Referso Jobs

Insurance Verification and Prior Authorization Specialist - Virtual Assistant

unlockhba · Posted Nov 10, 2026

Open

Remote, United States
Remote
Full-time · Associate

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Insurance Verification and Prior Authorization Specialist - Virtual Assistant

unlockhba · Posted Nov 10, 2026

Open

Remote, United States
Remote
Full-time · Associate

Apply with Referso

Business Office Manager

Beacon Brook Center for Health & Rehabilitation · Posted Nov 9, 2026

Open

Marlborough, Massachusetts, United States
$79K–$83K per year
3–5 years

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As a Business Office Manager, you are responsible for the daily coordination of census, billing, and resident funds. Your work will ensure regulatory compliance and that resources are optimized to provide the best care for our residents.

Compensation

Rate of Pay USD $79,000.00 - USD $83,000.00 /Yr.

Responsibilities

Efficient and maximized collection of accounts receivable
Assist Responsible Party with medical pending application and tracking through approval
Accurately report billing and cash collection activity
Ensure full compliance of the resident fund ledgers
Perform month-end reconciliation of census, revenue and accounts receivable

Skills

billing collections Medicare Medicaid reimbursement regulations Excel Word Outlook Point Click Care

Billing Specialist

waypointmaine · Posted Nov 9, 2026

Open

Sanford, Maine, United States
$27–$27 per hour
2–3 years

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Responsible for timely and accurate billing, rebills, and collection of all agency claims.

Compensation

Starting Pay Rate: $27/hour

Responsibilities

Facilitate all billing/invoicing for entire Agency and perform related billing responsibilities for Maine Care, Child Development Services (CDS), and Private Insurance Companies
Maintain all client information in all billing systems
Distribute all invoices and statements to clients
Handle all client and payer outreach, phone calls, response to inquiries
Manage all Maine Care, CDS, and Private Insurance denied claims

Requirements

High School Diploma
Associate's Degree
Nice to have: Maine Care billing
Nice to have: Credible
Nice to have: Inovalon

Skills

billing experience Maine Care billing Microsoft Excel Credible Inovalon Financial Edge

BEHAVIORAL HEALTH MEDICAL BILLING SPECIALIST

PREFERRED BEHAVIORAL HEALTH OF NEW JERSEY · Posted Nov 7, 2026

Open

Toms River, New Jersey, United States
Full-time
$60K–$70K per year
1+ years

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Experienced Behavioral Health Medical Billing Specialist to manage claims, denials, and billing processes for a non‑profit behavioral health organization.

Compensation

Salary: $60,000.00 - $70,000.00

Responsibilities

Submit claims to commercial, Medicare, Medicaid, state, and county payors
Process claim corrections, rebills, and secondary insurance claims
Investigate and resolve claim denials, rejections, and underpayments
Use payer portals for claim submission, eligibility checks, and claims follow‑up
Review payer rejections and reporting in clearinghouse

Requirements

High school diploma or equivalent
Nice to have: Billing Coding Certificates (CPB, CMRS, or equivalent)
Nice to have: NJMHAPP
Nice to have: DAS
Nice to have: Federal Probation

Skills

behavioral health billing experience commercial insurance billing Medicare billing Medicaid billing CPT coding

Temporary HEDIS Abstractor Nurse

MVP Health Care · Posted Nov 6, 2026

Open

Remote, United States
Remote
Temporary · Entry
$0–$0
1–2 years

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MVP is seeking experienced Temporary HEDIS Abstractor Nurses to support seasonal Clinical Quality and HEDIS medical record review activities. This role supports medical record abstraction, provider outreach, quality review activities, and use of HEDIS-related tools.

Compensation

$0.00-$0.00

Responsibilities

Perform medical record abstraction and chart review for assigned HEDIS measures, including GSD, BPD, CBP, COA, PPC, WCC, and TRC.
Review electronic and paper medical records to identify required clinical documentation, labs, vitals, visits, and measure-specific compliance elements.
Accurately enter abstraction results into MVP-designated HEDIS systems, databases, and/or vendor tools.
Apply NCQA HEDIS technical specifications and internal abstraction guidance to determine compliant documentation.
Maintain required productivity, accuracy, and post-training performance thresholds.

Requirements

New York unrestricted RN or LPN/LVN license
Nice to have: GSD
Nice to have: BPD
Nice to have: CBP
Nice to have: COA

Skills

RN license LPN/LVN license HEDIS abstraction

Business Office Manager

Beacon Brook Center for Health & Rehabilitation · Posted Nov 5, 2026

Open

Brewer, Maine, United States
$35–$36 per hour
3–5 years

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Responsible for daily coordination of census, billing, and resident funds.

Compensation

USD $35.00 - USD $36.00 /Hr.

Responsibilities

Efficient and maximized collection of accounts receivable
Assist Responsible Party with medical pending application and tracking through approval
Accurately report billing and cash collection activity
Ensure full compliance of the resident fund ledgers
Perform month-end reconciliation of census, revenue and accounts receivable

Skills

billing and collections experience in long-term care knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations proficiency in office software including Excel, Word, Outlook proficiency in billing/eligibility software solutions (Point Click Care, Inovalon, RFMS)Excel

Billing Specialist

Elmcor Youth & Adult Activities Inc · Posted Nov 3, 2026

Open

Queens, New York, United States
On-site
Full-time · Associate
5+ years

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Responsible for accurate and timely billing, claim follow up, denial resolution, self-pay financial assessments, and payment follow up for Medicaid, Medicare, managed care, commercial insurances and self-pay services using InSync by Qualifacts and the Inovalon clearinghouse.

Responsibilities

Verify participant’s eligibility for Medicaid, Medicare and private insurances
Process Insurance payments to participant accounts in computerized system
Make sure all participants are pre certified, pre authorized, and authorization for participant SUD billing
Submit accurate electronic claims through InSync and Inovalon, the agency’s clearinghouse
Research rejected, denied and unpaid claims; completes corrections, resubmissions, appeals and payer follow-up through resolution

Requirements

Bachelor’s degree

Skills

billing software EPACES InSync Inovalon claim processing financial assessment

Insurance Verification and Prior Authorization Specialist - Virtual Assistant

Insurance Verification and Prior Authorization Specialist - Virtual Assistant

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Business Office Manager

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Billing Specialist

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BEHAVIORAL HEALTH MEDICAL BILLING SPECIALIST

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Temporary HEDIS Abstractor Nurse

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Business Office Manager

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Billing Specialist

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Inovalon jobs

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