Acadia Healthcare jobs

Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast. is 100% remote. Highlights of this role include: * Ability to verify benefits information for assigned facility. * 1 weekend day shift Friday, Saturday, Sunday * Experience monitoring and processing patient referrals (may include fax referrals). * Respond to inquiries about facilities within policy timeframes. * Support Acadia Healthcare admissions departments throughout the country. As one of the nation's leaders in treating individuals with acute co-occurring mood, addiction, and trauma, Acadia Healthcare places a strong emphasis on our admissions & intake functions to allow us to help every possible person in need. This person will be supporting Acadia Acute Admissions departments around the country in a remote capacity. ESSENTIAL FUNCTIONS: * Manage Referral Management Portals * Monitor all faxed referrals * Monitor all webforms and call center handoffs/rollover referrals * Utilize facility admissions/exclusionary criteria to process incoming types of referrals * Respond to inquiries about the facility within facility policy timeframes. * Document calls inside of Salesforce and follow-up as needed * Complete Prior Authorization * Pre-Admit the patients in billing system * Coordinate with local admissions department regarding bed availability * Facilitate intake, admissions, and utilization review process for incoming patients. * Perform insurance benefit verifications, disseminating the information to appropriate internal staff. * Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals. * Coordinate admission and transfer between levels of care within the facility. * Communicate projected admissions to designated internal representative in a timely manner. * Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission. STANDARD EXPECTATIONS: * Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality. * Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * Bachelor's or Master's degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN * Knowledge of admission/referral processes, techniques, and tools * Familiarity with behavioral health issues and services * Solid understanding of financial principles and insurance reimbursement practices * Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates. SUPERVISORY REQUIREMENTS: This position is an Individual Contributor We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. AHCORP

OneGI is seeking a BC/ BE Gastroenterologist to join an established practice in Dayton, Ohio. This is a fantastic opportunity to practice high quality clinical care in a large, collegial practice. Highlights: General GI Practice; EUS in OP facilities 1:7 generous call schedule APP support Infusion, Pathology, Fibroscan, Research, Hem Banding, CCM, Anesthesia support services Strong relationship with community Level 1 Trauma Center 3 ASC locations with ownership potential 2-year practice partnership track Benefits: Competitive Base Salary with Competitive Production Earnings Sign On Bonus and Moving Expenses Medical, Dental, Vision, 401k Match Malpractice Insurance At One GI , we provide exceptional gastroenterology care that puts patients at the forefront. Since our inception in 2020, we have grown rapidly while remaining steadfast in our commitment to driving excellence and upholding the highest standards in gastroenterology practice. Our renowned physician leadership, collaborative team culture, state-of-the-art ancillary services, and robust network strength empower our physicians to deliver personalized, compassionate care tailored to each patient's unique needs. One GI is more than just an organization; it's a community of over 1,300 dedicated individuals united by a shared purpose: creating a better healthcare experience for patients, colleagues, and communities. We are a diverse team of professionals who bring our unique perspectives and expertise to the table, fostering an environment of collaboration and continuous improvement. Each One GI practice is the leading provider of gastroenterology care in its respective community, retaining its regional name and unique reputation while leveraging the expansive resources and backing of our national organization. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.

OneGI is seeking a BC/ BE Gastroenterologist in Brunswick, Ohio. A terrific opportunity to join an outpatient practice that provides world-class care! Highlights: General GI Practice; 100% outpatient/ASC setting APP support Infusion, Pathology, Research, Anesthesia, Hem Banding available support services 1 ASC location with ownership potential 2-year practice partnership track Benefits: Competitive Base Salary with Competitive Production Earnings Sign On Bonus and Moving Expenses Medical, Dental, Vision, 401k Match Malpractice Insurance At One GI , we provide exceptional gastroenterology care that puts patients at the forefront. Since our inception in 2020, we have grown rapidly while remaining steadfast in our commitment to driving excellence and upholding the highest standards in gastroenterology practice. Our renowned physician leadership, collaborative team culture, state-of-the-art ancillary services, and robust network strength empower our physicians to deliver personalized, compassionate care tailored to each patient's unique needs. One GI is more than just an organization; it's a community of over 1,300 dedicated individuals united by a shared purpose: creating a better healthcare experience for patients, colleagues, and communities. We are a diverse team of professionals who bring our unique perspectives and expertise to the table, fostering an environment of collaboration and continuous improvement. Each One GI practice is the leading provider of gastroenterology care in its respective community, retaining its regional name and unique reputation while leveraging the expansive resources and backing of our national organization. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status.

Primary.Health is the engine behind your COVID-19 testing and vaccination programs. Our web-based platform provides government agencies, schools, healthcare facilities, and community based organizations the ability to quickly register participants, schedule appointments, arrange for easy onsite check-in and check-out, and exchange data between labs and state databases, easing the reporting process. JOB TITLE: QA Engineer JOB TYPE: Full-time LOCATION: Remote JOB SCOPE: As a Quality Engineer at Primary you will be responsible for quality assurance related activities and following the complete end-to-end testing lifecycle including testing the products existing and new features, automating test cases, reporting bugs, etc. You will be working closely with our Developers and Product Managers. We are a fast moving organization, typically do multiple deployments per day, and are looking for great people to build software to help power this. MAJOR JOB DUTIES: ● Work collaboratively with cross-functional teams to plan and execute on engineering projects. ● Develop automated tests against a comprehensive healthcare platform. ● Work closely with the engineering team to figure out how best to deploy software safely MINIMUM EDUCATION: ● Bachelor's degree in Computer Science or Engineering. QUALIFICATIONS: ● Minimum of 3+ years of industry experience in QA or a testing environment ● Ability to develop test strategy, design test plans and test cases ● Experience writing automated tests with selenium, capybara, against complex web services. ● You're fluent in at least one major programming language and would be able to switch between multiple languages. In our stack, we mainly use Ruby on Rails and React. ● You have strong SQL query knowledge ● You can break down complex problems rigorously and understand the tradeoffs necessary to deliver great, impactful products. ● You're curious, you're data-driven, you love to ask questions, and you think critically about problems. ● You love delivering value to your users and your teammates through your work. Nice-to-Have Qualification: ● You've demonstrated your ability to thrive in a fast-paced startup environment. Primary embraces diversity. We are proud to be an equal opportunity workplace and do not discriminate on the basis of sex, race, color, age, sexual orientation, gender identity, religion, national origin, citizenship, marital status, veteran status, or disability status. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Description: Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R - Respect I - Innovation S - Stewardship E - Excellence School-Based Behavioral Health Manager (SBHM) Overview The School-Based Behavioral Health Manager leads and oversees behavioral health services embedded within school-based setting - combining clinical leadership, program management, staff supervision, and direct patient care. The SBHM is responsible for overseeing and managing PHS' behavioral health services within school-based settings. This includes supervision of therapists and crisis intervention clinicians to ensure continuity of care, collaborating with school staff and community providers. The serves SBHM is a key leader in integrating behavioral health supports within the educational environment to promote student well-being and academic success. A Day in the Life: Clinical & Direct Care (40-50% of time) · Provide direct behavioral health services ensuring the SBH Manager remains connected to patient care and care model fidelity. Program Management · Participate in program planning, development, and evaluation for the school-based behavioral service line · Oversee the school-based behavioral services within educational environments. · In collaboration with Chief Health Officer, Quality and Operations departments develop or refine policies, procedures, standards of care, workflows, and referral pathways to support school-based services and efficient collaboration between care teams. · In coordination with the Director of Behavioral Health, oversee quality assurance, key performance indicators and initiatives e.g., productivity, clinical quality metrics. · In coordination with Student Program Coordinator, participate actively ensures successful student/preceptor program. · Participate actively in supporting grant work plans that are supporting behavioral health services. Staff Supervision & Clinical Leadership · Provide supervision, mentorship, and ongoing training to behavioral health clinicians. · Conduct staff performance evaluations, participate in hiring/onboarding/off boarding (in coordination with HR), and support professional development and retention strategies. · Collaborate with leadership on service capacity planning, productivity targets, scheduling, and resource allocation to sustain a financially viable school-based behavioral health service line. · Driving results by taking initiative, managing execution, and holding self and others accountable to achieve goals, even in challenging circumstances. · Understanding the business from the customer's perspective, using data to make informed decisions, and ensuring timely decisions that advance the organization. · Engaging people through effective communication and building collaborative relationships across the organization. · Holding oneself accountable by fostering trust, demonstrating self-awareness and self-development, and remaining flexible and adaptable. · Maximize contribution to ensure meeting company strategic goals, key performance indicators or initiatives. Core Competencies · Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met. · Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills. · Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements. · Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems. · Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow. Requirements: Success Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Education/Experience · Master's degree (or higher) in a behavioral health discipline (e.g., Clinical Social Work, Counseling, Psychology, Counseling Psychology, or related field) from an accredited institution. Active, unrestricted licensure in the relevant behavioral health discipline per state of Ohio requirements · Minimum of 2 years of post-licensure clinical experience providing behavioral health services, ideally including experience in educational or collaborative settings. · Independently licensed within 6 months of hire. · Supervision certification within 1 year of hire. · Excellent communication, consultation, collaboration, and teamwork skills; ability to function as part of a multidisciplinary team (school staff, PCPs, nursing, care management, BH, community resources). · Strong organizational, administrative, and leadership skills; ability to manage program operations, oversee workflows, monitor quality, and support continuous improvement. · Comfort working with diverse patient populations, vulnerable communities, and individuals with co-occurring physical health, behavioral health, and social needs. Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of an organization. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet. Certificates, Licenses, Registrations None required for this position. Other Applicable Requirements Skill with patients in lower socio-economic sectors of the community. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate. Affirmative Action/EEO Statement It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Description: Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R - Respect I - Innovation S - Stewardship E - Excellence Outreach and Enrollment Specialist Summary Collaborate with the clinical team and families of patients to enroll eligible patients in insurance programs. Duties and responsibilities include increasing access to care through application and enrollment assistance for people who may be eligible for the new affordable insurance options available beginning in 2014. A Day in the Life This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time. · Respond to incoming requests for assistance regarding the application and enrollment process. · Provide information in a fair, accurate, and impartial manner. · Remain current with eligibility requirements. · Work cooperatively with PHS providers and personnel to carry out goals and objectives of Outreach and Enrollment. · Provides leadership for the implementation and coordination of O&E activities such as hosting enrollment events, some after or before normal business hours, evenings and weekends. · Develop presentations for community groups and referral sources. · Attend all required training sessions at the federal, state and local level and meetings concerning O&E. · Safeguard data, maintain strict confidentiality of information, and perform required reporting. · Accurately complete data collection and enrollment process. · Conduct “in reach” with currently uninsured PHS patients and “outreach” with non-PHS patients in all service areas. · Monitor and report all patient correspondence including patient/non-patient completed enrollments. · Develop relationships with appropriate community partners. · Provide educational materials regarding insurance options to community partners including health departments, hospitals, urgent cares, physician's offices, and human services agencies and collaborate and coordinate outreach efforts with them. · Develop a referral tracking system. · Organize work to meet goals, objectives, and deadlines. · Multi-task and prioritize duties. · Develop promotional materials at the appropriate literacy level. · Other duties assigned by the Director of Quality Operations. · Ensure all PHSs have timely and necessary information about Ohio's consumer assistance training requirements and the roll-out of new affordable health insurance options. · Coordinate PHS O/E activities with other consumer assistance efforts in the state. · Provide technical assistance and training on effective O/E strategies and targeted technical assistance to PHSs experiencing challenges. · Monitor successes and barriers to PHS O/E activities. · CACs are expected to provide the following services to consumers, applicants, qualified individuals, enrollees, qualified employees, and qualified employers, and/or these individuals' legal representative(s) or Authorized representatives: o Provide information about the full range of Qualified Health Plans (QHPs) options and Insurance Affordability Programs for which these persons are eligible o Assist with applications for coverage in a QHP through the FFE and for Insurance Affordability Programs o Help to facilitate enrollment in QHPs and Insurance Affordability Programs (p. 1, Agreement between the CMS and CACDO). · CACs are permitted to create, collect, disclose, access, maintain, store, or use Personally Identifiable Information (PII) from consumers. · CACs are to access the CAC training hosted by the Medicare Learning Network (MLN), to complete required training and complete all exams to obtain certification. · CACs must print the certificate of completion and provide it to PHS. · CACs must submit conflict of interest disclosure forms to PHS's CAC project lead. · CACs should ensure they have read carefully and signed the CAC agreement with PHS. · CACs must prominently display their CAC certificate whenever assisting a consumer. · CACs must maintain a registration process and method to track the performance of CACs. · CACs are encouraged to provide information and assistance with exemptions and with other health coverage programs, such as drug assistance programs and programs funded under the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, but these are not required duties. · Performs all other duties and tasks as assigned. Core Competencies · Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met. · Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills. · Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements. · Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems. · Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow. Success Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education/Experience Bachelor's degree in human services field, or equivalent experience. Experience in planning and implementing projects and coordination of functions, and setting goals and meeting timelines. Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet. Certificates, Licenses, Registrations Comply with all applicable federal and state training certificates, licenses, and registrations related to the development of expertise in eligibility, enrollment, and program specifications. Obtain insurance licensure, as required. Valid driver's license, and proof of automobile insurance. Requirements: Other Applicable Requirements Skill with geriatric patients and patients in lower socio-economic sectors of the community. Ability to speak Spanish desirable. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate. Affirmative Action/EEO Statement It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

This individual will plan, organize, direct and control all aspects of risk management activities. Ensure a safe environment for the protection of patients, clients, employees and visitors to the facility in such a manner as to comply with laws, regulations and the standards of the accrediting and approval agencies. As well as identifying risks that could potentially result in harm to patients, staff, visitors, or lead to litigation or negative media. Education/Experience/Skill Requirements: * Oversee operations, business planning and budget development for the Risk department. * Investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification. Implement, educate and encourage incident reporting system throughout the facility. * Implement risk management program throughout the facility. * Develop and implement infrastructures and systems that support patient safety. * Work closely with Clinical Department practice to ensure the organization's procedures and policies are being followed by all employees. * Work with internal auditors, security contractors, and other staff to establish an internal control system. * Monitor and analyze program performance data to determine program effectiveness and identify opportunities for improvement. Insure compliance with all administrative requirements. * Responsible for identifying high-risk areas that could cause harm to persons receiving services, visitors, and employees. * Maintain database of full disclosure activities and provide oversight for review programs and provides technical support as needed. * Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation. * Serve as a resource and consultant for risk management activities, performance improvement, policy/procedure development and compliance initiatives. * Collaborate with clinical staff and management for prevention of clinical risks throughout the facility. Develops effective working relationships with clinical staff and administrative personnel to facilitate the delivery of patient care. * Create and implement policies and procedures that improve both patient care and employee safety. Ensure the application of institutional policies, especially those regarding patient rights, confidentiality and full disclosure. * Develop, implement, coordinate and facilitates the Quality Assurance/Process Improvement (QAPI) Program for facility. * Perform other tasks and functions as assigned. Licenses/Designations/Certifications: CPHRM Preferred. CPR and de-escalation/restraint/restraint certification required (training available upon hire and offered by facility). First aid may be required based on state or facility. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null

Mount Carmel Behavioral Health in Columbus, OH is hosting a HIRING EVENT! About Us: Mount Carmel Behavioral Health is an 80-bed treatment center located in Columbus, Ohio. We provide acute inpatient care for adult men and women who have been experiencing a wide range of mental or behavioral health challenges. Date: Wednesday, January 14th Time: 7:00am - 11:00am and 3:00pm - 6:00pm Address: 4646 Hilton Corporate Drive, Columbus, OH 43232 We are hiring for the below positions: Registered Nurse (RN)- Days and Nights RN: $36.00 to $44.75 per hour (dependent on years of experience) Behavioral Health Associate (BHA)- Days and Nights $16-$20 FT Therapist: $66,560-$82,742/yr PRN Therapist: $32/hr-$39.78/hr Assistant Director of Admissions-Acute: $52,000-$67,000 What you should know: RN and Admissions RN - Competitive rates $7500 Sign On Bonus for Day Shift RN and Admissions RN; $10,000 Sign on Bonus for Night Shift RN and Admissions RN. Extending immediate offers for select positions Offering FULL TIME schedules WALK-INs WELCOME What you should bring: Current Resume APPLY HERE TO RSVP! Qualifications TAEVENT #LI-MCBH Not ready to apply? Connect with us for general consideration.

Description: DEPARTMENT: Medical Operations REPORTS TO: Practice Manager STATUS: Non-exempt Assists in examination and treatment of patients under a Provider's direction by performing the following duties. Compensation: $18.85 is the starting rate hourly for the position. The starting rate has the potential to go up depending on years of relevant medical assistant experience. Hours: This position is for a clinic that is open 8a - 8p Monday - Saturday - to be eligible for this role you must be able to accommodate these working hours. ESSENTIAL DUTIES AND RESPONSIBILITIES: This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time. PATIENT CARE: Assists patients by answering routine questions, resolving minor difficulties and giving directions to patients as authorized by the Provider. Documents all patient communication in patient charts to include any Provider directed instructions. Supports the patient through the education and information on community resources, such as classes, support groups and pharmacy assistance programs. Provides education and support to patients and families as directed by the Provider. Assists patients in basic self-management goal setting. Applies basic active listening and behavior modification principles in goal discussions with patients. Makes appointments as needed and directed by the Provider. CLINICAL: As directed by the Provider, assists with routine office examinations and procedures that may include administering injections, medications, vaccinations and blood draws. Documents all procedures in the patient's chart. Documents all patient interaction, tracks and attaches laboratory and diagnostic test results to patient charts; communicates results and orders to patients as directed by the Provider. Serves as a liaison to pharmacies (Ex. In regards to new and refill prescriptions and follows up with patients as needed). Participates in both patient and practice level meetings. Assists with patient/population communications such as calls or letters to remind of needed preventive or chronic care steps. OPERATIONS: Prepares, cleans and sterilizes equipment and exam rooms as established by standard safety and clinical protocols. Properly handles the disposal of infectious/hazardous waste, according to OSHA guidelines. Inventories and requests supplies. Actively participates in quality improvement activities such as meetings, PDSA, pilots, data collection, evaluation of practice or location performance metrics, etc. Support a shared goal model in order to achieve high-quality care that is patient and family centered Participates in scheduled pre-visit planning/huddle process Facilitates coordination of care following hospital, ER utilization or follow up from specialty providers May participate in team meetings and quality improvement activities as necessary SUPERVISORY RESPONSIBILITIES: No direct reports. Requirements: QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION AND/OR EXPERIENCE: High School diploma or equivalent and graduation from an accredited program for Medical Assistants. MA Registration or Certification required. LANGUAGE SKILLS: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Job Descriptions Manual REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. COMPUTER SKILLS: To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet. CERTIFICATES, LICENSES, REGISTRATIONS: CPR certification required. Certified or Registered Medical Assistant required. OTHER SKILLS, KNOWLEDGE AND ABILITIES: Ability to speak Spanish desirable. Knowledge of examination, diagnostic, and treatment room procedures. Knowledge of medical equipment and instruments to administer patient care. Skill in taking vital signs. Skill in maintaining records and recording test results. Skill with geriatric patients and patients in lower socio-economic sectors of the community. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.

Job DescriptionDescription: JOB TITLE: Medical Certified Professional Biller DEPARTMENT: Administration - Finance - Revenue Cycle Management REPORTS TO: Director of Revenue Cycle Management STATUS: Non-exempt SUMMARY: Responsible for entering and coding patient services into computer system and ensuring encounters transfer properly for submission to insurance payers. Sorts and files paperwork, handles insurance claims, and performs collections/refund duties. ESSENTIAL DUTIES AND RESPONSIBILITIES: Collect, post, and manage patient account payments. Submit claims to insurance payers. Review delinquent accounts and call for collection purposes. Collect unpaid claims and clear up discrepancies Process refund requests to patients and insurance payers. Maintain strict patient confidentiality and information security. Sort and file paperwork. Ensure healthcare facilities are reimbursed for all procedures. Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding. Know and understand several different coding systems, including ICD-10-CM, ICD-10-PCS, CPT, Level 1 HCPCS and Level 2 HCPCS. Use computers / billing software to prepare and transmit claims. Follow up to see if a claim is accepted or denied. Investigate rejected claim to see why denial was issued. Investigate insurance fraud and report if found. Verify coverage and eligibility for medical services. Communicate with medical providers, patients, and insurance payers. Review patient accounts and correct any missing or inaccurate information. Use billing software to prepare and transmit claims. Investigate and appeal claims that were denied. Complete data entry to update spreadsheets and reports. Adapt to updates and changes in billing software. Review patient information and translate services into correct codes. Input medical data into patient account systems. Assist with training Medical office staff on billing/coding updates SUPERVISORY RESPONSIBILITIES: This job has no direct reports. Requirements: QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. REQUIRED SKILLS: Knowledgeable and experienced with Medical Terminology Multitask oriented, organizational and team skills Proficiency with computers, Microsoft Office 360 (Outlook, Word & Excel), Adobe and medical billing software Knowledge of unfair debt collection practices and insurance guidelines Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS Communication skills with patients/healthcare companies Basic accounting and bookkeeping practices EDUCATION AND/OR EXPERIENCE: Certified Professional Biller (CPC) certificate in medical billing field or 3+ years related experience and/or training; or equivalent combination of education and experience. LANGUAGE SKILLS: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. COMPUTER SKILLS: To perform this job successfully, an individual should have the ability to gain knowledge of the Practice Management System, NextGen software, Microsoft Office Suite, and Accounting software. CERTIFICATES, LICENSES, REGISTRATIONS: Medical Billing and Coding Certification OTHER SKILLS, KNOWLEDGE AND ABILITIES: Ability to speak Spanish helpful. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is occasionally exposed to fumes or airborne particles, toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.

Job DescriptionDescription: JOB TITLE: Manager of Revenue Cycle, II DEPARTMENT: Administration - Finance - Revenue Cycle Management REPORTS TO: Director of Revenue Cycle STATUS: Exempt SUMMARY: The RCM Manager II requires a strong background in Excel and experience with both producing and analyzing revenue cycle data. The RCM Manager II must be able to independently utilize multiple analytics and NextGen reporting tools to their fullest capacity to detect revenue gaps and missed reimbursement opportunities. ESSENTIAL DUTIES AND RESPONSIBILITIES: · Management of internal RCM staff · Daily/weekly/monthly pulse of metrics · Frequent analysis of accounts receivable · Review of user guides/product documentation to fully understand systems and products · Full utilization of analytical tools and products available to RCM · Identification of revenue gaps and claim issues · Identification of missed reimbursement opportunities · Delegation of focus areas to internal and/or external billers · Collaboration with team members and other departments · Assist payer enrollment specialist with roster reviews/submissions · Assist with payer contract analysis and fee schedule reviews · Escalation point for complex A/R issues · Coordination of meetings with payer reps as needed · Organized capture and storage of meeting minutes · Project management (as needed) · Adapt to billing software changes and assist with upgrade testing · Maintain strict patient confidentiality and information security SUPERVISORY RESPONSIBILITIES: This role will have several direct reports. Requirements: QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. REQUIRED SKILLS: · Knowledge of medical terminology and coding (CPT/diagnosis) · Proficient knowledge of Excel (PivotTables and V-Lookups required) · Expansive knowledge of both state and federal insurance policies · Knowledgeable with FQHC billing (PPS vs FFS reimbursement) · NextGen PM system experience (including file maintenance a plus) · Multitask oriented, organizational and team skills · Some experience with payer enrollment/provider credentialing · Proficiency with computers, Microsoft Office 360 (Outlook, Word & Excel), Adobe · Knowledge of unfair debt collection practices and insurance guidelines · Communication skills with patients/healthcare companies EDUCATION AND/OR EXPERIENCE: · 5+ years of experience in revenue cycle management · 5+ years of supervisory experience (direct reports) · 5+ years of recent NextGen experience LANGUAGE SKILLS: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. COMPUTER SKILLS: To perform this job successfully, an individual should have the ability to gain knowledge of the Practice Management System, NextGen software, Microsoft Office Suite, and Accounting software. CERTIFICATES, LICENSES, REGISTRATIONS: · Medical Billing Certification or equivalent required · NextGen PM certification preferred OTHER SKILLS, KNOWLEDGE AND ABILITIES: Ability to speak Spanish helpful. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is occasionally exposed to fumes or airborne particles, toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The DBA is responsible for the overall database delivery of the Enterprise Data Warehouse for the Medicaid agency. It is a critical role involving expertise in working with Medicaid data itself, security, supporting and maintaining hardware and software, and ensuring we are achieving optimal performance. For example, the DBA is expected to provide a wide range of expertise including the ability to help a user to fetch data (requiring business knowledge) and the technical ability to support a major Teradata upgrade. This role requires regular onsite presence in Springfield, Illinois to perform backup/restore and support onsite maintenance by Teradata (and its subcontractors). This position will be part of our Data Engineering function and data warehousing and analytics practice. Data Engineering Functions may include database architecture, engineering, design, optimization, security, and administration; as well as data modeling, big data development, Extract, Transform, and Load (ETL) development, storage engineering, data warehousing, data provisioning and other similar roles. Responsibilities may include Platform-as-a-Service and Cloud solution with a focus on data stores and associated eco systems. Duties may include management of design services, providing sizing and configuration assistance, ensuring strict data quality, and performing needs assessments. Analyzes current business practices, processes and procedures as well as identifying future business opportunities for leveraging data storage and retrieval system capabilities. Manage relationships with software and hardware vendors to understand the potential architectural impact of different vendor strategies and data acquisition. May design schemas, write SQL or other data markup scripting, and helps to support development of Analytics and Applications that build on top of data. Selects, develops, and evaluates personnel to ensure the efficient operation of the function. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Manage, monitor, and maintain OnPrem Teradata hardware/software including patches, replacements, and upgrades with support from Teradata * Support data governance, metadata management, and system administration * Plan and execute tasks required to ensure the Teradata system is operational including occasional evening and weekend support for Teradata maintenance * Provide direction to developers on Operational, Design, Development, and Implementation projects to ensure best use of the Teradata system including review/approval of database components (such as tables, views, SQL code, stored procedures) * Performing database backup and recovery operations - using the BAR DSA and NetBackup * Developing proactive processes for monitoring capacity and performance tuning * Providing day-to-day support for the EDW users problems like job hands, slowdowns, inconsistent rows, re-validating headers for tables with RI constraints, PPIs, and configuration * Maintaining rules set in the Teradata Active System Management (TASM) and supporting workload management * Maintaining the Teradata Workload Manager with the proper partitions and workloads based on Service Levels * Supporting the database system and application server support for the Disaster Recovery (DR) build/test, annual drill, and quarterly maintenance as needed * Actively monitoring the health of the Teradata system and Teradata Managed Servers (TMS) using Viewpoint and other tools and application servers and make preventive or corrective actions as needed * Maintaining access rights, role rights, priority scheduling, and reporting using dynamic workload manager, Database Query Log (DBQL), usage collections and reporting of ResUsage, AmpUsage, and security administration etc. * Coordinating with the team and customers in supporting database needs and making necessary changes to meet the business, contractual, security, performance, and reporting needs * Supporting internal or external audit process and address vulnerabilities or risk proactively * Prepare and support IRS and internal audit * Coordinating with Teradata to perform Teradata system hardening and delivery of Safeguard Computer Security * Evaluation Matrix (SCSEM) Reports as needed, addressing issues in the hardening and vulnerability scan report * Generating and maintaining capacity management, Space, and CPU reports on analyzing the Spool, CPU, I/O, Usage, and Storage resources and proactive monitoring to meet performance and growth requirements * Reviewing and resolving Teradata alerts and communicating any risk / issues or impact to the management, team, and business users through appropriate communication strategy * Effectively reporting status, future roadmap, proactive process improvements, automation, mitigation strategies, and compensating controls to the management and clients * Leading database or data related meetings and projects/activities delivering quality deliverables with minimal supervision/direction * Sharing knowledge, coaching/mentoring other members in the team for backups * Performing additional duties that are normally associated with this position, as assigned * Responsible for front-end tool (OpenText Bi-Query) and model maintenance and administration You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 7+ years of experience as a Teradata DBA on Version 15+ (preferably 17+) and experience leading Teradata major upgrade/floor sweep * 5+ years of experience as primary/lead DBA with solid leadership and presentation skills * 5+ years of experience writing complex SQL using SQL Assistant/Teradata Studio * 3+ years of experience with Teradata 6800/1800 system or IntelliFlex * 3+ years of experience extracting, loading, and transforming structured/unstructured data using Teradata Utilities (FastLoad, Multiload, FastExport, BTEQ, TPT) in a Unix/Linux environment * 3+ years of experience performance tuning in a large database (>5TB) or data warehouse environment, using advanced SQL, DBQL and Explain plans * 3+ years of experience analyzing project requirements and developing detailed database specifications, tasks, dependencies, and estimates * 3+ years of experience identifying and initiating resolutions to customer facing problems and concerns associated with a query or database related business need * Data warehouse or equivalent system experience * Demonstrated excellent verbal/written communication, end client facing, team collaboration, mentoring skills, and solid work ethics * Demonstrated solid culture fit through integrity, compassion, inclusion, relationships, innovation, and performance Preferred Qualifications: * Teradata Vantage Certified Master * 5+ years logical and physical data modeling experience * 5+ years with Erwin or other data modeling software * 3+ years maintaining and creating models using OpenText BI-Query * 3+ years identifying and initiating resolutions to customer problems and concerns associated with a Data Warehouse or equivalent system * 3+ years working with end users/customers to understand requirements for technical solutions to meet business needs * 3+ years collaborating with technical developers to strategize solutions to align with business requirements * 3+ years defining standards and best practices and conducting code reviews * Experience working with project teams in metadata management, data/IT governance, business continuity plan, data security * Experience in Application Server Hardware/Software Administration (Windows/Linux) * Experience working in matrix organization as an effective team player * Experience working in agile environment such as Scrum framework and iterative/incremental delivery/release. * Experience in tools like DevOps and GitHub * Experience with State Medicaid / Medicare / Healthcare applications * Experience working in large Design Development and Implementation (DDI) projects * Experience upgrading to Teradata IntelliFlex * Knowledge/experience with Cloud databases such as Snowflake and migration from on Prem to Cloud project * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

We are looking to add a pleasant, well-mannered and experienced Front Desk Receptionist to our team on a PRN Basis! The candidate should be available days or evenings, including weekends, on an on-call basis. Ohio Hospital for Psychiatry is centrally located in Columbus, Ohio receiving referrals from all around the state. We are a 130-bed private, free-standing behavioral health facility that provides a continuum of services for adults and senior adults including crisis stabilization, medication management, group therapy, case management, and 24-hour nursing care in a safe and secure environment that is conducive to healing and recovery. OHP consists of five separate and distinct units, including: Geriatric, Adult Behavioral, Intensive Care, Dual Diagnosis & Intensive Outpatient. We are looking to add a pleasant, well-mannered and experienced Front Desk Receptionist to our team on a PRN Basis! The candidate should be available on an on-call basis, and some Friday evenings, and day or evening on Saturday and Sunday. Ohio Hospital for Psychiatry is centrally located in Columbus, Ohio receiving referrals from all around the state. We are a 130-bed private, free-standing behavioral health facility that provides a continuum of services for adults and senior adults including crisis stabilization, medication management, group therapy, case management, and 24-hour nursing care in a safe and secure environment that is conducive to healing and recovery. OHP consists of five separate and distinct units, including: Geriatric, Adult Behavioral, Intensive Care, Dual Diagnosis & Intensive Outpatient. PURPOSE STATEMENT: Perform general clerical duties in accordance with the office procedures of the facility. ESSENTIAL FUNCTIONS: * Responsible for handling front office reception and general administrative duties. * Serves visitors, vendors and other outside guests by greeting, welcoming and directing them appropriately. * Notify facility personnel of visitor's arrival. * Maintain security by following established procedures including monitoring guest logbook and issuing visitor badges, if required. * Keep track of inventory and work with supply vendors to ensure a well-stocked office. * Answer and transfer telephone calls or take messages. * Handle facility inquiries and provide general information. * Sort and deliver incoming mail and send outgoing mail. * Copy, file and update paper and electronic documents. OTHER FUNCTIONS: * Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * High School diploma or equivalent required. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Not Applicable BENEFITS: Ohio Hospital provides a comprehensive package of benefits for our staff working 30+ hours / week. Current benefits include: * Competitive hourly rates with shift differentials available * Medical, dental, and vision insurance * Acadia Healthcare 401(k) plan * Excellent training programs * Professional growth opportunities that are second to none in the industry - Join a team with defined career paths and a national family of hospitals and facilities! TRAINING AND ORIENTATION (optional) Ohio Hospital is committed to training and safety. All new staff will attend a 4-day hospital-wide orientation before spending additional time training within your unit. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null

Now Hiring: Revenue Cycle Specialist Location: This position is remote. In order to attend in person meetings from time to time, an ideal candidate would live within a resonable drive to Franklin, TN or Providence, RI. Hours: Monday- Friday, 40 hours/week Our Benefits: * Comprehensive Medical, Dental, & Vision insurance * Competitive 401(k) plan with company match * Company paid group term life insurance and short-term disability * Generous PTO: Paid vacation, personal time, sick Leave, and extended sick leave * Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being * Career advancement opportunities across a leading national network Your Job as a Revenue Cycle Specialist: Responsible for daily accounts receivable collections and billing. Role's focus is to assist with increasing collections, reducing accounts receivable days, and reducing bad debt. Partners with the field to ensure appropriate and timely revenue and collections. Job Responsibilities: * Responsible for updating patient Billing Episodes and crediting account, as appropriate. * Review and resolve prior authorization/precertification/referral issues that are not valid and contact insurance carriers to verify/validate requirements to ensure accuracy and avoid potential denial. * Validates all necessary referrals/prior authorizations/pre-certifications for scheduled services are on file and shared with all appropriate staff and are valid for the scheduled services performed. * Ensure all account activity is documented in the appropriate system and shared with all appropriate staff timely and thoroughly. * Clinic Emails - responsible for managing clinic emails throughout the day. All clinic emails must be responded to in a timely manner. * Identify, Correct and forward potential reimbursement problems to Revenue Cycle Manager. * Proactively interacts with Clinics and other appropriate staff sharing benefits, authorizations, and eligibility. * Responsible for billing all patient claims in a timely manner (weekly billing, secondary and out-of-network plans). * Review claims issues make corrections as needed and rebill. Utilize claims clearinghouse, EMRs and payor portals to review and correct claims and to resubmit electronically when available. * Responsible for evaluating bill cycles and changing/updating when necessary. * Responsible for printing daily billing reports - both electronic and paper claims. Monitor validation percent. * Work daily claims rejection lists including but not limited to; claims rejected due to auto eligibility process during weekly billing and "Rejected" claims due to eligibility, coordination of care and authorization as part of accounts receivable. * Gathers and interprets data from the system and understands appropriate courses of action to take and initiates time-sensitive and strategic steps resulting in payment. * Call and status outstanding claims with third party payors. * Review explanation of benefits to ascertain that claim processed and paid correctly. * Document account follow-up where appropriate. * Identify trends and work with the Revenue Cycle Manager for resolution. * Perform other duties as assigned. Your Education, Skills, & Qualifications: * High school diploma or equivalent; prefer some college or technical school coursework. * 2+ years of healthcare billing/AR experience, preferred. * Healthcare payor claims follow-up or accounts receivable experience. * Healthcare background with payor appeals experience. * Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint. * Knowledge of office administration procedures with the ability to operate most standard office equipment. * Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality. * Excellent interpersonal skills include the ability to interact effectively and professionally with individuals at all levels; both internal and external. * Exercises sound judgment in responding to inquiries; understands when to route inquiries to the next level. * Self-motivated with strong organizational skills and superior attention to detail. * Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes. * Capable of working within established policies, procedures and practices prescribed by the organization. * English sufficient to provide and receive instructions/directions. We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. #LI-AH #LI-BS1

Glenwood Behavioral Health in Cincinnati, OH is hosting a job fair! About Us: Glenwood Behavioral Health Hospital is a licensed 90-bed leading psychiatric inpatient treatment hospital in the Cincinnati, OH, area. Glenwood provides leading inpatient psychiatric programs for individuals experiencing crisis from substance use, mental health issues, or both. Our mental health center is at the forefront of effective evidence-based practices. Glenwood offers a safe environment to help individuals regain control of their lives. When: Wednesday, January 14th, 2026 Time: 9:00 am - 3:30 pm Address: 2446 Kipling Ave, Cincinnati, OH 45239 We are hiring for the below positions: RN - Registered Nurses - Days and Nights BHA - Behavioral Health Associates - Days and Nights Therapist- Full-time and PRN Cook What you should know: Extending immediate offers for select positions Competitive rates WALK-INs WELCOME What you should bring: Current Resume APPLY HERE TO RSVP! TAEVENT #LI-GBH Qualifications TAEVENT #LI-CRES

Primary.Health is the engine behind your COVID-19 testing and vaccination programs. Our web-based platform provides government agencies, schools, healthcare facilities, and community based organizations the ability to quickly register participants, schedule appointments, arrange for easy onsite check-in and check-out, and exchange data between labs and state databases, easing the reporting process. JOB TITLE: CX QA Specialist REPORTING TO: Technical Program Manager JOB TYPE: Full-time LOCATION: Remote JOB SCOPE: At Primary, we believe in tackling hard problems together as a team, with strong values around collaboration, accountability, and transparency while assisting participants in getting tested and vaccinated. CX QA Specialist is responsible for assessing the performance quality of CX Support Specialists and ensuring a full understanding and implementation of company processes. The QA Specialist reports to the CX Lead, Quality Assurance. They'll monitor everything pertaining to quality with CX calls and emails in the Support Specialists files and provide their feedback which will roll up to the Team Leads and CX Management. They'll monitor inbound and outbound calls and emails to ensure accuracy and compliance guidelines are followed. They'll work closely with the CX Lead, Quality Assurance, Team Leads and management to ensure professionalism, competence, and capability. The ideal candidate pays close attention to detail, is organized and has strong written and verbal communication skills. A proficiency with using Google Workspace apps (G Suite) and Chrome browser is ideal. The ideal candidate is detailed-oriented and organized. Is able to openly communicate with the CX team and Management. MAJOR JOB DUTIES: Monitor inbound and outbound inquiries (phone and email) to ensure accuracy and quality and is in accordance with company policies and procedures. Ensure full participation and engagement in all company-related events and commitments. Provide constructive feedback via QA form to CX leads so they can relay to CX Customer Support Specialists to further improve their skills, understanding, and knowledge. Stays up to date with changes and new client processes and guidelines. Act as a liaison between Team Leads and CX Support Team. Contribute to team culture in a positive manner and foster a healthy and comfortable work environment. Informs CX Lead, Quality Assurance and Management when an agent is on their final warning and assists with next steps such which can lead up to termination. QUALIFICATIONS: Pays attention to detail and is able to assist with processes, and documentation. Sets a good example to CX agents and Team Leads. Able to monitor according to QA guidelines and provide detailed notes and feedback on all CX Support Specialists. Excellent written and typing skills. Proficient with Google suite. Tech savvy with knowledge of telephone equipment and relevant computer programs such as Zendesk, Kustomer, Ujet and/ or other call center and ticketing software. Primary embraces diversity. We are proud to be an equal opportunity workplace and do not discriminate on the basis of sex, race, color, age, sexual orientation, gender identity, religion, national origin, citizenship, marital status, veteran status, or disability status. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R - Respect I - Innovation S - Stewardship E - Excellence School-Based Behavioral Health Manager (SBHM) Overview The School-Based Behavioral Health Manager leads and oversees behavioral health services embedded within school-based setting - combining clinical leadership, program management, staff supervision, and direct patient care. The SBHM is responsible for overseeing and managing PHS' behavioral health services within school-based settings. This includes supervision of therapists and crisis intervention clinicians to ensure continuity of care, collaborating with school staff and community providers. The serves SBHM is a key leader in integrating behavioral health supports within the educational environment to promote student well-being and academic success. A Day in the Life: Clinical & Direct Care (40-50% of time) · Provide direct behavioral health services ensuring the SBH Manager remains connected to patient care and care model fidelity. Program Management · Participate in program planning, development, and evaluation for the school-based behavioral service line · Oversee the school-based behavioral services within educational environments. · In collaboration with Chief Health Officer, Quality and Operations departments develop or refine policies, procedures, standards of care, workflows, and referral pathways to support school-based services and efficient collaboration between care teams. · In coordination with the Director of Behavioral Health, oversee quality assurance, key performance indicators and initiatives e.g., productivity, clinical quality metrics. · In coordination with Student Program Coordinator, participate actively ensures successful student/preceptor program. · Participate actively in supporting grant work plans that are supporting behavioral health services. Staff Supervision & Clinical Leadership · Provide supervision, mentorship, and ongoing training to behavioral health clinicians. · Conduct staff performance evaluations, participate in hiring/onboarding/off boarding (in coordination with HR), and support professional development and retention strategies. · Collaborate with leadership on service capacity planning, productivity targets, scheduling, and resource allocation to sustain a financially viable school-based behavioral health service line. · Driving results by taking initiative, managing execution, and holding self and others accountable to achieve goals, even in challenging circumstances. · Understanding the business from the customer's perspective, using data to make informed decisions, and ensuring timely decisions that advance the organization. · Engaging people through effective communication and building collaborative relationships across the organization. · Holding oneself accountable by fostering trust, demonstrating self-awareness and self-development, and remaining flexible and adaptable. · Maximize contribution to ensure meeting company strategic goals, key performance indicators or initiatives. Core Competencies · Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met. · Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills. · Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements. · Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems. · Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow. Requirements Success Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Education/Experience · Master's degree (or higher) in a behavioral health discipline (e.g., Clinical Social Work, Counseling, Psychology, Counseling Psychology, or related field) from an accredited institution. Active, unrestricted licensure in the relevant behavioral health discipline per state of Ohio requirements · Minimum of 2 years of post-licensure clinical experience providing behavioral health services, ideally including experience in educational or collaborative settings. · Independently licensed within 6 months of hire. · Supervision certification within 1 year of hire. · Excellent communication, consultation, collaboration, and teamwork skills; ability to function as part of a multidisciplinary team (school staff, PCPs, nursing, care management, BH, community resources). · Strong organizational, administrative, and leadership skills; ability to manage program operations, oversee workflows, monitor quality, and support continuous improvement. · Comfort working with diverse patient populations, vulnerable communities, and individuals with co-occurring physical health, behavioral health, and social needs. Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of an organization. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet. Certificates, Licenses, Registrations None required for this position. Other Applicable Requirements Skill with patients in lower socio-economic sectors of the community. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate. Affirmative Action/EEO Statement It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Mount Carmel, in partnership with Acadia Healthcare, is an 80-bed, free-standing behavioral health facility. Mount Carmel Behavioral Health is designed to meet the unique needs of adult patients and their families who are seeking treatment for various behavioral health diagnoses, such as depression and other mood disorders, schizophrenia, and psychiatric disorders complicated by co-occurring addictions. Our team of medical and psychiatric professionals will work with each patient to create an individualized treatment plan. We are looking for a Certified Activity Therapist to join our team! PURPOSE STATEMENT: Plan, direct and implement activity therapy programs as a component of the patient's treatment plan. Responsibilities ESSENTIAL FUNCTIONS: Complete activity assessment through patient observation and patient/family interview, obtaining information on the patient's needs, skills, interests and limitations for the development and implementation of the treatment plan. Plan, organize, direct and implement the activities within the treatment program to facility patient progress with treatment goals. Plan and implement an activities program including but not limited to therapeutic leisure skills and activities, leisure education and leisure awareness. Facilitate and lead activity sessions to improve patient mental and physical well-being. Instruct patients in activities and techniques, such are sports, dance, music, art or relaxation techniques designed to meet their specific needs. Develop treatment plans and implement activity interventions that meet patient needs and interests and helps the patient achieve his/her treatment goals. Engage patients in therapeutic activities, such as exercise, games and community outings. Help patients learn social skills needed to become or remain independent. Modify activities to suit the needs of specific groups. Demonstrate a positive, empathetic and professional attitude towards customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority. OTHER FUNCTIONS: Perform other functions and tasks as assigned. Qualifications EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Bachelor's Degree in Therapeutic Recreation, Recreational Therapy or related field required. Master's degree preferred. Three or more years' experience in recreation in a healthcare setting with knowledge of patient population served by the facility required. Previous experience in recreation in a healthcare setting is preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: Certified Therapeutic Recreation Specialist (CTRS) or currently in the process of obtaining national certification; OR certified in the area of specialty (Art, Dance, Music, etc.) OR clinical professional licensure (LCPC, LPC, etc.) with certification in expressive therapy area required. CPR and de-escalation and restraint certification required (training available upon hire and offered by facility). First aid may be required based on state or facility requirements. While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. MTCAR

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** This position is a Medicaid Subject Matter (SME) Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation and maintenance & operations. The selected SME will provide the required decisions for the business and technical team members to modify, change, enhance or correct within the system, related to claims, provider, and recipient data. Roles in this function will partner with stakeholders to understand data requirements and support development tools and models such as interfaces, dashboards, data visualizations, decision aids and business case analysis to support the organization. Additional roles include producing and managing the delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute position with some ( You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations + With the specialized knowledge of the Medicaid and Children's Health Insurance Programs (CHIP), lead and guide internal and external stakeholders to make determinations relating to complex processes involving claims processing/adjudication, recipient eligibility, provider enrollment, and third-party liability + Proactively identify and understand state Medicaid agency data needs and determines the recommended solution to meet them with credible reason, justification and validated proof of concepts + Direct technical and business teams on healthcare topics understanding and utilizing healthcare data appropriately + Proactively suggest and recommend enhancements and improvements throughout the project processes, driven by Medicaid best practices, standards and policies You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 10+ years of experience in information technology with 5+ years of experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems + 2+ years of experience working CMS Federal Reporting MARS, PERM, T-MSIS, Quality of Care CMS Core Measure or similar projects + Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered + Understanding of claims, recipient/eligibility, and provider/enrollment data processes + Proven ability to create and perform data analysis using SQL, Excel against data warehouses utilizing large datasets + Proven excellent verbal/written communication and presentation skills, manager/executive/director-level client facing, team collaboration, and mentoring skills + Proven solid culture fit, demonstrating our culture values in action (Integrity, Compassion, Inclusion, Relationships, Innovation, and Performance) + Ability to travel to Springfield, IL two (3) to three (4) times per year or as needed **Note:** Core customer business hours to conduct work is M-F 8 AM - 5 PM CST. **Preferred Qualifications:** + 2+ years of experience in HEDIS, CHIPRA or similar quality metrics + Experience with data analysis using Teradata Database Management System or other equivalent database management system + Experience using JIRA, Rally, DevOps or equivalent + Experience in large implementation or DDI project + Located within driving distance (3 - 5 Hours) of Springfield, IL *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._