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Specialist jobs at Addiction Recovery Care

- 302 jobs
  • Denials Resolution Specialist

    Addiction Recovery Care 3.5company rating

    Specialist job at Addiction Recovery Care

    Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members? ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny! ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors. ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship, and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements. Key Responsibilities Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Builds relationships with MCO. Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods. Anticipates potential areas of concern within the claim's denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle. Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels. Carry out insurance appeals Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures. Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. Has knowledge of, and is compliant with, government regulations including "signature on file" requirements, compliance program, HIPAA, etc. Establishes and maintains professional and effective relationships with peers and other stakeholders. Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues. Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues. Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty. Depending on role and training, may be called upon to support other areas in the Revenue Cycle. Performs related duties as required. Key Experience and Education Needed: High school graduate or equivalent is required Some college coursework is preferred Graduate from a post -high school certificate program in medical billing or another business-related field is preferred KNOWLEDGE/SKILLS/ABILITIES: Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities. Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions. Effective organizational and problem-solving skills are required Demonstrated ability with medical billing systems and third-party payment processes are required. Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate. Detail oriented Excellent keyboarding skills and experience with medical billing systems. Substance abuse experience preferred. Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the which are related to work as a member of an addiction treatment team. ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life's needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies. Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.! Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer. ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.
    $30k-39k yearly est. Auto-Apply 10d ago
  • Healthcare Specialist

    Addiction Recovery Care 3.5company rating

    Specialist job at Addiction Recovery Care

    Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients and team members? ARC has been leading the way and has become one of the fastest growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services and improving lives by creating opportunities for people to discover hope and live their God-given destiny! ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors. ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship, and stewardship are key elements of every thing we do! We are hiring a Healthcare Specialist for our growing team! The Healthcare Specialist will primarily be responsible for client care, transport, client activities, working with medical personnel and client orientation with admissions. Key Responsibilities: Take vitals on clients daily Maintain confidentiality and comply with company, state, federal and HIPPA rules and regulations Charting for insurance purposes Supervise residents for extended time periods Monitor resident's activities, groups, chore lists, weekly phone calls, etc. Maintain a safe environment Maintain a positive, professional attitude toward residents, staff, and volunteers Handle crisis situations in a calm supportive manner Transport clients to various appointments Complete drug screening Acts as a liaison to all areas of persons served/client care; medical staff, admission staff, nursing staff and clinical staff. Directly assists and supports medical, admission, nursing and clinical staff ensuring a seamless transition for persons served/clients to and from detox. Work with the Nurse Practitioner to ensure the health and safety of the residents. Administering Medication to clients as directed Performs follow-ups to persons served/client referral sources as directed by the supervisor. Demonstrates punctuality, organization, and proficiency in all areas of scheduling, filing, meetings, presentation and persons served/client relations. Orientate the persons served/client on admission. Ensures persons served/client confidentiality in compliance with 42CFR, Part 2. The above is intended to be a general outline of job duties and not a complete list. Key Experience and Education Needed: High school graduate or GED Valid driver's license Other Qualifications to be Considered: Availability to work some evening, overnight, and/or weekend shifts Good communication skills Ability to meet deadlines and stay on schedule Ability to enforce program requirements Ability to complete and submit reports Knowledge of addictions and mental health complications. Knowledge of the 12-Step Recovery Program. Knowledge and competency in problem-solving, stress management, ethics, and team building. Knowledge of alcohol and other drugs that includes: Alcohol and addictive drugs and their physical, emotional, intellectual, and spiritual impact on the individual. Alcohol and addictive drugs and their impact on the family. Ability to determine if a medical emergency exists and to take appropriate action, when necessary. Knowledge of emergency procedures used in case of alcohol and/or drug overdose. Knowledge of the stages of alcohol and other drug withdrawals and ability to take appropriate action at each stage. Demonstrates initiative, personal responsibility, and ownership of work to meet monthly, quarterly and annual goals in both written and verbal formats. ARC full-time employees enjoy very attractive benefits packages for employees and their families to include health, dental, vision, life insurance, a wide array of ancillary insurance products for life's needs, 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies. Come join ARC and transform lives anchored in strong family relationships, social responsibility and meaningful career paths by empowering our nationally recognized crisis to career model! Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer. ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.
    $30k-38k yearly est. Auto-Apply 38d ago
  • Specialty Nutrition Systems, NICU Specialist - Appalachia (Kentucky, Tennessee)

    Avanos Medical 4.2company rating

    Kentucky jobs

    Job Title: Specialty Nutrition Systems, NICU Specialist - Appalachia (Kentucky, Tennessee) Job Country: United States (US) Here at Avanos Medical, we passionately believe in three things: Making a difference in our products, services and offers, never ceasing to fight for groundbreaking solutions in everything we do; Making a difference in how we work and collaborate, constantly nurturing our nimble culture of innovation; Having an impact on the healthcare challenges we all face, and the lives of people and communities around the world. At Avanos you will find an environment that strives to be independent and different, one that supports and inspires you to excel and to help change what medical devices can deliver, now and in the future. Employment for customer facing roles is contingent upon your ability to satisfy all vendor credentialing requirements. If you are unable to be credentialed, Avanos reserves the right to withdraw your employment offer or end your employment. If you require a medical or religious accommodation from these requirements or if you would like to understand more about these requirements, please advise HR so that we can provide additional information and if needed, we can explore any needed accommodation(s). Avanos is a medical device company focused on delivering clinically superior breakthrough solutions that will help patients get back to the things that matter. We are committed to creating the next generation of innovative healthcare solutions which will address our most important healthcare needs, such as reducing the use of opioids while helping patients move from surgery to recovery. Headquartered in Alpharetta, Georgia, we develop, manufacture and market recognized brands in more than 90 countries. Avanos Medical is traded on the New York Stock Exchange under the ticker symbol AVNS. For more information, visit *************** Territory: Appalachia Covering: Kentucky, Tennessee and Southwest Virginia Essential Duties and Responsibilities: The Specialty Nutrition Systems, NICU Specialist is responsible for the positioning and selling of Avanos Medical Digestive Health-NeoMed-related products and solutions within both Acute Care and Alternate Care accounts/facilities/departments. Responsibilities include all technical and conceptual sales aspects of the Avanos Medical DH-NeoMed product portfolio including, but not limited to, the validation of Avanos Medical's DH-NeoMed product cost/value proposition leading to increased year-on-year sales as per the Avanos Medical Digestive Health sales plan and territory sales objectives. Digestive Health-NeoMed Products: Neonatal and Pediatric enteral feeding system including enteral feeding tubes and accessories, enteral feeding syringes, and enteral feeding syringe pumps. Pharmacy: Oral/Enteral Pharmacy syringe solution and accessories. Kits: Oral Care, Colostrum, Transfer Lids, Catheterization Trays, Urinary Kits. Target Market: Hospitals: NICU, PICU, Pharmacy, Infection Control, Quality/Safety, Value Analysis, Purchasing, Supply Chain The ideal candidate for the NICU Specialist will utilize personal skills, product expertise, and clinical expertise to maintain and build existing and new revenue within a set sales territory. The NICU Specialist will be responsible for a continued demonstration of sales expertise of appropriate skills and functions that include but are not limited to product presentations, clinical presentations, product pricing, sales territory management, internal and external communication, and accurate sales forecasting/reporting. These activities are to result in net sales and profit growth by achieving product and sales category objectives within an assigned sales territory. Key Responsibilities: Sales positioning, analysis, and in-service implementation of all AVANOS DH-NeoMed product categories leading to year-on-year sales increases as per the AVANOS DH sales plan. The development and implementation of strong business value selling skills and overall AVANOS DH-NeoMed sales acumen. Developing and maintaining expertise across the entire range of AVANOS DH-NeoMed products and service platforms Tactical implementation of selling and business activities developed and implemented by the sales region to meet sales objectives Developing and maintaining high-gain sales relationships with multiple decision makers and influencers within assigned accounts or markets; (NICU Managers, Nurse Educators, Neonatologists, Pharmacy Techs, Pharmacists, Supply Chain, Value Analysis, Materials Management) Development and implementation of contract and price negotiations/contract management with desired outcomes of obtaining committed business at the highest margins possible Effective collaboration with sales management, internal partners/stakeholders, Standard of Care Specialist, and customers Effective utilization of AVANOS DH-NeoMed sales and marketing resources necessary to meet objectives Effective territory budget management and utilization of AVANOS DH sales support resources, per compliance policy Active participation with the Region Manager in the strategic and tactical planning processes Your qualifications Required: Bachelor's degree required At least 3 or more years of sales experience in B2B or the Health Care industry. Proof of a successful track record Demonstrates strong communication and interpersonal skills Evidence of continued personal and professional growth and development Excellent knowledge of PC-based applications (Windows, Word, Excel, and PowerPoint) is required. Tactfully Aggressive Comfortable in a Hospital Setting Travel by car required Preferred: 5 years of Medical Device Sales Experience Preferred; Capital Experience Preferred, not required Experience in Digestive Health products and related disease states Prefer candidate to be in the Top 10% of Sales Force Hospital Sales Experience Preferred Salesforce.com experience preferred The statements above are intended to describe the general nature and level of work performed by employees assigned to this classification. Statements are not intended to be construed as an exhaustive list of all duties, responsibilities and skills required for this position. Salary Range: The anticipated average base pay range for this position is $70,000.00 - $130,000.00. In addition, this role is eligible for an attractive incentive compensation program and benefits. In specific locations, the pay range may vary from the base posted. #LI-Remote Avanos Medical is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity or any other characteristic protected by law. If you are a current employee of Avanos, please apply here Join us at Avanos Join us and you can make a difference in our products, solutions and our culture. Most of all, you can make a difference in the lives, people, and communities around the world. Make your career count Our commitment to improving the health and wellbeing of others begins with our employees - through a comprehensive and competitive range of benefits. We provide more than just a salary - our Total Rewards package encompasses everything you receive as an employee; your pay, health care benefits, retirement plans and work/life benefits. Avanos offers a generous 401(k) employer match of 100% of each pretax dollar you contribute on the first 4% and 50% of the next 2% of pay contributed with immediate vesting. Avanos also offers the following: benefits on day 1 free onsite gym onsite cafeteria HQ region voted 'best place to live' by USA Today uncapped sales commissions
    $70k-130k yearly 1d ago
  • Ambulatory Nursing Professional Development Specialist (RN) - Relocation Offered!

    Medstar Health 4.4company rating

    Columbia, MD jobs

    About this Job: Functions within the roles of educator change agent consultant evidence-based practitioner and leader. Responsible for assessment planning development implementation and evaluation of learning and development programs that enhance associates' performance promote professional development or otherwise support the mission vision and SPIRIT Values of MedStar Health. Demonstrates clinical expertise leadership communication skills and knowledge of education theory and principles necessary to develop learning programs and achieve optimal educational outcomes. MedStar Ambulatory Services is committed to providing world-class compassionate care to every patient every time at every touch point. All associates are accountable for their role in meeting patient experience standards. *This position supports all MedStar Ambulatory Services locations, including Maryland, Washington, D.C., and Northern Virginia. The associate in this role may be required to travel to any of these locations on a regular basis. Primary Duties and Responsibilities Collaborates with other departments experts and leaders both internal and external to MedStar Health to obtain information needed to purse development of relevant learning programs and serves as a liaison with academic partners and clinical student placements. Coordinates and plans educational offerings for associates with consideration of but not limited to mandatory regulatory requirements quality and safety performance improvement strategic initiatives and clinical advancement. Conducts educational activities that inform teach and facilitate adoption of new procedures technologies equipment and patient care trends with continuing education credits where appropriate. Designs implements and evaluates designated learning and educational programs and consultative services. Assesses learning needs through formal and informal approaches to data collection to determine specific education needs of associates. Develops and contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Ensures compliance with MedStar Ambulatory Service (MAS) policies and procedures and governmental/accreditation regulations. Develops education plans applying principles of adult learning theory coordinates appropriate resources evaluates and documents responses to teaching and follows up with associates transitioning to different clinical areas or roles. Develops evaluation plans and applies evidence-based evaluation systems to determine the effectiveness of educational activities and learning programs. Involves learners in the evaluation process. Differentiates between practice gaps and performance or system issues and addresses them accordingly. Disseminates the evaluation results of the learning activities and revises learning programs based on objective evaluation data. Evaluates own practice in relation to nursing professional development and practice standards guidelines and relevant statues rules and regulations. Pursues ongoing learning and educational opportunities to enhance own practice knowledge skills and competencies. Identifies and assesses learning needs and knowledge or skill gaps that require remediation and collaborates with site leaders to promote critical thinking and competent patient care delivery. Provides continuing education activities to expand current knowledge and where appropriate acquire and maintain certification using provider unit and other resources. Incorporates evidence into learning programs and clinical education activities especially in content development and use of evidence-based learning models and evaluation systems. Maintains knowledge of evidence and current trends and innovations in clinical practice clinical instruction clinical education staff development and use of simulation and learning technologies. Participates in and disseminates information from committees involving the community health system entity and unit or department related to learning programs projects and collaborative governance council activities. Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate. Performs On-Boarding and Orientation of New Associates by planning and conducting orientation of new personnel to facilitate a new associate's transition to the practice environment and meeting competency assessment requirements in conformance with departmental objectives regulatory requirements and accreditation standards. As well as participates in on-Boarding and orientation of new associate by conducting general clinical orientation programs and coordinating the specialty-based orientation of associates new to MAS. Performs other duties as assigned. Provides documentation of participation and level of success during competency and educational programs. Provides expertise for competency development and competence assessment across the department of nursing. Plans and regularly conducts competency validation programs for clinical associates by applying principles of adult learning to assess staff learning and competency needs. Offers competency-building activities to enhance associates' educational and experiential learning. Reviews performance data on clinical quality and safety of care delivery and contributes to plans which address patient population-specific needs and enhance outcomes. Supports and participates in the transition to practice of newly certified medical assistants. Coaches other clinical associates and provides feedback to enhance professional clinical practice. Minimal Qualifications Education Bachelor's degree of Science in Nursing required and Master's degree in Nursing or Nursing Education preferred Experience 3-4 years Progressive clinical nursing practice required and Experience in teaching or professional development preferred Licenses and Certifications Valid RN license in the District of Columbia Maryland or Virginia required or any combination as required based on work location(s). required and Certification by professional leadership or ambulatory organization preferred Knowledge Skills and Abilities Knowledgeable and effective in service line operations. Effective planning analysis synthesis and data interpretation skills. Problem solving and decision-making ability. Proficiency in principles/application of process improvement. Ability to develop and foster positive relations with physicians/hospital and community. Basic computer skills preferred. This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr.
    $89.1k-162.8k yearly 4d ago
  • Associate Spine Specialist (Washington DC/Northern VA)

    Globus Medical 4.5company rating

    Maryland jobs

    At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible. Position Summary: The Associate Spine Specialist will work together with the Spine Territory Manager and will have territory coverage, inventory management, and limited sales responsibilities. The Associate Spine Specialist will represent the company in accordance with the company's quality policy and procedures. Essential Functions: Gains and consistently increases product knowledge through formal sales training; surgeon speaker programs, attends surgeries/operating room visits, and industry research Meeting or exceeds all sales goals and objectives assigned Conducts sales calls to promote, sells, and services Globus Medical products and services to existing and competitive customers based on a strategic plan Assists the Spine Territory Manager on field calls for assigned geography and address and problems that arise on the account Performs field ride along with the Area Director and Spine Territory Manager on a regular basis Develops and increases customer base and continually enhances Globus product market share within assigned territory Provides feedback regularly on topics such as product development opportunities, new target accounts, sales performance, and market feedback Maintains conduct that is aligned with company quality policy and procedures, and protects confidentiality with proprietary information Stays current with all compliance training requirements Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies. Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Qualifications: 1-2 years' successful spine sales experience preferred, may consider other healthcare related sales and or business to business sales experience Bachelor's degree in Science or Business Exemplary ability to listen, communicate and influence Ability to travel as necessary, which may include nights and/or weekends Strong understanding of spinal anatomy Ability to make sales presentations with positive results Physical Demands: The physical demands listed here are representative of those that must be met by and employee to successfully perform the essential functions of this job. Required to sit; climb or balance; and stoop, kneel, crouch or crawl Required to regularly lift and/or move up to 10 pounds, and occasionally lift and/or move up to 25 pounds Required to possess specific visons abilities, including: close vision, distance vision, color vision, peripheral vision, depth perception and capacity to adjust focus. Our Values: Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven. Passionate about Innovation: Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate in our role in improving the lives of patients by continuously developing better solutions. Customer Focused: We listen to our customers' needs and respond with a sense of urgency. Teamwork: Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger. Driven: We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients. Equal Employment Opportunity: Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees' talents and support an environment that is inclusive and respectful. 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.
    $68k-80k yearly est. Auto-Apply 60d+ ago
  • Associate Spine Specialist (Sacramento, CA)

    Globus Medical Inc. 4.5company rating

    California, MD jobs

    At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible. Position Summary: The Associate Spine Specialist will work together with the Spine Territory Manager and will have territory coverage, inventory management, and limited sales responsibilities. The Associate Spine Specialist will represent the company in accordance with the company's quality policy and procedures. Essential Functions: * Gains and consistently increases product knowledge through formal sales training; surgeon speaker programs, attends surgeries/operating room visits, and industry research * Meeting or exceeds all sales goals and objectives assigned * Conducts sales calls to promote, sells, and services Globus Medical products and services to existing and competitive customers based on a strategic plan * Assists the Spine Territory Manager on field calls for assigned geography and address and problems that arise on the account * Performs field ride along with the Area Director and Spine Territory Manager on a regular basis * Develops and increases customer base and continually enhances Globus product market share within assigned territory * Provides feedback regularly on topics such as product development opportunities, new target accounts, sales performance, and market feedback * Maintains conduct that is aligned with company quality policy and procedures, and protects confidentiality with proprietary information * Stays current with all compliance training requirements * Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies. * Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role * Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Qualifications: * 1-2 years' successful spine sales experience preferred, may consider other healthcare related sales and or business to business sales experience * Bachelor's degree in Science or Business * Exemplary ability to listen, communicate and influence * Ability to travel as necessary, which may include nights and/or weekends * Strong understanding of spinal anatomy * Ability to make sales presentations with positive results Physical Demands: The physical demands listed here are representative of those that must be met by and employee to successfully perform the essential functions of this job. * Required to sit; climb or balance; and stoop, kneel, crouch or crawl * Required to regularly lift and/or move up to 10 pounds, and occasionally lift and/or move up to 25 pounds Required to possess specific visons abilities, including: close vision, distance vision, color vision, peripheral vision, depth perception and capacity to adjust focus. Our Values: Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven. * Passionate about Innovation: Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate in our role in improving the lives of patients by continuously developing better solutions. * Customer Focused: We listen to our customers' needs and respond with a sense of urgency. * Teamwork: Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger. * Driven: We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients. Equal Employment Opportunity: Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees' talents and support an environment that is inclusive and respectful. 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.
    $68k-80k yearly est. 60d+ ago
  • Associate Spine Specialist (Los Angeles, CA)

    Globus Medical Inc. 4.5company rating

    California, MD jobs

    At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible. Position Summary: The Associate Spine Specialist will work together with the Spine Territory Manager and will have territory coverage, inventory management, and limited sales responsibilities. The Associate Spine Specialist will represent the company in accordance with the company's quality policy and procedures. Essential Functions: * Gains and consistently increases product knowledge through formal sales training; surgeon speaker programs, attends surgeries/operating room visits, and industry research * Meeting or exceeds all sales goals and objectives assigned * Conducts sales calls to promote, sells, and services Globus Medical products and services to existing and competitive customers based on a strategic plan * Assists the Spine Territory Manager on field calls for assigned geography and address and problems that arise on the account * Performs field ride along with the Area Director and Spine Territory Manager on a regular basis * Develops and increases customer base and continually enhances Globus product market share within assigned territory * Provides feedback regularly on topics such as product development opportunities, new target accounts, sales performance, and market feedback * Maintains conduct that is aligned with company quality policy and procedures, and protects confidentiality with proprietary information * Stays current with all compliance training requirements * Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies. * Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role * Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Qualifications: * 1-2 years' successful spine sales experience preferred, may consider other healthcare related sales and or business to business sales experience * Bachelor's degree in Science or Business * Exemplary ability to listen, communicate and influence * Ability to travel as necessary, which may include nights and/or weekends * Strong understanding of spinal anatomy * Ability to make sales presentations with positive results Physical Demands: The physical demands listed here are representative of those that must be met by and employee to successfully perform the essential functions of this job. * Required to sit; climb or balance; and stoop, kneel, crouch or crawl * Required to regularly lift and/or move up to 10 pounds, and occasionally lift and/or move up to 25 pounds * Required to possess specific visons abilities, including: close vision, distance vision, color vision, peripheral vision, depth perception and capacity to adjust focus. Our Values: Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven. * Passionate about Innovation: Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate in our role in improving the lives of patients by continuously developing better solutions. * Customer Focused: We listen to our customers' needs and respond with a sense of urgency. * Teamwork: Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger. * Driven: We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients. Equal Employment Opportunity: Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees' talents and support an environment that is inclusive and respectful. 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.
    $68k-80k yearly est. 60d+ ago
  • Billing Claims Specialist-Business Office- Full Time

    Murray-Calloway County Public Hospital C 3.5company rating

    Murray, KY jobs

    Job Description An Account Resolution Specialist I is responsible for researching and identifying unpaid, partially paid, incorrectly paid or denied claims. They must follow-up with insurance carriers verbally or via on-line tools and properly discuss the problem with the knowledge of how to negotiate payment/additional payments on all claims. In the event the needs arise, they will also resubmit a corrected claim and/or follow-up with patients regarding the issue(s) as needed. Minimum Education Must have a high-school diploma or a GED. Minimum Work Experience No prior work experience in this related field is required at this level. Required Skills Customer service Must have general Microsoft Office (Word, Excel, PPT, and Outlook) experience. Ability to manage their time in order to meet job requirements. Ability to review an account and come to a decision as to what the proper solution would be to resolve the account. Must be a team player. Screening Requirements: Drug Screen Tuberculosis Test Background Check Physical Exam Respirator Fit Eligible Benefits: Medical, Dental and Vision *Excellent Low Premiums!*- No copays or Deductibles when utilizing MCCH services! Life Insurance *ZERO premium* Retirement Plan Paid Time Off Bereavement Bridge Coverage *ZERO premium for self-coverage when enrolled in medical coverage Tuition Reimbursement Our Mission: To improve the lives of those we serve by providing outstanding care and services through our confident, compassionate and exceptional healthcare professionals. Our Vision: To be chosen by our community and expanded service region based on proven outcomes as the trusted provider to care for their families, friends and neighbors. Our Values: Competence, Excellence, Compassion, Respect and Integrity.
    $42k-52k yearly est. 4d ago
  • Utilization Review Specialist (Full Time)

    Sheppard Pratt Careers 4.7company rating

    Towson, MD jobs

    Responsible for supporting the utilization review system including data analysis, report writing, and program improvement. UR Specialist will develop and maintain a VOD Tracking and Receipt system. UR Specialist will maintain an expert level review of client entitlements and billing authorizations. Also responsible for securing authorizations and tracking entitlements for enrolled clients. Knowledge, Skills, and Abilities Required: Knowledge of the public mental health system and programs, generally acquired through a bachelor's degree in Social Work or Psychology or related degree OR (2) years related work experience. Knowledge of computers and spreadsheet software. Experience with Maryland ASO or other utilization review processes. Substantial level of interpersonal skills in order to communicate effectively with outside agencies and internal customers. Good assessment and clinical skills, including a preeminent knowledge of the rehabilitation model. Excellent organization skills. Benefits: At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer: A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation Comprehensive medical, dental and vision benefits for benefit eligible positions 403b retirement match Generous paid-time-off for benefit eligible positions Complimentary Employee Assistance Program (EAP) Generous mileage reimbursement program Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience. #LI-EEDWARDS
    $42k-70k yearly est. 35d ago
  • Glaucoma Specialist- Louisville, KY

    Eye Care Partners 4.6company rating

    Louisville, KY jobs

    Join Our Team: Glaucoma Specialist Opportunity with Bennett & Bloom Eye Centers! Bennett & Bloom Eye Centers is thrilled to announce an exciting opportunity for a Glaucoma Specialist to join our esteemed team of eye care professionals! With over 30 years of excellence, Bennett & Bloom has established itself as a premier ophthalmology practice in the Louisville, Kentucky market. Known as the trusted choice for local optometric referrals, we specialize in cutting-edge care, including treatment of retinal diseases and surgery, LASIK and other refractive procedures, and advanced cataract surgery. About Us * Locations: Serving patients from 8 clinic locations and 8 affiliated surgery centers. * Reputation: Trusted by referring doctors and recognized for our dedication to innovation and clinical excellence. * Commitment: A shared focus on providing superior patient care and maintaining a collaborative work environment. What We Offer As a valued member of our team, you'll benefit from: * Outstanding Practice Environment: Supportive, patient-centered culture with advanced technologies and resources. * Experienced Support Staff: Trained professionals to ensure smooth clinical operations and optimal patient experiences. * Research Opportunities: Participation in clinical trials and access to cutting-edge treatments. * Strong Referral Network: A well-established base of referring providers and collaborative peers. * Comprehensive Peer Network: Access to a diverse team of ophthalmology subspecialists and optometrists for mentorship and support. Comprehensive Benefits Package * Generous Compensation: Competitive base salary with productivity bonuses. * Work-Life Balance: Flexible scheduling for personal and professional harmony. * Retirement Savings: Company-matched 401(k) program. * Professional Development: CE and licensure allowances. * Insurance Coverage: Medical, dental, vision, and professional liability insurance. Discover Louisville, KY Louisville offers the perfect blend of vibrant city life and charming Southern hospitality. As Kentucky's largest city, it boasts: * Cultural Highlights: Home to the iconic Kentucky Derby at Churchill Downs and the Kentucky Derby Museum. * Sports Enthusiasm: Baseball lovers can explore the Louisville Slugger Museum and Factory. * Outdoor Adventures: Scenic parks and the picturesque Ohio River for outdoor activities. * Family-Friendly Living: Affordable neighborhoods, excellent schools, and a rich cultural scene. For more information, contact Riley Flint, Physician Recruiter, at ******************************* / ************.
    $53k-65k yearly est. Auto-Apply 11d ago
  • Scheduling Specialist

    CCI Health & Wellness Services 4.0company rating

    Greenbelt, MD jobs

    CCI Health Services mission is to deliver high quality, accessible care to our community members, leading the way to a more equitable health care system for everyone. The Scheduling Specialist (SS) serves as the primary scheduler for CCI patients. For all other matters, the SS directs patients to the appropriate Health Center personnel. KEY FUNCTIONS & RESPONSIBILITIES: * Answers the telephone promptly in adherence to AIDET protocols. * Works cohesively and collaboratively with the entire team to answer all incoming calls. * Routes calls to the appropriate area. * Communicates phone messages as needed via phone notes or flags. * Works to fill all available appointment slots according to CCI Scheduling Guidelines. * Documents patient information in the registration field. * Attends daily huddles and provides updates to the team as appropriate. * Verifies insurance at the time of scheduling. * Completes outreach calls to new Managed Care Organization (MCO) patients in order to schedule them for visits. * Monitors desktop to retrieve contact information for patients requesting appointments through the patient portal or hospital discharge. * Working on-site is an essential duty for the job. EDUCATION AND EXPERIENCE: * Requires a High School Diploma or GED. * Must have at least one year of relevant work experience, preferably in a medical setting or an equivalent combination of training and experience. * Ability to navigate information on the internet and within an Electronic Health Record. OTHER SKILLS AND ABILITIES: * Bilingual (fluent in English/Spanish). * Must possess excellent communication and interpersonal skills. * Ability to maintain a high standard of customer service and observance of corporation protocol in a hectic and sometimes hostile situation. * Ability to document messages that include a summary of the relevant details. WORKING CONDITIONS: * Proper and professional grooming is always expected. * Prolonged periods of standing, bending or working at a desk on a computer. * The ability to lift (up to 15lbs) is required. * Work under stressful conditions within a controlled enclosed environment daily. The work environment involves exposure to potentially dangerous materials and situations that require extensive safety precautions and may include the use of protective equipment. Why work at CCI? * Extensive benefits plan including PTO * 403B Retirement Plan + Employer match up to 4% * Tuition reimbursement opportunities * Continuing education assistance; can be used toward obtaining certifications, renewal of certifications, or possible conference attendance. * Our providers are insured for malpractice under FTCA. Equal Employment Opportunity (EEO) CCI Health Services does not unlawfully discriminate based on race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer related or genetic characteristics or any genetic information), marital status, sex, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. All personnel decisions are to be administered in accordance with this policy and in compliance with applicable federal and state law, including, but not limited to, decisions regarding recruitment, selection, training, promotion, compensation, benefits, transfers, lay-offs, tuition assistance, and social and recreational programs. The CEO & President of CCI and all managerial personnel are committed to this policy and its enforcement. Employees are directed to bring any violation of this policy to the immediate attention of their supervisor, Human Resources, or the CEO & President. Any employee who violates this policy or knowingly retaliates against an employee reporting or complaining of a violation of this policy, shall be subject to immediate corrective action, up to and including termination of employment. Complaints brought under this policy will be promptly investigated and handled with due regard for the privacy and respect of all involved.
    $31k-42k yearly est. 15d ago
  • Scheduling Specialist

    CCI Health & Wellness Services 4.0company rating

    Greenbelt, MD jobs

    The Scheduling Specialist (SS) serves as the primary scheduler for CCI patients. For all other matters, the SS directs patients to the appropriate Health Center personnel. KEY FUNCTIONS & RESPONSIBILITIES: * Answers the telephone promptly in adherence to AIDET protocols. * Works cohesively and collaboratively with the entire team to answer all incoming calls. * Routes calls to the appropriate area. * Communicates phone messages as needed via phone notes or flags. * Works to fill all available appointment slots according to CCI Scheduling Guidelines. * Documents patient information in the registration field. * Attends daily huddles and provides updates to the team as appropriate. * Verifies insurance at the time of scheduling. * Completes outreach calls to new Managed Care Organization (MCO) patients in order to schedule them for visits. * Monitors desktop to retrieve contact information for patients requesting appointments through the patient portal or hospital discharge. * Working on-site is an essential duty for the job. EDUCATION AND EXPERIENCE: * Requires a High School Diploma or GED. * Must have at least one year of relevant work experience, preferably in a medical setting or an equivalent combination of training and experience. * Ability to navigate information on the internet and within an Electronic Health Record. OTHER SKILLS AND ABILITIES: * Bilingual (fluent in English/Spanish). * Must possess excellent communication and interpersonal skills. * Ability to maintain a high standard of customer service and observance of corporation protocol in a hectic and sometimes hostile situation. * Ability to document messages that include a summary of the relevant details. Why work at CCI? * Extensive benefits plan including PTO * 403B Retirement Plan + Employer match up to 4% * Tuition reimbursement opportunities * Continuing education assistance; can be used toward obtaining certifications, renewal of certifications, or possible conference attendance. * Our providers are insured for malpractice under FTCA. Equal Employment Opportunity (EEO) CCI Health Services does not unlawfully discriminate based on race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer related or genetic characteristics or any genetic information), marital status, sex, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. All personnel decisions are to be administered in accordance with this policy and in compliance with applicable federal and state law, including, but not limited to, decisions regarding recruitment, selection, training, promotion, compensation, benefits, transfers, lay-offs, tuition assistance, and social and recreational programs. The CEO & President of CCI and all managerial personnel are committed to this policy and its enforcement. Employees are directed to bring any violation of this policy to the immediate attention of their supervisor, Human Resources, or the CEO & President. Any employee who violates this policy or knowingly retaliates against an employee reporting or complaining of a violation of this policy, shall be subject to immediate corrective action, up to and including termination of employment. Complaints brought under this policy will be promptly investigated and handled with due regard for the privacy and respect of all involved.
    $31k-42k yearly est. 15d ago
  • Claims Specialist - Covered California

    IEHP 4.7company rating

    California, MD jobs

    What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Under the direction of the Covered California Claims (CCA) Manager, the CCA Claims Specialist is responsible for analyzing, managing, and investigating complex and high-dollar healthcare claims that require in-depth research to determine accuracy and mitigate payment errors. The Claims Specialist is also responsible for adjusting first-pass and post-pay claims that result in overpayment or underpayment due to claim processing system issues, contract amendments, processing errors, or other issues. This position collaborates with internal stakeholders, assists with claim audits (internal and regulatory) and utilizes strong analytical skills and independent judgement skills to make effective and accurate decisions. This position will also be responsible for responding to inquiries from the Provider Payment Resolution team on claims that may have been paid incorrectly. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary * Telecommute schedule * State of the art fitness center on-site * Medical Insurance with Dental and Vision * Life, short-term, and long-term disability options * Career advancement opportunities and professional development * Wellness programs that promote a healthy work-life balance * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance Education & Requirements * Three (3) years of experience in examining and processing complex and high-dollar institutional and professional claims * Experience in a managed care environment helpful. Commercial, Exchange, and Medicare preferred * High school diploma or GED required * Associate's degree from an accredited institution preferred Key Qualifications * ICD-9/ ICD-10 and CPT coding and general practices of claims processing * CMS/DMHC and Affordable Care Act regulations and guidelines * Commercial line of business specifically Covered California/Exchange * Excellent communication and interpersonal skills * Excellent analytical, critical thinking, customer service, and organizational skills * Ability to think critically with the capacity to work independently * All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range * $25.90 USD Hourly - $33.02 USD Hourly
    $25.9-33 hourly 33d ago
  • RMDC Specialist I

    MCSA 4.2company rating

    Lexington, KY jobs

    Job DescriptionSalary: Under general supervision responsible for providing Records Management/Document Control (RMDC) support to the organization through the regulatory compliance of records/documents. The specific work assignment may include duties or activities that assist and support management in one or more of the following functional areas, in addition to other duties as assigned: Functional: Ensures effective practices are in place for the categorization, revision control and quality of records/documents received from the organization Assists in the development of internal quality review processes to ensure regulatory compliance Performs data entry and maintenance of the Electronic Records Management System (ERMS) Investigates and responds to condition reports (CRs) or action items associated with CRs Minimum Requirements: High School Diploma or equivalent 6+ years of related experience, or an equivalent combination of education and experience is required Ability to obtain and maintain a Homeland Security Presidential Directive 12 (HSPD-12) credential
    $37k-71k yearly est. 3d ago
  • Dry Needling Specialist

    Fyzical Therapy and Balance Centers 3.7company rating

    Columbia, MD jobs

    FYZICAL North Columbia is seeking a highly skilled and licensed Dry Needling Specialist for a clinic in the heart of Columbia, Maryland. The ideal candidate will have extensive experience in dry needling techniques, a strong background in physical therapy or athletic training or a related field, and a passion for helping patients achieve their health and wellness goals. Ideally, this candidate would start with a few hours of availability per week and expand from that, if needed. You will work in an exciting and dynamic environment, with outstanding physical resources and equipment, as well as a clinical and administrative support staff that will help you effectively treat patients while maintaining a healthy work/life balance.ResponsibilitiesKey Responsibilities: Conduct comprehensive patient assessments to determine the appropriate dry needling treatment plan. Perform dry needling procedures with precision and care, ensuring patient comfort and safety. Monitor and document patient progress, adjusting treatment plans as necessary. Educate patients about dry needling, its benefits, and post-treatment care. Collaborate with other healthcare professionals to provide holistic patient care. Stay updated with the latest research and advancements in dry needling techniques. Maintain accurate and timely patient records in compliance with HIPAA regulations. Adhere to all clinical and ethical standards of practice. Required SkillsQualifications: Must be a licensed athletic trainer or physical therapist or other relevant healthcare professional. Certification in dry needling from a recognized institution. Minimum of 1 year of experience in performing dry needling. CPR and First Aid certification required Strong understanding of anatomy, physiology, and the principles of dry needling. Excellent communication and interpersonal skills. Ability to work independently and as part of a multidisciplinary team. Strong organizational skills and attention to detail. Commitment to ongoing professional development and education. Preferred Skills: Experience in additional manual therapy techniques. Background in sports medicine or orthopedic physical therapy. Knowledge of complementary therapies and integrative health practices. Job Types: Part-time, Contract
    $32k-60k yearly est. 9d ago
  • In Home Care Scheduling Specialist

    Right at Home 3.8company rating

    Ellicott City, MD jobs

    Job Description Join Right at Home as a Full-Time In-Home Care Scheduling Specialist in Ellicott City, MD, where your strategic skills and customer service background will shine. This onsite position offers a vibrant, energetic workplace that emphasizes problem-solving and empathy, allowing you to make a real impact in the lives of seniors. You'll work in a dynamic environment where every day presents new challenges and opportunities for growth. With a competitive salary of $55,000, you'll be rewarded for your dedication to ensuring excellent care and customer satisfaction. Your contributions will directly enhance the experience of our clients and caregivers alike. You can get great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, and Paid Time Off. Seize the chance to be part of a high-performance team that prioritizes fun and customer-centric service, making every day fulfilling and meaningful. What it's like to be a In Home Care Scheduling Specialist at In Home Care Scheduling Specialist As a Full-Time In-Home Care Scheduling Specialist at Right at Home, you'll thrive in a fast-paced environment where you'll handle high-volume phone calls while managing essential administrative tasks to ensure seamless operations. Your role will be pivotal in fostering teamwork, as you'll collaborate closely with colleagues to deliver exceptional service, always maintaining a customer-centric focus. Your ability to thrive under pressure will be crucial, allowing you to navigate challenges with a problem-solving mindset. With a strong commitment to empathy, you'll create meaningful connections that significantly enhance the lives of the seniors we serve, making every interaction impactful and rewarding. Join us and be a part of a dedicated team that truly values the importance of care and connection. What you need to be successful To excel as a Full-Time In-Home Care Scheduling Specialist at Right at Home, you must possess a blend of essential skills that are crucial for success in this dynamic role. Strong customer service abilities will enable you to engage effectively with clients and caregivers alike, while strategic thinking will help you navigate complex scheduling scenarios. Being solution-driven is vital, as you'll face challenges that require quick resolutions. As a team player, your adaptability will ensure smooth collaboration with colleagues, fostering a positive work environment. An organized and detail-oriented approach is necessary to manage high-volume phone calls and maintain accurate records in our fast-paced setting. Additionally, being a compassionate communicator will empower you to build meaningful relationships with the seniors we serve, enhancing their overall experience. Your leadership qualities and empathetic nature will set you apart in this rewarding position. Knowledge and skills required for the position are: Fluency in English required; proficiency in Korean is highly desirable to support marketing and business development in Korean-speaking areas. 2 years high volume scheduling experience Taking / Making 50+ calls and emails per day, great at multi-tasking customer services strategic thinking solution driven team player adaptable organized detail oriented fast paced environment leader empathetic communication Will you join our team? If you feel that this job is what you're looking for, applying is a piece of cake - just follow the instructions on this page. Good luck! IND123
    $55k yearly 14d ago
  • Revenue Specialist (3901) PATIENT ACCOUNTS CORPORATE OFFICE

    Lexington Clinic 4.4company rating

    Lexington, KY jobs

    This position may be eligible for remote home work within Central Kentucky after an in office training period of up to six months. Remote work requires the employee to demonstrate position knowledge and aptitude, and requires achievement/maintenance of performance benchmarks. The Revenue Specialist works directly with patients, coworkers, management, physicians, insurance companies and Business/Corporate companies to resolve account issues, explains payment and billing policies, optimally collects and maintains assigned AR. Communicates effectively and professionally; Researches and efficiently resolves denied/rejected claims; Makes account adjustments and corrections as needed; Generates and analyzes reports; Analyzes expected payment data; Researches and processes insurance refunds; Independently monitors work flow and maintains minimal AR requirements; Supports Patient Billing Services as needed, Provides project and clerical assistance as needed; Other duties as assigned PREFERRED QUALIFICATIONS: Formal training which will probably be indicated by a high school diploma or equivalent; good typing skills and mathematical calculation ability; good verbal and written communication skills; good phone etiquette; applicants will preferably have experience in medical billing and claims resolution. PHYSICAL GUIDELINES: Physical guidelines include the ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to eight hours per day; maneuver equipment; read and understand medical information; negotiate steps for up to eight hours per day; ability to perform repetitive motions; ability to lift up to 25 pounds; visual acuity; manual dexterity and motor coordination. NOTE: This document is intended to describe the general nature and level of work performed. It is not intended to act as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job. LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)
    $29k-41k yearly est. Auto-Apply 60d+ ago
  • IV Collection Specialist II

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    Job Summary: Join our team as an IV Collection Specialist II and take your career to the next level in Revenue Cycle Management (RCM)! We are seeking a detail-oriented and enthusiastic individual who possesses advanced knowledge of medical collections reimbursement along with a grasp of full revenue cycle best practices. This is an excellent opportunity for a proactive individual who is eager to contribute to our mission of securing payments for home health care services provided by Johns Hopkins Home Care Group. Key Responsibilities: * Manage and resolve medical billing and collection for various payers, ensuring compliance with all regulations and best practices. * Address complex account discrepancies, communicate clearly with payers to troubleshoot issues, and ensure timely follow-up. * Conduct audits, respond to inquiries, investigate billing problems, and maintain accurate documentation of all collection activities. * Assist in training and support for back-up billing staff to enhance overall team efficiency and effectiveness. * Generate necessary adjustments, refunds, and account changes while documenting all activity to maintain complete records. * Participate actively in projects and management meetings as needed, and update Team Leads and management on issues of concern. Qualifications: * High School Diploma or equivalent is required; a college degree is preferred. * At least two (2) years of experience in medical billing and collection practices. * Advanced knowledge of billing systems, medical terminology, and coding. * Excellent communication, analytical, and problem-solving skills with a keen attention to detail. * Proficient in data entry and typing, as well as standard office administration tasks. * Must demonstrate maturity in maintaining professional relationships and act as a resource for other staff. Benefits: * Competitive salary * Comprehensive health, dental, and vision insurance * Paid time off and holidays * Retirement savings plan with employer match * Tuition reimbursement and professional development support * Remote work flexibility with occasional in-office requirements and much more... Licensure/Certification: * N/A Physical Requirements: * Ability to work in a normal office environment with limited physical discomfort. Additional Information: * This position is classified as Non-Exempt. * While the majority of the work will be performed remotely, candidates must be willing to commute to the Baltimore area for in-office requirements as needed. If you are a driven professional interested in making an impact in the realm of healthcare reimbursement, we want to hear from you! Apply today to be a part of a team that values dedication and expertise in enhancing the revenue cycle management process. Application Process: Please submit your resume and cover letter outlining your relevant experience and qualifications for the IV Collection Specialist II position. Salary Range: Minimum 15.86/hour - Maximum 26.23/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $33k-39k yearly est. 33d ago
  • IV Collection Specialist II

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    Job Summary: Join our team as an IV Collection Specialist II and take your career to the next level in Revenue Cycle Management (RCM)! We are seeking a detail-oriented and enthusiastic individual who possesses advanced knowledge of medical collections reimbursement along with a grasp of full revenue cycle best practices. This is an excellent opportunity for a proactive individual who is eager to contribute to our mission of securing payments for home health care services provided by Johns Hopkins Home Care Group. Key Responsibilities: • Manage and resolve medical billing and collection for various payers, ensuring compliance with all regulations and best practices. • Address complex account discrepancies, communicate clearly with payers to troubleshoot issues, and ensure timely follow-up. • Conduct audits, respond to inquiries, investigate billing problems, and maintain accurate documentation of all collection activities. • Assist in training and support for back-up billing staff to enhance overall team efficiency and effectiveness. • Generate necessary adjustments, refunds, and account changes while documenting all activity to maintain complete records. • Participate actively in projects and management meetings as needed, and update Team Leads and management on issues of concern. Qualifications: • High School Diploma or equivalent is required; a college degree is preferred. • At least two (2) years of experience in medical billing and collection practices. • Advanced knowledge of billing systems, medical terminology, and coding. • Excellent communication, analytical, and problem-solving skills with a keen attention to detail. • Proficient in data entry and typing, as well as standard office administration tasks. • Must demonstrate maturity in maintaining professional relationships and act as a resource for other staff. Benefits: • Competitive salary • Comprehensive health, dental, and vision insurance • Paid time off and holidays • Retirement savings plan with employer match • Tuition reimbursement and professional development support • Remote work flexibility with occasional in-office requirements and much more... Licensure/Certification: • N/A Physical Requirements: • Ability to work in a normal office environment with limited physical discomfort. Additional Information: • This position is classified as Non-Exempt. • While the majority of the work will be performed remotely, candidates must be willing to commute to the Baltimore area for in-office requirements as needed. If you are a driven professional interested in making an impact in the realm of healthcare reimbursement, we want to hear from you! Apply today to be a part of a team that values dedication and expertise in enhancing the revenue cycle management process. Application Process: Please submit your resume and cover letter outlining your relevant experience and qualifications for the IV Collection Specialist II position. Salary Range: Minimum 15.86/hour - Maximum 26.23/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $33k-39k yearly est. 60d+ ago
  • Collections Specialist

    Trilogy Health Services 4.6company rating

    Louisville, KY jobs

    JOIN TEAM TRILOGY Performs functions related to accounts receivable, billing, collections and revenue support to meet company goals. Analyzes accounts receivable aging and individual accounts. Schedule Options 1st shift (8-4:30) Duties and Responsibilities 1. Research accounts as needed for collection activities. 2. Prepares and reviews paperwork for attorney, write-off, and/or cut off processes. 3. Initiate collections calls for aged accounts and customer service to residents, guarantors, and facility customers. 4. Works with billing associates to review accounts and correct account billings as needed. 5. Works with Business Office Managers and/or Executive Directors of each facility or customer to help resolve past due balances. 6. Checks for Medicaid eligibility. 7. Analyzes accounts receivable aging and individual accounts. 8. Assists with special projects as needed. 9. Maintain goals for DSO and cash collected. POSITION OVERVIEW * High School diploma or equivalent. Experience * Three (3) to five (5) years' billing and/or collections experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred. * Minimum one (1) year multi-facility experience preferred. * Framework/Sage experience preferred. * Exemplary computer skills that include knowledge of the Microsoft Office Suite of products. #pharmacy LOCATION US-KY-Louisville Synchrony Home Office 2701 Chestnut Station Court Louisville KY LIFE AT TRILOGY Careers close to home and your heart Since our founding in 1997, we've been making long-term care better for our residents and more rewarding for our team members. We're a Fortune Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. If you're looking for a place that embraces you for who you are, helps you achieve your full potential, and makes working hard feel less like hard work, then look no further than Trilogy. ABOUT TRILOGY HEALTH SERVICES As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. * High School diploma or equivalent. Experience * Three (3) to five (5) years' billing and/or collections experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred. * Minimum one (1) year multi-facility experience preferred. * Framework/Sage experience preferred. * Exemplary computer skills that include knowledge of the Microsoft Office Suite of products. #pharmacy Performs functions related to accounts receivable, billing, collections and revenue support to meet company goals. Analyzes accounts receivable aging and individual accounts. Schedule Options 1st shift (8-4:30) Duties and Responsibilities 1. Research accounts as needed for collection activities. 2. Prepares and reviews paperwork for attorney, write-off, and/or cut off processes. 3. Initiate collections calls for aged accounts and customer service to residents, guarantors, and facility customers. 4. Works with billing associates to review accounts and correct account billings as needed. 5. Works with Business Office Managers and/or Executive Directors of each facility or customer to help resolve past due balances. 6. Checks for Medicaid eligibility. 7. Analyzes accounts receivable aging and individual accounts. 8. Assists with special projects as needed. 9. Maintain goals for DSO and cash collected.
    $25k-31k yearly est. Auto-Apply 3d ago

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