Enrollment Specialist jobs at AdventHealth - 1082 jobs

Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further! • PRN Night; 6:45p-7:15a • Minimum 2 shifts per month • 1 Saturday a month required • RPSGT or RRT required • BLS preferred The Opportunity: The Polysomnographic Specialist performs all aspects of care as outlined in national and departmental clinical standard of practice policy and procedure manual and in accordance with written verbal orders or approved protocol flow charts. Clinical practice activities include but are not limited to the performance of diagnostic polysomnographic testing, assessment based therapeutic interventions and the analysis and scoring of polysomnographic records. The Polysomnographic Specialist accountabilities include the assessment and evaluation of histories and physicals, diagnostic, clinical and sleep related data pursuant to the development and monitoring of planned interventions in collaboration with the medical staff. The Polysomnographic Specialist supports and participates as appropriate in staff meetings, study quality, adherence to departmental protocols, continuing education, and professional growth development activities and performs other duties as assigned. Why Saint Luke's? • We believe in work/life balance. • We are dedicated to innovation and always looking for ways to improve. • We believe in creating a collaborative environment where all voices are heard. • We are here for you and will support you in achieving your goals. #LI-CK2 Job Requirements Applicable Experience: Less than 1 year Basic Life Support - American Heart Association or Red Cross, Polysomnographic Technologist - Board of Registered Polysomnographic Technologists Job Details PRN Night (United States of America) The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer. By applying, you consent to your information being transmitted by JobGet to the Employer, as data controller, through the Employer's data processor SonicJobs. See SonicJobs Privacy Policy at and Terms of Use at

Join our team as a Patient Benefits Coordinator at Mirasol Family Health Center in Hermiston, OR! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at ************* to learn more about our organization. Position Highlights: $19.58-$23.98 DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Address patient billing inquiries and collaborate with the Billing and Medicaid Office for issue resolution Inform patients on billing and payment practices, provide account details and balance information Discuss medical insurance options, eligibility, and Managed Care plans with clients Assist clients with insurance application process, track applications, and provide guidance on benefits Educate clients on medical insurance coverage, help resolve card-related issues Manage daily work queues for insurance, discounts, and Medicaid processing Evaluate and process hardship or write-off requests, maintain billing adjustments Stay updated on Managed Care and Medicaid program changes and updates Qualifications: High School Diploma or General Education Diploma (GED) One year's experience with billing credit or patient benefits, preferably in a medical office, is required; Experience in special programs such as State Managed Care plans is preferred Affordable Care Act (ACA) Certification: Must pass the ACA exam within 90 days of employment Bilingual (English/Spanish) required at a level 9 Ability to prioritize work and handle various tasks simultaneously, with frequent interruptions Ability to build effective relationships and interact professionally with patients, providers, and staff Basic proficiency with Electronic Medical Records, Word, and Excel Basic knowledge of medical terminology and medical billing insurance is desired Our Mission Statement “Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.” Our mission celebrates inclusivity. We are committed to equal-opportunity employment. Contact us at ************** to learn more about this opportunity!

Under the direction of the Benefits Manager, the Benefits Analyst assists in administering and communicating Midland Health benefits programs. Assists administering and maintaining benefits programs, including medical, pharmacy, retirement plans, etc. Monitor, research, and analyze current processes, trends, and compliance requirements. Responsible for creating and maintaining employee benefit files. Supports employees and plan members with questions and issues. Oversee key operations, including FMLA administration, Tuition Reimbursement, Affordable Care Act requirements, invoicing, and core and optional insurance plans. SHIFT AND SCHEDULE Monday - Friday: 8:00 AM - 5:00 PM ESSENTIAL FUNCTIONS/PERFORMANCE EXPECTATIONS Responsible for assuring proper staffing levels according to policy or request by management. Comprehend and follow healthcare regulations by adapting to new laws quickly. Process accurate and complete benefit documentation, such as collecting supporting documents for life events, dependent verification, and evidence of insurability determinations. Maintain benefit files (digital and paper) by keeping them organized in the HR drive and within the HRIS. Develop benefit communication materials for the New Employee Benefits Orientation, Open Enrollment, and mid-year benefit plan changes; distribute employee notices related to benefit plans; communications may include eBrochure, postcards, videos, and live presentations and other forms of communication. Distribute benefit communication materials by email to new employee benefit orientation, including New Hires, Newly Eligible, PPACA, Life Event, COBRA, and Open enrollments. Guide employees with benefits enrollments or login questions and assist them in filing claims, such as FMLA, Life, STD, LTD, Accident, Hospital Indemnity, Critical Illness, HSA, FSA, EAP, etc. Respond promptly to walk-ins, phone, and email inquiries, including claims processing issues related to benefit coverages, including Customer Identification Processing for HSA issues. Utilize vendor websites to export data for audits and help employees register and gain access to find providers, view claims, print temp cards, etc. Assist employees with utilizing vendor websites to register and gain access to find providers, view claims, print temporary insurance cards, etc. Apply Microsoft Office applications skills, such as demonstrating Excel V-lookups, tracking and monitor enrollment events, Evidence of Insurability exceptions, Dependent Verification status, Amazon Awards, etc.; notify employees of pending open issues; resolve issues to resolution. Monitor Dayforce notifications daily to process new hires, job assignments, terminations, dependent verifications, life event declaration/enrollments, dependent no longer eligible, and HSA changes. Respond to Centers for Medicare and Medicaid Service forms and National Medical Support Notices and update benefit elections and payroll deductions accordingly. Assist in administering 403(b), 457(b), 401(k) plans by determining the proper course of action to resolve escalated employee issues after investigating the facts; guide employees to enroll in the plan-specific to their assigned entity; assist with the annual retirement audits. Provide functional support on payroll/HRIS related to benefits, including benefit deductions, payroll corrections, calculating PTO donations, and performing system audits and testing. Prepare and maintain biweekly payroll deduction reports to support and process benefit vendor invoices; process new benefit vendor requests and expense reports. Prepare bill detail to process biweekly and monthly invoice payments to all benefit vendors. Coordinate and achieve project deadlines are complete and on time; Perform special projects as assigned, including the Open Enrollment event, the Years of Service banquet, new benefit implementation projects, etc. Promptly answer questions, process betterU forms, and process PTO requests/donations submitted through the HR Service Center and assist employees when needed. Act as a liaison with designated department personnel and third-party vendors; understand and identify benefits technology requirements to support system testing, data interfaces, data audits, development of test plans, and execution; conduct audits and implement solutions to correct defects. Monitor and troubleshoot benefit enrollment issues in the HRIS to provide vendors with accurate benefit eligibility data, such as resolving file feed errors promptly (EDC FML Errors, BCBSIL Discrepancy Reports, etc.). Provide functional support for third-party benefits administration systems and file feeds, including documentation, testing, monitoring successful file transmission, ensuring successful data loading to the applicable platforms, and addressing data issues that arise with file loads. Manage day-to-day relationships with benefits administration service providers and all plan administrators; attend related meetings and resolve complex plan issues with vendors. Maintains a positive atmosphere by acting and communicating promptly; facilitates and collaborates cross-functionally with HR and other department teams; Participate with HR inner departmental needs as needed, such as assisting in recruiting events, front desk coverage, etc. Provide guidance and training on benefits policy and procedures for Midland Health Managers and the HR department, such as presenting the FMLA course on Management Essentials training. Review and validate Year End Processing, such as 1095c per the Affordable Care Act requirements. Administer all aspects of FMLA including employee assistance, communication with departments, restricting/enabling employees' return to work, initiating long term disability claims, remove from payroll, etc. EDUCATION AND EXPERIENCE Minimum of a high school diploma or equivalent. BS degree preferred. Five (5) or more years as a Benefits Coordinator or Analyst experience. Demonstrated experience with HRIS systems, including design, development, and testing Demonstrated experience utilizing Microsoft Excel Pivot Tables and VLOOKUP's Bilingual in Spanish is strongly preferred. Customer service expert: telephone and email follow-up beyond compare. Ability to verbally communicate with all levels of the organization and vendors. Stand-up training experience required. Ability to work efficiently under conditions of multiple deadlines and changing priorities to produce a large volume of high-quality material with meticulous attention to detail. Microsoft Office experience required. PHYSICAL REQUIREMENTS To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The individual must be able to: Stand, walk, sit, stoop, reach, lift, see, speak and hear. Lifting is limited to 35 lbs. for clinical staff and to 50 lbs. for non-clinical staff. The individual must use an assisted-lift device or get another individual(s) to assist with the lift that is over these maximum limits.

The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes. Essential Job Functions Manage internal and external customer communications to maximize collections and reimbursements. Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes. Maintain fee schedule uploads in financial and practice operating systems. Review and resolve escalations on denied and unpaid claims. Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted. Monitor accounts receivable and expedite the recovery of outstanding payments. Prepare regular reports on refunds, under/over payments. Stay updated on changes in healthcare regulations and coding guidelines. *NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position. Other Essential Tasks/Responsibilities/Abilities Must be consistent with Femwell's core values. Excellent verbal and written communication skills. Professional and tactful interpersonal skills with the ability to interact with a variety of personalities. Excellent organizational skills and attention to detail. Excellent time management skills with proven ability to meet deadlines and work under pressure. Ability to manage and prioritize multiple projects and tasks efficiently. Must demonstrate commitment to high professional ethical standards and a diverse workplace. Must have excellent listening skills. Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures. Must maintain compliance with all personnel policies and procedures. Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members. Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position. Education, Experience, Skills, and Requirements Bachelor's degree preferred. Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management. Strong knowledge of healthcare regulations and insurance processes. Knowledgeable in change control. Proficiency with healthcare billing software and electronic health records (EHR). Knowledge of HIPAA Security preferred. Hybrid rotation schedule and/or onsite as needed. Medical coding (ICD-10, CPT, HCPCS) Claims management (X12) Revenue cycle management Denials management Insurance verification Data analysis Compliance knowledge Comprehensive understanding of provider reimbursement methodologies Billing software proficiency

Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Obesity impacts more than 40% of the US adult population, and although historically only about 1% of patients received medical treatment for their disease, the field of Obesity Medicine is entering a period of rapid growth. Form Health provides high-quality expert care and leverages technology to enhance the patient experience. All Form Health patients work closely with their care team, which includes board certified physicians, advanced practice professionals and Registered Dietitians. Through our proprietary mobile app patients engage in regular video visits, as well as text messaging, photo journaling, digital data transmission, and customized educational materials. We hold ourselves to the highest standards of clinical care, and to treating every individual with empathy and respect. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team. Our mission is to empower patients and be leaders in Obesity Medicine driving impact at a national scale. We are deeply invested in our core value to put patients first, and also deeply committed to creating a culture where every employee is valued and we learn and improve together. About the Role: We are seeking a Manager, Enrollment Specialist who will be responsible for leading and developing a high-performing team that supports patients with all steps of the onboarding journey. This role is critical to ensuring our new patients have a seamless and positive experience as they begin their journey with Form Health. The Manager will oversee the efficient and accurate completion of all onboarding steps, manage our inbound phone operations, manage our records collection process, drive process improvement initiatives to enhance patient readiness and operational flow, and utilize key metrics and trends to inform strategic decisions. This manager will also work with and expand our use of AI tools to help streamline operations. This will be a full-time, remote opportunity, reporting to the Director of Patient Services, but working closely with Patient Services and Product leadership along with other teams. What You Will Do: * Operational Oversight: Oversee the daily operations of the Enrollment Specialist team, including planning daily team coverage for various tasks, managing workload distribution, ensuring timely completion of tasks, ensuring coverage for our phone lines, and providing immediate support for complex patient issues or process challenges. * Onboarding Process Management: Ensure the efficient and accurate execution of all new patient onboarding processes, including: * Effective management of incoming communications (chats, emails, phone calls) related to enrollment. * Coordinating medical records requests and records follow-up to drive turnaround times in < 3 business days. * Strategic execution of patient outreach to drive onboarding completion. * Team Leadership & Development: Lead, coach, and develop a team of Enrollment Specialists, providing ongoing performance feedback, conducting regular one-on-one meetings, and completing annual performance evaluations to ensure high-quality service and productivity. * Process Improvement & Efficiency: * Initially focus on revamping and improving our records collection workflow. * Proactively identify, implement, and drive continuous process improvement initiatives to enhance team efficiency, reduce patient onboarding time, and elevate overall patient satisfaction during the enrollment phase. * Escalation Management: Manage and resolve escalated patient issues related to enrollment or onboarding, ensuring empathetic communication and effective problem resolution. * Data-Driven Decision Making: Monitor, analyze, and report on key performance indicators (KPIs) and trends specific to enrollment processes (e.g., turnaround time, completion rates, contact metrics) to identify areas for improvement, optimize workflows, and make informed strategic decisions. * Cross-Functional Collaboration: Partner effectively with cross-functional teams (e.g., Product, Engineering, Marketing, Clinical Leadership, Learning & Development) to provide feedback on operational tools, create relevant training materials, coordinate clinical support for non-clinical tasks, and improve the overall patient experience. * Training & Quality Assurance: Assist with the development of training materials and lead the orientation of new Enrollment Specialists, fostering a culture of continuous learning and high performance. * Special Projects: Contribute to and lead special projects as directed by leadership, particularly those focused on scaling enrollment operations and improving patient access. About You * 5+ years of experience in a healthcare setting, with at least 3+ years of experience in a supervisory or management role, within patient enrollment, customer service operations, and medical records management. * Proven experience in successfully managing and developing teams to achieve high performance and deliver excellent customer service. * A strong understanding of patient enrollment processes, medical practice operations, insurance verification, and professionalism standards within a healthcare context. * Exceptional verbal and written communication skills, with the ability to effectively lead a team, communicate complex information, and foster strong internal and external relationships. * Highly organized, with strong judgment and prioritization skills. Proven ability to oversee multiple complex tasks, manage team workload, and effectively meet operational deadlines. * Proficient computer skills and a metrics-driven mindset, comfortable with analyzing data and adapting to evolving, custom-built IT systems, electronic health records (EHRs), and communication platforms (e.g., Slack, Google Workspace). * Demonstrated experience in driving process improvement initiatives and managing patient escalations. * A passion for helping patients and a deep commitment to providing outstanding support during the critical initial stages of their healthcare journey. * Experience in a telemedicine or virtual care environment is a strong plus. More about Form Health's benefits: * Competitive salary and equity in a high growth start-up * Comprehensive health benefits (medical, dental, vision) * 401k program * Flexible work schedules and paid time off * Paid parental leave Form Health's commitment to building a diverse, equitable, and inclusive work environment: Form Health is committed to creating a culture and environment that celebrates diversity and inclusion, while fostering safety and belonging. This extends from our remote patient care to our corporate offices and everywhere in between. We are looking for team members who want to help us further our Diversity, Equity, and Inclusion (DEI) efforts and who share our attitudes for creating an inclusive, safe, and positive work environment.

At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: “What would I do if this patient were my mom?” That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary The Senior Enrollment Specialist plays a key role in overseeing the end-to-end payor enrollment process. This includes managing applications, ensuring compliance with enrollment requirements, and maintaining accurate records and data. As a Senior Specialist this role serves as a primary contact for enrollment inquires and addresses complex enrollment issues, playing a pivotal role in issue resolution. Job Responsibilities Complete knowledge and full understanding of the payor enrollment process. Ability to assess unusual and complex circumstances that may occur with enrollment and uses critical thinking and problem-solving techniques to identify and suggest methods for resolution. Work is done independently and is reviewed at critical points. Responsible for overseeing, monitoring, and maintaining the processes involved in both initial and revalidation of payor enrollment applications. Possess a thorough comprehension of payor enrollment requirements and regulations governing enrollment to ensure ongoing compliance. Responsible for securing timely enrollment by submitting applications ahead of deadlines and maintaining consistent follow-up with payors through completion. Conduct research and document enrollment processes encompassing, but not limited to, initial enrollment, revalidation, and demographic changes. Regularly update and manage data in the credentialing database, spreadsheets, and folders, while maintaining data integrity. Assures compliance with payor requirements as related to the provider enrollment and monitor activities to ensure compliance with all procedures and regulations. Participate in the development and implementation of credentialing processes and procedures and provide input regarding process improvement. Serve as primary contact for payor inquires and issue resolution, specifically related to enrollment and credentialing matters. Assist in the training of colleagues on internal enrollment policies and procedures and provide guidance on navigating payor agencies requirements. Performs other duties as assigned. Required Qualifications High school diploma or GED required. Four to six years of experience in a credentialing office or equivalent related environments. Knowledge of health plan and governmental payor credentialing process and requirements, such as NCQA/state/federal standards, Medicaid, and Medicare. Demonstrates proficient communication abilities, both orally and in writing, and strong interpersonal skills. Exhibits a heightened level of awareness and attention to detail. Demonstrates outstanding organizational and time management skills. Demonstrate the ability to work autonomously while effectively contributing to a collaborative team environment. Ability to maintain confidentiality. Proficient in Database, MS Excel, Word, Adobe and other software systems. A team player with multi-tasking capability and strong customer service orientation. Preferred Qualifications Bachelor's degree preferred. Current Certified Provider Credentialing Specialist (CPCS) with the National Association of Medical Staff Services preferred. Database management skills including querying, reporting, and document generation a plus. Physical Demands Must possess ability to sit and/or stand for long periods of time. Must possess ability to perform repetitive motion. Ability to lift up to 15 pounds. Majority of work is performed in a desk/cubicle environment. Required Training All job specific, safety, and compliance training are assigned based on the job functions associated with this position. Required Training All job specific, safety, and compliance training are assigned based on the job functions associated with this employee. Other Travel rarely required. Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

**At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives.** We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: _"What would I do if this patient were my mom?"_ That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. **Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.** **Position Summary** The Senior Enrollment Specialist plays a key role in overseeing the end-to-end payor enrollment process. This includes managing applications, ensuring compliance with enrollment requirements, and maintaining accurate records and data. As a Senior Specialist this role serves as a primary contact for enrollment inquires and addresses complex enrollment issues, playing a pivotal role in issue resolution. **Job Responsibilities** + Complete knowledge and full understanding of the payor enrollment process. + Ability to assess unusual and complex circumstances that may occur with enrollment and uses critical thinking and problem-solving techniques to identify and suggest methods for resolution. + Work is done independently and is reviewed at critical points. + Responsible for overseeing, monitoring, and maintaining the processes involved in both initial and revalidation of payor enrollment applications. + Possess a thorough comprehension of payor enrollment requirements and regulations governing enrollment to ensure ongoing compliance. + Responsible for securing timely enrollment by submitting applications ahead of deadlines and maintaining consistent follow-up with payors through completion. + Conduct research and document enrollment processes encompassing, but not limited to, initial enrollment, revalidation, and demographic changes. + Regularly update and manage data in the credentialing database, spreadsheets, and folders, while maintaining data integrity. + Assures compliance with payor requirements as related to the provider enrollment and monitor activities to ensure compliance with all procedures and regulations. + Participate in the development and implementation of credentialing processes and procedures and provide input regarding process improvement. + Serve as primary contact for payor inquires and issue resolution, specifically related to enrollment and credentialing matters. + Assist in the training of colleagues on internal enrollment policies and procedures and provide guidance on navigating payor agencies requirements. + Performs other duties as assigned. **Required Qualifications** + High school diploma or GED required. + Four to six years of experience in a credentialing office or equivalent related environments. + Knowledge of health plan and governmental payor credentialing process and requirements, such as NCQA/state/federal standards, Medicaid, and Medicare. + Demonstrates proficient communication abilities, both orally and in writing, and strong interpersonal skills. + Exhibits a heightened level of awareness and attention to detail. + Demonstrates outstanding organizational and time management skills. + Demonstrate the ability to work autonomously while effectively contributing to a collaborative team environment. + Ability to maintain confidentiality. + Proficient in Database, MS Excel, Word, Adobe and other software systems. + A team player with multi-tasking capability and strong customer service orientation. **Preferred Qualifications** + Bachelor's degree preferred. + Current Certified Provider Credentialing Specialist (CPCS) with the National Association of Medical Staff Services preferred. + Database management skills including querying, reporting, and document generation a plus. **Physical Demands** + Must possess ability to sit and/or stand for long periods of time. + Must possess ability to perform repetitive motion. + Ability to lift up to 15 pounds. + Majority of work is performed in a desk/cubicle environment. + Required Training + All job specific, safety, and compliance training are assigned based on the job functions associated with this position. **Required Training** + All job specific, safety, and compliance training are assigned based on the job functions associated with this employee. **Other** + Travel rarely required. **Conditions of Employment:** Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Caris Life Sciences is a leading innovator in molecular science and artificial intelligence focused on fulfilling the promise of precision medicine through quality and innovation. Caris is committed to quality and excellence at our state-of-the-art laboratories. Learn more about our tissue lab and the advanced technologies that are helping improve the lives of cancer patients.

At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: “What would I do if this patient were my mom?” That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary The Senior Enrollment Specialist plays a key role in overseeing the end-to-end payor enrollment process. This includes managing applications, ensuring compliance with enrollment requirements, and maintaining accurate records and data. As a Senior Specialist this role serves as a primary contact for enrollment inquires and addresses complex enrollment issues, playing a pivotal role in issue resolution. Job Responsibilities Complete knowledge and full understanding of the payor enrollment process. Ability to assess unusual and complex circumstances that may occur with enrollment and uses critical thinking and problem-solving techniques to identify and suggest methods for resolution. Work is done independently and is reviewed at critical points. Responsible for overseeing, monitoring, and maintaining the processes involved in both initial and revalidation of payor enrollment applications. Possess a thorough comprehension of payor enrollment requirements and regulations governing enrollment to ensure ongoing compliance. Responsible for securing timely enrollment by submitting applications ahead of deadlines and maintaining consistent follow-up with payors through completion. Conduct research and document enrollment processes encompassing, but not limited to, initial enrollment, revalidation, and demographic changes. Regularly update and manage data in the credentialing database, spreadsheets, and folders, while maintaining data integrity. Assures compliance with payor requirements as related to the provider enrollment and monitor activities to ensure compliance with all procedures and regulations. Participate in the development and implementation of credentialing processes and procedures and provide input regarding process improvement. Serve as primary contact for payor inquires and issue resolution, specifically related to enrollment and credentialing matters. Assist in the training of colleagues on internal enrollment policies and procedures and provide guidance on navigating payor agencies requirements. Performs other duties as assigned. Required Qualifications High school diploma or GED required. Four to six years of experience in a credentialing office or equivalent related environments. Knowledge of health plan and governmental payor credentialing process and requirements, such as NCQA/state/federal standards, Medicaid, and Medicare. Demonstrates proficient communication abilities, both orally and in writing, and strong interpersonal skills. Exhibits a heightened level of awareness and attention to detail. Demonstrates outstanding organizational and time management skills. Demonstrate the ability to work autonomously while effectively contributing to a collaborative team environment. Ability to maintain confidentiality. Proficient in Database, MS Excel, Word, Adobe and other software systems. A team player with multi-tasking capability and strong customer service orientation. Preferred Qualifications Bachelor's degree preferred. Current Certified Provider Credentialing Specialist (CPCS) with the National Association of Medical Staff Services preferred. Database management skills including querying, reporting, and document generation a plus. Physical Demands Must possess ability to sit and/or stand for long periods of time. Must possess ability to perform repetitive motion. Ability to lift up to 15 pounds. Majority of work is performed in a desk/cubicle environment. Required Training All job specific, safety, and compliance training are assigned based on the job functions associated with this position. Required Training All job specific, safety, and compliance training are assigned based on the job functions associated with this employee. Other Travel rarely required. Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

In this vital role, you will be responsible for ensuring accurate and timely credentialing of healthcare professionals and managing their enrollment processes with various insurance payors. Your expertise will help maintain compliance and support our commitment to providing access to high-quality patient care. Key Responsibilities: - Verify and maintain the credentials of healthcare professionals, including licenses, certifications, and educational qualifications - Manage the enrollment process of healthcare providers with multiple payor insurance plans - Ensure timely submission of credentialing and re-credentialing applications - Communicate effectively with Credentialing Verification Organization, healthcare providers, insurance companies, and internal teams to resolve issues - Monitor and track credentialing and enrollment statuses to ensure compliance with regulatory requirements Skills and Qualifications: - Strong organizational and administrative skills with attention to detail - Excellent communication and interpersonal skills - Ability to manage multiple tasks and meet deadlines in a fast-paced environment - Proficiency in Microsoft Office Suite - Proven experience in healthcare credentialing and insurance enrollment preferred - Knowledge of healthcare regulations and payor requirements preferred We offer a collaborative work environment, opportunities for professional growth, and a comprehensive benefits package. Requirements Required: AA degree 1+ years' experience in a healthcare setting Preferred: Bachelor's degree in healthcare administration or related field 1+ years' experience in credentialing and enrollment Salary Description $26.00 - $36.00 per hour, DOE

In this vital role, you will be responsible for ensuring accurate and timely credentialing of healthcare professionals and managing their enrollment processes with various insurance payors. Your expertise will help maintain compliance and support our commitment to providing access to high-quality patient care. Key Responsibilities: * Verify and maintain the credentials of healthcare professionals, including licenses, certifications, and educational qualifications * Manage the enrollment process of healthcare providers with multiple payor insurance plans * Ensure timely submission of credentialing and re-credentialing applications * Communicate effectively with Credentialing Verification Organization, healthcare providers, insurance companies, and internal teams to resolve issues * Monitor and track credentialing and enrollment statuses to ensure compliance with regulatory requirements Skills and Qualifications: * Strong organizational and administrative skills with attention to detail * Excellent communication and interpersonal skills * Ability to manage multiple tasks and meet deadlines in a fast-paced environment * Proficiency in Microsoft Office Suite * Proven experience in healthcare credentialing and insurance enrollment preferred * Knowledge of healthcare regulations and payor requirements preferred We offer a collaborative work environment, opportunities for professional growth, and a comprehensive benefits package. Requirements Required: AA degree 1+ years' experience in a healthcare setting Preferred: Bachelor's degree in healthcare administration or related field 1+ years' experience in credentialing and enrollment Salary Description $26.00 - $36.00 per hour, DOE

Job DescriptionDescription: In this vital role, you will be responsible for ensuring accurate and timely credentialing of healthcare professionals and managing their enrollment processes with various insurance payors. Your expertise will help maintain compliance and support our commitment to providing access to high-quality patient care. Key Responsibilities: - Verify and maintain the credentials of healthcare professionals, including licenses, certifications, and educational qualifications - Manage the enrollment process of healthcare providers with multiple payor insurance plans - Ensure timely submission of credentialing and re-credentialing applications - Communicate effectively with Credentialing Verification Organization, healthcare providers, insurance companies, and internal teams to resolve issues - Monitor and track credentialing and enrollment statuses to ensure compliance with regulatory requirements Skills and Qualifications: - Strong organizational and administrative skills with attention to detail - Excellent communication and interpersonal skills - Ability to manage multiple tasks and meet deadlines in a fast-paced environment - Proficiency in Microsoft Office Suite - Proven experience in healthcare credentialing and insurance enrollment preferred - Knowledge of healthcare regulations and payor requirements preferred We offer a collaborative work environment, opportunities for professional growth, and a comprehensive benefits package. Requirements: Required: AA degree 1+ years' experience in a healthcare setting Preferred: Bachelor's degree in healthcare administration or related field 1+ years' experience in credentialing and enrollment

"Clinica is like my second home and it feels like family. Everyone is inviting and wants to see me grow. I've never had so much positive feedback as I do from patients at Clinica. Patients feel seen, heard and helped as we guide them to a more positive outlook on the medical field. Enrollment is really rewarding!" ~ Dallana Delira, Enrollment Manager Help patients enroll in a discount or insurance program so they can get the medical, dental and behavioral care they need. Job Profile: * Are you experienced with healthcare enrollment including of state and federal programs, eligibility criteria, insurance terminology and coverage types? * Have you absorbed and analyzed large amounts of data? * Are you experienced with electronic health records (EHR), online application portals and basic office software? * Do you empathize with patients and let them know you are here to help them? * Are you positive and approachable with patients and co-workers? * Do you reach out for help when you need it? * Are you bilingual in English and Spanish? What You Get to Do: * You will talk with patients to explain complex insurance terms and program requirements in a way that's easy to understand. * You will prescreen patients to assess what program they qualify for to ensure they have the necessary documents to start the enrollment process. * You will meet with walk-in and scheduled patients to follow through with the application process. * You will keep detailed records of documents, application and billing information in the electronic health record (EHR). * You will add payors to the patient record. * You will prepare reports and submit prior to deadlines. * You get to serve your community - you are here for the patients, and they are very grateful. Compensation: Approximately $21.00 - $26.60 per hour. All individual pay rates are calculated based on the candidate's experience and internal equity. What We Need for this Job: * Bilingual in English and Spanish. * Attention to detail of critical information to determine patient eligibility and their application. * Analyze complex data to determine the correct eligible patient programs. * Strong communication skills - proactively ask for help, etc. * Must be reliable and punctual. * Maintain a high level of professionalism and empathy when interacting with patients. Training takes approximately six weeks even with prior enrollment experience. After six months, this position is eligible for hybrid work. Employees with less experience may still qualify if they can demonstrate role competency, as determined by their manager. What We Offer: * Comprehensive Benefits: * Medical * Dental * Vision * FSA/HSA * Life and Disability * Accident/Hospital Plans * Retirement with Employer Contributions * Vacation, sick, and extended illness time off options * Open communication with leadership and mission-focused engagement * Training and growth opportunities with a supportive team invested in your success We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

Founded in 1970, East Valley Community Health Center is a Federally Qualified Health Center (FQHC) who's services include providing personalized, affordable, high-quality medical, dental, vision and behavioral health care through a community-based network within the East San Gabriel Valley and Pomona Communities. Our staff practices patient-centered care by serving each patient with a personalized care plan that meets their individual needs. Our patients have access to support services that include, nutrition, health education, case management, pharmacy, lab, and x-ray at our health center locations. East Valley serves the health care needs of uninsured and underserved individuals and families throughout our 8 health center locations. Our mission is to provide access to excellent health care while engaging and empowering our patients, employees, and partners to improve their well-being and the health of our communities. MAJOR POSITION RESPONSIBILITIES AND FUNCTIONS: * Provide enrollment assistance (including but not limited to completing coverage applications, gathering required documentation, and troubleshooting the enrollment process) for uninsured individuals to access subsidized, low-cost and free health insurance programs through the health insurance market place and Medi-Cal. * Provide structured patient education on health coverage, engage in follow-up and offer renewal assistance for enrolled individuals. * Educate patients and community members on COVID-19 best practices including vaccine eligibility and booster requirements. * Establish trusting relationships with patients and their families while identifying and addressing patients' needs. * Provide ongoing navigation with patients and families to assure patient satisfaction, evidenced by patient retention. * Conduct outreach and in-reach strategies within the community with the goal of increasing the number of families enrolled with EVCHC. * Conduct in-reach activities at EVCHC sites to inform patients about health care coverage * Assists and/or completes additional tasks as assigned. POSITION REQUIREMENTS AND QUALIFICATIONS: * High School or GED required. Bachelor's Degree in health or social service-related field of study preferred or, a minimum of two years in the field equivalent combination of education and experience. * 2 or more years of experience working in community social service or healthcare environment. * Experience using technology such as a computer, web-based portal systems, and internet web browsers. * Experience tabling and performing community outreach. * Covered CA Enrollment Assister Certification strongly preferred. * Must have strong Microsoft Office 365 skills (ex: Outlook, Word, and Excel). * Must be able to type 45 words per minute. * Bilingual, Fluent in English/Spanish or English/Spanish/Mandarin required. DOE: $23.00 - $27.16 East Valley offers a competitive salary, excellent benefits to include medical, dental, vision, and defined contribution retirement plan. You will also enjoy work-life balance with paid time off and paid holidays throughout the year. Please apply to this position with your current resume. Principals only. Recruiters, please do not contact this job posting. EOE is the Law. It is the stated policy of EVCHC to conform to all the laws, statutes, and regulations concerning equal employment opportunities and affirmative action. We strongly encourage women, minorities, individuals with disabilities and veterans to apply to all of our job openings. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, or national origin, age, disability status, Genetic Information & Testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law. We prohibit Retaliation against individuals who bring forth any complaint, orally or in writing, to the employer or the government, or against any individuals who assist or participate in the investigation of any complaint or otherwise oppose discrimination.

: Eligibility & enrollment SpecialistReports To: Front Office Supervisor Status: Full-Time, Non-Exempt This position is responsible for helping clients enroll in health insurance programs; registering new and established patients in IHC services; conducting outreach to established clients at the Indian Health Center (IHC); assisting patients develop payment plans; and backing up the front desk. The IHC is a Patient Centered Health Home and all employees are an integral part of this model of care delivery. Duties & Responsibilities: Meet with new and established medical clients to inform them about the services offered at the IHC and to enroll them into health insurance programs or any available County coverage Greet patients in waiting room and help them to complete forms Conduct outreach calls to all of the IHC's American Indian clients and encourage them to come in and receive services Conduct outreach calls and mailings to new medical managed care enrollees Create an incentive system aimed at reducing the number of no show clients Provide back up to the receptionist and medical records when needed Develop payment plans if needed for clients Compile monthly statistics for the Medical Department's Board Report Will need to prepare the Eligibility report for registration Make new patient registration packets Confirm appointments Check voicemail daily, follow up with calls and make new patient appointments Maintain schedule for Medi-Cal eligibility worker Assist patients with Medi-Cal applications Assist eligible applicants with the Covered California enrollment process Will attend outreach events as needed Participate as a proactive representative of the Patient Centered Health Home Perform duties utilizing the Team-Based Approach Perform other duties as assigned Required Qualifications, Knowledge and Abilities: Associate degree in a medical related field or comparable A minimum of 2 years of experience in a medical setting in a similar position Able to read, write and speak English fluently Bi-lingual in Spanish preferred Knowledge of medical terminology, procedure codes, ICD-9 codes, and medical records handling Trained as Certified Enrollment Counselor for Covered California or willing to complete training within 3 months of being hired Vast knowledge of Federal and State health programs, and Qualified Health Plans of Cover California Working knowledge of computer programs such as Microsoft Window Experience with Electronic Health Records and patient registries Flexibility, initiative, reliability, and creativity Willingness to cross train for reception and medical records Excellent customer service Knowledge of and ability to relate to the American Indian community and other minority populations Possession of a valid California Driver License, automobile insurance, and a clean driving record. Will need to provide this at time of hire Ability to maintain strict confidentiality Ability to function independently and as a team member within diverse environments as well as with a diverse staff composition Demonstrated ability to perform multiple administrative functions simultaneously in an accurate, organized, and efficient manner. Ability to multitask and thrive in a fast-paced, constantly changing environment Ability to carry out all responsibilities in an honest, ethical and professional manner and demonstrate good judgment Physical Requirements: Ability to sit, stand and walk for extensive periods of time Manual and finger dexterity and eye-hand coordination sufficient to accomplish the duties associated with your job description Ability to lift up to 35 pounds Ability to stoop, squat, or bend frequently Corrected vision and hearing within normal range to observe and communicate with patients and professional staff Working Conditions: Exposure to all patient elements, including communicable disease and blood borne pathogens. Will be working in a fast paced medical environment which can be stressful and constantly changing conditions. Normal working hours are from 8:00 am until 5:00 pm with one hour for lunch. However, working hours may vary depending upon need. Will need to be flexible in performing tasks with limited discretion in making judgment decisions. Preference is given to qualified American Indian/Alaskan Natives in accordance with the American Indian Preference Act (Title 25, U.S. Code Section 472, 473 and 473a). In other than above, the Indian Health Center of Santa Clara Valley, Inc. is an equal opportunity employer including minorities, women, disabled and veterans. Approvals/Acknowledgements

Support AFMC's Connecting Kids to Coverage (CKC-CHIP) project by assisting individuals-particularly parents, guardians, and pregnant individuals-with applying for or renewing Arkansas Medicaid and CHIP coverage. This role involves direct client interaction via phone and web chat, providing culturally and linguistically appropriate guidance on eligibility, documentation, and enrollment processes. Collaborate with internal teams to ensure timely, accurate, and compassionate support. Support the organization's mission, vision, and values by exhibiting the following behaviors: Honesty, Excellence, Accountability, Respect, and Teamwork. ESSENTIAL JOB FUNCTIONS: 1. Assist individuals with Medicaid/CHIP applications and renewals via phone, and web chat. 2. Provide accurate information on eligibility requirements, required documentation, and enrollment status. 3. Conduct follow-up to ensure successful enrollment and receipt of insurance materials. 4. Document all interactions and outcomes in AFMC's CRM system (Salesforce). 5. Support cultural and linguistically appropriate outreach, including use of interpreters and translated materials. 6. Maintain comprehensive knowledge of specialty areas, pertinent organizations, and health care environment. This includes contract deliverables, policies and procedures, resources, current research, reports, and trends 7. Communicate effectively with customers and/or recipients. Develop and maintain working relationships as necessary to meet contract deliverables of specialty area project. 8. Act as a resource to internal and external customers for information pertaining to specialty area focus. 9. Understand and utilize project-tracking database to document and monitor services/activities provided and to compile a comprehensive database of activity. Maintain accurate statistical data to meet contractual and other reporting requirements. 10. Coordinate the timely collection and data entry of all required documentation. 11. Assist in the creation and maintenance of necessary reports/documents to track and report project information. Prepare ad hoc reports and/or statistics as directed. 12. Monitor specific items within the area of focus, provide recommendations/feedback to internal for quality improvement and follow through for compliance of recommendations for improvement. 13. Communicate needs and requests to other team members as appropriate. 14. Adhere to format, content, and style guidelines, giving consideration to usability and ensuring accuracy, consistency, and quality. 15. Follow AFMC, state and federal protocols regarding data confidentiality/security and HIPAA compliance. 16. Additional duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES: • Must possess intermediate level computer skills (Excel, Word, Power Point and Outlook) • Type 50 wpm • Exceptional skills in business English and spelling • Ability to maintain confidentiality • Strong oral and written communication skills • Creativity • Customer service • Ability to meet deadlines • Attention to detail • Flexibility • Ability to work collaboratively and independently to achieve stated goals • Initiative • Ability to relate professionally and positively with staff, business partners, customers, constituents, members, and the public • Ability to multitask • Ability to prioritize • Strong organizational skills • Problem solving skills • Professionalism • Project management skills • Ability to read, interpret and apply laws, rules, and regulations • Knowledge of quality improvement processes and techniques • Time management skills • Ability to work overtime as needed Requirements Physical and Sensory Requirements (With or Without the Aid of Mechanical Devices): Mobility, reaching, bending, lifting, grasping, ability to read and write, ability to communicate with personnel, ability to remain calm under stress and ability to travel as needed. Must be able to lift and transport 25 pounds. Must be capable of performing the essential job functions of this job, with or without reasonable accommodation. EDUCATION: : High School Diploma. Preferred: CMS Navigator or Certified Application Counselor (CAC) certification EXPERIENCE: : Bilingual English/Spanish. Two (2) years' experience within the healthcare arena and customer relations. Preferred: Thorough understanding of Arkansas Medicaid/CHIP. INTERNET REQUIREMENTS: Reliable, high-speed wireless internet service (Wi-Fi) An upload speed of at least 5Mbps is required to support softphone functionality.

Founded in 1970, East Valley Community Health Center is a Federally Qualified Health Center (FQHC) who's services include providing personalized, affordable, high-quality medical, dental, vision and behavioral health care through a community-based network within the East San Gabriel Valley and Pomona Communities. Our staff practices patient-centered care by serving each patient with a personalized care plan that meets their individual needs. Our patients have access to support services that include, nutrition, health education, case management, pharmacy, lab, and x-ray at our health center locations. East Valley serves the health care needs of uninsured and underserved individuals and families throughout our 8 health center locations. Our mission is to provide access to excellent health care while engaging and empowering our patients, employees, and partners to improve their well-being and the health of our communities. Position Responsibilities and Functions: • Provide enrollment assistance (including but not limited to completing coverage applications, gathering required documentation, and troubleshooting the enrollment process) for uninsured individuals to access subsidized, low-cost and free health insurance programs through the health insurance market place and Medi-Cal. • Provide structured patient education on health coverage, engage in follow-up and offer renewal assistance for enrolled individuals. • Educate patients and community members on COVID-19 best practices including vaccine eligibility and booster requirements. • Establish trusting relationships with patients and their families while identifying and addressing patients' needs. • Provide ongoing navigation with patients and families to assure patient satisfaction, evidenced by patient retention. • Conduct outreach and in-reach strategies within the community with the goal of increasing the number of families enrolled with EVCHC. • Conduct in-reach activities at EVCHC sites to inform patients about health care coverage Position Requirements and Qualifications: High School or GED required. Bachelor's Degree in health or social service-related field of study preferred or, a minimum of two years in the field equivalent combination of education and experience. 2 or more years of experience working in community social service or healthcare environment. Experience using technology such as a computer, web-based portal systems, and internet web browsers. Experience tabling and performing community outreach. Covered CA Enrollment Assister Certification strongly preferred. Must have strong Microsoft Office 365 skills (ex: Outlook, Word, and Excel). Must be able to type 45 words per minute. Bilingual, Fluent in English/Spanish or English/Spanish/Mandarin (Highly preferred) East Valley offers a competitive salary, excellent benefits to include: medical, dental, vision, and defined contribution retirement plan. You will also enjoy work-life balance with paid time off and paid holidays throughout the year. Principals only. Recruiters, please do not contact this job posting. EOE is the Law. It is the stated policy of EVCHC to conform to all the laws, statutes, and regulations concerning equal employment opportunities and affirmative action. We strongly encourage women, minorities, individuals with disabilities and veterans to apply to all of our job openings. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, or national origin, age, disability status, Genetic Information & Testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law. We prohibit Retaliation against individuals who bring forth any complaint, orally or in writing, to the employer or the government, or against any individuals who assist or participate in the investigation of any complaint or otherwise oppose discrimination.

Integrative Emergency Services, LLC (“IES”) is seeking a Revenue Cycle EDI Enrollment Specialist (ESS) who will be responsible for facilitating and managing provider enrollment for all new and existing clients. The EES is responsible for completing and/or overseeing vendor management for all EFT/ERA enrollment submissions for the appropriate payors, providing payor portal access to the appropriate entities, and updating remittance and demographic information for all entities. This specialist will develop, coordinate, implement, and manage all payer/EDI-related processes. Additionally, the EES serves as the primary link between IES and any claims/payer data-trading partners and vendors and manages those relationships. The EES' job is to ensure all items are accurately obtained, tracked, setup, updated and communicated for each implementation and/or payer/provider change. IES is dedicated to cultivating best practices in emergency care, providing comprehensive acute care services, creating value, and supporting patients, employees, clients, providers, and physicians in pursuit of the highest quality health care. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Will be responsible for managing the payor linking process including the development of linking strategies for account processing and establishing procedures for access management. Will be responsible for setting up new group forms with RCM vendors for EDI. Will manage and set-up new group administrator access across all payor websites and manage client profiles across all platforms and all websites for all groups. Will oversee EFT and ERA enrollment for all groups and all payors. Will manage website access for IES and its vendors. Will manage all profile attestations for payor linking. Will manage reporting and processes to redirect paper mail to lockbox and/or convert to ERA and EFT/ACH. Manages the processes associated with new and change payer set ups as it relates to 270/271 eligibility, 835/837 files and EFT's. Responsible for updating workflow processes and documentation related to payor linking (EDI, EFT, and/or ERA). Manage bank account and address linking for all groups. Collaborates with vendor(s) and serves as the primary contact for payor linking. Research and compile new payor contract and/or enrollment scoping for all groups and all payors. Source primary contact and/or process for payor contracting and present to leadership. Assist with research through payor websites as applies to new or existing payor contracts. QUALIFICATIONS Knowledge, Skills, Abilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent analytical, organizational, and verbal/written communication skills Detail orientation Ability to manage multiple priorities Strong customer service orientation Ability to use discretion appropriately and maintain confidentiality High levels of proficiency with MS Office applications Ability to function in a hands-on environment Ability to read, write and speak English proficiently Education / Experience: Include minimum education, technical training, and/or experience preferred to perform the job. Required: HS Diploma or GED equivalent 3+ years of experience working in EDI and Healthcare Revenue Management or Revenue Cycle Management, with a focus on healthcare remittance processing and enrollments 3+ years of experience with EDI, enrollment, and/or insurance portal management 3+ years of experience with billing, collections, and/or coding in revenue cycle Working knowledge with various payer systems and basic enrollment processes (ERA vs. ACH/EFT) Working knowledge of healthcare specific EDI standards (HIPAA, X12, HL7) and transactions sets (270s, 271s, 837s, 835s, etc) Extensive knowledge of medical terminology and revenue cycle industry Preferred: Bachelors Degree in Healthcare Management, Business, Project Management, or a related field PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus While performing the duties of this job, the employee is regularly required to talk and hear Frequently required to stand, walk, sit, use hands to feel, and reach with hands and arms. Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.) Occasionally lift and/or move up to 20-25 pounds Fine hand manipulation (keyboarding) WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Office environment; Hybrid schedule 4835 Lyndon B Johnson Fwy, Dallas, TX 75244 Monday/Friday remote Tuesday-Thursday in office 8am-5pm May visit hospital locations and vendors The noise level in the work environment is usually low TRAVEL Occasional travel may be required Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. The company is committed to creating a diverse, inclusive, and equitable environment and is proud to be an equal opportunity employer. Qualified applicants of any age, race, religion, nationality, sexual orientation, gender identity or expression, disability, or veteran status will receive equal consideration for positions. We welcome people of diverse backgrounds, experiences, and abilities and believe that the unique experiences of our team drive our success.

Enrollment Specialist Location: Fulton, MO (On-Site) Job Type: Full-time About Us: At the Arthur Center, we inspire community health and wellness! Our approach is to inspire our patients and clients to lead a healthy life so they can spend their time, talent and resources on living! We are headquartered in Mexico, MO and currently serve the Audrain, Callaway, Montgomery, Pike, Ralls, and Monroe Counties. We employ close to 200 people at our 5 locations. We are seeking a detail-oriented Enrollment Specialist to assist clients in accessing affordable healthcare and financial support programs. This role involves guiding clients through Medicaid applications, Marketplace health coverage enrollment, and sliding fee programs, while ensuring accurate documentation in Electronic Health Records (EHR). Join Arthur Center Community Health to make a meaningful impact in the lives of those we serve. Key Tasks and Responsibilities Conduct in-person financial assessments with clients Collect demographic information and create new charts in the EHR system Complete sliding fee applications and financial assessments Schedule appointments for new clients and coordinate initial behavioral health visits Assist clients with Medicaid applications, including complex cases requiring authorized representation Support clients with Marketplace health coverage applications Maintain and update financial assistance programs Key Skills and Attributes Strong communication and interpersonal skills Basic computer proficiency and ability to document in EHR systems Ability to work independently and prioritize multiple tasks Critical thinking and problem-solving skills General understanding of mental health, Medicaid, Marketplace, and insurance benefits Degree and Licensure Requirements High School diploma required; Bachelor's Degree in Social Work preferred Must obtain Certified Application Counselor license within 30 days of hire Minimum two years of experience in a clinical office setting (Medicaid/Marketplace experience preferred) Top benefits or perks: As an employee at Arthur Center, you'll enjoy: Collaborative work environment Competitive pay Comprehensive benefits package including: Medical (HSA option) Dental Vision Life insurance 401(k) with up to 6% company match 9 paid holidays Generous PTO Apply Today Ready to make a meaningful impact in your community? Apply now through to join a team that values excellence, compassion, and collaboration.

Description: Connections for Children (CFC) is a non-profit Child Care Resource and Referral agency serving child care providers, educators, and parents in the West Los Angeles and South Bay communities. For nearly 50 years, CFC has been a key community resource, empowering families and child care providers to ensure every child has access to quality early care and education. Through child care referrals, financial assistance, family engagement, and workforce development programs, CFC strengthens the link between families, providers, and the broader community, promoting the well-being and optimal development of young children. Committed to equity and excellence, CFC is a steadfast advocate for the nurturing and educational needs of all children, continually evolving to meet the changing demands of the community. Connections for Children is focused on expanding programs to serve more people throughout our service area, while investing in staff and organizational capacity to ensure mission success. By establishing a more diverse revenue base, CFC is sustaining and growing its impact, prioritizing equity, and inclusivity in all efforts. This prioritization affirms CFC's commitment to diversity, equity, inclusion, and belonging, particularly in serving underserved populations, and positions the organization to embrace innovation and cultivate strong partnerships for the betterment of countless children and families. About the Position In accordance with the organizational mission and goals, provides direct or program related services to the clients within assigned programs while ensuring compliance with all city, county and state subsidy child care contracts. Primary Responsibilities Participate in the recruitment and enrollment of new clients in the subsidy program by: Conduct in-person meetings, both scheduled and by walk-in, with clients in order to receive and process documentation needed for enrollment Provide information and support to clients on child care options. Work with outside agencies to verify clients' needs and eligibility for service. Manage, review and verify all eligibility required documentation for enrollment of clients within a timely manner and according to programs required time frame. Evaluate all client income in the household and apply a family fee if applicable. Maintain, complete, and organized client files according to program regulations and guidelines to satisfy program audits. Manage assigned caseload, ranging from 100-200 clients. Maintain knowledge of the Title 5 Regulations and State Funding Terms and Conditions for all applicable programs. Keep up-to-date on timely subsidy program changes and related guidance. Maintain current and accurate client records in MCT-CC3 and CalSAWs databases. Maintain confidentially of clients Personal Information as required by contracts. Ensure clients complaints are accurately logged and resolved in a timely manner or referred to Subsidized Programs Supervisor for appropriate resolution. Additional Responsibilities Provide clients with information on supportive services (e.g., housing, food, mental health services, etc.) as needed. Represent the agency with professionalism in all interactions. This includes over the phone, in person, using electronic media, and written correspondence. Provide excellent internal and external customer service by working cooperatively within the department, across the agency, and with clients and partners. Support other functions within the department when needed. Participate in visibility events as needed. Attend all staff meetings, trainings, and annual retreats. Perform other duties as assigned Requirements: Experience, Knowledge, Skills and Abilities Regular attendance and punctuality are essential. Experience working with diverse populations in a culturally sensitive manner. Must be able to work independently and as part of a team. Excellent interpersonal skills, flexible and collaborative. Well-organized, able to self-manage competing priorities, and meet deadlines. Exceptional attention to detail and accuracy. Ability to exercise discretion and practice good judgment at all times. Computer Skills: Working knowledge of Microsoft Office (Word, Excel, Outlook, Teams) required. Bilingual English/Spanish Skills: Excellent Reading, Writing, and Oral Communication is preferred. Three (3) years of equivalent related work experience in Social Work, Human Services, Family Studies, or related field; or Bachelor's degree in the field of Social Work, Human Services, Family Studies, or related field. Working Conditions Typical of an office environment. Eligible for hybrid/telework schedule upon completion of introductory period. Must have reliable transportation. Flexibility to work occasional evenings and weekends. Must comply with agency health and safety protocols, including vaccination policy. Benefits include: Medical, dental, and vision coverage (employee premium fully paid), employer-paid life insurance, 401(k) with potential employer contribution, PTO and paid holidays. ORGANIZATIONAL STATEMENT This is intended to provide an overview of the requirements of the position. As such, it is not necessarily all-inclusive, and the job may require other essential and/or non-essential functions, duties, or responsibilities not listed herein. Management reserves the sole right to modify this at any time. Nothing in this job description is intended to create a contract of employment of any type. Employment at Connections for Children is strictly on an at-will basis. EQUAL OPPORTUNITY EMPLOYMENT STATEMENT Connections for Children is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. All employment decisions at Connections for Children are based on organizational needs, job requirements and individual qualifications, without regard to age, race, color, religion or belief, sex, sexual orientation, gender identity, national origin, veteran, disability status, family or parental status, or any other status protected by federal and CA state laws.