Developmental Therapy Associates
Raleigh (27615) and Durham (27707) NC
Definition of Front Desk Coordinator at DTA: This position is defined as the person at a particular clinic location that coordinates needed for that office and reports directly to the Front Desk Manager. This is a very busy position that involves coordination of several administrative duties including, but not limited to, scheduling, in-clinic collections, insurance verifications, continued insurance authorizations and is often the first face of DTA to our community!
Purpose: To oversee the Front Desk of the company, to assist with the production and viability of the whole group.
Product: High volume of kept patient appointments to an efficiently structured schedule with full patient billing information turned over to the Billing Department.
This post includes the following functions:
Ensuring the internal and external communications of the company flow smoothly and efficiently.
Keeping a good working relationship with all referral sources, both new and existing
Overseeing the setting of patient appointments efficiently and for maximum production.
Ensuring that appointments by patients are kept. This includes rescheduling within the same week when possible
Enforcing DTA Arrivals Policy (“No show” and 24-hour cancellation policies)
Ensuring referrals convert into evaluations with minimal delay.
Tracking referrals
Completing insurance authorizations and re-authorizations on time to prevent lapse in therapy services.
Ensuring all services provided have full billing information obtained before service is rendered.
Ensuring front desk collections are done fully and on time (same day of service).
Assisting with marketing and public relations duties as needed which may include:
Maintain the reception area, keeping it clean and free of clutter
Maintain an orderly & clean waiting area
Ensure it is clean, chairs put away, etc.
Quotas:
86% or better arrival rate
5+ initial evaluations per week
Five 5-star reviews each month from clients
Job Skills and Qualifications:
Required:
This is a very important position within our organization. Must have a high communication level, excellent control, and enjoy working with others with a ready smile and pleasantness. Prediction of schedules and promises is critical, so it is up to you to stay on top of everything. Must keep great PR with our public, in person or over the phone or via mail.
High school diploma or GED
At least two years of training or experience in customer service and office work
Computer (PC) proficiency
Strong verbal and written communication skills
Ability to work independently
Preferred:
College degree in business administration or equivalent
Schedule: This position is Full-time 8:30 AM - 5:30 PM or 9 AM - 6 PM with 1-hour lunch breaks
***Attendance is very crucial in this position, so all time-off and lateness must be worked out beforehand when possible.***
Benefits:
401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance
Salary: $30,000.00 - $40,000.00 per year
Apr 22, 2024
Full time
Definition of Front Desk Coordinator at DTA: This position is defined as the person at a particular clinic location that coordinates needed for that office and reports directly to the Front Desk Manager. This is a very busy position that involves coordination of several administrative duties including, but not limited to, scheduling, in-clinic collections, insurance verifications, continued insurance authorizations and is often the first face of DTA to our community!
Purpose: To oversee the Front Desk of the company, to assist with the production and viability of the whole group.
Product: High volume of kept patient appointments to an efficiently structured schedule with full patient billing information turned over to the Billing Department.
This post includes the following functions:
Ensuring the internal and external communications of the company flow smoothly and efficiently.
Keeping a good working relationship with all referral sources, both new and existing
Overseeing the setting of patient appointments efficiently and for maximum production.
Ensuring that appointments by patients are kept. This includes rescheduling within the same week when possible
Enforcing DTA Arrivals Policy (“No show” and 24-hour cancellation policies)
Ensuring referrals convert into evaluations with minimal delay.
Tracking referrals
Completing insurance authorizations and re-authorizations on time to prevent lapse in therapy services.
Ensuring all services provided have full billing information obtained before service is rendered.
Ensuring front desk collections are done fully and on time (same day of service).
Assisting with marketing and public relations duties as needed which may include:
Maintain the reception area, keeping it clean and free of clutter
Maintain an orderly & clean waiting area
Ensure it is clean, chairs put away, etc.
Quotas:
86% or better arrival rate
5+ initial evaluations per week
Five 5-star reviews each month from clients
Job Skills and Qualifications:
Required:
This is a very important position within our organization. Must have a high communication level, excellent control, and enjoy working with others with a ready smile and pleasantness. Prediction of schedules and promises is critical, so it is up to you to stay on top of everything. Must keep great PR with our public, in person or over the phone or via mail.
High school diploma or GED
At least two years of training or experience in customer service and office work
Computer (PC) proficiency
Strong verbal and written communication skills
Ability to work independently
Preferred:
College degree in business administration or equivalent
Schedule: This position is Full-time 8:30 AM - 5:30 PM or 9 AM - 6 PM with 1-hour lunch breaks
***Attendance is very crucial in this position, so all time-off and lateness must be worked out beforehand when possible.***
Benefits:
401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance
Salary: $30,000.00 - $40,000.00 per year
We are seeking a detail-oriented and experienced Medical Claims Auditor to join our team. As a Medical Claims Auditor, you will be responsible for reviewing and auditing medical claims to ensure accuracy, compliance with regulations, and adherence to company policies and procedures. You will work closely with the claims processing team to identify discrepancies, resolve issues, and improve overall claims accuracy.
Key Responsibilities
Conduct audits of medical claims to verify accuracy, completeness, and compliance with regulatory requirements.
Review claim documentation, including medical records and billing codes, to ensure proper coding and billing practices.
Identify errors, discrepancies, and potential fraud or abuse in claims submissions.
Investigate and resolve discrepancies through communication with internal departments, and clients.
Collaborate with the claims processing team to implement process improvements and ensure consistent adherence to company policies and procedures.
Prepare audit reports detailing findings, recommendations, and corrective actions taken.
Stay current with industry regulations, coding guidelines, and best practices related to medical claims processing and auditing.
Qualifications
Bachelor's degree or equivalent experience in healthcare administration, business administration, or a related field.
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification preferred.
Minimum of 5 years of experience in medical claims processing, billing, or auditing.
Strong understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems.
Knowledge of healthcare regulations, including HIPAA, Medicare, and Medicaid guidelines.
Excellent analytical and problem-solving skills with a keen attention to detail.
Effective communication skills, both verbal and written, with the ability to communicate complex information clearly and concisely.
Proficiency in Microsoft Office applications, especially Excel, and experience with claims processing software preferred.
Apr 08, 2024
Full time
We are seeking a detail-oriented and experienced Medical Claims Auditor to join our team. As a Medical Claims Auditor, you will be responsible for reviewing and auditing medical claims to ensure accuracy, compliance with regulations, and adherence to company policies and procedures. You will work closely with the claims processing team to identify discrepancies, resolve issues, and improve overall claims accuracy.
Key Responsibilities
Conduct audits of medical claims to verify accuracy, completeness, and compliance with regulatory requirements.
Review claim documentation, including medical records and billing codes, to ensure proper coding and billing practices.
Identify errors, discrepancies, and potential fraud or abuse in claims submissions.
Investigate and resolve discrepancies through communication with internal departments, and clients.
Collaborate with the claims processing team to implement process improvements and ensure consistent adherence to company policies and procedures.
Prepare audit reports detailing findings, recommendations, and corrective actions taken.
Stay current with industry regulations, coding guidelines, and best practices related to medical claims processing and auditing.
Qualifications
Bachelor's degree or equivalent experience in healthcare administration, business administration, or a related field.
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification preferred.
Minimum of 5 years of experience in medical claims processing, billing, or auditing.
Strong understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems.
Knowledge of healthcare regulations, including HIPAA, Medicare, and Medicaid guidelines.
Excellent analytical and problem-solving skills with a keen attention to detail.
Effective communication skills, both verbal and written, with the ability to communicate complex information clearly and concisely.
Proficiency in Microsoft Office applications, especially Excel, and experience with claims processing software preferred.
Imagenet LLC is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our core business is helping our clients reduce costs and increase productivity by providing efficient document imaging, data validation, adjudication and on demand retrieval of documents and data.
JOB OVERVIEW
Ensure compliance will all corporate and departmental standards. Meet with employees on a regular basis to discuss performance and quality. Report on Key Performance Metrics (KPIs) to the Executive Director of Claims and the Director of Operations to ensure adequate resources and technology are in place. Develop and implement departmental standards and expectations. Analyze and process a variety of claim files to ensure the execution of standardized claim protocol and claim handling.
RESPONSIBILITIES
Oversee the claims adjudication process to assure that the examiners are following all CMS rules and regulations in conjunction with the insurance company guidelines
Ensure that the department practices meet or exceed the client’s processing standards, procedures and service level agreements
Responsible for new Claims Analyst training and auditing of trainee claim processing
Review Medicare services for appropriateness of charges and will apply pre-existing guidelines during claims processing;
Pend claims and order Medical records for review and investigation of possible gross misrepresentation
Authorize claim payments within established limits; otherwise forward to Claims Analyst 2
Oversee and provide secondary review of pending cases and Medical Records ordered by Claims Analyst 1 for appropriate processing;
Process refunds and letters of dual coverage (when applicable);
Must be knowledgeable in CPT-4, ICD-9 and be familiar with medical terminology;
Identify process improvement opportunities within the claim department and recommend system enhancements
Handles any additional responsibility which may be assigned
Technical Skills/Knowledge
Health claims processing
Basic to intermediate math
Medical terminology; ICD-9 & ICD-10
MS Office
Ability to work independently or within a team
Time management
Written and verbal communication
Attention to detail
Must be able to demonstrate sound decision-making
Must be local to Tampa area and work out of the Tampa office
Job Type: Full-time
Experience:
claims or claims processing, managing: 3 years (Required)
Work authorization:
United States (Required)
Job Type: Full-time
Pay: $60,000.00 - $80,000.00 per year
Benefits:
Disability insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to commute/relocate:
Tampa, FL 33618: Reliably commute or planning to relocate before starting work (Required)
Experience:
Medical billing: 5 years (Required)
Management: 5 years (Required)
Work Location: In person
Apr 08, 2024
Full time
Imagenet LLC is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our core business is helping our clients reduce costs and increase productivity by providing efficient document imaging, data validation, adjudication and on demand retrieval of documents and data.
JOB OVERVIEW
Ensure compliance will all corporate and departmental standards. Meet with employees on a regular basis to discuss performance and quality. Report on Key Performance Metrics (KPIs) to the Executive Director of Claims and the Director of Operations to ensure adequate resources and technology are in place. Develop and implement departmental standards and expectations. Analyze and process a variety of claim files to ensure the execution of standardized claim protocol and claim handling.
RESPONSIBILITIES
Oversee the claims adjudication process to assure that the examiners are following all CMS rules and regulations in conjunction with the insurance company guidelines
Ensure that the department practices meet or exceed the client’s processing standards, procedures and service level agreements
Responsible for new Claims Analyst training and auditing of trainee claim processing
Review Medicare services for appropriateness of charges and will apply pre-existing guidelines during claims processing;
Pend claims and order Medical records for review and investigation of possible gross misrepresentation
Authorize claim payments within established limits; otherwise forward to Claims Analyst 2
Oversee and provide secondary review of pending cases and Medical Records ordered by Claims Analyst 1 for appropriate processing;
Process refunds and letters of dual coverage (when applicable);
Must be knowledgeable in CPT-4, ICD-9 and be familiar with medical terminology;
Identify process improvement opportunities within the claim department and recommend system enhancements
Handles any additional responsibility which may be assigned
Technical Skills/Knowledge
Health claims processing
Basic to intermediate math
Medical terminology; ICD-9 & ICD-10
MS Office
Ability to work independently or within a team
Time management
Written and verbal communication
Attention to detail
Must be able to demonstrate sound decision-making
Must be local to Tampa area and work out of the Tampa office
Job Type: Full-time
Experience:
claims or claims processing, managing: 3 years (Required)
Work authorization:
United States (Required)
Job Type: Full-time
Pay: $60,000.00 - $80,000.00 per year
Benefits:
Disability insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to commute/relocate:
Tampa, FL 33618: Reliably commute or planning to relocate before starting work (Required)
Experience:
Medical billing: 5 years (Required)
Management: 5 years (Required)
Work Location: In person
Southeast Utilities of GA a Congruex Company
Jacksonville, FL 32202, USA
Job Summary:
Our operating unit provides full-service construction, repair and emergency services related to Cable TV, Telephone, Fiber-Optic communications, and Power construction including underground trenching, plowing, missile and directional boring and aerial construction, and we are looking for a Billing Specialist to join our team.
We are looking for an experienced Billing Specialist to join our team! The Billing Specialist will perform various detailed accounting tasks related to the processing of high-volume accounts receivable and be responsible for the related document maintenance as well as other accounting and clerical tasks. The Billing Specialist must have the ability to work diligently to help maintain smooth operations. The ideal candidate must be reliable and hardworking with great communication skills.
Job Responsibilities:
Prepares and distributes customer invoices based on parameters outlined in the customer agreements, rate cards and /or price books.
Processes a high volume of invoices on a weekly, monthly, and quarterly basis.
Coordinates and reconciles customer Information systems and SEU internal billing / operations systems.
Identifies and implements process improvements enabling automation between SEU and customers, both internal and external
Analyzes unbilled receivables weekly, monthly, quarterly to ensure timely customer reconciliation and invoicing.
Researches and resolves a variety of internal and external inquiries concerning customer and /or vendor billing status and related issues.
Initiates communications with customers to resolve billing discrepancies and issues timely and effectively.
Implement process improvements to eliminate recurring billing issues
Maintain thorough, concise records of all relevant account activity
Perform other duties as assigned
AR / Billing - Maintain accounts receivable records to ensure accuracy
AR / Billing - Process high volume customer invoices and credits daily
AR / Billing - Prepare and process weekly AR reports and invoices
AR / Billing- Assist Project Leads with inquiries, job reallocating, reconciliation and updating with payment status
Payables - Accurately coding/verifying/entering and processing invoices for payment
Payables - Respond to vendor inquiries and resolve multiple account discrepancies
Payables - Gather and verify invoices for appropriate documentation
Payables - Maintain vendor files and archive files as needed
Payables - Assist in month-end expense variance research and closing procedures including providing supporting documentation for audits
General - Support the company in optimizing our financial transactions and systems by performing reconciliation of payments and customer accounts
General - Strengthen and grow relationships with clients by communicating with the customer
General - Exercise integrity and confidentiality in financial reporting and comply with Corporate and local operating unit financial & operational requirements
General - Perform other related duties and participate in special projects as assigned
General - Required to work additional hours and/or weekends, as needed, to meet deadlines and / or customer demands
General - Adheres to all company policies, procedures, standards, and safety rules
Required Skills & Qualifications:
Associate degree, High School diploma/GED or equivalentrequired
Understanding of basic principles of accounting and finance
Proficient in Microsoft Office Suite products including MS Dynamics 365
Must be an advanced Excel user (i.e., Pivot Tables, Vlookups, etc.)
Ability to work with all levels of management throughout the company in analyzing financial and /or operational transactions
Ability to collaborate with peers, leaders, managers and cross functionally, establishing and maintaining effective working relationships
Ability to prioritize in an environment with multiple concurrent tasks and projects with competing priorities and deadlines
A positive can-do attitude and openness to trying things new ways with an emphasis on adaptability
Ability to maintain confidentiality with sensitive information
Excellent organizing and time management skills
Strong attention to detail with a high degree of accuracy while managing large volume of documentation
Deadline driven and self-motivated
Experience in the Telecommunications / Construction industry
GRIT values – Guts, Reliability, Innovation, and Teamwork
Desired Skills & Qualifications:
BS/BA in Accounting, Finance, or related field preferred
Previous experience in the telecommunications, construction, utility and/or engineering industries
Why Work At Congruex
No matter what role you play, you are an important part of the One Congruex Family. We offer:
Medical, Dental & Vision Benefits
401(k) Program <with a Company Match
Free Wellness Resources & Marketplace Discounts
Paid Maternity & Parental Leave
Paid Basic Life Insurance & Voluntary Options
The pillars of Congruex culture are GRIT, safety, inclusion, and family.
The Fine Print:
We will determine salary based on skills and experience in relation to the function of the role, as well as equity to employees in similar roles. Some benefits have eligibility criteria. All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. This document does not create an employment contract, implied or otherwise, other than an “at-will” employment relationship.
Apr 04, 2024
Full time
Job Summary:
Our operating unit provides full-service construction, repair and emergency services related to Cable TV, Telephone, Fiber-Optic communications, and Power construction including underground trenching, plowing, missile and directional boring and aerial construction, and we are looking for a Billing Specialist to join our team.
We are looking for an experienced Billing Specialist to join our team! The Billing Specialist will perform various detailed accounting tasks related to the processing of high-volume accounts receivable and be responsible for the related document maintenance as well as other accounting and clerical tasks. The Billing Specialist must have the ability to work diligently to help maintain smooth operations. The ideal candidate must be reliable and hardworking with great communication skills.
Job Responsibilities:
Prepares and distributes customer invoices based on parameters outlined in the customer agreements, rate cards and /or price books.
Processes a high volume of invoices on a weekly, monthly, and quarterly basis.
Coordinates and reconciles customer Information systems and SEU internal billing / operations systems.
Identifies and implements process improvements enabling automation between SEU and customers, both internal and external
Analyzes unbilled receivables weekly, monthly, quarterly to ensure timely customer reconciliation and invoicing.
Researches and resolves a variety of internal and external inquiries concerning customer and /or vendor billing status and related issues.
Initiates communications with customers to resolve billing discrepancies and issues timely and effectively.
Implement process improvements to eliminate recurring billing issues
Maintain thorough, concise records of all relevant account activity
Perform other duties as assigned
AR / Billing - Maintain accounts receivable records to ensure accuracy
AR / Billing - Process high volume customer invoices and credits daily
AR / Billing - Prepare and process weekly AR reports and invoices
AR / Billing- Assist Project Leads with inquiries, job reallocating, reconciliation and updating with payment status
Payables - Accurately coding/verifying/entering and processing invoices for payment
Payables - Respond to vendor inquiries and resolve multiple account discrepancies
Payables - Gather and verify invoices for appropriate documentation
Payables - Maintain vendor files and archive files as needed
Payables - Assist in month-end expense variance research and closing procedures including providing supporting documentation for audits
General - Support the company in optimizing our financial transactions and systems by performing reconciliation of payments and customer accounts
General - Strengthen and grow relationships with clients by communicating with the customer
General - Exercise integrity and confidentiality in financial reporting and comply with Corporate and local operating unit financial & operational requirements
General - Perform other related duties and participate in special projects as assigned
General - Required to work additional hours and/or weekends, as needed, to meet deadlines and / or customer demands
General - Adheres to all company policies, procedures, standards, and safety rules
Required Skills & Qualifications:
Associate degree, High School diploma/GED or equivalentrequired
Understanding of basic principles of accounting and finance
Proficient in Microsoft Office Suite products including MS Dynamics 365
Must be an advanced Excel user (i.e., Pivot Tables, Vlookups, etc.)
Ability to work with all levels of management throughout the company in analyzing financial and /or operational transactions
Ability to collaborate with peers, leaders, managers and cross functionally, establishing and maintaining effective working relationships
Ability to prioritize in an environment with multiple concurrent tasks and projects with competing priorities and deadlines
A positive can-do attitude and openness to trying things new ways with an emphasis on adaptability
Ability to maintain confidentiality with sensitive information
Excellent organizing and time management skills
Strong attention to detail with a high degree of accuracy while managing large volume of documentation
Deadline driven and self-motivated
Experience in the Telecommunications / Construction industry
GRIT values – Guts, Reliability, Innovation, and Teamwork
Desired Skills & Qualifications:
BS/BA in Accounting, Finance, or related field preferred
Previous experience in the telecommunications, construction, utility and/or engineering industries
Why Work At Congruex
No matter what role you play, you are an important part of the One Congruex Family. We offer:
Medical, Dental & Vision Benefits
401(k) Program <with a Company Match
Free Wellness Resources & Marketplace Discounts
Paid Maternity & Parental Leave
Paid Basic Life Insurance & Voluntary Options
The pillars of Congruex culture are GRIT, safety, inclusion, and family.
The Fine Print:
We will determine salary based on skills and experience in relation to the function of the role, as well as equity to employees in similar roles. Some benefits have eligibility criteria. All requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. This document does not create an employment contract, implied or otherwise, other than an “at-will” employment relationship.