account (FSA) Short-term and long-term disability Employee Assistance Program Flexible working Office gym membership Employee referral scheme Our foundations and values: At Infopro Digital, we are driven by core values such as entrepreneurial spirit, constant customer focus, promoting diversity, striving for significant impact, and a collaborative culture. By joining us, you become part of a dynamic community that embraces these values on a daily basis, shaping the future with passion and commitment. Diversity is one of our core values. We are convinced that our teams, drawn from all backgrounds and with different backgrounds and experiences, are one of the key drivers of our success. The Group is committed to a policy of equal opportunities and inclusion, from recruitment to career development, and we strive to provide an equitable working environment to promote the well-being of our teams. Who are we? Infopro Digital is a B2B group specializing in information and technology. The group is present in 26 countries and employs over 4,000 people. Its innovative solutions are aimed at professional communities in 5 key economic sectors: construction & public sector, automotive, risk & insurance, industry and retail. Thanks to the group's sectorial expertise, Infopro Digital covers all the needs of professionals. Its solutions enable decision-makers to make informed decisions and companies to sustainably develop their commercial activity and performance. For more information, please visit Infopro Digital is Proud to Announce its 2024 Great Place To Work Certification Infopro Digital USA is proud to be Certified by Great Place To Work in 2024 year. The prestigious award is based entirely on what current employees say about their experience working at Infopro Digital. Great Place To Work is the global authority on workplace culture, employee experience, and the leadership behaviors proven to deliver market-leading revenue, employee retention and increased innovation. "Great Place To Work Certification is a highly coveted achievement that requires consistent and intentional dedication to the overall employee experience," says Sarah Lewis-Kulin, the Vice President of Global Recognition at Great Place To Work. She emphasizes that Certification is the sole official recognition earned by the real-time feedback of employees regarding their company culture. "By successfully earning this recognition, it is evident that Infopro Digital stands out as one of the top companies to work for, providing a great workplace environment for its employees."

Job Description Job Description Summary Do you want to join one of the nation's fastest-growing home services businesses with multiple locations across the U.S.? We're looking for a curious, digitally savvy marketer who is passionate about finding new ways to drive growth across our multiple US distinct brands. As the Digital Growth Specialist , you'll work across the digital customer journey, from how customers find us to how they engage, convert and stay connected with our brands. You'll work across paid and organic search, websites, email marketing, automation, AI and emerging digital tools, using them together to generate more leads, improve conversion and help more customers. We are looking for a well-rounded digital marketer , not someone focused on one channel all day. Our approach is to build strong, sustainable campaigns and systems that can be monitored and improved without constant manual intervention, then focus on the next meaningful opportunity for growth. This is a hands-on role for someone who likes to dig into the data, find opportunities and figure out how to make them happen. This position is 100% on site at our Kennesaw, GA Headquarters. Key Responsibilities Digital Acquisition & Visibility Manage paid search, SEO, local search and emerging search visibility across multiple brands and markets. Manage campaign structure, budgets, targeting and optimization to maximize qualified demand, market visibility and business return. Monitor search trends, competitors and AI/LLM visibility and act on meaningful opportunities. Website & Conversion Improve websites and landing pages to generate more calls, leads and booked appointments. Identify friction across forms, online scheduling, offers and other conversion points. Work with web and marketing partners to implement and measure improvements. Email, Lifecycle & Automation Build email and digital journeys for lead follow-up, reactivation, maintenance, replacement and cross-sell. Use customer data and segmentation to improve relevance and response. Build scalable lead follow-up and recovery using CRM tools, Zapier, automation and AI-assisted response. Analytics, Budget & Growth Track performance from traffic through leads, bookings and revenue where available. Manage digital budgets and pacing across brands and markets. Evaluate performance based on overall business impact, not isolated platform metrics. Prioritize the initiatives most likely to create meaningful incremental growth. Business & Partner Collaboration Build strong relationships with General Managers and local teams to understand each market and business need. Work across marketing, operations, call center, web and other internal teams to improve the customer journey. Leverage agencies and outside partners when additional expertise or execution support is needed. Build solutions that are scalable, repeatable and do not require unnecessary manual management. Technology & Continuous Improvement Evaluate new digital tools, platforms, automation and AI capabilities that could improve marketing performance or customer experience. Build processes and solutions that are scalable, repeatable and capable of operating effectively without unnecessary manual intervention. Work across marketing, operations, call center, web and external partners to connect systems and remove gaps in the customer journey. Qualifications 3-5 years of hands-on digital or performance marketing experience. Strong paid search experience, with working knowledge of SEO, website conversion and lead generation. Experience with email marketing, lifecycle campaigns, CRM or marketing automation preferred. Familiarity with GA4, Google Tag Manager, Looker Studio and tools such as SEMrush/Ahrefs. Comfortable using tools such as Zapier, AI platforms and emerging digital technology. Strong analytical skills and experience managing budgets and performance across multiple campaigns or markets. Working knowledge of CMS platforms and basic HTML/CSS. Strong communicator who can work with business leaders, internal teams, agencies and vendors. Self-starter who can manage multiple priorities, identify opportunities and turn ideas into execution. Please note that any offer of employment is conditional upon successful completion of a background check, drug screen, and motor vehicle record review (as applicable). Reliable is proud to be an equal opportunity employer, celebrating diversity and creating an inclusive environment for all employees. We do not discriminate in our employment practices based on race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, disability, genetic information, pregnancy or related condition, marital status, military or veteran status or any other basis protected by federal, state, or local law.