Admissions Services Specialist Acute
Specialist job at Acadia Healthcare
Ready to make a difference in behavioral health-without leaving home? Acadia Healthcare is looking for Remote Registered Nurse Admissions Services Specialists to support our Acute Behavioral Health Facilities nationwide.
Work Style: 100% Remote
What you'll do:
Verify benefits for assigned facilities
Monitor and process patient referrals (including fax referrals)
Respond to inquiries within policy timeframes
Support admissions teams across the country
Work one weekend day shift (Friday, Saturday, or Sunday)
What we're looking for:
✔ RN with BSN (required)
✔ Master's degree preferred (MSN, MHA, MPH, or related)
✔ Familiarity with behavioral health services and admissions processes
✔ Understanding of insurance reimbursement practices
✔ Tech-savvy with Salesforce, Concur, and MS Office
At Acadia Healthcare, we're passionate about helping individuals with co-occurring mood, addiction, and trauma disorders. Our admissions team plays a critical role in making that happen-and you could be part of it.
Responsibilities
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.
Qualifications
LICENSES/DESIGNATIONS/CERTIFICATIONS:
Licensure, as required for the area of clinical specialty, i.e., RN 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
ANTWK
Auto-ApplyAdmissions Services Specialist Acute
Specialist job at Acadia Healthcare
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
Remote Medical Customer Service Specialist
Fort Smith, AR jobs
_The Remote Medical Customer Service Specialist serves as the initial point of contact for customers, addressing inquiries, resolving issues, and delivering high-quality service to ensure a positive customer experience. This entry-level role requires excellent communication skills, attention to detail, and the ability to manage a variety of customer requests through multiple channels, including phone, email, and chat. The Representative works in a performance-driven environment, adhering to established service metrics and standards, while collaborating with other departments to ensure timely and effective resolution of customer concerns._
_As a Customer Service Specialist at Community Health Systems (CHS) - Shared Services, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental, and vision insurance, paid time off (PTO), 401(k) with company match, tuition reimbursement, and more._
**_Essential Functions_**
+ _Responds to customer inquiries through phone, email, chat, or other communication channels, providing accurate and timely information._
+ _Clarifies and resolves customer issues by identifying their needs, determining root causes, and implementing effective solutions._
+ _Escalates complex or unresolved issues to appropriate team members or departments, ensuring prompt follow-up and resolution._
+ _Provides triage support for common issues related to platforms, applications, and back-office processes._
+ _Documents all interactions accurately and thoroughly in the customer relationship management (CRM) system, ensuring detailed records of inquiries and resolutions._
+ _Adheres to quality standards and key performance indicators (KPIs), including productivity, response times, and customer satisfaction ratings._
+ _Delivers exceptional customer service by maintaining professionalism, patience, and a customer-focused attitude in all interactions._
+ _Contributes to a team-oriented work environment by sharing insights, offering assistance, and collaborating effectively with peers and supervisors._
+ _Performs other duties as assigned._
+ _Complies with all policies and standards._
+ _This is a fully remote opportunity._
**_Qualifications_**
+ _H.S. Diploma or GED required_
+ _Associate Degree or some college coursework in a related field preferred_
+ _1-2 years of customer service experience required, preferably in a call center or help desk environment required_
+ _Familiarity with CRM software and customer service tools preferred_
**_Knowledge, Skills and Abilities_**
+ _Strong verbal and written communication skills, with the ability to clearly convey information and resolve customer concerns._
+ _Proficient in using computer systems, including Microsoft Office Suite and CRM platforms._
+ _Excellent problem-solving and critical-thinking abilities._
+ _Ability to manage multiple tasks and prioritize effectively in a fast-paced environment._
+ _Detail-oriented with a strong focus on accuracy and quality._
+ _Demonstrated ability to work independently and as part of a team._
+ _Strong interpersonal skills and the ability to build rapport with customers and colleagues._
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
_This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer._
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Remote Medical Scheduling Specialist - Patient Access Center
Fort Smith, AR jobs
The Scheduling Specialist is responsible for supporting scheduling functions across assigned hospitals, clinics, or centralized patient access centers and will be the first point of contact for patients. This focuses on managing patient appointment scheduling, helping with general patient needs, and accurately communicating patient needs to the clinical staff through centralized call center operations. The Scheduling Specialist ensures communications and appointments are accurate, timely, and compliant with organizational policies while fostering effective communication with clinicians, patients, and leadership.
_As a Scheduling Specialist at Community Health Systems (CHS) - Patient Access Center, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental, and vision insurance, paid time off (PTO), 401(k) with company match, tuition reimbursement, and more._
**Essential Functions**
+ Completes accurate patient appointment scheduling across multiple clinics, depending on assignment.
+ Receives inbound communication from clinicians, patients, and staff via phone, text, email, and/or call center platforms to address scheduling needs, and handle urgent or emergent requests.
+ Assesses caller needs to identify urgent clinical matters for immediate warm transfer to clinic staff. For non-urgent requests (refills, clinical questions), accurately documents and route communications to the appropriate staff via the EMR.
+ Verifies patient demographics and insurance information, ensuring compliance with applicable requirements.
+ Research patient requests within the medical record, provide necessary information, and resolve inquiries effectively while maintaining patient confidentiality.
+ Monitors EMR in-baskets, call center systems, and related technology (as needed) to manage communication workflows effectively.
+ Provides timely and professional service to patients, providers, and facility staff, ensuring positive experiences and adherence to standards.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
+ _This is a fully remote opportunity._
**Qualifications**
+ H.S. Diploma or GED required
+ Bachelor's Degree in Healthcare Administration, Business Administration, or a related field preferred
+ 1-3 years of experience in scheduling, operations, or healthcare administration required
+ 1-3 years of experience in physician/provider scheduling, patient appointment scheduling, or call center operations
**Knowledge, Skills and Abilities**
+ Proficiency in scheduling software, EMR systems, and Microsoft Office Suite.
+ Excellent verbal and written communication skills with strong customer service orientation.
+ Delivers prompt, courteous, and knowledgeable support to customers.
+ Strong problem-solving skills and attention to detail.
+ Ability to manage multiple priorities in fast-paced hospital, clinic, or call center environments.
+ Knowledge of healthcare industry standards, patient confidentiality, and compliance protocols.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
_This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer._
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Remote Medical Scheduling Specialist - Patient Access Center
Remote
The Scheduling Specialist is responsible for supporting scheduling functions across assigned hospitals, clinics, or centralized patient access centers and will be the first point of contact for patients. This focuses on managing patient appointment scheduling, helping with general patient needs, and accurately communicating patient needs to the clinical staff through centralized call center operations. The Scheduling Specialist ensures communications and appointments are accurate, timely, and compliant with organizational policies while fostering effective communication with clinicians, patients, and leadership.
As a Scheduling Specialist at Community Health Systems (CHS) - Patient Access Center, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental, and vision insurance, paid time off (PTO), 401(k) with company match, tuition reimbursement, and more.
Essential Functions
Completes accurate patient appointment scheduling across multiple clinics, depending on assignment.
Receives inbound communication from clinicians, patients, and staff via phone, text, email, and/or call center platforms to address scheduling needs, and handle urgent or emergent requests.
Assesses caller needs to identify urgent clinical matters for immediate warm transfer to clinic staff. For non-urgent requests (refills, clinical questions), accurately documents and route communications to the appropriate staff via the EMR.
Verifies patient demographics and insurance information, ensuring compliance with applicable requirements.
Research patient requests within the medical record, provide necessary information, and resolve inquiries effectively while maintaining patient confidentiality.
Monitors EMR in-baskets, call center systems, and related technology (as needed) to manage communication workflows effectively.
Provides timely and professional service to patients, providers, and facility staff, ensuring positive experiences and adherence to standards.
Performs other duties as assigned.
Complies with all policies and standards.
This is a fully remote opportunity.
Qualifications
H.S. Diploma or GED required
Bachelor's Degree in Healthcare Administration, Business Administration, or a related field preferred
1-3 years of experience in scheduling, operations, or healthcare administration required
1-3 years of experience in physician/provider scheduling, patient appointment scheduling, or call center operations
Knowledge, Skills and Abilities
Proficiency in scheduling software, EMR systems, and Microsoft Office Suite.
Excellent verbal and written communication skills with strong customer service orientation.
Delivers prompt, courteous, and knowledgeable support to customers.
Strong problem-solving skills and attention to detail.
Ability to manage multiple priorities in fast-paced hospital, clinic, or call center environments.
Knowledge of healthcare industry standards, patient confidentiality, and compliance protocols.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.
Auto-ApplyCardiology Technical Support Analyst - National Remote
Somerset, NJ jobs
Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Answering support calls and working with fellow support team members and internal software development groups to identify and resolve problems
* Diagnosing software and hardware malfunctions as well as troubleshooting network problems relating to the system
* Providing remote systems administration to customer sites
* Providing remote software support and analysis to customers
* Performing proactive system maintenance check to ensure proper system functionality
* Following up on support issues proactively to provide timely updates and resolutions to customers
* Maintaining a highly professional and customer centric focus
* Providing ongoing product feedback to engineering and product development teams
* Continually seeking opportunities to increase customer satisfaction and deepen customer relationships
* Participate in various projects
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:
* High School Diploma/GED (or higher)
* 2+ years of experience in a technical support environment
* Intermediate level of proficiency in Windows operating systems
* Intermediate level of proficiency in TCP/IP networking and routing
* Ability to work 8:30 am - 5:00 pm EST
* Ability to do on-call duty, one week in duration and on a rotational basis every 3-5 weeks (compensation will be provided for the additional work)
Preferred Qualifications:
* Bachelor's degree (or higher) of Computer Science, Engineering or Computer Technology background
* Background Supporting Hospital Enterprise systems
* Knowledge of Dicom and HL7 standards
Soft Skills:
* Proven excellent customer service skills
* Proven excellent written and verbal communication skills
* Demonstrates highly developed organizational skills and time management ability
* Demonstrates thrive in working in a fast-paced environment, multi-task and demonstrate flexibility
* Proven self-starter and team player with exceptional commitment to providing superior proactive customer service
* Proven ability to learn quickly in a high pace, challenging environment
Working Conditions/Physical Requirements:
* Shift work required. The Support group is open from 7am to 9pm ET. The start times vary on a weekly basis and are rotated within the assigned team
* General office demands
* All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
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.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN
Cardiology Technical Support Analyst - National Remote
Somerset, NJ jobs
**Opportunities at Change Healthcare** , part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: **Caring. Connecting. Growing together. **
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Answering support calls and working with fellow support team members and internal software development groups to identify and resolve problems
+ Diagnosing software and hardware malfunctions as well as troubleshooting network problems relating to the system
+ Providing remote systems administration to customer sites
+ Providing remote software support and analysis to customers
+ Performing proactive system maintenance check to ensure proper system functionality
+ Following up on support issues proactively to provide timely updates and resolutions to customers
+ Maintaining a highly professional and customer centric focus
+ Providing ongoing product feedback to engineering and product development teams
+ Continually seeking opportunities to increase customer satisfaction and deepen customer relationships
+ Participate in various projects
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:**
+ High School Diploma/GED (or higher)
+ 2+ years of experience in a technical support environment
+ Intermediate level of proficiency in Windows operating systems
+ Intermediate level of proficiency in TCP/IP networking and routing
+ Ability to work 8:30 am - 5:00 pm EST
+ Ability to do on-call duty, one week in duration and on a rotational basis every 3-5 weeks (compensation will be provided for the additional work)
**Preferred Qualifications:**
+ Bachelor's degree (or higher) of Computer Science, Engineering or Computer Technology background
+ Background Supporting Hospital Enterprise systems
+ Knowledge of Dicom and HL7 standards
**Soft Skills:**
+ Proven excellent customer service skills
+ Proven excellent written and verbal communication skills
+ Demonstrates highly developed organizational skills and time management ability
+ Demonstrates thrive in working in a fast-paced environment, multi-task and demonstrate flexibility
+ Proven self-starter and team player with exceptional commitment to providing superior proactive customer service
+ Proven ability to learn quickly in a high pace, challenging environment
**Working Conditions/Physical Requirements:**
+ Shift work required. The Support group is open from 7am to 9pm ET. The start times vary on a weekly basis and are rotated within the assigned team
+ General office demands
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_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._
_Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN
Application Systems Programming Specialist (Remote)
Remote
Community Health Systems is seeking an Application Systems Programming Specialist to join its Integration Services team. This advanced technical role is responsible for leading the analysis, design, development, and support of complex system interfaces within a healthcare environment. The specialist will demonstrate expertise in industry trends, best practices, and interface programming using tools such as Mirth, Intersystems, and Rhapsody. Key responsibilities include ensuring seamless data integration, maintaining comprehensive documentation, and providing proactive solutions to optimize system performance. This role requires collaboration with internal and external stakeholders to achieve business objectives and the ability to manage complex technical projects in dynamic environments.
Essential Functions
Mirth Connect (Primary Focus)
Develop, maintain, and monitor HL7/FHIR interfaces using Mirth Connect.
Manage channels, transformations, filters, and communication protocols (TCP, SFTP, REST, etc.).
Handle Mirth upgrades, performance tuning, and participate in Disaster Recovery/High Availability (DR/HA) documentation and validation.
Collaborate with platform specialists to ensure high availability and platform integrity.
Troubleshoot production issues and lead root cause analysis across a diverse ecosystem of clinical systems and vendors.
Coordinate with offshore/onshore teams for 24x7 support coverage.
InterSystems HealthShare (Strategic Focus)
Participate in the pilot deployment of HealthShare Health Connect.
Build and configure message routes, transformations, and business processes using HealthShare components (IRIS, Ensemble).
Support platform consolidation planning across fragmented integration engines.
Assist in evaluating cloud-hosted options (e.g., Google Cloud Platform) for future-state deployment.
Interoperability & Standards
Work closely with the Technical Integration Manager and enterprise architecture team.
Implement and support workflows involving HL7 v2/v3, FHIR R4, X12, Continuity of Care Document (CCD), and Clinical Document Architecture (CDA).
Contribute to roadmap planning for advanced Health Information Exchange (HIE) participation, API adoption, and care coordination use cases.
Documentation & Communication
Develop and maintain documentation including design specifications, test cases, support runbooks, and DR plans.
Communicate effectively with hospital IT teams, vendors (Cerner, Medhost, Athena), and state agencies.
Qualifications
Bachelor's degree in Computer Science or Information Technology.
8+ years of hands-on integration engine experience in a healthcare integration environment.
5+ years of hands-on Mirth Connect experience in a healthcare integration environment.
Strong working knowledge of HL7 v2.x, FHIR, CCD/CDA, and interfacing protocols.
At least 2 years of experience with InterSystems HealthShare (Health Connect or Ensemble).
Experience supporting production interfaces in mission-critical hospital or HIE environments.
Familiarity with EMRs such as Cerner, Athena, Medhost, or Epic.
Basic scripting experience (JavaScript, XSLT, or Python preferred).
Ability to contribute to a 24x7 on-call rotation.
Preferred Qualifications:
Experience with cloud-based integration (Google Cloud Platform preferred).
Familiarity with Carequality/CommonWell networks, immunization registries, and HIE frameworks.
Understanding of HIPAA, HITECH, and healthcare compliance.
Auto-ApplyBilingual (English/Tagalog) Broker Agent Service Specialist - Hybrid in Multiple Locations
Dublin, OH jobs
**$1,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS** At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.**
Positions in this function provide support for our year-round Language Strategy by supporting consumers with specific Language needs through end-to-end call handling or acting as an interpreter based on license status. The Team also supports our Group Retiree Consumers in a Sales Support capacity to provide education to Retiree's who are offered custom plan benefits.
This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (7:00am to 10:00pm CST). It may be necessary, given the business need, to work occasional/mandatory overtime that could include a Saturday.
This is a Hybrid role - working a combination of onsite and at home. 3-4 days are required in office per week.
**Work Locations:**
+ Phoenix, AZ: 430 North Scottsdale Road, Tempe, AZ 85288
+ Minnetonka, MN: 9800 HEALTH CARE LANE, MINNETONKA, 55343
+ Miami, FL: 1000 NW 57th Court, Miami, FL, 33126
+ De Pere, WI: 2020 Innovation Court, De Pere, WI
+ Colorado Springs, CO: 9945 Federal Drive, Colorado Springs, CO
+ Englewood, CO: 169 Inverness Drive, Englewood, CO
+ Maryland Heights, MO: 13655 Riverport, Maryland Heights, MO
+ Roanoke, VA: 3645 Thirlane Road NW, Roanoke, VA
+ Dublin, OH: 5900 Parkwood Place, Dublin, OH
If you are located within a commutable distance to any of the above locations, you will enjoy the flexibility of a hybrid-remote position* as you take on some tough challenges.
**Primary Responsibilities:**
+ Primary support for consumers and members needing in-language support
+ Support inbound call volume with potential for occasional outbound for consumers and members
+ Provide education during Q3 and Q4 for Group Retiree inbound call volume
+ Uptrained to support Group Retiree prospective member chats through LivePerson technology. This includes completing enrollment applications through LivePerson as applicable. This is an uptraining after 1 year in the role and based on license status
+ Flexible and ability to adapt to special projects/campaigns to support year-round business needs.
+ Use knowledge of Medicare product portfolio to accurately assess the distinct needs of different prospects, explain the differences between various products and assist the prospective member in selecting a product that best meets their unique needs
+ Accurately and thoroughly complete and submit required documentation, consistent with Medicare requirements and guidelines
+ Meet and maintain requirements for agent licensure, appointments, and annual product certification
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher) OR 6+ months of customer service/sales experience
+ Health insurance license in state of residence OR ability to obtain within 6 months of starting employment
+ Intermediate level of proficiency with computer and Windows PC applications, including the ability to learn new and complex computer systems and apply for phone and off-phone activity
+ Ability to read, write, and speak fluently in English and our target language: Tagalog
+ Flexibility to work assigned shift within the hours of operation (Monday - Friday 7am - 10pm CST)
**Soft Skills:**
+ Ability to type and talk at the same time and navigate through multiple screens
+ Ability to follow outlined process and business expectations
+ Ability to multi-task in a fast-paced environment
+ Comfortable navigating between multiple computer systems running concurrently to search and share information with the consumer
+ Flexible to workflow changes and alter course when appropriate
+ Open to coaching and development
+ Ability to successfully field inbound and outbound calling campaigns
+ Consumer centric mindset
**Telecommuting Requirements:**
+ Reside within Minnetonka, MN, Miami, FL, OR Phoenix, AZ
+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy
+ Ability to keep all company sensitive documents secure (if applicable)
+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
****PLEASE NOTE** The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.**
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 hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
_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._
\#RPO #YELLOW
Community Health Systems is seeking cloud specialist for The Cloud Center of Excellence (CCoE) which is building a scalable, secure, and cost-efficient multi-cloud foundation across Google Cloud Platform (GCP), Oracle Cloud Infrastructure (OCI), and Microsoft Azure. This role will play an integral part roles enable seamless collaboration across architecture, engineering, data, and security teams-driving modernization, cost optimization, and compliance through CCoE best practices.
Key Responsibilities:
Work collaboratively with architecture team in design, deployment, and governance of enterprise-scale cloud infrastructure.
Implement automation frameworks, landing zones, and security controls.
Champion FinOps initiatives to optimize spend and performance.
Guide with CI/CD pipelines and infrastructure-as-code templates (Terraform, Ansible).
Troubleshoot complex multi-cloud issues and guide operational excellence.
Collaborate with architecture, security, and data teams to enforce compliance and resilience.
Required Qualifications:
Bachelor's or Master's in Computer Science, IT, or related discipline.
7-10 years in cloud engineering, DevOps, or platform architecture roles.
Deep experience in GCP and OCI; exposure to Azure preferred.
Proficiency in Terraform, Kubernetes, and CI/CD frameworks.
Strong documentation, troubleshooting, and mentorship skills.
Preferred certifications: Google Professional Cloud Architect OR OCI Architect Professional OR Azure Solutions Architect Expert.
Soft Skills:
Strong troubleshooting and analytical mindset
Clear verbal and written communication
Team player with ability to work independently and under pressure
Strong documentation and customer-facing collaboration skills
Why Join Us?
Be part of a mission-driven organization serving over 65 hospitals and clinics
Contribute to high-impact interoperability and modernization initiatives
Work with next-generation platforms
Grow within a high-performing integration and data engineering team
Auto-ApplyPractice Transformation Specialist
Remote
This position will schedule virtual or (permitting) in-person visits to assigned provider practices. This position serves as a consultant to assist in the transition to value-based care by enhancing provider practice skills in process improvement and quality, sharing identified practice population trends, and analyzing data and performance measurements. The position will be hybrid/remote.
Essential Duties and Responsibilities
Support operations, promote development, and maintain industry knowledge related to:
Accountable Care Organizations (ACOs)
Clinically Integrated Networks (CINs)
Other value-based care models as applicable
Provide data support to providers by exporting data, running reports, and analyzing trends, and demonstrate proficiency in interpreting the key insights and improvement areas to communicate to practices.
Provide general support of payer-driven and value-based quality programs. This includes but is not limited to Medicare Traditional and Advantage, Commercial, governmental, ACO, BPCI, CJR, and other quality-related and value-based reimbursement programs.
Schedule monthly/quarterly visits to assigned group practices in order to assist the physicians and staff with practice transformation action plans and update on progress toward established goals.
Support annual regulatory reporting submission requirements related to Medicare Quality programs (CQM, eCQM, MIPS, etc.) through coordination of data collection and submission. Assist as needed in EMR data extraction, chart reviews, and quality data collection for assigned practices.
Develop deep practice understanding by listening to providers and staff to help identify areas for improvement.
Understand practice-level challenges and barriers to achieving goals and share solutions for effectively resolving these issues.
Partner with assigned practices to train clinicians and office staff on workflows to incorporate into their daily activities that drive toward outcomes in the practice that improve care and reduce costs.
Collaborate on the development of training materials, project plans, tool kits, and evaluation materials.
Deliver practice-level training and toolkits for improving member care.
Review performance reports, quality dashboards and identify and develop suggestions for improvement plans for assigned practices.
Willingness to travel in assigned regions as needed.
Qualifications
Required Education: Bachelor's Degree from accredited school/university.
Preferred Education: Masters degree in relevant field preferred, relevant clinical/operational experience can be substituted.
Local candidates are preferred but will consider Remote
*** Up to 20% travel required***
Required Experience:
3-5 years of experience in practice engagement or operations, nursing, health technology, healthcare coding, population health, office management, or other healthcare related fields.
Excellent verbal/written communication, interpersonal, and customer service skills.
Moderate analytic knowledge needed to interpret and explain reports.
Preferred Experience:
Experience with Electronic Health Records (EHR) for clinical/practice management processes.
Computer Skills Required:
Proficient in Microsoft Office products such as Word, Excel, PowerPoint, email applications and in at least one analytics platform.
Auto-ApplyCall Center Specialist
Willoughby, OH jobs
Responsibilities The call center specialist is responsible for coordinating aspects of the admissions process. This includes, but not limited to efficient and effective handling of inquiry calls, processing of referrals for possible admission, knowledge of and communication with referral sources and customers who present for assessment. Additional responsibilities include insurance verification, patient registration process, vitals, wanding, patient observations, scheduling of evaluations, admission processing, bed board monitoring, belonging searches, and other non-clinical duties as assigned by admissions leadership team.
It takes passion and dedication to meet the behavioral health needs of our community. For over 100 years, Windsor Laurelwood Center for Behavioral Medicine, located in Willoughby, Ohio, has provided high-quality behavioral health and substance abuse treatment services to adults, adolescents, and children. We provide both inpatient and outpatient programming to meet your healthcare needs. The team at Windsor Laurelwood is dedicated to helping you regain control of your life.
Windsor Laurelwood is a part of one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in 2019. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Education: A Bachelor degree from an accredited college or university in social work, psychology, mental health or a related field preferred or a LPN license.
Experience: A minimum of one year experience in human services, social services, psychiatric, mental health or call center setting, performing administrative duties to include but not limited to crisis intervention, telephone triage and managing inquiry calls with a specialized focus on customer service.
Knowledge: To perform this job successfully, the candidate must have the ability to interface with customers in a calm professional manner. The candidate must possess the knowledge of crisis and behavior management, have excellent organizational skills with the ability to multitask, navigate through our computer systems and faxing and copying. Data entry and computer experience is preferred.
Work Environment: Work indoors, long periods of siting, continuously working near people, but usually a few feet of space separated from patients and co-workers, often exposed to distracting noises.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.We believe that diversity and inclusion among our teammates is critical to our success.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill-set and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public web-mail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************
Collections Specialist I - Correspondence (REMOTE)
Franklin, TN jobs
The Collections Specialist I is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support revenue cycle operations.
As a Collections Specialist-Correspondence at Community Health Systems (CHS) - SSC Nashville, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k.
**Essential Functions**
+ Performs follow-up on outstanding insurance balances within the required timeframe by working correspondence documents from insurance payors.
+ Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process.
+ Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication.
+ Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information.
+ Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts.
+ Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances.
+ Ensures proper application of account dispositions and follows self-pay policies and procedures.
+ Adheres to all local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
+ Daily pulling of electronic lockboxes from banking websites as well as indexing of incoming correspondence.
+ Triaging non patient related correspondence and providing to appropriate stakeholders for review.
**Qualifications**
+ H.S. Diploma or GED required
+ Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred
+ 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required
+ Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred
**Knowledge, Skills and Abilities**
+ Strong understanding of medical collections processes, payer reimbursement policies, and insurance claim resolution.
+ Proficiency in electronic medical record (EMR) systems, patient accounting systems, and collections software.
+ Knowledge of insurance contracts, denials management, and accounts receivable workflows.
+ Excellent problem-solving and analytical skills to research and resolve outstanding claims.
+ Effective verbal and written communication skills to interact with insurance payers, patients, and internal teams.
+ Strong attention to detail with the ability to document account activity accurately.
+ Ability to work independently in a fast-paced environment while meeting productivity and quality standards.
+ Knowledge of regulatory compliance, including HIPAA, FDCPA, and applicable healthcare finance laws.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Schedule Specialist - Remote - Elite Home Health
Jonesboro, AR jobs
Explore opportunities with Elite Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Scheduling Specialist you will managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborate with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers
* Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits
* Monitors pending referrals daily and assigns licensed professional and case manager for all start of care visits
* Communicates daily with field staff regarding any visits unaddressed in late, pending, or incomplete status for resolution as appropriate
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:
* High school education or equivalent experience
Preferred Qualifications:
* 1+ years of scheduling experience in a health care setting using an online scheduling system
* Exceptional organizational, customer service, communication, and decision-making skills
* Working knowledge of state and federal regulations governing OASIS visits, supervisory, and reassessment visits
* 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 hourly pay for this role will range from $14.00 to $27.69 per hour 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.
Cardiology Technical Support Analyst - National Remote
Minnetonka, MN jobs
**Opportunities at Change Healthcare** , part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: **Caring. Connecting. Growing together. **
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Answering support calls and working with fellow support team members and internal software development groups to identify and resolve problems
+ Diagnosing software and hardware malfunctions as well as troubleshooting network problems relating to the system
+ Providing remote systems administration to customer sites
+ Providing remote software support and analysis to customers
+ Performing proactive system maintenance check to ensure proper system functionality
+ Following up on support issues proactively to provide timely updates and resolutions to customers
+ Maintaining a highly professional and customer centric focus
+ Providing ongoing product feedback to engineering and product development teams
+ Continually seeking opportunities to increase customer satisfaction and deepen customer relationships
+ Participate in various projects
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:**
+ High School Diploma/GED (or higher)
+ 2+ years of experience in a technical support environment
+ Intermediate level of proficiency in Windows operating systems
+ Intermediate level of proficiency in TCP/IP networking and routing
+ Ability to work 8:30 am - 5:00 pm EST
+ Ability to do on-call duty, one week in duration and on a rotational basis every 3-5 weeks (compensation will be provided for the additional work)
**Preferred Qualifications:**
+ Bachelor's degree (or higher) of Computer Science, Engineering or Computer Technology background
+ Background Supporting Hospital Enterprise systems
+ Knowledge of Dicom and HL7 standards
**Soft Skills:**
+ Proven excellent customer service skills
+ Proven excellent written and verbal communication skills
+ Demonstrates highly developed organizational skills and time management ability
+ Demonstrates thrive in working in a fast-paced environment, multi-task and demonstrate flexibility
+ Proven self-starter and team player with exceptional commitment to providing superior proactive customer service
+ Proven ability to learn quickly in a high pace, challenging environment
**Working Conditions/Physical Requirements:**
+ Shift work required. The Support group is open from 7am to 9pm ET. The start times vary on a weekly basis and are rotated within the assigned team
+ General office demands
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_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._
_Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN
Schedule Specialist
Las Vegas, NV jobs
Explore opportunities with Always Better Care, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As the Scheduling Specialist you will managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborate with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers
+ Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits
+ Monitors pending referrals daily and assigns licensed professional and case manager for all start of care visits
+ Communicates daily with field staff regarding any visits unaddressed in late, pending, or incomplete status for resolution as appropriate 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:**
+ High school education or equivalent experience
**Preferred Qualifications:**
+ 1+ years of scheduling experience in a health care setting using an online scheduling system
+ Exceptional organizational, customer service, communication, and decision-making skills
+ Working knowledge of state and federal regulations governing OASIS visits, supervisory, and reassessment visits
*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 hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable
\#LHCJobs
**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._
Schedule Specialist
Las Vegas, NV jobs
Explore opportunities with [agency name], a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Scheduling Specialist you will managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborate with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers
* Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits
* Monitors pending referrals daily and assigns licensed professional and case manager for all start of care visits
* Communicates daily with field staff regarding any visits unaddressed in late, pending, or incomplete status for resolution as appropriate
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:
* High school education or equivalent experience
Preferred Qualifications:
* 1+ years of scheduling experience in a health care setting using an online scheduling system
* Exceptional organizational, customer service, communication, and decision-making skills
* Working knowledge of state and federal regulations governing OASIS visits, supervisory, and reassessment visits
* 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 hourly pay for this role will range from $14.00 to $27.69 per hour 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.
Admissions Services Specialist Acute
Specialist job at Acadia Healthcare
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
antwk
LA
Revenue Cycle Specialist - Remote
Specialist job at Acadia Healthcare
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.
Qualifications
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
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Not ready to apply? Connect with us for general consideration.
Auto-ApplyCollection Specialist
Frederick, MD jobs
Explore opportunities with Lafayette Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.**
As a Collection Specialist, you will take charge of preparing and processing a variety of insurance claims with precision. Each day, you ensure accuracy by actively verifying data through direct communication with agencies and external partners-keeping everything on track and moving forward.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Prepare and process various insurance claims, including electronic submissions for multiple payers
+ Verify claim data daily through communication with agencies and external personnel
+ Research and correct error claims to ensure clean claim production and submission
+ Review accounts receivable daily and follow up on delinquent accounts per established procedures
+ Recommend corrective actions based on account review findings
+ Investigate and respond to inquiries from payors and agencies regarding accounts receivable activity
+ Maintain and update accounts receivable schedules to track issues and resolutions for reporting
+ Resolve customer requests, inquiries, and concerns promptly and respectfully 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:**
+ 1+ years of medical billing and collections experience
+ Excellent oral and written communication skills
+ Solid organizational, analytical, and math skills
+ Basic proficiency in PC applications, including Microsoft Word and Excel
**Preferred Qualifications:**
+ Home Health billing and collections experience
*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 hourly pay for this role will range from $14.00 to $27.69 per hour 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._