NewDivision Payroll Specialist Synerfac Technical StaffingDivision Payroll SpecialistLaurel, MD$30–$35 / hourTemporaryContractorAbout the company: Our Client is an expert in MEP building systems and provides integrated, full lifecycle solutions that optimize the design, construction, operation, and efficiency of buildings. Disclaimer: By applying for this job, you agree to receive calls, Al-generated calls, text messages, or emails from Synerfac Technical Staffing and our contracted partners.
NewAccounts Receivable Specialist JobotAccounts Receivable SpecialistColumbia, MD$18–$20 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewEntry Level Accounting Specialist JobotEntry Level Accounting SpecialistColumbia, MD$18–$20 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewCertified Payroll Specialist Kforce Inc.Certified Payroll SpecialistRockville, MD$85–$90Overview: We are seeking a detail-oriented Certified Payroll Accountant to oversee certified payroll processing, prevailing wage compliance, and payroll accounting activities for public works and prevailing wage projects. This role is responsible for preparing certified payroll reports, ensuring compliance with labor regulations, reconciling payroll accounts, and supporting audits and reporting requirements.
ADA Specialist Sparks GroupADA SpecialistNew Carrolton, MD$44–$46.79 / hourMasterfully prepare complex narrative reports, professional correspondence, and other essential documents, all while consistently meeting critical deadlines. Exceptional organizational skills and the ability to effectively manage a high volume of documents and adhere to strict deadlines.
NewCommunications Specialist Sparks GroupCommunications SpecialistLaurel, MD$30–$35 / hourThis position will work closely with the Project Outreach Manager to help ensure residents, businesses, community organizations, and elected officials receive timely, accurate, and easy-to-understand information regarding construction activities and project impacts. The ideal candidate is an organized, customer-focused communications professional who enjoys working with the public, coordinating multiple projects simultaneously, and translating technical information into clear, engaging communications.
Billing Specialist Sparks GroupBilling SpecialistBethesda, MD$34–$39 / hourThe ideal candidate has a bachelors degree and 2 years of Billing experience in Costpoint, strong knowledge around various contract types (cost plus, time and materials, and fixed price contracts, etc) and strong Excel skills. Collaborate cross-functionally with project managers, internal finance teams (AP, Payroll), and external stakeholders (COs, CORs) to validate billable costs, track funding, and resolve billing discrepancies.
NewPersonal Trainer - Stretch & Recovery Specialist Onelife FitnessPersonal Trainer - Stretch & Recovery SpecialistAnnapolis, MDSee Onelife Fitness Terms & Conditions at https://careers.onelifefitness.com/us/en/terms-of-use and Privacy Policy at https://careers.onelifefitness.com/us/en/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. As a Stretch & Recovery Specialist, you’ll empower members to move, perform, and recover at their best by delivering individualized stretch, mobility, and recovery sessions in a supportive, results-driven environment.
NewRegional Sr Integrated Marketing Specialist Lennar CorporationRegional Sr Integrated Marketing SpecialistColumbia, MD$67,400–$84,300 / yearThis role will serve as the strategic link between division presidents, regional marketing leaders, sales executives, corporate digital marketing functions and local division field teams, ensuring divisional sales goals are met with alignment across digital advertising, content, events, field marketing, and partner initiatives. Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career.
NewFacilities Specialist JouléFacilities SpecialistRockville, MD$24 / hourOur client, a growing biotechnology organization in Rockville, MD, is seeking a Facilities Specialist to support daily facilities operations and critical building systems across its research campus. Strong mechanical aptitude with experience supporting HVAC, electrical, plumbing, boilers, humidifiers, or similar utility systems.
Sr. Application Specialist Keller North America, Inc.Sr. Application SpecialistHanover, MD$84,000–$107,000 / yearThis role serves as a subject matter expert and liaison between HR, IT, and business stakeholders to ensure HR systems meet organizational needs and support strategic initiatives. By connecting global resources and local experience, Keller develops innovative, practical, and cost-effective solutions to geotechnical challenges.
Residential HVAC Sales Specialist ARS-Rescue RooterResidential HVAC Sales SpecialistFrederick, MD$150,000–$300,000Join American Residential Services (ARS) , the nation’s largest provider of residential HVAC, plumbing, and electrical services , with over 7,000 team members and more than 45 years of experience delivering trusted home comfort solutions to customers across the country. Responsibilities: As a Comfort Advisor / In-Home HVAC Sales Representative , you will meet with homeowners to evaluate their current heating and cooling systems and present customized replacement solutions.
Regional Sr Integrated Marketing Specialist Lennar HomesRegional Sr Integrated Marketing SpecialistColumbia, MD$67,400–$84,300 / yearFull timeThis role will serve as the strategic link between division presidents, regional marketing leaders, sales executives, corporate digital marketing functions and local division field teams, ensuring divisional sales goals are met with alignment across digital advertising, content, events, field marketing, and partner initiatives. Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career.
Administrative Authorizations & Insurance Specialist Arundel LodgeAdministrative Authorizations & Insurance SpecialistEdgewater, MarylandThe ideal candidate is experienced in behavioral health or medical office administration, excels in communication, and is committed to upholding the values of the Recovery Model when interacting with clients and staff. About the Role Arundel Lodge is seeking an organized, detail-oriented Administrative Authorizations & Insurance Specialist to support our Outpatient Mental Health Clinic (OMHC).
Health Insurance Specialist (Data Analysis and Studies) US Department of Health and Human ServicesHealth Insurance Specialist (Data Analysis and Studies)Baltimore, MD$108,173–$172,980 / yearThe Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS) works in partnership with the entire health care community to improve quality and efficiency in an evolving health care system and provides leadership in the broader health care marketplace. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): Attention to Detail, Customer Service, Decision Making, Flexibility, Integrity/Honesty, Interpersonal Skills, Learning, Reading, Self-Management, Stress Tolerance, Teamwork.
Supervisory Health Insurance Specialist US Department of Health and Human ServicesSupervisory Health Insurance SpecialistWoodlawn, MD$143,913–$187,093 / yearIn order to qualify for the GS-14, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Leading, planning, or directing Marketplace program integrity operations; and. The Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS) works in partnership with the entire health care community to improve quality and efficiency in an evolving health care system and provides leadership in the broader health care marketplace.
Health Insurance Specialist US Department of Health and Human ServicesHealth Insurance SpecialistWoodlawn, MD$112,556–$158,322 / yearIn order to qualify for the GS-13, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-12 grade level in the Federal government, obtained in either the private or public sector, to include: Analyzing, developing, and implementing statute and regulations related to Managed Care program and similar national healthcare programs; AND. The Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS) works in partnership with the entire health care community to improve quality and efficiency in an evolving health care system and provides leadership in the broader health care marketplace.
Retiree Insurance Specialist (Human Resource Specialist I), Grade N18 Montgomery County, MarylandRetiree Insurance Specialist (Human Resource Specialist I), Grade N18Rockville, MD$83,556–$134,086 / yearMontgomery County Ethics Law: Except as provided by law or regulation, the Countys "Public Employees" (which does not include employees of the Sheriffs office) are subject to the Countys ethics law including the requirements to obtain advanced approval of any outside employment and the prohibitions on certain outside employment. The Office of Human Resources (OHR) Customer Care Team is seeking a Retiree Insurance Specialist (Human Resources Specialist I) to play a key role in supporting retirees through the County's group insurance program.
Insurance Specialist Eastern Shore Physical TherapyInsurance SpecialistBerlin, MarylandI also enjoy having weekly staff meetings to discuss patient care, having access to a class 4 deep tissue laser therapy and lastly working in an environment where management and staff care more about the patient we treat then they do reimbursement. Duties include reviewing daily notes prior to being sent to Billing Company, patient insurance authorizations/verfications and review benefits with patients, review reports, calculate weekly metrics, and lead weekly meetings.
Insurance Verification Specialist Kennedy Krieger InstituteInsurance Verification SpecialistBaltimore, MDThe Insurance Verification Specialist I (IVS I) will obtain, clarify, and confirm outpatient benefits, ensuring maximum and prompt payment of services rendered by the referral source and KKI triage staff. Responsible for the accurate, complete, and timely capture and data entry of patients’ demographic, financial, and clinical information into the various information systems including pre-registration and/or scanning information systems.
Collector Car Insurance Specialist Philadelphia Insurance CompaniesCollector Car Insurance SpecialistLaurel, New JerseyCollector Car Insurance Specialists and Associate Collector Car Insurance Specialists at American Collectors Insurance work directly with policy holders, agents and brokers who utilize our virtual call center for support on existing or new policies. To be considered for this role, we require that you have an active Property & Casualty or Personal Lines insurance license as well as prior insurance experience (ideally sales and service), a passion for client interaction, strong problem-solving skills and the ability to thrive in a fast-paced environment.
Insurance Authorization Specialist/ Medical Assistant Lifeline Vascular CareInsurance Authorization Specialist/ Medical AssistantColmar Manor, MarylandThe Insurance Authorization Specialist will verify patient insurance coverage, obtain pre-authorizations and Primary Care Provider referrals, schedule patient appointments, coordinate the patient intake process and provide administrative support to the center. Serves as liaison between physicians and referring facilities ensuring medical procedure results are forwarded to dialysis facility and or referring physician.
Insurance Operations Specialist Marsh & McLennan Companies IncInsurance Operations SpecialistBethesda, MD$50,200–$106,900 / yearThe company is committed to making insurance easier for brokers, agents and their clients through specialized underwriting expertise, personalized customer service and a responsive, technology-oriented business approach. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law.
Commercial Trucking Insurance Specialist ATG RecruitingCommercial Trucking Insurance SpecialistBaltimore, MDFull timeFor illustrative purposes: Production of $150,000 in written premium per month has historically resulted in approximately $5,200 in monthly commission for similarly producing licensed specialists. ATG Recruiting, a division of Hello Logistics Solutions, focuses on identifying and developing licensed Property & Casualty agents who want to specialize in commercial trucking insurance.
Insurance Verification Specialist NuVasive Clinical Services MonitoringInsurance Verification SpecialistColumbia, MarylandNuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities, through the acquisitions of Impulse Monitoring, Biotronic NeuroNetwork, Safe Passage, and others. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure.
Fire Watch Specialist |Part Time| Chesapeake Employers Insurance Arena (UMBC) Oak View GroupFire Watch Specialist |Part Time| Chesapeake Employers Insurance Arena (UMBC)Baltimore, MDFounded in 2015, the company serves a collection of seven world-class owned venues and a client roster of the most iconic arenas, stadiums, convention centers, music festivals, performing arts centers, and cultural institutions, spanning four continents. Familiarization: Become familiar with the following documentation: Baltimore County Fire Department SOPs and running assignments, UMBC Campus Police SOPs, UMBC Campus Fire Marshal SOPs, and Chesapeake Employers Insurance Arena Emergency SOPs.
Fire Watch Specialist |Part-Time| Chesapeake Employers Insurance Arena (UMBC) Oak View GroupFire Watch Specialist |Part-Time| Chesapeake Employers Insurance Arena (UMBC)Baltimore, MarylandFounded in 2015, the company serves a collection of seven world-class owned venues and a client roster of the most iconic arenas, stadiums, convention centers, music festivals, performing arts centers, and cultural institutions, spanning four continents. Oak View Group: Oak View Group (OVG) is the global leader in premium live entertainment infrastructure and services, with a platform spanning venue development and end-to-end capabilities across venue management, hospitality, and sponsorship sales.
Insurance Verification & Authorization Specialist The Centers for Advanced Orthopaedics LLInsurance Verification & Authorization SpecialistColumbia, MDPart timeThe Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. CAO is committed to be the Orthopaedics provider of choice for our patients; partner of choice for payors and health systems; and employer of choice by attracting and retaining a talented workforce.
Insurance Commercial Lines Account Specialist Yates Insurance AgencyInsurance Commercial Lines Account SpecialistAnnapolis, MD$4,170–$6,670If you have a passion for delivering excellent customer service and enjoy working in a proactive environment and building rapport with others, this is the role for you! If you're a client-focused insurance professional who enjoys solving problems, building relationships, and helping businesses succeed, we'd love to hear from you.
Insurance Verification Specialist Globus Medical, Inc.Insurance Verification SpecialistColumbia, MDIOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure. + Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role.
Patient Access Insurance Verification Specialist MedStar Health Research InstitutePatient Access Insurance Verification SpecialistLeonardtown, MD$18.70–$32.72 / hourProvide excellent customer service in all patient communication with the goal of providing accurate and timely registration and scheduling educating and providing service and support as the first point of contact for MedStar St. Mary's Hospital. Supports registration and scheduling staff has good communication skills between physicians office staff co-workers and patients when discussing insurance benefits and authorization for a medical procedure and or admission.
MD-Severna Park Insurance Sales Specialist 😎 AMERICAN SENIOR BENEFITS LLCMD-Severna Park Insurance Sales Specialist 😎Severna Park, Maryland$41,500–$101,000 / yearFull timeResponsibilities: You’ll help individuals, families, and retirees make important financial decisions while creating a career that rewards effort—not office politics. If you’re a strong salesperson who loves helping people, this may be the opportunity you’ve been looking for.
Insurance Verification Specialist MedStar HealthInsurance Verification SpecialistLeonardtown, Maryland$18.70–$32.72 / hourFull timeProvide excellent customer service in all patient communication with the goal of providing accurate and timely registration and scheduling educating and providing service and support as the first point of contact for MedStar St. Mary's Hospital. Supports registration and scheduling staff has good communication skills between physicians office staff co-workers and patients when discussing insurance benefits and authorization for a medical procedure and or admission.
Patient Access Insurance Verification Specialist MedStar HealthPatient Access Insurance Verification SpecialistLeonardtown, MD$18.70–$32.72 / hourProvide excellent customer service in all patient communication with the goal of providing accurate and timely registration and scheduling educating and providing service and support as the first point of contact for MedStar St. Mary's Hospital. Supports registration and scheduling staff has good communication skills between physicians office staff co-workers and patients when discussing insurance benefits and authorization for a medical procedure and or admission.
Operations Technical Specialist (Commercial/Personal Insurance) Insurance Office of AmericaOperations Technical Specialist (Commercial/Personal Insurance)Annapolis, MDRemote$60,000–$85,000 / yearFull timePlease note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. Also administer EPIC, CSR24, Indio, and related tools including adding new users, user terminations, resolving user issues.
Medical Billing & Collections Specialist Globus MedicalMedical Billing & Collections SpecialistColumbia, MarylandAs a Medical Billing and Collections Specialist with NuVasive Clinical Services, you will provide administrative support in the billing and collections function of the medical revenue cycle process. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure.
Certified Medical Billing /Coding Specialist Moore OBGYNCertified Medical Billing /Coding SpecialistForestville, MDThe ideal candidate will have strong OB/GYN coding knowledge, payer compliance expertise, and the ability to manage accounts receivable efficiently. Moore OB/GYN is seeking an experienced and detail-oriented Certified Medical Billing & Coding Specialist to join our growing team.
Billing Specialist CCI Health & Wellness ServicesBilling SpecialistSilver Spring, MDPOSITION SUMMARY: The Billing Specialist will perform a range of responsibilities requiring data analysis, critical evaluation, and sound judgment, including maintaining billing software, appealing denied claims, and recording late payments. Coordinate communications with payers to ensure accurate billing practices, enhance reimbursement opportunities, achieve cash collection targets, and maintain accounts receivable (A/R) over 120 days at or below target levels.
Medical Billing & Collections Specialist NuVasive Clinical Services MonitoringMedical Billing & Collections SpecialistColumbia, MarylandNuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities, through the acquisitions of Impulse Monitoring, Biotronic NeuroNetwork, Safe Passage, and others. As a Medical Billing and Collections Specialist with NuVasive Clinical Services, you will provide administrative support in the billing and collections function of the medical revenue cycle process.
Medical Billing Specialist MedVanta CareersMedical Billing SpecialistBethesda, MarylandThe Central Billing Office (CBO) Accounts Receivable Representative is responsible for performing a variety of complex accounts receivable-related functions for the Central Billing office. Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.
Medical Billing Specialist MedVanta Interco, LLC.Medical Billing SpecialistBethesda, MD$21 / hourPart timeThe Central Billing Office (CBO) Accounts Receivable Representative is responsible for performing a variety of complex accounts receivable-related functions for the Central Billing office. Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.
Commercial Billing Specialist Greater Baltimore Medical CenterCommercial Billing SpecialistHunt Valley, MD$19.92–$29.87 / hourExcellent verbal and written communication skills for interacting with patients, families, insurance companies and healthcare providers. Responds to patient and third-party payor inquiries regarding patient accounts via e-mail, telephone, mail, and in person.
Payment Posting & Collections Specialist (In Person Position) Medbridge HealthcarePayment Posting & Collections Specialist (In Person Position)Glen Burnie, MDWe're looking for a highly motivated Payment Posting & Collections Specialist who thrives in a fast-paced healthcare environment and is passionate about ensuring accurate reimbursement, resolving insurance issues, and supporting exceptional patient care. As a Payment Posting & Collections Specialist, you will be a key member of our Revenue Cycle team, helping ensure accurate payment processing and maximizing reimbursement for sleep testing and sleep apnea services.
NSA Billing & Collections Specialist Globus Medical IncNSA Billing & Collections SpecialistColumbia, MD$1–$2 / hourQualifications: High level of quality awareness, accuracy, and attention to detail Strong communication, organizational, and problem-solving skills Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports Sense of urgency and customer-oriented mindset with understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI) Ability to work independently, multitask and handle various priorities in a fast-paced environment Working knowledge of payer reimbursement guidelines and government, regulatory and company billing and compliance regulations/policies for assigned payers Effective Verbal and written communication skills Typically requires a minimum of 1-2 years of related experience High school diploma or equivalent required Travel and /or Physical Demands: Ability to sit for long periods of time, 6-8 hours per day in front of computer screen Our Values: Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven. Understands and maintains all governmental, regulatory, and company billing and compliance regulations and policies for payers Follow up with payers, third-party vendors, entities, and other appropriate parties to collect outstanding balances promptly Identifies and reports to management any payer, or third-party vendor issues concerning billing and collections Reviews, analyzes, and reconciles post-payment accounts Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies.
Learning & Development Specialist (Claims Trainer / Customer Service Trainer) Lumen Solutions Group, Inc.Learning & Development Specialist (Claims Trainer / Customer Service Trainer)Baltimore, MDThe ideal candidates will have strong Instructor-Led Training (ILT) experience, exceptional presentation and facilitation skills, and the ability to effectively train both virtually and in person. CareFirst BCBS is seeking two Learning & Development Specialists to design and deliver engaging training programs for adult learners in a corporate healthcare environment.
NewRefund Specialist ConcentraRefund SpecialistLinthicum, Maryland$20.97–$24 / hourConcentra colleagues remain fueled by our driving purpose: to provide outstanding patient experience by delivering the highest quality healthcare in an efficient, affordable, and caring manner. The Central Billing Office (CBO) Refund Specialist performs a variety of tasks researching refund requests, overpayments, and credit balances.
NewBilling Charge Entry & Claims Specialist Park West Health SystemBilling Charge Entry & Claims SpecialistBaltimore, MDPark West Health System, Inc. is seeking a Billing Charge Entry Clerk to ensure accurate charge entries and timely billing operations. This role involves verifying insurance coverage, resolving billing discrepancies, and serving as a welcoming first point of contact for patients.
Medical Collections Specialist MedVanta Interco, LLC.Medical Collections SpecialistBethesda, MD$21 / hourPart timeThis is a critical role that requires expertise in managing delinquent patient accounts, preparing collection reports, and coordinating with both internal teams and external collection agencies. Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.
Medical Collections Specialist MedVanta CareersMedical Collections SpecialistBethesda, MarylandThis is a critical role that requires expertise in managing delinquent patient accounts, preparing collection reports, and coordinating with both internal teams and external collection agencies. Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.
Pharmacy Billing Specialist CommuniCarePharmacy Billing SpecialistMarylandMaintain all current patient accounts by verifying, adding or editing current insurance (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care). Position Overview : Manage and update patient accounts to ensure consistent billing processes for all payers as outlined in the billing manual.