As a nationally accredited virtual school, ProTrain is dedicated to quality educational services at an affordable cost, in the classroom or online,ensuring success in the workforce through the active engagement of direct relationships with our students, corporations, non-profits, federal and state agencies, higher education, and the military community throughout the United States and internationally. ProTrain is about “Education to Employment” to assist the student population in gaining employment, or developing stackable skill sets to further their career.

ProTrain is a SBA federally certified Woman Owned, Small Business, headquartered in Raleigh, NC. ProTrain is a NC Proprietary school; and is nationally accredited as a post-secondary higher education institution by the Middle States Association of Colleges and Schools.   GSA Schedule Contract #: GS-35F-054CA

Industry: Higher Education
Company Size: 11-50 employees

ProTrain Education

Savvy Admin PROD

**POSITION OVERVIEW:**

ProTrain is currently recruiting for an experienced Live Online instructor with experience teaching Medical Billing & Coding.

Candidates must have experience teaching in a classroom or/and in a synchronous environment, as well as have a minimum of 3 years in Medical Billing & Coding.

This is a part time; contracted teaching position to begin immediately. Future classes will be available to the right candidate.

Course Day/Time: Mondays & Wednesdays or Tuesdays & Thursdays, 7PM - 10PM ET

**WHAT YOU WILL DO:**

- Live Online instructor

- Describe the role of the Certified Medical Billing Specialist

- Describe the origin of medical language

- Analyze the component parts of a medical term

- List and define basic prefixes, suffixes, and combining forms

- Use basic prefixes, suffixes, and combining forms to build medical terms

- Explain common rules for proper medical term formation, pronunciation, and spelling

- Assess the responsibilities assigned to insurance billing and coding specialists and electronic claims processors

- Describe the health care delivery system

- Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA

- Demonstrate a basic understanding of the anatomy and physiology of body systems and related medical terminology in order to properly process clean claims

- Utilize the ICD‐10-CM manual, including V codes, E codes, and the Neoplasm and Hypertension tables

- Demonstrate a basic understanding of the ICD-10-CM and ICD-10-PCS

- Utilize the CPT manual and the various guidelines

- Demonstrate diagnostic and procedural coding

- Describe basic guidelines for submitting insurance claims

- Explain the difference between clean, pending, rejected, incomplete, and invalid claims

- Identify solutions for denied and rejected paper and electronic claims

- Identify when a paper claim can and cannot be used

- Explain the relationship of transactions and security with electronic data

- Communicate (verbally and non‐verbally) effectively and appropriately in the workplace

**REQUIRED QUALIFICATIONS:**

- Minimum 3-5 years teaching experience

- Teaching certification preferred

- Minimum 3 years in related field of study

- Billing and Coding Certification

- Must adhere to weekly class schedule

**WHAT WE OFFER:**

- Competitive Salary

- Flexible, Part-time hours

- Faculty Development

**WHY PROTRAIN?**

Founded in 2004, ProTrain offers quality classroom and online training. We provide a CE-Turnkey Solution and partnership opportunities for institutions of higher learning to provide programs to various verticals such as Military Tuition Assistance (TA), Military Spouses (MyCAA), Wounded Warriors, Veterans, Unemployed (WIA), Corporate and Individuals.

ProTrain is an affordable solution for students seeking to prepare for an in-demand career that will help move them and America forward to achieve the goal of Education 2 Employment! Personal Training Assessment Managers will work with you throughout the entire process before, during and after to assist with the student’s program of study.

At ProTrain, we realize that learning is a commitment that we are all making to have a better future. Our clients’ needs (partners and students) are paramount. We are committed to your success and ours, one student at a time.

ProTrain is an Equal Opportunity Employer.

For more information, visit us at www.ProTrainEDU,org

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(Remote Part-Time) Instructor - Medical Billing and Coding

Valor Health is the main health care system in Gem County. We offer Hospital/Emergency Services - Family Medicine - Pediatrics - Urgent Care - Specialty Medicine & Surgery.

Industry: Hospitals and Health Care
Company Size: 51-200 employees

Valor Health

Position Title: Prior Authorization Specialist

Department: Business Office

Supervisor’s Title: HIM/Business Office Manager

IHA# Position Summary:

**Responsibilities**

The Prior Authorization Specialist is responsible for obtaining pre-certifications and pre-authorizations for procedures performed at Valor Health. Developing and implementing prior authorization workflow, policies, and procedures. Principal Functions and Responsibilities:

- Contact insurance carriers to verify patient’s insurance eligibility, benefits, and requirements.

- Request, follow up and secure prior authorizations prior to services being performed at Valor Health.

- Prioritize incoming authorization requests according to urgency.

- Collaborate with other departments to assist in obtaining prior authorizations in a cross-functional manner.

- When necessary, work with billing specialist to obtain a retro authorization.

- Assist with medical necessity documentation and submit medical records to expedite approvals and ensure that appropriate follow up is performed.

- Review accuracy and completeness of information requested and ensure that all supporting documents are present.

- Responsible for reviewing all encounters and mailing out Consolidated Summary of

- Attends and participates in meetings as requested.

- Performs other duties as assigned.

**Qualifications**

Position Qualifications/Requirements/preferences:

- Minimum Education: High school diploma or equivalent.

- Minimum of 3 years’ experience working in healthcare.

- Minimum of 2 years’ experience as a Medical Assistant/CAN/LPN

- Preferred experience with obtaining prior authorizations.

- Ability to communicate effectively with a wide variety of contacts at all levels of the organization.

- Must have strong organizational skills and attention to detail.

- Strong work ethic and ability to apply critical thinking to a variety of practical and time sensitive situations.

- Working knowledge of Microsoft Office including Word, Excel, and Outlook are required.

- Consistent professionalism in both presentation and demeanor.

- Ability to work with minimal supervision and as a member of a team.

- Ability to Flex Schedule to adjust to workflow.

**Working Conditions**

- Primarily office work. Positions is flexible to be in suite, remote or hybrid.

- General Health care environment exposure to patient conditions.

- Physical Requirements: Standing, walking, bending, stooping, sitting, hand eye coordination, speaking.

PRIOR AUTHORIZATION SPECIALIST

Welcome to denova - where we're redefining the landscape of behavioral healthcare.

Industry: Mental Health Care
Company Size: 501-1,000 employees

denova collaborative health

Job Purpose: Join Denova Collaborative Health as a Billing Specialist focused on Claims, where your expertise in claim processing directly contributes to our mission of providing integrated health services. This crucial role involves managing the entire lifecycle of medical billing claims, enhancing our financial operations, and ensuring the accuracy and compliance of our billing processes.

What You Will Do:

- Claims Processing: Handle the preparation, review, submission, and follow-up of medical claims accurately and timely across various insurers and payers. Work claim edits and resolve clearinghouse rejections as needed.

- Eligibility and Verification: Verify patient insurance coverage and eligibility to help prevent billing discrepancies.

- Claim Adjustments and Corrections: Address claim denials or discrepancies by making necessary adjustments and corrections to support maximum reimbursement. Ensure proper coding, modifiers, and documentation support. Monitor filing limits and help prevent timely filing issues.

- Reporting: Generate reports detailing billing activities, claim status, and any issues encountered. Identify trends and escalate recurring billing issues as appropriate.

- Collaboration: Work closely with healthcare providers and billing staff to clarify claim details, gather necessary documentation, and help streamline the claims process

- Other Assigned Duties

What We Need From You:

- Educational Background: High school diploma or GED required; additional education in medical billing or a related field is preferred. CPC certification is strongly preferred.

- Experience: At least 2–4 years of experience in medical billing or claims processing.

- Skills: Strong understanding of medical billing codes, insurance regulations, and compliance requirements. Excellent organizational and communication skills. Ability to work independently and resolve issues with minimal oversight.

- Technical Proficiency: Experience with Electronic Health Records (EHR) systems and medical billing software.

- Must be located in Arizona as in office days are required

Your Work Schedule:

- Full-Time: Monday to Friday, 7:30 AM - 4:00 PM

- Flexibility: Transition to hybrid/remote work after training

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!

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.

Billing Specialist - Claims

Tuff Shed is America's leading provider of installed storage buildings, garages and cabin shells. For over 40 years, we have been delivering on our customer promise to provide products of lasting value through the use of innovative engineering, proven construction techniques and expert consultative services.

Our buildings are manufactured and installed locally, with domestically produced materials. Our local professionals help guide customers through the entire design and construction process, with installation of our buildings included in the purchase price. Our national presence as the industry leader allows us to deliver key advantages like product innovation, exclusive or even patented building features and raw material purchasing power that help to ensure our customers get great products.

Industry: Construction
Company Size: 1,001-5,000 employees

Tuff Shed, Inc.

"BUILD" YOUR CAREER WITH TUFF SHED!

The Accounts Receivable Clerk performs a variety of accounting and bookkeeping duties according to established Tuff Shed policies and procedures.

This is hybrid option: 3 days in office / 2 days remote

**Essential Functions**

The Accounts Receivable Clerk (A/R Clerk) is required to: Share Tuff Shed’s Vision Value Statement of Excellence, Integrity, Respect, Teamwork and Ownership, as well as practice Tuff Shed’s Business Ethics and Conduct Policy of using good judgment based on high ethical principles.

The essential functions for this position include but are not strictly limited to:

-  Utilize Tuff Shed accounting systems and programs (including JD Edwards, Excel); develop and analyze system reports

-  Review and verify all orders in JD Edwards and SBAR

-  Research and determine if orders have been updated and correct any errors

-  Review and manage all walk-in cash orders to verify payments have been received and are entered, as well as confirming that orders are in a correct status

-  Complete customer ledger adjustments, and manage tax issues and write offs

-  Research non-A/R cash deposits to post to an appropriate account

-  Ensure all Tuff Shed corporate deposits and ACH payments have been received & posted to orders

-  Oversee client accounts, accounts receivable write-offs, and payment reversals

-  Research customers’ order history to place defaulted customers into a collections process

-  Manage data regarding unclaimed property

-  Partner with management at the National Support Center and the field to respond to queries and resolve problems

-  Performing all other duties, tasks and responsibilities as assigned by the Tuff Shed management

-  The A/R Clerk may be required to work overtime (including some weekend work) in order to fulfil the requirements of the role; in addition, s/he must be present in the Store, as scheduled, and work all required hours

**Education**

-  High school diploma or equivalent

-  Bachelor’s degree or requisite experience preferred

**Skills And Experience**

-  Experience in an accounting function, preferably in a similar industry

-  Hands-on computer skills in Microsoft Office (including high level Excel skills) required; experience in utilizing JD Edwards or a similar system is highly preferred

-  Ability to solve problems using sound logic and good business judgment

-  Ability to use arithmetic, mathematical, accounting and financial tools as they apply to Tuff Shed business

-  Ability to read, write and understand instructions given orally, in writing and/or in diagram form

-  Ability to prepare written correspondence and reports that create a professional image for Tuff Shed

-  Ability to effectively communicate at all levels, including customers, business partners, suppliers, co-workers, managers, and the general public

Tuff Shed offers a great Benefits package! - It pays to be a Tuff Shed team member:

**Our Competitive Benefits And Rewards**

-  Competitive compensation and bonus programs (based on position)

-  Medical Benefits including Virtual Visits- The care you need-when, where and how you need it!

-  Dental & Vision Benefits

-  Flexible Savings Account (FSA)

-  Employee Stock Ownership Plan (ESOP) – You’re more than an employee - Get rewarded for long and loyal service with ownership interest in the Company

-  Paid Time Off and Paid Holidays.

-  401(k) plan

-  Early access to Your Pay! - Why wait until pay day?

Learn more about us at www.tuffshed.com and on www.glassdoor.com

Tuff Shed is an equal opportunity employer. Employees and applicants for employment will not be discriminated against on the basis of race, color, religion, national origin, hair texture, hair type, hair length, or a protective hairstyle that is commonly or associated with race, ancestry, religion, creed, physical or mental disability, marital status, civil union partner status, protected medical conditions, gender, gender identity, gender expression, sexual orientation, age, genetic information, or any other characteristic, activity or basis protected by applicable federal, state or local law or because he or she is an individual with a disability or disabled veteran, Armed Forces service medal veteran, recently separated veteran, or active duty wartime or campaign badge veteran.

Accounts Receivable Clerk

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