Intermediate Help Desk Technician
Specialist job at Baptist Memorial Health Care
Provide initial employee support for technical inquiries received via phone, email, and messaging applications. Assess the nature of problems and resolve basic support issues. Troubleshoot software and hardware issues on laptops, desktops, tablets, and/or smartphones. Log or record support tickets and/or cases. For more complex issues, transfer internal customers to second-level Help Desk Technicians. Incumbent is subject to overtime, callback, and on-call as required. Remote work available once the onsite training program has been completed. Perform other duties as assigned.
Job Responsibilities
* Provides technical assistance to computer system users.
* Solves problems dealing with a limited variety of concrete variables by interpreting written and verbal information and screen shots or other data supplied.
* Maintains current knowledge of hospital information systems, software, networks and telecommunications technologies.
* Uses advanced tools, knowledge and experience to analyze, diagnose and resolve problems.
* Contributes to evaluation and maintenance of existing support documentation.
* Completes assigned goals.
Specifications
Strong Communication Skills
Strong Customer Service Skills
Experience with Microsoft Office products to in MS Teams
Experience Trouble Shooting Pc, printers, Thin Clients
Experience with Active Directory
Experience logging Incident into a ITIL based tracking system
Experience
Description Minimum Required Preferred/Desired
Minimum of one to three year of related experience or educational equivalent of Associates Degree.
Greater than 2 years experience or educational equivalent of Bachelor's degree.
Licensure
DRIVER'S LICENSE (CURRENT)
Specialist-Accounts Receivable Follow Up
Specialist job at Baptist Memorial Health Care
The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding balances and secure accurate and timely adjudication. This position is responsible for net and gross outstanding in accounts receivable, percentage of accounts aged greater than 90 days, cash collections, and denials resolution in support of the team efforts in the achievement of accounts receivable performance goals. The Specialist performs daily activities related to the successful closure of aged accounts receivable.
Responsibilities
Performs online account status checks and contacting payers to follow-up on outstanding claim balances of assigned accounts in work queues.
Clearly documents in EMR system the patient account notes, the payment status of the account, and/or actions taken to secure payment. If applicable, requests account for additional follow up activity within a prescribed number of days in accordance with payer specific filing requirements or processing time required for insurance to complete processing.
Performs required actions to resolve the account balance promptly by submitting appeals, correcting account information, coordinating requests for medical records, requesting and/or performing posting of account adjustments, requesting an account rebill and any and all other actions necessary to secure account payment and/or bring the account to successful closure.
Documents, tracks, and ensures a reasonable turnaround time of receipt of any outstanding documents required from external departments.
Responds to claim denials from payers such as inability to identify the patient, coordination of benefits, non-covered services, past timely filing deadlines, and ensures all information is provided to the payer.
Documents all actions taken on accounts in the EMR system account notes to ensure all prior actions are noted and understandable.
Informs the supervisor of any problems or changes in payer requirements and exercises independent judgment to analyze and report repetitive denials to take appropriate corrective action.
Achieves established productivity and quality standard as determined by the Baptist Productivity and Quality Expectations Documentation
Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact patient account collections. Adheres to internal controls for applicable state/federal laws, and the program requirements of accreditation agencies and federal, state and private health plans.
Seeks advice and guidance as necessary to ensure proper understanding.
Effectively utilizes payer websites as needed in the execution of daily tasks.
Conducts account claim status and follow up and resolves claim payment denials.
Monitors assigned work queues at all sources and ensures expeditious resolution while working with other departmental representatives in resolution.
Reports unresolved issues and concerns impeding the collection process and to ensure successful account resolution.
Complies with patient confidentiality policies for the retention of patient health information, or when handling, distributing, or disposing of patient health information.
Performs other duties as assigned by the Supervisor.
Specifications
Experience
Minimum Required
Experience in the healthcare setting or educational coursework
Preferred/Desired
One (1) year experience in physician's office or hospital setting.
Education
Minimum Required
Preferred/Desired
Training
Minimum Required
PC skills and keyboarding Working knowledge of 10 key, typing and computers. Proficiency in Microsoft Office
Preferred/Desired
Knowledge of insurance billing and collections and insurance guidelines.
Special Skills
Minimum Required
Ability to type and key accurately, problem solving, written an d oral communication skills, financial counseling skills - knowledge of insurance billing (both hospital and professional settings) and collections - knowledge of insurance guidelines as it relates to CMS guidelines, TennCare and/or Medicaid based by state specified requirements. Ability to recognize and communicate to clinical staff or designee when insurance companies require additional review because of NCCI, CCI , LMRP, Mutually Exclusive and Medical Necessity edits. Effective Verbal, written and customer service skills as it relates to patients and insurance companies. Able to create communications to patients and insurance companies as needed to resolve issues to complete billing/claim processes.
Preferred/Desired
Knowledge of ICD-9, ICD-10, CPT and HCPCS codes and certification and/or degree in Healthcare Administration Business, Finance or related fields preferred.
Licensure
n/a
Minimum Required
Preferred/Desired
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
Client Engagement Specialist - Woodward
Albuquerque, NM jobs
Schedule: Monday - Friday 0930-1800 with weekends, holidays, on-call, and other shifts as needed
Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest.
ESSENTIAL FUNCTIONS:
1. After training period, show proficiency and have documented competency with various applications, websites and functions.
2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module.
3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc.
4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators.
5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore.
6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year.
7. Perform other assigned duties to meet the customer s requirements with direction of leadership.
The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.
General Requirements:
Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service.
Be able to articulate with customers and have persuasion, negotiating and retention skills.
Ability to be empathetic and exercise key listening skills.
Work effectively in a team environment, contributing to the success of the call center and organization.
Achieves personal metrics and goals set forth by the organization.
Work on a schedule that is set in advance for all functions, lunches and breaks.
Attends training as required and is expected to be punctual.
Accurate and fast typing required.
Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required.
Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications.
Will be learning laboratory terminology in Clinical and Anatomic Pathology.
If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application
Minimum Qualifications:
MINIMUM EDUCATION:
High school diploma or equivalent.
OTHER REQUIREMENTS:
A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes).
PREFERENCES:
Associate s degree in related field preferred.
Completion of appropriate medical certificate training program.
Knowledge of laboratory tests/medical terminology
Proficient computer skills and ability to use multiple applications simultaneously.
Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below:
CLIENT ENGAGEMENT SPECIALIST I
Meet one of the following:
Six (6) months experience in a clinical laboratory or medical setting.
Six (6) months customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST II
Meet one of the following:
One (1) year relevant experience at TriCore.
Two (2) years relevant experience in a clinical laboratory or medical setting.
Three (3) years customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST III
Meet one of the following:
Two (2) years relevant experience at TriCore
Three (3) years relevant experience in a clinical laboratory or medical setting
Four (4) years customer service experience or equivalent combination of education and experience
TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
Client Engagement Specialist - Woodward
Albuquerque, NM jobs
Schedule: Monday - Friday 0830-1700 with weekends, holidays, on-call, and other shifts as needed.
Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest.
ESSENTIAL FUNCTIONS:
1. After training period, show proficiency and have documented competency with various applications, websites and functions.
2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module.
3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc.
4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators.
5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore.
6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year.
7. Perform other assigned duties to meet the customer s requirements with direction of leadership.
The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.
General Requirements:
Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service.
Be able to articulate with customers and have persuasion, negotiating and retention skills.
Ability to be empathetic and exercise key listening skills.
Work effectively in a team environment, contributing to the success of the call center and organization.
Achieves personal metrics and goals set forth by the organization.
Work on a schedule that is set in advance for all functions, lunches and breaks.
Attends training as required and is expected to be punctual.
Accurate and fast typing required.
Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required.
Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications.
Will be learning laboratory terminology in Clinical and Anatomic Pathology.
If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application
Minimum Qualifications:
MINIMUM EDUCATION:
High school diploma or equivalent.
OTHER REQUIREMENTS:
A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes).
PREFERENCES:
Associate s degree in related field preferred.
Completion of appropriate medical certificate training program.
Knowledge of laboratory tests/medical terminology
Proficient computer skills and ability to use multiple applications simultaneously.
Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below:
CLIENT ENGAGEMENT SPECIALIST I
Meet one of the following:
Six (6) months experience in a clinical laboratory or medical setting.
Six (6) months customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST II
Meet one of the following:
One (1) year relevant experience at TriCore.
Two (2) years relevant experience in a clinical laboratory or medical setting.
Three (3) years customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST III
Meet one of the following:
Two (2) years relevant experience at TriCore
Three (3) years relevant experience in a clinical laboratory or medical setting
Four (4) years customer service experience or equivalent combination of education and experience
TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
Client Engagement Specialist - Woodward
Albuquerque, NM jobs
Schedule: Monday-Friday 8:30am-5pm and other shifts as needed
Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest.
ESSENTIAL FUNCTIONS:
1. After training period, show proficiency and have documented competency with various applications, websites and functions.
2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module.
3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc.
4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators.
5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore.
6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year.
7. Perform other assigned duties to meet the customer s requirements with direction of leadership.
The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.
General Requirements:
Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service.
Be able to articulate with customers and have persuasion, negotiating and retention skills.
Ability to be empathetic and exercise key listening skills.
Work effectively in a team environment, contributing to the success of the call center and organization.
Achieves personal metrics and goals set forth by the organization.
Work on a schedule that is set in advance for all functions, lunches and breaks.
Attends training as required and is expected to be punctual.
Accurate and fast typing required.
Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required.
Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications.
Will be learning laboratory terminology in Clinical and Anatomic Pathology.
If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application
Minimum Qualifications:
MINIMUM EDUCATION:
High school diploma or equivalent.
OTHER REQUIREMENTS:
A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes).
PREFERENCES:
Associate s degree in related field preferred.
Completion of appropriate medical certificate training program.
Knowledge of laboratory tests/medical terminology
Proficient computer skills and ability to use multiple applications simultaneously.
Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below:
CLIENT ENGAGEMENT SPECIALIST I
Meet one of the following:
Six (6) months experience in a clinical laboratory or medical setting.
Six (6) months customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST II
Meet one of the following:
One (1) year relevant experience at TriCore.
Two (2) years relevant experience in a clinical laboratory or medical setting.
Three (3) years customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST III
Meet one of the following:
Two (2) years relevant experience at TriCore
Three (3) years relevant experience in a clinical laboratory or medical setting
Four (4) years customer service experience or equivalent combination of education and experience
TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
Special Ops Client Specialist
Oklahoma City, OK jobs
Collect information and medical documentation to setup new customers of 180 Medical. To provide service support, through inbound and outbound calls, for the Account Management teams for new and existing customers of 180 Medical receiving specialized supplies. Coordinate with manufacturer(s) service information to provide select items as requested by facility and/or customer.
Key Responsibilities:
Contact customers to set up medical supply orders and follow-up as necessary to maintain seamless service of supplies and world-class service
Perform follow up phone calls to customers after an initial shipment is delivered
Handle inbound and outbound phone calls from customers regarding orders & service issues
Make appropriately detailed notations in Medtrack2, a proprietary database system, as well as provide necessary communication to Teams and Sales regarding customer account status
Place orders, make changes or adjustments to upcoming orders in Medtrack2 as needed to support customer supply needs
Request and follow-up on necessary documentation from Teams or Facilities as required by a customer's insurance through scanning, faxing or utilization of other electronic communication methods
Verify customer accounts are complete and all necessary documentation is in place to ensure a 180 Medical adheres to all compliance guidelines
Monitor and respond promptly to email communication with customers, sales reps, and others within the company
Support Team Supervisor on special projects
All other duties as assigned
Qualifications/Education:
Must have a high school diploma; college degree preferred, not required.
Six months to one-year related customer service experience and/or training; or equivalent combination of education and experience.
Typing: 35-40 wpm with 40 (adjusted) highly recommended
Effective written and verbal communication skills with attention to detail
Ability to reason, problem solve and think outside the box
Clear reasoning on prioritizing multiple tasks and satisfactory organizational skills
Flexible and adaptable to change in environment and industry
Work with integrity, upholding organizational values and Code of Ethics
Meet productivity standards and complete work in a timely manner
Sales experience preferred
Proficient in Microsoft Office programs
Collaborate well with others while being relied upon to work independently with applicable direction
Physical Demands
Regularly required to sit, stand, walk, and occasionally bend and move about the facility when in-office.
Infrequent light physical effort required.
Occasional lifting up to 10 lbs.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.
Working Conditions
Work performed in an office environment,
Special Factors
This role can be performed remotely.
Beware of scams online or from individuals claiming to represent Convatec
A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.
If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************.
Equal opportunities
Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives
Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
Already a Convatec employee?
If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!
Auto-ApplyScheduling Specialist - Remote after training
Chesterfield, MO jobs
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments.
This is a full-time position, working 11:30am to 8pm.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and staff
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only)
(10%) Insurance
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Completes other tasks as assigned
Scheduling Specialist Remote after training
Chesterfield, MO jobs
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling Activities
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and team members
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only
(10%) Insurance Activities
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Other Tasks and Projects as Assigned
988 Crisis Call Specialist
Missoula, MT jobs
Looking for a career that makes a difference in the lives of others, offering hope, meaningful life choices, and better outcomes?
Who we are
Since 1971 Western Montana Mental Health Center (WMMHC) has been the center of community partnership in the 15 counties we serve across western Montana. We have committed to providing whole-person, person-centered care by ensuring an approach to health care that emphasizes recovery, wellness, trauma-informed care, and physical-behavioral health integration. We know the work we do is important and makes a significant impact in the lives of our clients and in our communities.
Working at WMMHC also gives you the opportunity to work under the Big Sky, giving you the adventure of a life time while serving your community and changing lives. We offer a work life balance so you still have time to discover all the natural beauty and recreational dreams that Montana has to offer while still engaging in a career path that is challenging and fulfilling.
If you want to join our team where community is at the heart of what we do, then you've come to the right place!
Job Summary:
Do you like to talk on the phone? Are you the person your family and friends turn to when they need support? Can you remain calm in stressful situations and empathize without judgement? If you can answer yes to these questions, the National Suicide Prevention Lifeline team needs your help!
With training in the following tasks, you will be able to serve your community members.
Triage incoming Lifeline calls and obtain caller information.
Conduct assessments and dispatch appropriate interventions when needed.
Deescalate callers in crisis over the phone.
Develop appropriate and realistic safety plans and complete appropriate follow up tasks.
Knowledge and familiarity with community resources
Complete documentation in an accurate and thorough manner.
Location: Remote* only after training and available to come into office when needed.
We are seeking a candidate who is able and willing to work varied shifts including evenings, weekends, holidays, and overnights. Overnights shifts offer a pay differential. *Remote work is available after completion of training.
Qualifications
High School diploma or equivalent
Ability to pass background check
Provide proof of auto liability insurance coverage per Western's policies
Montana Driver's License with a good driving record
1-year related work experience in human services, preferred
Benefits:
We know that whole-person care is not just important for our clients, but recognize it's just as important for our employees. WMMHC has worked hard to provide a benefits package that encompasses that same concept. Our comprehensive benefits package focuses on the health, security, and growth of our employees. Benefit offerings will vary based upon full time, part time, or variable status.
Health Insurance - 3 options to choose from starting as low as $5 per pay period
Employer paid benefits: Employee Assistance Program, Life insurance for employees and dependents, and long term disability
Voluntary options available: dental & vision insurance, short term disability, additional life insurance and dependent care flexible spending account
Health savings account (HAS) with match or medical flexible spending account (FSA)
403(B) Retirement enrollment offered right away with an employer match offered after one year
Generous paid time off to take care of yourself and do the things you love
Accrued PTO starts immediately
Extended sick leave
9 paid holidays and 8 floating holidays
Loan forgiveness programs through PSLF or NHSC
Auto-ApplyOstomy Client Specialist
Spring, TX jobs
**Pioneering trusted medical solutions to improve the lives we touch:** Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care. With more than 10,000 colleagues, we provide our products and services in around 90 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE:CTEC). To learn more please visit ****************************
Position Overview:
To provide client service support to the Account Management teams. Collect medical documentation and information to setup new clients of 180 Medical.
**Key Responsibilities:**
+ Contact clients to set up medical supply orders
+ Handle incoming phone calls from clients regarding orders & customer service issues
+ Request Medicare documentation on Medicare clients
+ Contacts HH agencies to coordinate sending supplies
+ Make entries as appropriate in Medtrack an internal Microsoft Access database
+ Place orders in Medtrack
+ Change orders in Medtrack
+ Support Team Supervisor on miscellaneous projects
+ Obtain verbal authorization for supplies from facilities
+ Suspense auditor to obtain Plan of Cares and chart notes when needed
+ Verifying insurance for existing customer insurance changes
+ Performs follow up phone calls to clients after initial shipment
+ Verifies that client files are complete and all necessary documentation is in place
+ All other duties as assigned.
**Qualifications/Education:**
+ Must have a high school diploma, college degree preferred, not required.
+ Six months to one year related experience and/or training; or equivalent combination of education and experience.
+ Typing: 35-40 wpm with 40 (adjusted) highly recommended
+ Possess medical administrative skills
+ Good communication skills with professionals in clinics and hospitals
+ Sales experience preferred
+ Ability to reason, problem solve, and think outside the box
+ Multi-task a variety of issues
+ Good organization skills and can prioritize tasks
+ Proficient in Microsoft Office programs
+ Good attention to detail
+ Reliable/dependable
+ Flexible and adaptable to changes in environment and industry
+ Team Player; work well with others
**Dimensions:**
**Physical Demands**
+ Regularly required to sit, stand, walk, and occasionally bend and move about the facility.
+ Infrequent light physical effort required.
+ Occasional lifting up to 10 lbs.
+ Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
**Working Conditions**
+ Work performed in an office environment,
**Special Factors**
+ This role can be performed remotely.
**Beware of scams online or from individuals claiming to represent Convatec**
A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.
If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ******************** .
**Equal opportunities**
Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.
**Notice to Agency and Search Firm Representatives**
Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
**Already a Convatec employee?**
**If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!**
Easy ApplyScheduling Specialist - Cardio
Waco, TX jobs
**Working Conditions:** + Initial training will be conducted onsite. Following successful completion of training, the role will transition to remote work. **Working Hours:** + Monday to Friday, 8:00 AM to 5:00 PM The Scheduling Specialist 1 under general supervision and in accordance with established procedures, schedules outpatient diagnostic procedures including but not limited to radiology and imaging procedures, validates outpatient orders, and captures patient demographic and insurance information.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Contacts patients or providers for outpatient diagnostic procedures. Contacts patients to schedule outpatient diagnostic procedures.
Collects patient demographic and insurance information during scheduling phone call with provider or patient.
Validates insurance is in network with the provider.
Compiles patient information such as diagnosis, reason for procedure, medications, allergies and other applicable information prior to scheduled procedure.
Monitors inbound orders process to ensure orders are validated and routed appropriately to ensure patients are contacted timely to schedule procedure.
Contacts department affected by schedule adjustments to ensure patient is prepared and necessary personnel and equipment are available.
Responsible for meeting telephone system metrics and any other productivity standards set by the department to include length of call, length of answer time, and number of calls taken within a specific period.
**KEY SUCCESS FACTORS**
Must consistently meets performance standards of production, accuracy, completeness and quality.
Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and suffering patients in addition to life/death situations.
Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - Less than 1 Year of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Regional Business Specialist, Ohio
Remote
Reports to: Regional Director
Braeburn is dedicated to delivering solutions for people living with the serious consequences of opioid use disorder. At Braeburn, we challenge the status quo and champion transformation of the management of opioid use disorder (OUD) by partnering with the community to create a world where every person with OUD gets the best possible care and opportunity to reach their full potential. Our shared commitment to innovation on behalf of patients enables us to help people with OUD begin and sustain recovery.
At Braeburn, there are opportunities to contribute to our purpose every day. We value authenticity and strive to amplify all voices. Our culture empowers everyone to be successful and unleashes our full potential.
Position Summary:
The position is responsible for identifying, creating and implementing ideal opportunities within key accounts in the criminal justice and federal systems. Other responsibilities include engaging with customers, identifying educational opportunities, and ensuring access for appropriate patients at Federal Prisons, State Departments of Corrections, local and state jails, VISN and local Veterans Affairs, and DOD.
The Regional Business Specialist will establish high work standards and work in accordance with all company policies and code of conduct.
Specific Duties:
Execute business development strategies and marketing plans effectively to meet or exceed business objectives.
Provide Account Management, strategic planning, and analysis in assigned key accounts.
Review, analyze and interpret market reports to ensure quarterly and annual objectives are met.
Develop and maintain collaborative working relationships with external stakeholders, decision makers and account influencers within assigned accounts.
Accountable for achieving access, contractual, and outcome goals as agreed upon and identified in account generated business plans.
Develop a deep understanding of assigned geography and customers, including delivery of care, major payers and public policy and funding initiatives.
Identify specific opportunities and barriers within emerging customer segments to ensure company success.
Providing information and education to stakeholders (medical professionals, correctional medical/behavioral providers, administrators, drug/treatment court professionals, etc.)
Responsible for developing systems of care that informs their development of successful criminal justice initiatives utilizing injectable Medication for Opioid Use Disorder (MOUD).
Deliver fair, balanced, and compliant clinical presentations.
Assist with development and delivery of field training in support of the strategic business development plan.
Ensure compliant and effective cross-functional leadership and collaboration with all Braeburn partners, to execute on identified customer business plans and to ensure continuity of care and pull-through.
Ensure reinforcement of Braeburn compliance policies and Braeburn Code of Conduct.
Exercise sound judgment and ensure integrity and compliance with company policies in all activities and communications.
Represent Braeburn at local and select national conferences.
Manage all business development expenses and budgets.
May Interact with the following stakeholders:
C-Suite Executive Management Teams
Corrections staff
Judges/Drug court teams
Executive Directors, Program Directors, Clinical Directors, Director of Nursing, and Business Development Directors
Medical Directors, County Behavioral Health Directors
Non-Medicaid State and County government officials
Mental Health and Substance Abuse Coalitions
Large Public Sector Treatment Agencies
Local Mental Health Advocacy groups
Skills:
Strategic Vision, Accountability, Adaptability, Business Acumen, Judgement and Collaboration
Strong interpersonal, written and oral communication, presentation, planning and operational skills
Strategic account planning, negotiation, and contracting skills
Documented collaborative team-oriented skill set and operational values
Strong work ethic, ethical behavior and commitment to excellence in a compliant manner
Understanding of correctional customers (federal, state and privately-run systems), their managed care organizations, pharmacy providers and the continuum of care
Demonstrated passion and empathy for improving Addiction/Mental health patient care
Entrepreneurial attitude and/or experience in a start-up environment
Education/Experience:
Bachelor's degree (BS/BA) required, Advanced Business Degree a plus
10+ years of pharmaceutical experience with at least 5+ years of sales, sales leadership and/or field market access/ reimbursement (FRM / FRS) experience in biotech/ specialty pharmaceutical / device industries
2+ years of pharmaceutical or related experience required in the Corrections / Criminal Justice System, Integrated Health Systems and Hospitals
Proven sales or field market access (FRM / FRS) performance, as evidenced by market performance reports and recognition awards in specialty pharmacy markets
Demonstrated experience with complex customer protocol navigation and contracting specific to integrated health systems, corrections, and other large accounts
Experience within a complex distribution model, including Specialty Pharmacy Network Management and Buy & Bill acquisition, required
In-depth understanding of reimbursement and insurance coverage for physician-administered treatments
Proven product launch experience, leading others in a highly complicated and competitive environment
Experience selling specialty products, in-particular physician administered products such as implantable or injectable medication technologies in a healthcare setting
Ability to work autonomously to find new business opportunities
Willing to travel both regionally & nationally as needed (Up to 70-80%)
Valid driver's license and in good standing
Braeburn is committed to ensuring equal employment opportunity for all qualified applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, military/veteran status, age, disability, or any other category/characteristic protected by law (collectively, "Protected Categories"). In fact, we encourage all underrepresented backgrounds to apply for any open job positions with the company.
Braeburn Job Scam Warning
At Braeburn, we prioritize the security of your personal information. Be aware of individuals falsely presenting themselves as Braeburn employees or representatives to gain access to your personal information or money through fictitious job offers.
Braeburn will never ask for financial information or payment during the job application process. This includes but it is not limited to requests for bank account details, social security numbers, credit card numbers, or any form of payment for application fees, equipment, or software. Any claims that you will be reimbursed for such expenses are fraudulent.
We also will not ask you to download third-party applications for communication regarding job opportunities. Be cautious of offers from unofficial email addresses (e.g., Yahoo, Gmail, Hotmail) or those with misspelled variations of official Braeburn email addresses.
To ensure you are communicating about a legitimate job opportunity, check that the job is posted on Braeburn's official career website. If you suspect you have been contacted about a fraudulent position, please contact Braeburn directly through our official channels at *******************.
Braeburn is not liable for losses resulting from job recruiting scams. If you believe you are a victim of fraud, contact the FBI through the Internet Crime Complaint Center at ******************* or your local authorities.
Braeburn does not accept unsolicited assistance from search firms for employment opportunities. Resumes submitted without a valid written search agreement will be considered Braeburn's sole property, and no fee will be paid.
Auto-ApplyClient Grievance Specialist
Brentwood, TN jobs
Client Grievance Specialist
We are looking for a detail-oriented and compassionate Client Grievance Specialist to join our team. The ideal candidate will be responsible for managing, investigating, and resolving patient complaints and grievances in compliance with CMS standards and health plan contractual obligations. This role is essential in ensuring patient satisfaction, compliance, and continuous quality improvement.
Roles and Responsibilities
Acknowledge, examine, and investigate patient complaints by reviewing call logs/recordings while leveraging internal systems for research
Maintain accurate records and documentation within internal systems
Use critical thinking to independently manage complex or escalated cases with minimal supervision
Collaborate with internal teams to collect all necessary information
Prepare and submit summary reports and findings regarding grievances to the relevant department managers
Report to Health Plan Partners as per contractual obligations
Identify trends or recurring issues and escalate them to leadership for quality improvement initiatives
Manage grievances in accordance with Centers for Medicare and Medicaid (CMS) standards, ensuring timely resolution and responses that comply with applicable regulations and internal guidelines.
Position Requirements
Associate or bachelor's degree in healthcare administration or a related field (or equivalent experience).
Strong analytical, problem-solving, and written/verbal communication skills
Proficiency with Microsoft Office Suite
Salesforce and Athena are experience a plus
Benefits
Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care
Competitive salary
Comprehensive medical, dental, vision and life insurance
Flexible paid leave and vacation policy
401(k) plan with matching contributions
About Monogram Health
Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person's health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.
Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.
Monogram Health's personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. .
Scheduling Specialist - FT - Days
Cleveland, TN jobs
Job Details Bradley Medical Center LLC - CLEVELAND, TN Full Time Days ClericalDescription
Hours: 8:30AM - 5PM
Days: Monday - Friday
Primary function is to accurately schedule patients for outpatient procedures. Pre-register patients by entering information into computer accurately and in a professional and courteous manner.
Qualifications
JOB QUALIFICATIONS
Education: High school graduate or GED preferred. One or two years of college preferred.
Experience: Hospital or similar medical facility experience. Knowledge of Medical Terminology preferred.
Licenses/Certificates: N/A
Full-Time Benefits
403(b) Matching (Retirement)
Dental insurance
Employee assistance program (EAP)
Employee wellness program
Employer paid Life and AD&D insurance
Employer paid Short and Long-Term Disability
Flexible Spending Accounts
ICHRA for health insurance
Paid Annual Leave (Time off)
Vision insurance
Scheduling Specialist - BPS Neurology Cleveland - FT - Days
Cleveland, TN jobs
Job Details Bradley Physician Services LLC - CLEVELAND, TN Full Time Days Physician OfficeDescription
Hours: 8AM - 4:30PM
Days: Monday - Friday
Under the direct supervision of the Practice Manager, the Scheduling Specialist verifies demographic and financial information. Seeks to help patients understand their financial responsibilities, giving the estimated out-of-pocket responsibilities and payment options; at all times providing first-class service to set the tone for the patient's journey of care as well as educate and manage the financial expectations for the patient prior to surgery or procedure. Schedules the patient with the appropriate facilities and contacts pre-admission testing. Provides information to the patient regarding when and where to report to Vitruvian Health. Makes appointments in response to any recalls on procedures.
Qualifications
JOB QUALIFICATIONS
Education: Completion of a high school diploma required. College level courses preferred.
Licensure: N/A
Experience: Prefer previous work experience in a position of meeting and communicating with the public. Prefer 1 to 2 years experience in a hospital billing office, medical billing office or other health care setting.
Skills: Excellent oral and written communication skills in order to effectively interact with internal and external customers. Knowledge of Medical Terminology and third party payer terminology. At least a minimal understanding of how CPT-4 and ICD-10 codes are used in health care billing. Intermediate proficiency in Microsoft Outlook, Word and Excel.
PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS
Normal business office environment. Constant sitting and limited freedom of movement. Ability to work under conditions of frequent interruption. Poise, tact and courtesy is necessary when dealing with patients. Must be detail oriented. Must be able to assert initiative and judgment involved in classifying financial data and maintaining the normal flow of work.
Full-Time Benefits
403(b) Matching (Retirement)
Dental insurance
Employee assistance program (EAP)
Employee wellness program
Employer paid Life and AD&D insurance
Employer paid Short and Long-Term Disability
Flexible Spending Accounts
ICHRA for health insurance
Paid Annual Leave (Time off)
Vision insurance
Patient Collections Specialist
Nashville, TN jobs
Job Details Midtown - Elite - Nashville, TN DayDescription
Elite Sports Medicine + Orthopedics is looking for a Patient Collections Specialist with a strong sense of ownership, attention to detail and able to multi-task. The Patient Collections Specialist job is to perform in-house collection duties for overdue patient account balances. This is primarily remote position however you do have to live in the state of Tennessee. You can not work remote in another state for this position.
Elite Sports Medicine + Orthopedics offers a competitive compensation package for full-time members including: Three Medical Plans Options (your choice of a PPO or HDHP), Dental and Vision Coverage, Health Savings Account (with HDHP), Employee Assistance Program, Company Provided Basic Life, AD&D and Long-Term Disability, Voluntary Life and Short-Term Disability, PTO Accrual, Paid Holidays, and 401(k) + employer match.
MINIMUM ESSENTIAL JOB REQUIREMENTS
Contact patients with outstanding balances and send communications as appropriate
Post insurance and patient payments into the practice management system
Respond to billing inquiries from patients
Resubmit insurance claims on behalf of patients as necessary
Review and document all collection notes in patient accounts
Evaluate delinquent patient accounts for submittal to third-party collection agencies
Use the Collection Module to track activity and communication with patients and to establish payment plans within pre-approved guidelines
Help answer the billing phone line and assist patients with their account information
Promote the company website and patient resources located there by communicating to patients that they are able to pay their bill online
Work aging reports
Qualifications
KNOWLEDGE, SKILL AND COMPETENCY REQUIREMENTS
High school diploma required
College education or trade school preferred
Experience working in a physician office or hospital billing position preferred
Proven record of discussing financial responsibilities and establishing payment plans when necessary
Comfortable using email, Internet applications and MS Office Suite, especially Word and Excel
Basic knowledge of CPT and ICD-10-CM coding for orthopedic surgery
Orthopedic claims experience preferred
Knowledge of practice management and word processing software
Ability to demonstrate proficient use of billing and scheduling applications
Ability to work standard office equipment (fax, copier, telephone, PC)
Excellent written and verbal communication skills
Strong attention to detail
Neat, professional appearance
Working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement
General understanding of explanation of benefits forms, claim forms and the insurance billing process
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, sexual orientation, age, disability, gender identity, marital or veteran status, or any other protected class.
Collection Specialist
Remote
Soleo Health is seeking a Collection Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Home infusion therapy experience required.
Soleo Health Perks:
Competitive Wages
Flexible schedules
401(k) with a match
Referral Bonus
Annual Merit Based Increases
No Weekends or Holidays!
Affordable Medical, Dental, and Vision Insurance Plans
Company Paid Disability and Basic Life Insurance
HSA and FSA (including dependent care) options
Paid Time Off!
Education Assistant Program
The Position:
The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include:
Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner
Researches assigned correspondence; takes necessary action to resolve requests
Routinely reviews and works correspondence folder requests in a timely manner
Makes routine collection calls on outstanding claims
Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly
Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified
Researches refund requests received by payers and statuses refund according to findings
Documents detailed notes in a clear and concise fashion in Company software system
Identifies issues/trends and escalates to Manager when assistance is needed
Provides exceptional Customer Service to internal and external customers
Ensures compliance with federal, state, and local governments, third party contracts, and company policies
Must be able to communicate well with branch, management, patients and insurance carriers
Ability to perform account analysis when needed
Answering phones/taking patient calls regarding balance questions
Using portals and other electronic tools
Ensure claims are on file after initial submission
Identifies, escalates, and prepares potential payor projects to management and company Liaisons
Write detailed appeals with supporting documentation
Keep abreast of payor follow up/appeal deadlines
Submits secondary claims
Schedule:
M-F 830am-5pm
Requirements
Previous Home Infusion and Specialty Pharmacy experience required
1-3 years or more of strong collections experience
High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred
Knowledge of HCPC coding and medical terminology
CPR+ systems experience preferred
Excellent math and writing skills
Excellent interpersonal, communication and organizational skills
Ability to prioritize, problem solve and multitask
Word, Excel and Outlook experience
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keyword: accounts receivable, collection, specialty pharmacy, now hiring, hiring immediately
Salary Description $19-$23 Per Hour
On-Site Medical Call-Center Specialist
Nashville, TN jobs
DCI Donor Services (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ and tissue donation, and we want professionals on our team that will embrace this important work!! We are specifically wanting people to join our team as a Donor Specialist with expertise in communicating during difficult situations and building relationships with families. This position will serve as part of a team of passionate and driven individuals responsible for coordinating the gift of health and life through donation. Strong interpersonal skills and the ability to communicate effectively in both oral and written formats are a must. The Donor Specialist is responsible offering the gift of donation to potential donor families.
COMPANY OVERVIEW AND MISSION
For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities.
DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank.
Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life.
With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking.
*This is not a fully remote position. This position is located in Nashville, TN.
This position will be assigned on a rotating 12-hour schedule assigned to the night shift (6:00pm - 6:00am). This position will require training during day shift.
Key responsibilities this position will perform include:
Effectively captures medical information accurately and completely into donor management software.
Facilitates the donation process through coordination and communication with donor families and medical personnel.
Supports families of potential donors and communicates the opportunity for the gift of donation to families who have recently lost a loved one using empathy and care.
Performs other related duties as assigned.
The ideal candidate will have:
A minimum of a two-year degree in a health-related field, nursing or paramedic/EMT certification
1+ years in a health-care related position including use of medical terminology.
CTBS, RN, or LPN desired.
Working knowledge of computers and Microsoft Office applications.
Ability to exercise independent judgement and multitask.
Exceptional teamwork, communication, and conflict management skills.
Demonstrated excellence in intrapersonal skills along with strong attention to detail and organizational skills.
We offer a competitive compensation package including:
Up to 184 hours of PTO your first year
Up to 72 hours of Sick Time your first year
Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage
403(b) plan with matching contribution
Company provided term life, AD&D, and long-term disability insurance
Wellness Program
Supplemental insurance benefits such as accident coverage and short-term disability
Discounts on home/auto/renter/pet insurance
Cell phone discounts through Verizon
**New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.**
You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 48 hours from submission of your application to be considered for the position.
DCIDS is an EOE/AA employer - M/F/Vet/Disability.
Auto-ApplyClient Success Specialist (Temporary Part-Time) [Hourly Base + Incentive]
Brentwood, TN jobs
🌟 We're Hiring: Client Advocate
🕒 Schedule: Part-Time | 16-24 hours/week | Temporary until 12/31/2025, with the potential to transition to a permanent role 1/1/2026 | 10am-6:30pm CST
Are you passionate about helping others and thriving in a fast-paced, team-oriented environment? My Senior Health Plan is looking for a detail-driven, client-focused Client Success Specialist to join our growing team! This is your opportunity to make a meaningful impact while building a rewarding career in a company devoted to serving others.
💼 What You'll Be Doing:
As a Client Success Specialist, you'll be the go-to support for our clients and internal teams, ensuring a smooth and professional experience from start to finish. Your day-to-day will include:
Communicating with clients via phone and email with professionalism and care
Handling inbound and outbound calls using an auto-dialer system
Transferring qualified leads to our sales team
Entering and maintaining accurate client data in Salesforce
Preparing and mailing client kits
Processing insurance applications and conducting verification calls
Following up on application statuses with carriers and clients
Supporting post-sale client satisfaction efforts
Performing general administrative tasks like scanning, filing, and data entry
Jumping in to support other administrative roles as needed
🧩 What You Bring to the Table:
High School Diploma/GED + 3 years of admin experience, or Bachelor's Degree + 2 years
Strong phone presence and a friendly, professional demeanor
Excellent organizational and communication skills
Ability to multitask and manage time effectively
A team player with a proactive attitude and eagerness to learn
Proficiency in Microsoft Word, Excel, Salesforce, and internet navigation
Familiarity with CRM systems and a passion for helping others
💪 Working Conditions:
Office-based role with standard equipment
May involve sitting or standing for extended periods
Occasionally lifting up to 25 lbs
Fast-paced environment with occasional extended hours to meet goals
🎁 What We Offer:
Competitive compensation based on experience
Paid sick time
A supportive, growth-oriented work culture
Ready to make a difference? Apply today and become part of a team that values compassion, excellence, and opportunity.
Note: Employment is contingent upon passing a pre-employment drug test and background check. We participate in E-Verify.
My Senior Health Plan is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, religious creed, gender, sexual orientation, gender identity, gender expression, transgender, pregnancy, marital status, national origin, ancestry, citizenship status, age, disability, protected Veteran Status, genetics or any other characteristic protected by applicable federal, state, or local law.
AI Use Disclosure
To make our hiring process smooth and efficient, we use tools like BambooHR (application tracking), Hireflix (on-demand interviews), and Calendly (scheduling), and TestGorilla (skills assessments). These tools help us stay organized, but all applications and results are carefully reviewed by real people.
AI supports our process, it doesn't replace human judgment. We also take steps to reduce potential bias in the tools we use, so every candidate is considered fairly.