Patient Experience Representative II-Ambulatory (Needham)
Needham, MA jobs
Under general supervision, provides support to the administrative operations of a clinical service and works to ensure the best possible patient experience by effectively coordinating services to patients and families. Actively participates in and contributes to departmental and organizational initiatives & projects with a focus on continuous process improvement. Performs various administrative functions requiring in-depth knowledge of programs and services. Provides positive and effective customer service that supports departmental and hospital operations. Recognizes opportunities and recommends process improvement opportunities to enhance operational efficiency while maintaining accuracy.
Key Responsibilities:
·Customer Service: Greets, screens, and directs patients, families, and visitors, and provides effective customer service in person and on the phone.
·Registration: Registers new patients, verifies insurance information, and collects co-payments.
·Patient Coordination: Monitors clinic activity, schedules appointments, and assists with patient flow to ensure a positive experience.
·Administrative Tasks: Answers calls, manages calendars, schedules meetings and events, and provides clerical support.
·Records Management: Collects and organizes patient medical records, processes letters, and handles prescription refill requests.
·Technology Use: Utilizes office technology, including phone systems and various software applications, and enrolls patients in the patient portal.
·Process Improvement: Contributes to departmental projects aimed at improving processes and systems.
Minimum Qualifications
Education:
High School Diploma / GED
Experience:
Internal: Minimum 6 months as a PER;
External: Minimum of 6 months relevant healthcare experience
This role is eligible for a $2,000 sign on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months)
Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Patient Financial Rep - Per Diem
Utica, NY jobs
The Patient Financial Representative is responsible for the accurate and timely verification of insurance and benefit information for patients receiving inpatient medical, inpatient psychiatric, observation, ambulatory surgery and/or outpatient procedure related services. Plays a key role in the organization's financial health by obtaining or ensuring that insurance authorizations or pre-authorizations are on file and accurate prior to the service being rendered. This position must also ensure patient demographic and insurance information is correct, resulting in accurate claims for reimbursement. Position provides excellent customer service during all interactions.
Core Job Responsibilities
For designated services, this position is responsible for ensuring that each patient account has accurate insurance information entered in the correct billing order and that each insurance listed has been verified as eligible for the designated date of service range. For each insurance, benefit information is obtained and documented. Verification and benefit information can be obtained via electronic or verbal method but must be completed prior to services being rendered. Position must have or develop excellent working rapport with surgeons' office staff, as well as hospital nursing staff.
For pre-scheduled services, this position is responsible for verifying that authorization is on file with each of the appropriate insurance companies and that authorization is accurate based upon location, CPT code, service type, surgeon, date range and any or all other necessary elements to secure payment for services rendered. For emergent or urgent services, this position is responsible for accurately and timely requesting that each verified insurance company has been notified of patient services being rendered and also request authorization for requested services. Position must have or develop excellent working rapport with insurance company representatives, surgeons' office staff, as well as hospital nursing staff.
Ensures each patient account has accurate insurance information entered in the correct billing order and that each insurance company listed has been verified as eligible for the designated date of service range.
Secures and documents any and all authorization requirements in appropriate computer systems with relevant information to capture authorization timely. Enters pertinent information in all necessary systems. Retains any written documents received.
Performs related duties as assigned.
Education/Experience Requirements
REQUIRED:
High school diploma or equivalent.
Minimum 3 years of pre-authorization and/or insurance verification experience.
Demonstrated computer proficiency and ability to learn new applications rapidly.
Strong documentation skills.
Strong follow up skills, accuracy and attention to detail.
Excellent customer service and interpersonal skills.
Ability to work under restrictive time.
PREFERRED:
Associate's degree in healthcare related field.
4 years or more of hospital, medical office, coding or billing experience; or 6 years of experience in other healthcare related field.
Proficient with EMR, QES, MIDAS, SIS and related computer programs.
Licensure/Certification Requirements
PREFERRED:
Medical terminology certification.
Disclaimer
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Job Details
Req Id 95876
Department PATIENT ACCESS SVCS
Shift Days
Shift Hours Worked 8.00
FTE 0.19
Work Schedule HRLY NON-UNION
Employee Status A7 - Occasional
Union Non-Union
Pay Range $19 - $25/Hourly
#Evergreen
MEDICAID BILLER
Owings Mills, MD jobs
MEDICAID BILLER
Owings Mills, MD
SINAI CORPORATE
Full-time - Day shift - 8:00am-4:30pm
Professional
92200
$19.75-$30.09 Experience based
Posted: October 21, 2025
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Summary
Who We Are:
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.
About the Role: Edits all healthcare claims for accurate submission according to local and federal regulations. Meets individual quality and quantity performance goals and expectations. Assists the department in meeting performance goals. Imports, edits, corrects and transmits claims to third party payers on a daily basis. Prepares daily claims submission tracking and error reports. Assists in implementing billing system upgrades. Information and claim resolution and correction. Key Responsibilities:
Edits all healthcare claims
Investigates and/or refers to management systemic issues that cause delays in reimbursement.
Manages billing compliance.
Requirements:
Education: HS Diploma/GED preferred
Experience: 1 to 3 years of experience of account follow up experience in multi-payer hospital setting. Prefer inpatient medicaid experience. Prefer experience with Telligen and 3808 process.
Once training is successfully completed, opportunity to work remotely 3 days per week!!
KEY WORDS: Medicaid Biller
Additional Information
What We Offer:
Impact:
Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients.
Growth
: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification.
Support:
A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license.
Benefits
: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs.
Why LifeBridge Health?
With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital.
Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.
LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. Share: talemetry.share(); Apply Now var jobsmap = null; var jobsmap_id = "gmapbnsta"; var cslocations = $cs.parse JSON('[{\"id\":\"2093718\",\"title\":\"MEDICAID BILLER\",\"permalink\":\"medicaid-biller\",\"geography\":{\"lat\":\"39.4011979\",\"lng\":\"-76.7788563\"},\"location_string\":\"10090 Red Run Blvd, Owings Mills, MD\"}]'); function tm_map_script_loaded(){ jobsmap = new csns.maps.jobs_map().draw_map(jobsmap_id, cslocations); } function tm_load_map_script(){ csns.maps.script.load( function(){ tm_map_script_loaded(); }); } $(document).ready(function(){ tm_load_map_script(); });
ECMO Specialist I ($20,000 Sign On Bonus)
Boston, MA jobs
The ECMO Specialist is enrolled and actively participating in the department's ECMO Training Program. This role is responsible for developing and maintaining the skills necessary to proficiently and safely establish, manage, and control extracorporeal membrane oxygenation (ECMO) technology and assist with associated procedures in acutely ill patients of all ages in critical care settings. The specialist will learn to troubleshoot devices and associated equipment under the supervision of experienced ECMO personnel, provide ongoing care through surveillance of clinical and physiologic parameters, adjust ECLS devices as needed, administer and document blood products and medications in accordance with hospital standards, provide airway and ventilator management, and perform the full scope of practice of a Respiratory Therapist II.
Schedule: 36 hours per week, rotating day/night shifts, every third weekend.
**This position is eligible for full time benefits $20,000 sign-on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 2 years)
Key Responsibilities:
Assemble, prepare, and maintain extracorporeal circuits and associated equipment with assistance.
Assist in priming extracorporeal circuits and preparing systems for clinical application.
Assist with cannulation procedures.
Assist in establishing extracorporeal support; monitor patient response, provide routine assessments, circuit evaluations, patient monitoring, and anticoagulation management.
Assist with ECMO circuit interventions, weaning procedures, and transports.
Administer blood products per hospital standards.
Interact and communicate with caregivers, nursing, surgical and medical teams, patients, and family members.
Maintain relevant clinical documentation in the patient's electronic health record.
Participate in professional development, simulation, and continuing education.
Attend ECMO Team meetings and M&M conferences on a regular basis.
Minimum Qualifications
Education:
Required: Associate's Degree in Respiratory Therapy
Preferred: Bachelor's Degree
Experience:
Required: A minimum of one year of experience as a BCH Respiratory Therapist with eligibility for promotion to RT II,
or
one year of external ECMO experience
Preferred: None specified
Licensure / Certifications:
Required: Current Massachusetts license as a Respiratory Therapist
Required: Current credential by the National Board of Respiratory Care as a Registered Respiratory Therapist (RRT); Neonatal Pediatric Specialist (NPS) credential must be obtained within 6 months of entry into the role
Preferred: None specified
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Polysomnographic Specialist - PRN
Kansas City, MO jobs
Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further!
Day
8-10 hours per week preferred
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. This position will assist with MSLT and home sleep study set-ups. 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
Day (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.
Senior, Patient Access Representative
Elizabeth City, NC jobs
City/State Elizabeth City, NC Work Shift Third (Nights) Full-Time, Nights The Senior Patient Access Representative is a working resource to the patient registration teams. Responsibilities include registering patients for the Emergency Department, and/or various registration areas of the hospital. The Patient Access Team Leader also assists the Team Coordinator and department leadership by serving as registration system super-user, taking on-call rotation during the week and on the weekends, participating in the interviewing process, preparing and reviewing reports, performing QA audits, mentoring and training staff, managing department supply levels, and participating in meetings and workgroups. The Team Lead is required to meet the written requirements and competency to serve as a preceptor and to provide department orientation. If you desire, there are promotional opportunities in Patient Access such as a Team Coordinator.
Up to $1,500Sign-On Bonus for Qualified Candidates!
Education
HS - High School Grad or Equivalent
Certification/Licensure
No specific certification or licensure requirements
Experience
2 years of Customer Service and/or Data Entry
Associate or bachelor's degree in Lieu of two years of experience
Two years of previous experience in a healthcare environment in a related area
Proficiency in Keyboarding
K eywords: Customer Service, Patient Registration, Data Entry, Front Desk, First Point of Contact, Insurance, Insurance Verification, Talroo-Allied Health, Scheduling, Receptionist, Non-clinical, monster
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Registration Specialist II - Cox Monett
Monett, MO jobs
:The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service.
This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes.
The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters.
Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department.
Education ▪ Required: High school diploma or equivalent Experience ▪ Preferred: At least 1-2 years prior registration experience Skills ▪ Proficient in using computers and computer systems ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills.
▪ Ability to multi-task in a fast-paced environment ▪ Able to work independently and collaboratively in a team Licensure/Certification/Registration ▪ N/A
Registration Specialist II
Springfield, MO jobs
:The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service.
This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes.
The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters.
Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department.
Education ▪ Required: High school diploma or equivalent Experience ▪ Preferred: At least 1-2 years prior registration experience Skills ▪ Proficient in using computers and computer systems ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills.
▪ Ability to multi-task in a fast-paced environment ▪ Able to work independently and collaboratively in a team Licensure/Certification/Registration ▪ N/A
Registration Specialist II Direct Admit South
Springfield, MO jobs
:The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service.
This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes.
The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters.
Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department.
Education ▪ Required: High school diploma or equivalent Experience ▪ Preferred: At least 1-2 years prior registration experience Skills ▪ Proficient in using computers and computer systems ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills.
▪ Ability to multi-task in a fast-paced environment ▪ Able to work independently and collaboratively in a team Licensure/Certification/Registration ▪ N/A
Referral Specialist - $19.58 - 23.98/hr
Hermiston, OR jobs
Join our team as a Referral Specialist 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.
What We Offer
$19.58-$23.98/hour DOE with the ability to go higher for highly experienced candidates
Additional pay for your bilingual skills!
100% employer-paid health insurance including medical, dental, vision, Rx, 24/7 telemedicine
Profit sharing & 403(b) retirement plan available
Generous PTO, eight paid holidays, and much more!
What You'll Do:
Manage work queues regarding referral activity daily to ensure timely processing and/or completion
Assist with patient referrals for additional services needed with internal and external medical facilities
Assist with patient insurance authorization
Assist with appointment setup as needed
Coordinate follow-up between referral source and patient
Ensure chart notes and follow-up documentation are linked to the referral
Provide translated educational materials and directions to patients when necessary
Process incoming correspondence and respond to calls, emails, and faxes
Perform other duties as assigned
Qualifications:
High School Diploma or General Education Diploma (GED)
One year's experience working in an office setting, preferably a medical or dental office.
Bilingual (English/Spanish) is required at level 9
Knowledge of or ability to learn medical terminology required
Ability to prioritize work, handle a variety of tasks simultaneously and complete projects in a fast-paced environment
Excellent communication and interpersonal skills
Strong organizational skills
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.
Physician Specialist, Correctional Health Services
New York, NY jobs
(Mon,Tue,Wed,Thu,Fri-08:00 AM - 04:00 PM )
New York City Health and Hospitals Corporation
Outposted Therapeutic Housing Units Program (OTxHU)
Since 2016, Correctional Health Services (CHS) has been the direct provider of health care in the New York City jails. Deeply committed to human dignity and patient rights, CHS is part of the NYC Health + Hospitals system and is a key partner in the City's efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support.
Given the high visibility of this initiative, we are seeking the highest caliber health care professionals in key clinical services to staff our Outposted Therapeutic Housing Units (OTxHU). To be located in three NYC Health + Hospital acute care facilities, the OTxHU is a pioneering approach to safely increasing access to high quality clinical care for patients in custody who have complicated health conditions. OTxHUs will bridge the gap in the continuum between care provided in the jails and inpatient hospitalization, with admission to and discharge from the OTxHU in accordance with a patient's clinical needs. CHS will be the primary health care providers on these units and the NYC Department of Correction will provide security and custody management.
The OTxHU at NYC Health + Hospitals/Bellevue in Manhattan will be the first of this unique, groundbreaking project to open with a planned completion date as early as the end of 2024. This is an incredible opportunity to be part of a passionate and motivated team providing care to some of the City's most marginalized, vulnerable people.
*To help support continuity of operations and care, staff selected to work in the OTxHU may also be required to work in CHS locations within the jails. Additionally, while CHS seeks the most qualified individuals for these positions, preference will be given to equally qualified, internal candidates.
Position Overview
Under supervision of the Site Medical Director, the Physician will provide comprehensive, compassionate, and thoughtful care to patients with complex chronic disease in the New York City jail system. The Physician will be part of a core interdisciplinary team working in a unique environment delivering the care to patients with significant chronic illnesses. The Physician will provide general primary care including conducting histories and physicals, diagnosing and treating acute and chronic illnesses, and evaluating the need for consult services. The interdisciplinary team will work under supervision of a Site Medical Director.
Responsibilities include:
Diagnose and treat acute and chronic illnesses. Evaluate the need for consult services and submit the prioritized consult when indicated.
Complete comprehensive histories and physicals on all new admissions including documentation of problem list, diagnosis, orders (e.g. labs, imaging and referrals) and ordering appropriate medications where applicable.
Evaluate patients requesting sick call, schedule follow-ups and update medication orders. Update problem lists and reconcile patient orders at all visits.
Implement plans for patientcare utilizing protocols approved by the medical leadership and/or treatment plans reflecting the current standard of care.
Request radiology exams, lab tests, EKGs when clinically indicated and interpret these results based on clinical findings and in consultation with supervisors where appropriate.
Collaborate closely with CHS Physician Assistants, including providing clinical guidance, cosigning notes, and providing other supervision based on clinical circumstance and PA requirements.
Review all specialty consults and hospital returns to ensure that the standard of care is met and recommendations of the consultant are implemented.
Perform chart reviews and summaries for patients transferring facilities including updating problem lists, rewriting medication orders, and reconciling orders and consults as needed.
Generate special needs referrals and documentation as needed (for patients with (disabilities, dietary restrictions, heat sensitivity, or other relevant flags).
Teach patients about their medical conditions and treatments; counsel on risks and benefits of different treatment decisions; witness, sign, and document patient refusals of care.
Ensure that all progress notes and orders are signed before the end of the shift.
Respond to emergencies in a timely and professional manner.
Notify the appropriate parties, including Urgicare, about 3-hour runs and EMS activation.
Complete special housing rounds when assigned.
Be familiar with quality of care and population health indicators. Take appropriate action to meet or exceed standards.
Maintain clinical competency by participating in all CME and CHS training and in-service requirements.
Maintain your schedule as directed with particular attention to punctuality and timely notification of absences.
Adhere to policies and procedures of CHS and be familiar with them by reviewing them as needed.
Complete tasks as delegated by a Site Medical Director or other supervising clinical team member.
Maintain all required credentials.
Maintain current licensure and CME requirements (Appropriate documentation must be on our files).
Maintain professional attitude and appearance.
Adhere to Occupational Health Services requirements.
Departmental Preferences
Three to five years' work experience, which may include residency in a directly related medical specialty
Experience working with patients in a skilled nursing facility or other residential setting
Experience working with patients who have serious mental illness
Experience working with patients who carry substance use diagnoses; knowledge of harm reduction approaches to care; and familiarity with medications to treat opioid use disorder
Experience leading quality improvement initiatives
Understanding of trauma-informed care
Skilled in patient-centered shared decision making
Skilled in communicating risks and benefits of clinical interventions and assessing capacity to make informed decisions.
Completion of residency in internal medicine, family medicine or other primary care-oriented specialty.
Compliance with appropriate Maintenance of Certification requirements or other Board Certification requirements.
Excellent interpersonal communication skills and ability to work collaboratively within a multidisciplinary team, as well as with NYC DOC staff
Flexible disposition
Minimum Qualifications:
1. Graduation from an approved medical school.
2. Completion of approved residency or fellowship in the specialty or sub-specialty and Board eligible or certified or Subboard eligible or certified.
3. Five years experience in field of specialty or subspecialty acceptable to the Medical Board of the Hospital.
4. Licensed to practice medicine in the State of New York.
Maternity Care Authorization Specialist (Hybrid Potential)
Barberton, OH jobs
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Medical Biller (Home Infusion)
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
JOB DESCRIPTION: BILLER
Description of Responsibilities
Coordinates and performs business office activities involved with collecting payments for Premier Infusion Care products and follows established procedures for billing.
Reporting Relationship
Billing Manager
Scope of Supervision
None
Responsibilities include the following:
1. Performs all aspects of billing for commercial insurance companies/ health plans, medical groups, hospitals, hospice facilities, NCPDP, and/or MSO's
2. Bills Medicare for PR-96/204 (denials) required for secondary billing submissions.
3. Follows up on EOB's (explanation of benefits) which includes:
- Medicare denials
- Billing secondary insurance after Medicare's has denied claims.
4. Calling insurance companies for explanation of denials if questionable.
5. Making corrections on deny claims and re-bills insurance companies.
6. Checks EOB's with contracted fee schedule for accuracy or adjustments as needed.
7. Patient calls for benefit, invoicing, and explanations as needed.
8. Resolves electronic (Office Ally, Novologix, or Emdeon clearing house) report matters.
Minimum Qualifications:
Effective interpersonal, time management and organizational skills.
Office experience preferred.
Computer skills that include word processing, and efficient use of the internet and e-mail.
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms.
Must be detail oriented
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher.
At least 1 -2 years of medical or pharmaceutical billing experience or related A/R
Knowledge of insurance verification procedures.
Proficiency in 10-key preferred.
Prior experience in a pharmacy or home health company is of benefit.
Prior experience in a consumer related business is also of benefit.
Equal Employment Opportunity (EEO)
It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities.
Job Type: Full-time
Work Location: In person
Clinical Reimbursement Specialist
Knoxville, TN jobs
The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient records and clinical care programs. in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements
Registered nurse with an active state license and MDS and RAI experience.
Specific Job Requirements
Make independent decisions when circumstances warrant such action
Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
Implement and interpret the programs, goals, objectives, policies, and procedures of the department
Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
Maintains professional working relationships with all associates, vendors, etc.
Maintains confidentiality of all proprietary and/or confidential information
Understand and follow company policies including harassment and compliance procedures
Displays integrity and professionalism by adhering to Life Care's
Code of Conduct
and completes mandatory
Code of Conduct
and other appropriate compliance training
Essential Functions
Exhibit excellent customer service and a positive attitude towards patients
Assist in the evacuation of patients
Demonstrate dependable, regular attendance
Concentrate and use reasoning skills and good judgment
Communicate and function productively on an interdisciplinary team
Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
Read, write, speak, and understand the English language
An Equal Opportunity Employer
Epic Analyst - Hospital Billing
Irving, TX jobs
Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience.
The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner. The Systems Analyst II will provide application support and optimization. They work closely with the Service Desk to assist in responding to service requests. The Application System Analyst II must be able to analyze business issues/requirements and workflows and apply their application knowledge to meet operational and organizational needs. Project implementation responsibilities include collaborating with customers contributing to the analysis, testing, and documentation and implementation of medium to high complexity activities of assigned software. This position must possess sufficient detailed healthcare knowledge and systems expertise to implement medium to high complexity assigned application with minimal guidance. The Associate must be a self-motivated individual with exceptional communication and interpersonal skills and the ability to work well in team environments.
Responsibilities:
Analyze, develop, test, document, educate, implement, support, and maintain or optimize assigned applications, solutions and business processes to meet operational and technical requirements.
Collaborates across project borders with other teams. Thinks outside the box and proposes practical solutions to issues. Provides oversight and project management to assigned tasks.
Demonstrates a solid/working level of subject matter expertise in providing support to projects, customers, and other teams, while proactively working to improve and obtain new expertise in application/system in assigned areas. Utilizes application training, application web site and application resource materials regularly and effectively and is able guide newer team members in utilizing these resources.
Thorough knowledge and understanding of operations, can proactively identify opportunities to enhance customer usability, efficiency and/or experience. Represents user needs and expectations in larger, more complex system updates and enhancements. Provides clear and organized status reporting on key project areas to be used as external communications to stakeholders.
Performs working level process and requirement analysis, including process mapping though current flow charts, documents, future needs/plans, requirement elicitation, stakeholder analysis, and specification gathering to deliver cross team solutions. Responsible for completing working level gap analysis, and providing recommendations.
Able to clearly articulate complex design, configuration issues to end users and project stakeholders. Maintains relationship with end user leadership post-engagement. Proactively addresses end user conflicts.
Contributes to strategy discussions by identifying options with associated pros and cons with team members. Facilitates making timely decisions; makes sound decisions even in the absence of complete information. Recognizes when a quick 80% resolution will suffice.
Adhere to organization standards for system configuration and change control.
Strong technical proficiency in application-specific design and configuration. Ability to clearly articulate and communicate core design, configuration concepts to end users. Able to independently analyze, design, and configure the application. Able to teach design, configuration concepts to new team members.
Collaborate and develop strong relationships with end user communities, customers and business partners.
Collaborate with Operational Leaders to focus on standardized best practice workflow processes and content to ensure alignment across all ministries, to create efficiencies, and to ensure optimal operational processes.
Coordinates code changes with appropriate vendor related to financial and business application issues.
Collaborates with Technical Team to identify and infrastructure related issues that have resulted in application issues.
Share industry best practices from vendors with Operational Leaders.
Demonstrates increasing technical knowledge of the assigned application including relationships of infrastructure and impact to user if unavailable.
Serves as a liaison between business operations and providers, internal information technology, system users and vendors working within the defined project objectives for issue and problem resolution.
Follows strict change management processes ensuring proper approval, testing, and validation of system changes.
Written documentation delivered to end users and leadership shows consistency and attentive review. Is a team player and able to proactively communicate issues and concepts to project leadership.
Associate periodically reviews and auto-corrects his/her skills, habits, work ethic, and behaviors and manages his/her work in an effective and agreeable way among peers. Associate is sensitive and aware of how others perceive them and take care to ensure smooth and effective working relationships and environments.
Proactively and independently troubleshoot and resolve moderate incidents and requests without direction.
Maintains high standards for quality of work for self and others. Provides oversight and feedback on team member design, configuration and deliverables.
Manages medium complexity projects/requests. Collaborates with team members as needed. Proactively evaluates all new release and functionality of applications.
Complete in a timely manner assigned courses within Healthstream, other electronic tracking tools for educational related material or attend presentations in person as assigned.
Ensure the services that he/she provides contribute to the successful accomplishment of the primary mission of the department.
Escalates when SLAs are breached or appropriate vendor action is not occurring.
May be required to travel to perform duties.
May be required to work additional hours as needed during critical problems.
Assist in preparation and conducting of continuing formal or informal training session for users and co-workers.
Identifies and seizes new opportunities, displays can-do attitude in good and bad times and steps up to handle tough issues.
Performs other duties as assigned. xevrcyc
Requirements:
Education/Skills
Associates or Bachelor's degree preferred with a focus in healthcare, business, or information systems.
Ability to present complex data in meaningful method, i.e., charts, graphs
Ability to adjust to and implement change
Problem Solving skills
Multitasking skills
Work as a team member
Proficient in Microsoft applications including Word, Excel, and PowerPoint
Excellent customer service skills
Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education
Strong organizational skills in managing multiple priorities
Experience
3+ Years of experience
2+ years within healthcare, business, or information systems
Solves moderate incidents without direction
Develops new functionality for requests with little direction
Works in a team setting, sharing information and assisting other junior level team members
Possesses detailed healthcare knowledge and systems expertise
Makes decisions regarding own work on primarily routine cases
Works under minimal supervision, uses independent judgment requiring analysis of variable factors
Collaborates with senior team members to develop approaches and solutions
Mentors and may train team members within own functional or application
Licenses, Registrations, or Certifications
Associated certifications on area of focus, preferred
For Epic Analysts:
Certified or proficient in assigned Epic module (must be obtained within 6 months of employment date)
Certifications or Proficiencies must stay current by maintaining new version training
Work Type:
Full Time
Coding / Revenue Cycle Specialist
Jenkintown, PA jobs
Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training. With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job. You'll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention. We look forward to being a part of your professional journey. We invite you to apply today.
SUMMARY OF JOB:
The Coding Specialist assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and it's publication, Coding Clinic, and AMA's publication, CPT Assistant, for assigned hospital based professional service areas of HRPAS employed practitioners. Responsible for consistently meeting quality expectations for documentation review, coding, and meets Redeemer Health's expected productivity standards for the position. Performs assigned duties in accordance with health system specific coding policies and procedures. The Coding Specialist will assist the assigned HRPAS hospital based providers with instruction, feedback and documentation review in their particular specialty area. Responsible for remaining current with latest healthcare technology and coding advice through reading available coding literature, attendance of seminars and in-services, internet research and other educational resources. Collaborates with charge entry personnel to ensure proper entry of diagnostic and billing codes in accordance with guidelines and for assigned areas and for trouble shooting any system or payor rejections for coding and/or documentation purposes. Performs duties in support of Redeemer Health mission to ensure the highest quality of patient care in an economically sound and efficient manner.
CONNECTING TO MISSION:
All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holitisic Approach, Stewardship, and Collaboration are present in our interactions with one another and in the services we provide.
RECRUITMENT REQUIREMENTS:
Registered Health Information Administrator or Registered Health Information Technician or equivalent experience, with a Certified Coding Specialist Certification.
· Must have a minimum of two years of progressive coding and/or billing and registration functions in health care setting and experience utilizing ICD-9/10-CM and CPT-4 in medical/physician specialties..
· Background in Anatomy, Physiology, Clinical Medicine and Medical Terminology.
· A graduate of an accredited coding program with certification of completion or successful completion of college credited course work in Medical Terminology, Anatomy & Physiology and Pathophysiology/Disease Processes/Pharmacology required.
· Works claim edits identified along with compliance of the Medicare Coverage Determinations ( MCD ), National Coverage Determination ( NCD ) as well as payer specific edits as outlined via contractual agreements particularly around coding matters and when other factors causing the edits are identified refers to proper person to ensure a clean claim is submitted.
· Serve as an information rescource and guide to clinicians, champion the need to change coding behaviors and serve as subject matter expert.
· Submit any issues or trends found within documentation of a physician and/or physician extender to that provider directly or to supervisor.
· Review to ensure that clinical documentation substantiates the evaluation and management, procedures and modifier selected in accordance with Federal, State and system documentation and coding requirements.
· Manage and reslove Zero-Pay Worklist, Fully Worked Receivables, complete special project work, review and respond to adjustments/payment data with approval (or initiate appeal) communicate trends and root issues through proper lines of reporting
· Requires the ability to read and interpret medical terminology and apply coding skills utilizing knowledge of anatomy, physiology and disease processes as well as procedural coding.
· Prior experience in coding mentorship and compliance review preferred particularly with physicians/providers.
· Must be detail oriented and have sound computer skills.
· Experience with review of electronic health records software applications.
LICENSE AND REGULATORY REQUIREMENTS:
Certified Coding Specialist (CCS)
EOE
EQUAL OPPORTUNITY:
Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.
Insurance Coordinator
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
JOB DESCRIPTION:
Description of Responsibilities
The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter.
Reporting Relationship
Insurance Manager
Responsibilities include the following:
Responsible for insurance verification and/or authorization on patients.
Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable).
Re-verification of verification and/or authorization and demographics on all patients.
Participate in surveys conducted by authorized inspection agencies.
Participate in in-service education programs provided by the pharmacy.
Report any misconduct, suspicious or unethical activities to the Compliance Officer.
Perform other duties as assigned by supervisor.
Minimum Qualifications:
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus.
Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.)
Prior experience in a pharmacy or home health company is preferred.
Prior dental or home infusion experience a plus
Prior experience in a consumer related business is preferred
Equal Employment Opportunity (EEO)
It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.
Tissue Donation Specialist
Las Vegas, NV jobs
The Tissue Donation Specialist (TDS) supports the mission, goals, and strategic plan of Nevada Donor Network Inc. (NDN) by providing clinical support to facilitate safe, efficient procurement of tissues for transplant and research. TDS also serve to promote effective communication with relevant stakeholders to facilitate donation including organizational recovery staff, funeral homes, hospital, and medicolegal partners.
ESSENTIAL FUNCTIONS
Performs thorough donor physical assessment.
Recovers donated human tissue for transplantation and research.
Prepares donated tissues and relevant specimens such as blood and cultures, for shipment.
Completes all required donor charts and related reports completely, accurately, and in a timely manner according to protocol.
Completes daily tasks such as basic supply management, instrument maintenance, routine cleaning of clinical facilities, etc. to support clinical activities.
Applies Universal Precautions and appropriate safety precautions at all times.
Adheres to the regulations, policies, and procedures published by the Food and Drug Administration (FDA), American Association of Tissue Banks (AATB), NDN, and our outside partners.
Maintains confidentiality on all donor-related activities and internal matters.
Requests applicable medical records and any additional requests of recovered donors to facilitate timely release of tissue for transplant.
Adheres to inventory control practices, including the utilization of the inventory management system(s), and stocking supplies according to protocol.
SKILLS & ABILITIES
Education: Bachelor's Degree (preferred); relevant work experience may be substituted for academic requirements.
Experience: Six months to one-year healthcare related experience (preferred)
Computer Skills: basic computer skills, knowledge of MS office programs, facsimile/scanner/copy machine
Certificates & Licenses: RN, Paramedic/EMT, CST licenses considered. Must have a valid Nevada driver's license
Other Requirements:
Must be able to work overnights, weekends, and holidays as a regular shift. Availability on-call or on-site, according to a fixed schedule and able to participate in (12) hour shift rotations day and night.
Required to have a personal cell phone and must remain within a reasonable radius to respond to case activity within (1) hour of being notified when on-call.
Travel by personal or company auto is required to meet all of the duties and responsibilities of the position.
Knowledge of basic aseptic technique, universal precautions, medical terminology, anatomy, and physiology preferred.
Leave Specialist
Lakewood, CO jobs
Job Title: Leave Administration Specialist - U.S. & Colorado FAMLI Focus
Terumo Blood and Cell Technologies is seeking a Leave Administration Specialist to manage employee leave of absence programs across the U.S., with a specialized focus on Colorado's Family and Medical Leave Insurance (FAMLI) program. This role ensures compliance with federal and state leave laws, provides guidance to employees and managers, and supports our commitment to employee well-being and legal compliance.
Key Responsibilities
Leave Program Administration
Administer leave programs including FMLA, Colorado FAMLI, ADA, military leave, short/long-term disability, and company-sponsored leave policies.
Serve as the subject matter expert on Colorado FAMLI regulations, including eligibility, wage replacement, documentation, and benefit coordination.
Manage leave cases from intake through return-to-work, ensuring timely communication and legal compliance.
Coordinate with payroll, benefits vendors, and HRIS to ensure accurate leave tracking and benefit payments.
Compliance & Documentation
Apply federal and state leave laws, including FMLA, ADA, USERRA, and Colorado-specific regulations.
Collaborate with Legal, HR, and Benefits teams to update policies in response to regulatory changes.
Maintain accurate and confidential records in compliance with HIPAA and internal policies.
Ensure timely submission of required documentation and reporting to state agencies and internal stakeholders.
Employee & Manager Support
Provide guidance and support throughout the leave process.
Educate employees on their rights, responsibilities, and required documentation under various leave programs.
Support the ADA interactive process and coordinate reasonable accommodation requests.
Facilitate return-to-work planning, including light-duty assignments and workplace accommodations.
Process Improvement & Reporting
Identify opportunities to streamline leave administration processes and enhance employee experience.
Generate reports and metrics related to leave utilization, compliance, and trends.
Support audits and investigations to ensure program integrity.
Minimum Qualifications
Associate's or Bachelor's degree in Human Resources, Business Administration, or related field.
3+ years of experience in leave administration, with direct experience managing FMLA and Colorado FAMLI cases.
Strong understanding of federal and Colorado-specific leave laws and compliance requirements.
Experience coordinating benefits such as STD, LTD, and FMLA with FAMLI.
Proficiency with HRIS and leave management systems; Workday experience preferred.
Excellent communication, organizational, and problem-solving skills.
Ability to handle sensitive information with discretion and professionalism.
Preferred Qualifications
Experience coordinating with third-party administrators and state agencies.
Bilingual (Spanish/English) a plus.
Certification in leave management or HR (e.g., SHRM-CP, PHR) preferred.
Physical Requirements
Typical office environment including reading, speaking, hearing, close vision, bending, sitting, and occasional lifting up to 20 pounds.
Headache Specialist
Bethlehem, PA jobs
Join a 100 top hospital with a newly established neurology residency program! St. Luke's University Health Network, the region's largest, most established health system, and major teaching hospital is seeking a BC/BE Headache Specialist.
St. Luke's Neurology Associates is part of the network's Neuroscience Service Line, a comprehensive and integrated team comprised of neurologists, neurosurgeons, neuro-rehabilitation and behavioral health, offering leading-edge care for all subspecialties in neurology and behavioral health. Our growing team is comprised of 34 neurologists and 27 advanced practitioners.
In joining St. Luke's University Health Network you'll enjoy:
Residents and Fellows will receive a substantial, monthly stipend at sign on
Team-based care with well-educated, dedicated support staff
A culture in which innovation is highly valued
Exceptional compensation package, starting bonus, and relocation reimbursement
Rich benefits package, including malpractice, health and dental insurance, and generous CME allowance
Work/life balance and flexibility
Teaching, research, quality improvement and strategic development opportunities
*Unfortunately, we cannot sponsor visas
If you are interested in learning more about this opportunity, please contact:
Drea Rosko
Sr. Physician Talent Acquisition Specialist
St. Luke's University Health Network
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