Interim Medical Claims Handler

Senior Billing Specialist

Unknown Employer

Description Job Purpose: Join Denova Collaborative Health as a Senior Billing Specialist , where your expertise in complex medical billing and revenue cycle operations helps ensure clean, compliant claims and maximizes reimbursement. In this advanced role, you will take ownership of high-dollar and complex claims, identify root causes of recurring billing issues, recommend process improvements, and serve as a resource for the billing team. Your knowledge and leadership will directly support our mission of delivering integrated, whole-person healthcare while strengthening the efficiency and quality of our revenue cycle . This position is non-exempt and will report to the RCM System & Solution Mgr What You Will Do: Complex Claim Ownership Complex Claim Ownership Manage complex, high-dollar, and aged claims that require advanced billing knowledge. Resolve escalated clearinghouse rejections, payer-specific edits, and coordination of benefits (COB) claim issues. Process corrected claims and rebill complex claim types while ensuring timely filing compliance. Handle specialized billing scenarios including split claims, interim bills, and secondary and tertiary payer submissions . Edit Analysis & Process Improvement Analyze recurring claim edits and rejection trends to identify root causes across payers and claim types. Recommend scrub-rule and edit-logic improvements in collaboration with Business Systems Support. Validate the effectiveness of scrub-rule updates before implementation. Document findings, trends, and financial impact to support continuous process improvement . Team Support & Collaboration Serve as a subject matter expert for Billing Representatives by providing guidance on payer rules, coding, modifiers, and claim edits. Support onboarding and mentor newer team members through informal coaching and knowledge sharing. Maintain and update departmental billing procedures, workflows, and job aids. Collaborate with leadership and cross-functional teams to improve billing accuracy and operational efficiency . Additional Responsibilities Meet advanced productivity and quality standards while managing complex work. Participate in and help lead process improvement initiatives. Perform other related duties as assigned . What We Need From You: Education High School Diploma or GED required. Associate's or Bachelor's degree in Healthcare Administration , Business, or a related field preferred. Certified Professional Coder (CPC) strongly preferred. HFMA CRCR certification or other relevant healthcare revenue cycle certification is preferred . Experience Three or more years of healthcare revenue cycle, medical billing, or claims management experience with demonstrated accuracy and strong performance. Experience with Electronic Health Records (EHR) and practice management systems, preferably AMD . Skills & Knowledge Advanced knowledge of medical billing, insurance claims, CPT, HCPCS, ICD-10 coding, payer regulations, and reimbursement processes. Strong analytical and problem-solving skills with the ability to resolve complex billing issues. Ability to identify process improvement opportunities and recommend effective solutions. Excellent organizational, communication, and leadership skills. Ability to mentor team members while working independently on advanced assignments. Commitment to maintaining HIPAA compliance and protecting patient information. Must be located in Arizona . What Success Looks Like : Our Senior Billing Specialists lead by example through accuracy, collaboration, and continuous improvement. Success in this role includes: Achieving a 95% or higher clean claim first-pass acceptance rate on complex claims. Meeting advanced productivity expectations while maintaining exceptional quality. Resolving escalated claims within established service standards. Identifying and documenting root-cause trends that improve claim quality and reduce denials. Supporting the growth and success of the billing team through mentorship and process improvements . Your Work Schedule: Monday to Friday, 8 AM - 4:30 PM (Flexible) Location: Denova Collaborative Health LLC - DHQ (Hybrid Work Model after 90 days) Perks of Being Part of Denova: Comprehensive low-cost medical, dental, and vision insurance. Generous retirement plan with a 3.5% company match. Secure your future with both long and short-term disability options Enjoy holiday pay, PTO, and life insurance benefits. We offer an employee wellness program and fantastic discounts for all Denova team members. And there's so much more waiting for you! Our Revenue Cycle Mission Our Revenue Cycle team removes friction from the financial side of healthcare so our clinicians can focus on care and our patients can focus on healing. We succeed when claims go out clean the first time, payments are posted quickly and accurately, denials are prevented, patients understand their responsibility, and team members feel supported. At Denova, we believe: people first, process second, technology third. Denova Collaborative Health LLC is an integrated primary care and behavioral health practice based in the Greater Phoenix metropolitan area. Our comprehensive virtual care services are available for residents throughout the entire state of Arizona. We provide a “whole person” approach to health and promote collaboration among our team of primary care providers and specialists. Our unique service integration of primary care , behavioral health , addiction medicine, and wellness enables our team to provide better health outcomes.

Interim Product Marketing Manager

Fundamental XR

ABOUT FUNDAMENTAL XR Fundamental XR develops immersive surgical training solutions using virtual reality, mixed reality, and haptic technology. We work with medical device manufacturers, professional bodies, academic medical centres, and health networks to improve surgical education at scale. Our platform addresses a genuine gap in how surgeons learn and develop procedural competence — without reliance on operating room time. THE OPPORTUNITY We are seeking an experienced Interim Product Marketing Manager to join us immediately. This is a substantive, field-based engagement with a clear mandate: understand where our product truly creates value, define where we should compete, and help us build a commercial story that reflects that. RESPONSIBILITIES Over the course of this engagement, you will: * Conduct firsthand win/loss and churn interviews across our four customer segments — device OEMs, professional bodies, academic medical centres, and health networks — and develop accurate buyer personas for each * Assess our competitive position and produce a clear recommendation on where to focus commercial efforts and in what order * Validate product and packaging concepts against real market demand before investment decisions are made * Develop positioning and messaging that moves the business off price competition and onto demonstrable value * Identify the root causes of recurring revenue churn and set out a structured remediation plan * Produce sales enablement materials grounded in market evidence * Deliver a formal day-30 recommendation: proceed, refocus, or stop IDEAL CANDIDATE The successful candidate will have direct experience in the medtech sector and a strong understanding of how device OEMs structure training investment, medical affairs, and KOL engagement programmes. You will be able to demonstrate: * Hands-on experience conducting market research and win/loss analysis — not managing third parties, but doing the work yourself * The ability to segment complex, mixed markets and articulate a clear prioritisation rationale * A track record of repositioning a product or business away from price-led competition and improving customer retention * Comfort working independently in a lean, fast-moving environment with ambiguous data and high accountability

Customer Service Specialist - FT Days

Unknown Employer

Description Position at Vassar Brothers Medical Center Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better. SUMMARY : The Customer Service position has hands on management of laboratory telephone answering protocols, for both outgoing calls and incoming inquires for laboratory results.  This position must maintain a professional level of phone etiquette for the entire department.  This position along with the lab management is directly responsible for meeting and exceeding AIDET, Studer and Press Ganey standards as measured in patient and staff surveys.  Responsible to make sure tests are ordered correctly and results are readily available to the ordering physician.  This is for inpatient, subcontracted outpatient and HQMP outpatient reporting. Responsibilities 1.  Customer Service 1.1 Oversees and performs Receiving and registering Laboratory patients/specimens into Horizon and/or Cerner, ensuring that all physicians’ orders are interpreted, ordered, and properly charged to enable the hospital to be reimbursed properly. This includes the performance of registration functions including indicating proper insurance codes, etc. 1.2 Oversees and performs all duties assigned to properly preparing specimens for sending out to outside reference laboratories. This function requires the incumbent to ensure the specimen is prepared according to laboratory specifications. Duties include preparing proper documentation of paper work, recording data in send-out book, monitoring receipt of reports, entering results into computer and communicating results to the floor and/or physicians. 1.3 Oversees the printing of necessary reports, including but not limited to interim reports, contract reports, outpatient summary reports, single summary reports, Faxed reports etc. The incumbent also completes the phoning of panic results to the physician when requested. Acquiring physician reports and prepares for mailing or delivery. Ensures all results are addressed and clearly legible. 1.4 Receives all incoming phone calls, screens and directs calls to appropriate staff members. The incumbent also assists callers with patient results, outpatient and inpatient prices, requirements of test, turnaround times, etc. Receives requests for result and performs appropriate computer functions to provide information to caller, requirements of test, turnaround times, etc. Receives requests for result and performs appropriate computer functions to provide information to caller. 1.5 Responsible in conjunction with Laboratory Manager to train and monitor all employees on proper phone etiquette in order to exceed AIDET, Studer, Press Ganey and HCAHPS patient and staff satisfaction surveys. Incumbent needs to “Lead by Example” when it comes to these goals so the staff can emulate this position’s performance. 1.6 This position must be able to become a liaison with the medical and nursing staff when it comes to obtaining laboratory results.  Incumbent must gain the trust of the medical and nursing staff and develop staff to gain that same trust when absent. JOB QUALIFICATIONS Education:  High School or equivalent Experience:  5 years of Medical or Laboratory Office Working Conditions: Manual: Little or no manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Vassar Brothers Medical Center Org Unit: 1689 Department: Outside Lab Exempt: No Salary: $24.12 Hourly