Billing and Collections Specialist

🏢 Summary: Full-time Billing Specialist role focused on medical claims submission, accounts receivable management, payment collection, and insurance follow-up in a healthcare setting. The position includes handling denied claims, patient billing inquiries, provider credentialing support, and maintaining compliance with healthcare regulations. Candidates should have billing or accounts receivable experience, strong administrative skills, and familiarity with EMR systems and medical terminology. 🗂️ Requirements: High school diploma or AA degree, Accounts Receivable experience, Billing experience, Basic computer skills, Typing speed minimum 45 WPM, Knowledge of EMR systems, Knowledge of clinical and billing terminology, Ability to manage insurance claims and appeals, Knowledge of HIPAA, OSHA, and CLIA regulations, Professional telephone etiquette 📃 Skills: Billing, Coding, EMR, HIPAA, OSHA, CLIA, AccountsReceivable, Credentialing, Typing, Insurance 🏢 Description: Travel Required: No Reports To: Billing Manager and Practice Manager Job Description Responsible for submitting claims and following up with insurance companies, collecting, posting, and managing account payments. Billing experience preferred. Role and Responsibilities Administrative - Prepares and submits clean claims to various insurance companies either electronically or by paper. - Answers questions from patients, clerical staff and insurance companies. - Identifies and resolves patient billing questions and complaints. - Prepares, reviews and sends patient statements. - Evaluates patient's financial status and establishes budget payment plans; follows and reports status of delinquent accounts. - Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency. - Research and appeal denied claims. - Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. - Works patient and insurance AR. - Helps submit and maintain Provider insurance credentialing. Professional - Demonstrates initiative and responsibility. - Able to perform repetitive tasks without loss of focus. - Adheres to ethical principles. - Time management. - Prioritizes and can perform multiple tasks. - Adapts to change. - Attends all team meetings and mandatory in-service training/education. - Basic computer skills. - Type minimum 45wpm. Communication - Recognizes and respects cultural diversity. - Adapts communication to individual's ability to understand. - Uses professional, pleasant telephone etiquette. - Uses medical terminology appropriately. - Treats all patients and co-workers with compassion, empathy, and mutual respect. - Projects a professional manner and image. - Consistent attendance and punctuality. - Adherence to time clock procedures. Legal - Maintains confidentiality and documents accurately. - Uses appropriate guidelines for releasing patient information. - Practices within the scope of education, training and personal capabilities. - Conducts self in accordance with the employee manual. - Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA. Core Competencies - Efficiency. - Attention to details. - Organized. - Punctual. - Takes initiative, proactive. - Team player. - Honesty/Integrity. - Flexible. - Calm under pressure. - Persistence. - Problem solver. - Strategic thinking. - Creativity. - Analytical skills. - Clear and concise communication/listening skills. - Quick learner. - Follow through on commitments. - Enthusiastic, friendly, positive attitude. - Openness to advice and constructive criticism. - Strong work ethic. Physical Demands - Prolonged sitting/walking. - Repetitive motion of head, neck, hands, wrists and arms. - Use of telephone, headset and office equipment such as computers, faxes, scanner copiers. - Multitask position. - Lifting up to 25 lbs. - Extensive reading and writing/typing. Qualifications and Education Requirements - High school diploma, AA degree or higher. - Accounts Receivable and Billing experience preferred. - Billing and coding certification a plus. - Knowledgeable in computer programs, EMR systems, and clinical and billing terminology preferred. - Dermatology experience a plus.

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management within the DME/HME space. The position owns claims submission, AR follow-up, denials and appeals, and payment posting while helping build scalable billing processes during early commercialization. This role combines hands-on reimbursement operations with system optimization and cross-functional collaboration. 🗂️ Requirements: 3–5+ years medical billing and RCM experience, Experience in DME or HME industry, Knowledge of monthly rental billing and capped rentals, Understanding of HCPCS and ICD-10 coding, Experience with CMNs and Prior Authorizations, Ability to manage full-cycle insurance claims and AR follow-up, Proficiency in billing systems (Niko Health or BrightTree preferred), Experience with CRM systems and payer portals (e.g., Availity) 📃 Skills: RCM, DME, HME, HCPCS, ICD-10, CMN, PriorAuthorizations, Medicare, Medicaid, Availity, NikoHealth, BrightTree, CRM 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role, it's an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we're looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you'll own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You'll work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management - Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). - AR Follow-up: Monitor and aggressively pursue unpaid claims. - Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. - Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy - Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. - Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. - Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight - SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. - Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. - System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR." QUALIFICATIONS: - Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. - Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. - Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. - The "Startup" Mindset: You are comfortable with ambiguity. You don't just wait for a manual; you help write it. - Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. - Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity. BENEFITS: Element Science offers a very competitive salary and benefits package including, but not limited to: - Stock Options - 90% employer-paid medical, dental, and vision insurance - Company-paid Basic Life Insurance - 401(k) retirement plan (Traditional and Roth) - Competitive Paid Time Off - Paid Holidays - FSA (Flexible Spending Accounts) - HSA (Health Savings Account) - Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. We do not base our employment decision on an employee's or applicant's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors prohibited by local, state, or federal law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance at Element Science.

🏢 Summary: Field-based Care Specialist role focused on coordinating care for high-complexity patients through home visits, outreach, and chronic care support. The position involves assessing patient needs, supporting self-management goals, and improving access to preventative and behavioral health services. Candidates should be experienced in care coordination, patient engagement, and EMR documentation while working independently in community settings. 🗂️ Requirements: 2+ years experience as Community Health Worker, Peer Support Specialist, Medical Assistant, or similar, High school diploma or GED, Valid driver's license, Auto liability insurance, Reliable transportation, Ability to travel within assigned territory, Experience with chronic conditions, behavioral health, or housing insecurity care coordination, Knowledge of trauma-informed care, EMR proficiency, Basic computer skills, Ability to work independently and in teams 📃 Skills: EMR, Healthcare, Documentation, DataEntry, CareCoordination, Outreach, Telehealth, MotivationalInterviewing, PatientEducation, Reporting 🏢 Description: Company Overview: Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. Job Title & Role Description: The Care Specialist - ECM is responsible for coordinating care for high-complexity patients, mainly working in the field to provide chronic care coordination and support. This role involves direct outreach to patients through phone calls, home visits, and community interactions. The Care Specialist primarily works in patients' homes and communities (90% of the time) and engages in virtual or telephonic support (10% of the time). The Care Specialist will assess patient needs, help set health goals, and ensure that patients receive the appropriate care and resources, with a focus on increasing access to preventative care, reducing emergency room visits, and enhancing self-management. The role requires excellent communication skills, critical thinking, and the ability to work independently and adapt to evolving challenges. Skills Required: - At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or in a similar role. - High school diploma or GED required. - A valid driver's license and auto liability insurance. - Reliable transportation and the ability to travel within assigned territory or as needed. - Experience in care coordination for individuals with chronic conditions, behavioral health conditions, or with patients experiencing housing insecurities including homelessness. - Strong interpersonal and motivational interviewing skills to build trust and rapport with patients. - Familiarity with trauma-informed care, care coordination, and patient education. - Proficiency in the use of electronic medical records (EMR) systems and basic computer skills. - Technologically savvy and able to manage documentation and data entry effectively. - Ability to work independently in a field-based environment and as part of a team. - Multi-lingual capabilities preferred but not required. - Prior home care or Enhanced Care Management experience a plus. - Community Health Worker certification is a plus. Key Behaviors: - Adaptability: Ability to work in dynamic, unstructured environments, pivoting quickly to meet the needs of patients and the organization. - Critical Thinking & Problem Solving: Demonstrates strong problem-solving skills when assessing patient needs and determining the best course of action. - Motivational Interviewing & Empathy: Uses motivational interviewing techniques to build rapport, set health goals, and empower patients to take charge of their care. - Relationship Building: Skilled in establishing trust and fostering strong relationships with patients, families, and team members. - Self-Starter: Takes initiative to perform outreach, complete assessments, and follow through with care coordination independently. - Organizational Skills: Excellent at managing time, tasks, and schedules, ensuring that all patient needs are addressed in a timely manner. - Resilience: Demonstrates resilience in challenging situations and remains focused on the goal of improving patient outcomes despite setbacks. - Cultural Competence: Demonstrates sensitivity to and understanding of diverse cultural backgrounds, ensuring that care is provided in a culturally inclusive manner. - Commitment to Quality Care: Shows passion for delivering high-quality care and support to patients, ensuring their well-being and satisfaction. Competencies: - Care Coordination: Ability to assess patient needs, coordinate care with interdisciplinary teams, and ensure patients are receiving the appropriate services. - Patient Advocacy: Supports patients by navigating healthcare systems, advocating for needed resources, and ensuring timely access to care. - Health Education & Communication: Educates patients about their health conditions, treatments, and the healthcare system in a clear and empathetic manner. - Data Management & Reporting: Proficient in documenting patient interactions and maintaining accurate, up-to-date records in EMR systems. - Patient Outreach & Engagement: Proactively reaches out to patients through multiple communication channels, including phone, in-person visits, and community outreach. - Goal Setting & Self-Management: Works with patients to develop self-care plans, emphasizing shared decision-making and increasing the patient's ability to manage their own health. - Collaboration & Teamwork: Works effectively as part of an interdisciplinary care team to achieve organizational goals and improve patient outcomes. - Crisis Management & Flexibility: Demonstrates flexibility and adaptability in managing unforeseen challenges, providing support where it is needed most. - Technical Proficiency: Skilled in using healthcare software applications and systems for accurate data entry and patient management. California pay range: $24—$27 USD

🏢 Summary: Opportunity to join a growing hospice and post-acute care organization as a Client Support Executive focused on driving hospice referrals and expanding service lines within the healthcare community. The role centers on building relationships with providers, coordinating care transitions, and promoting hospice services across assigned territories. It offers a competitive base salary with uncapped incentives and comprehensive benefits. 🗂️ Requirements: Hospice or post-acute sales experience, OR experience as a discharge planner in hospice/post-acute settings, High School Diploma or GED, Valid Driver’s License, Reliable transportation with valid automobile insurance, Practical and theoretical knowledge of hospice and palliative care, Ability to pass background screening 📃 Skills: Sales, Hospice, PalliativeCare, BusinessDevelopment, LeadGeneration, AccountManagement, ReferralManagement, Documentation, Healthcare, CRM 🏢 Description: Optimal Care is growing and proactively building a talent pipeline for future opportunities. While this role may not be immediately available, candidates are invited to submit a resume for consideration. Optimal Care is where your dedication meets a rewarding career. As a clinician-owned and operated organization, the focus is on empowering team members to provide personalized, compassionate care to patients and families. Services include Physician Services, Home Health, and Hospice, with an emphasis on collaboration, innovation, and clinical excellence. What We Can Offer - Competitive base salary with no cap on incentives - Orientation bonus program - Immediate eligibility to earn commissions/incentives - Career ladder growth opportunities - Ability to maintain and grow existing professional relationships - Stand-alone hospice with a full care continuum - In-house research and development support - Data-driven territories - Strong training and orientation program - Experienced senior leadership team - In-house recruiting support - Proactive hiring model Key Responsibilities Client Support Executives obtain referrals for services and promote, educate, and market all company services. Serving as a liaison between the organization and referral sources, the role coordinates care for referred patients from home health, non-medical home care, hospitals, and other medical community partners. Responsibilities include: - Drive sales by building relationships with healthcare providers and community partners to increase hospice referrals - Utilize healthcare network to generate leads and close sales - Daily interaction with patients, medical professionals, and referral sources to ensure continuity of care and appropriate communication and documentation - Provide education to senior living communities, health systems, and referral sources - Grow service lines and increase referrals from healthcare partners - Distribute and ensure referral sources have proper forms and materials - Provide feedback and document activity to execute strategic plans and deliver ongoing value to accounts Required Qualifications - Hospice or post-acute sales experience; discharge planners in these spaces will also be considered - High School Diploma or GED equivalent - Valid Driver's License - Reliable transportation and valid automobile insurance coverage - Proven interpersonal, coordination, and leadership skills - Practical and theoretical knowledge of hospice and palliative care Desired Qualifications - Associate or Bachelor’s degree preferred - Active involvement in professional organizations and community activities Hours - 8:00 am – 5:00 pm, Monday through Friday Pay Range - $80,000—$110,000 USD How We Care for You - Minimum of 3 Weeks Paid Time Off (PTO) - Medical, Dental, and Vision Insurance - HSA and FSA options including Dependent Care - Company paid Short Term Disability - Company paid Life Insurance - 401(k) with Employer Match - Mileage Reimbursement - Company Vehicle Program for field roles - Pet Insurance - ID and Fraud Protection - And more Background Screening Employment is contingent upon successful completion of a background check performed by a third-party administrator in compliance with the Fair Credit Report Act. Reasonable Accommodations Reasonable accommodations are offered throughout the application process, interview stages, and during employment. Equal Opportunity Employer The organization is an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on protected characteristics.

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management within the DME sector. The position involves owning claims submission, AR follow-up, denials and appeals, patient billing support, and helping build scalable billing processes in a growing commercialization-stage environment. This role combines hands-on reimbursement operations with system optimization and SOP development to support efficient, compliant revenue workflows. 🗂️ Requirements: 3–5+ years of medical billing and Revenue Cycle Management experience, Experience within Durable Medical Equipment (DME) or HME industry, Knowledge of monthly rental billing and capped rental workflows, Strong understanding of HCPCS codes and ICD-10 coding, Experience with CMNs and Prior Authorizations, Experience submitting electronic and paper claims to Medicare, Medicaid, and private payers, Ability to manage denials, appeals, and AR follow-up, Proficiency in billing systems and payer portals, Eligibility to work in the United States without visa sponsorship 📃 Skills: RCM, DME, HCPCS, ICD-10, CMN, PriorAuthorization, Medicare, Medicaid, Niko, BrightTree, CRM, Availity, ERAs, EOBs 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role; it is an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we are looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you will own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You will work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR." QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The "Startup" Mindset: You are comfortable with ambiguity and help build processes where none exist. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and payer portals such as Availity. BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, relocation assistance is not offered.

🏢 Summary: Care Specialist role focused on chronic care management for high-complexity patients through in-home, community, and virtual support. The position involves patient outreach, care coordination, health education, and facilitating adherence to care plans to improve outcomes and reduce hospitalizations. 🗂️ Requirements: Minimum 2 years of relevant healthcare or community support experience, High school diploma or GED, Valid driver's license, Auto liability insurance, Reliable transportation, Experience with chronic care management or chronically ill/elderly patients, Basic computer proficiency, Experience using EMR systems, Experience with motivational interviewing, Experience with trauma-informed care, Experience with care coordination, Ability to work independently and manage schedules 📃 Skills: EMR, CareCoordination, Typing, MotivationalInterviewing, TraumaInformedCare, Documentation, DataManagement, HealthEducation 🏢 Description: Company Overview: Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. Role Description: The Care Specialist is a key member of the team responsible for delivering chronic care management to high-complexity patients. The Care Specialist primarily works in patients' homes and communities (90% of the time) and engages in virtual care (10% of the time). This role involves direct outreach to patients, guiding them through the enrollment process, facilitating virtual appointments with providers, and ensuring that patients adhere to care plans. By building relationships, coordinating care, and providing education, the Care Specialist plays a critical role in promoting health, preventing unnecessary hospitalizations, and improving patient outcomes. Skills Required: - Minimum of 2 years of relevant work experience (e.g., Community Health Worker, Peer Support Specialist, Medical Assistant, etc.) - High school diploma or GED required - A valid driver's license, auto liability insurance, and reliable transportation to travel within the assigned territory - Experience in chronic care management or working with chronically ill/elderly patients - Technologically proficient with basic computer skills (typing, using EMR systems) - Experience with motivational interviewing, trauma-informed care, and care coordination - Strong interpersonal communication skills with the ability to engage patients and team members effectively - Ability to prioritize tasks, manage schedules, and work independently in an unstructured environment - Multi-lingual skills are a plus but not required - Prior home care experience is beneficial Key Behaviors: - Adaptability & Resilience: Ability to thrive in unstructured environments and pivot as needed to meet patient needs. Demonstrates perseverance in challenging situations. - Self-Starter & Motivation: Proactively takes initiative in managing patient care and outreach. Willingness to learn and adapt to new processes and systems. - Empathy & Compassion: Ability to work with individuals from diverse backgrounds and understand their complex needs. Skilled in building rapport through motivational interviewing and other patient-centered communication techniques. - Accountability & Integrity: Demonstrates personal responsibility and takes ownership of tasks, ensuring accuracy and timeliness in all activities. - Cultural Competence: Awareness of community dynamics and diversity, ensuring culturally sensitive and inclusive care. - Team Collaboration: Works collaboratively with interdisciplinary teams to meet patient and organizational goals. - Problem-Solving & Critical Thinking: Strong critical thinking skills to assess patient needs, analyze data, and develop appropriate care strategies. - Communication Skills: Excellent verbal and written communication, capable of explaining complex medical information to patients in a clear and supportive manner. Competencies: - Care Coordination: Ability to engage patients in a comprehensive care plan, facilitating communication between patients, providers, and family members to ensure timely, effective care. - Health Education: Effectively educates patients about their medical conditions, care plans, and available resources, ensuring that patients can make informed decisions. - Patient Engagement: Uses various strategies, including phone calls, home visits, and community outreach, to engage patients and ensure continuous participation in their care. - Time Management & Organization: Demonstrates strong organizational skills by managing patient caseloads, schedules, and documentation efficiently. - Technology Proficiency: Skilled in using electronic health records (EMR) systems and other digital tools to document patient information and communicate within the team. - Motivational Interviewing & Patient-Centered Care: Uses motivational interviewing techniques to build rapport and empower patients to take ownership of their health decisions. - Data Management: Ensures accurate and timely documentation of patient data, ensuring continuity of care and compliance with organizational standards. - Outcome-Oriented Approach: Focuses on achieving key health outcomes, such as improved care adherence, reduction in emergency room visits, and enhanced self-management. Compensation: NY pay range: $21—$25 USD

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management for a cardiac medical device company. The position owns claims submission, AR follow-up, denials and appeals, payment posting, and patient billing while helping build scalable billing processes. Ideal for an experienced DME billing professional comfortable with payer regulations, coding standards, and billing systems in a high-growth environment. 🗂️ Requirements: 3–5+ years medical billing and RCM experience, Experience in DME or HME industry, Knowledge of monthly rental billing and capped rentals, Understanding of HCPCS and ICD-10 coding, Experience with CMNs and prior authorizations, Ability to manage full-cycle insurance billing and AR, Proficiency in billing systems and payer portals, Eligibility to work in the United States 📃 Skills: HCPCS, ICD-10, CMN, RCM, DME, HME, Niko, BrightTree, CRM, Availity, Medicare, Medicaid 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role; it is an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we are looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you will own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You will work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce days in AR. QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The Startup Mindset: Comfortable with ambiguity and able to help build processes. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity. BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance.

🏢 Summary: Opportunity to join a growing hospice and post-acute care organization as a Client Support Executive focused on driving hospice referrals and expanding service lines within the healthcare community. The role centers on relationship-building with providers, coordinating patient referrals, and promoting hospice services across designated territories. This position offers strong earning potential with uncapped incentives and structured growth opportunities. 🗂️ Requirements: Hospice or post-acute sales experience, OR discharge planning experience in hospice/post-acute settings, High School Diploma or GED, Valid Driver's License, Reliable transportation, Valid automobile insurance coverage, Knowledge of hospice and palliative care, Ability to coordinate referrals and document activities 📃 Skills: Hospice, PalliativeCare, Sales, BusinessDevelopment, ReferralManagement, CareCoordination, Documentation, CRM 🏢 Description: Optimal Care is growing and proactively building a talent pipeline for future opportunities. While this role may not be immediately available, candidates are invited to submit a resume for consideration. Optimal Care is a clinician-owned and operated organization providing Physician Services, Home Health, and Hospice care. The organization focuses on collaboration, innovation, and clinical excellence across chronic disease management, rehabilitation, and end-of-life care. What We Can Offer - Competitive base salary with no cap on incentives – unlimited earning potential - Orientation bonus program - No wait to earn commissions/incentives - Career ladder growth opportunities - Ability to maintain and build existing professional relationships - Stand-alone hospice with care continuum - In-house research and development team - Data-driven territories - Strong training and orientation program - Experienced senior leadership team - In-house recruiting support - Proactive hiring model Key Responsibilities Client Support Executives obtain referrals for services and promote, educate, and market all company services. Serving as a liaison between the organization and referral sources, this role coordinates care for referred patients from home health, non-medical home care, hospitals, and other medical community partners. Responsibilities include: - Drive sales by building relationships with healthcare providers and community partners to increase hospice referrals - Utilize established healthcare network to generate leads and close sales - Interact daily with patients, medical professionals, referral sources, and the community to ensure continuity of care and appropriate documentation - Provide education to senior living communities, health systems, and referral sources - Grow service lines and generate referrals from healthcare partners - Distribute and ensure referral sources have proper forms and materials - Provide feedback and document activity to execute strategic account plans Required Qualifications - Hospice or post-acute sales experience - Discharge planning experience in hospice/post-acute settings considered - High School Diploma or GED equivalent - Valid Driver's License - Reliable transportation and valid automobile insurance coverage - Proven interpersonal, coordination, and leadership skills - Practical and theoretical knowledge of hospice and palliative care Desired Qualifications - Associate degree or Bachelor's degree preferred - Active involvement in professional organizations and community activities Hours - 8:00 am – 5:00 pm, Monday through Friday Pay Range - $80,000—$110,000 USD How We Care for You - Minimum of 3 Weeks Paid Time Off (PTO) - Medical, Dental, and Vision Insurance - HSA and FSA options including Dependent Care - Company paid Short Term Disability - Company paid Life Insurance - 401(k) with Employer Match - Mileage Reimbursement - Company Vehicle Program for field roles - Pet Insurance - ID and Fraud Protection - And more... Background Screening Employment is contingent upon successful completion of a background check conducted by a third-party administrator in compliance with the Fair Credit Report Act. Reasonable Accommodations Reasonable accommodations are available throughout the application process, interview stages, and employment. Equal Opportunity Employer The organization is an equal opportunity employer and prohibits discrimination and harassment of any kind based on protected characteristics.

🏢 Summary: Client Support Executive responsible for driving Home Health referrals by building relationships with healthcare providers and community partners. The role focuses on sales, care coordination, and promoting home health services within the healthcare community. It offers a competitive base salary with uncapped incentives and growth opportunities. 🗂️ Requirements: Home Health or Post Acute sales experience, OR discharge planning experience in Home Health or Post Acute settings, High School Diploma or GED, Valid Driver's License, Reliable transportation, Valid automobile insurance coverage, Practical knowledge of Home Health services, Ability to coordinate care and manage referrals 📃 Skills: Sales, HomeHealth, PostAcute, Referrals, CareCoordination, Documentation, LeadGeneration, Healthcare, CRM 🏢 Description: Optimal Care is where your dedication meets a rewarding career. We are committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day. As a clinician-owned and operated organization, we empower team members to provide personalized, compassionate care to patients and families. We provide Physician Services, Home Health, and Hospice, focusing on improving outcomes and enhancing quality of life. Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What We Can Offer - Competitive base salary with no cap on incentives – unlimited earning potential - Orientation bonus program - No wait to earn commissions/incentives - Career ladder growth opportunities - Ability to maintain and build professional relationships - Stand-alone hospice with a care continuum - In-house research and development support - Data-driven territories - Strong training and orientation program - Experienced senior leadership team - In-house recruiting team - Proactive hiring model Key Responsibilities Client Support Executives obtain referrals for services and promote, educate, and market all company services. Serving as a liaison between the organization and referral sources, you will coordinate care for referred patients from home health, non-medical home care, hospitals, and other medical community partners. Responsibilities include: - Drive sales by building relationships with healthcare providers and community partners to increase Home Health referrals - Utilize healthcare network to generate leads and close sales - Daily interaction with patients, medical professionals, and referral sources to ensure continuity of care and proper communication/documentation - Provide education to senior living communities, health systems, and referral sources - Grow service lines and secure referrals - Distribute referral forms and materials for service lines - Provide feedback and document activity to execute strategic plans Required Qualifications - Home Health or Post Acute sales experience - Discharge planning experience in related settings considered - High School Diploma or GED equivalent - Valid Driver's License - Reliable transportation and valid automobile insurance - Proven interpersonal, coordination, and leadership skills - Practical and theoretical knowledge of Home Health Desired Qualifications - Associate or Bachelor’s degree preferred - Active involvement in professional organizations and community activities Hours - 8:00 am – 5:00 pm, Monday through Friday Pay Range $75,000—$90,000 USD How We Care for You - Minimum of 3 Weeks Paid Time Off (PTO) - Medical, Dental, and Vision Insurance - HSA and FSA options - Company paid Short Term Disability - Company paid Life Insurance - 401(k) with Employer Match - Mileage Reimbursement - Company Vehicle Program for field roles - Pet Insurance - ID and Fraud Protection Background Screening Employment is contingent upon successful completion of a background check conducted by a third-party administrator in compliance with the Fair Credit Report Act. Reasonable Accommodations Reasonable accommodations are offered throughout the application process and employment. Equal Opportunity Employer The organization is an equal-opportunity workplace that prohibits discrimination and harassment of any kind.

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on full-cycle medical billing and revenue cycle management within the DME/HME industry. The position owns claims submission, AR follow-up, denials and appeals, payment posting, and patient billing support while helping build scalable billing processes. Ideal for an experienced medical billing professional who thrives in a fast-growing environment and can optimize reimbursement operations. 🗂️ Requirements: 3–5+ years medical billing and Revenue Cycle Management experience, Experience in DME or HME industry, Knowledge of monthly rental billing and capped rentals, Strong understanding of HCPCS codes, Strong understanding of ICD-10 coding, Experience with CMNs and Prior Authorizations, Experience with electronic and paper claims submission, Ability to manage denials and appeals, Proficiency in billing systems, Proficiency in CRM systems, Experience with payer portals (e.g., Availity) 📃 Skills: HCPCS, ICD-10, CMN, PriorAuthorization, Medicare, Medicaid, DME, HME, NikoHealth, BrightTree, CRM, Availity, ERAs, EOBs 🏢 Description: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. SUMMARY OF ROLE: This is more than a billing role, it's an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we're looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you'll own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You'll work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR." QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The "Startup" Mindset: You are comfortable with ambiguity. You don't just wait for a manual; you help write it. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. We do not base our employment decision on an employee's or applicant's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors prohibited by local, state, or federal law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance.