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The Rapid Resolution Specialist is responsible for providing quality services and solutions to our clients while maintaining a high level of client satisfaction. You will be responsible for determining problem severity, performing basic remediation, and assigning service requests to appropriate resources. ESSENTIAL FUNCTIONS: Respond to client calls, client emails, system alerts and other correspondence in an appropriate and timely manner. Participate as a primary resource within the inbound calling contact center for Managed IT clients. Determine problem severity, establish priorities, and assign service request to the appropriate resource. Accurately and promptly log client problem information and create a service request. Provide prompt communications to clients (internal and external) on detailed status information and estimated resolution times for issues. Remediate support requests for move/add/change type work. Troubleshooting and remediate support requests for basic and intermediate break/fix type work. Verify systems and applications functionality to identify proper resources to assign for resolution. Verify and maintain client contact and database information. Participate in best practices and follow operations procedures to create efficiencies. Accurately maintain and comply with documentation and administrative procedures in a timely basis to include time entry process. Attend required company and departmental meetings. Act in accordance with Marco policies and procedures as set forth in the employee handbook. EDUCATION AND EXPERIENCE: High School diploma and two years of relevant experience or an Associate's degree; or equivalent combination of education and experience. Previous IT experience preferred. REQUIRED SKILLS: Proficiency with business collaboration tools including MS Office applications, Outlook and company specific programs. Solid customer service abilities including telephone skills. Excellent verbal and written communication with internal and external clients. Excellent organizational and time/task management skills with the ability to prioritize tasks and work within a defined timeline and to operate with changing priorities. Ability to gather and analyze information. Performs work with accuracy and thoroughness. Excellent follow through to see tasks through completion. Function collaboratively as part of a fast-paced, client orientated team. Pay Range: $19.94 - $29.92 hourly + bonus The pay range listed for this position is based on candidate's skill level, experience, relevant licenses, and educational background. For detailed information about our benefits, please visit our careers page at ************************* Location: This is a remote-eligible position, however, Marco Technologies requires employees to reside within one of the following states: DE, FL, IA, IL, IN, KY, MD, MI, MN, MO, ME, NE, ND, NJ, PA, RI, SD, TX, WI

About Us At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives. Shift Options: 12:00 PM-8:00 PM or 1:00 PM-9:00 PM Note: Bilingual candidates will be given priority. Position Summary As the Resolution Specialist at Gifthealth, you will oversee the resolution of complex patient issues, ensuring timely and effective responses. This role requires close collaboration with cross-functional teams to enhance the patient experience and drive continuous improvement in our support processes. Key Responsibilities Escalation Management: Serve as the primary point of contact for high-priority patient concerns. Coordinate with internal teams to resolve issues promptly. Develop and implement protocols for handling escalations efficiently. Team Leadership: Mentor and support Patient Care Representatives in managing challenging cases. Provide training on best practices for issue resolution and customer service. Monitor team performance and provide feedback for continuous improvement. Process Improvement: Analyze escalation trends to identify areas for operational enhancements. Collaborate with stakeholders to implement solutions that reduce recurrence of issues. Maintain documentation of processes and updates for transparency and training purposes. Compliance and Reporting: Ensure all patient interactions comply with HIPAA and other regulatory standards. Generate reports on escalation metrics and outcomes for leadership review. Participate in audits and quality assurance activities as needed Qualifications Bachelor's degree in Healthcare Administration, Business, or related field. Minimum of 3 years in a patient support or customer service role, with at least 1 year in a supervisory capacity. Strong problem-solving skills and the ability to handle high-stress situations calmly. Excellent communication and interpersonal skills. Proficiency in customer service software (e.g., Zendesk) and Microsoft Office Suite. Knowledge of pharmacy operations and healthcare regulations is a plus. Success Metrics: Reduction in escalation resolution time. Improvement in patient satisfaction scores. Decrease in repeat escalation cases. Enhanced team performance and morale. Work Environment Location: Hybrid Schedule: Full-time May require additional availability or flexibility for escalations. Regular meetings with teams, departments, or leadership to ensure alignment. Key Essential Functions Must be able to remain seated and work at a computer for extended periods (up to 8 hours). Must be able to type and perform repetitive hand/wrist motions throughout the shift. Must be able to use a headset for phone-based communication for the majority of the workday. Must be able to navigate multiple computer systems and applications simultaneously. Must maintain focus and attention to detail while managing a high volume of calls or tasks. Must be able to communicate clearly and professionally via phone, chat, and email. Must be able to work onsite/remote (customize) for all scheduled shifts, including potential weekends or evenings depending on business needs. Must be able to handle occasional escalated or emotionally charged interactions with composure. Must be able to meet productivity and quality standards consistently. Employment Classification Status: Full-time FLSA: Non-Exempt Equal Employment Opportunity (EEO) Statement Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply! Disclaimer This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time. Salary Description $22-$28/hr

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Resolute HB Specialist you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Specialist (PDS) at Deloitte, you will work within an engagement team and be responsible for supporting the overall project goals and objectives. In this role, you will interact with stakeholders and cross-functional teams. It is expected that you will be able to perform independent tasks as well as provide technical guidance to team members, as needed. * Work with the implementation team to plan and complete build, implement end-to-end Epic. * Work command center shifts to investigate during go-live, document, and resolve break-fix tickets. * Conduct and document root cause analysis and complete any assigned system maintenance. * Assist in low level design, operational discussions, build, test, and migrate Epic build, provide go-live support following migration of new build. * Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management. The Team Join our AI & Engineering team in transforming technology platforms, driving innovation, and helping make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation. AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements. Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector. Qualifications Required * Current Epic Certification in Epic Hospital Billing * 5+ years' experience in Epic Hospital Billing * Experience in Epic implementation or enhancement processes * Experience in application design, workflows, build, troubleshooting, testing, and support. * Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience * Limited immigration sponsorship may be available. * Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve Preferred * Hospital or Clinic operations experience * Additional Epic Certifications * ITIL process knowledge * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and prioritize tasks into manageable work products * Can operate independently or with minimum supervision * Excellent Written and Communication Skills * Ability to deliver technical demonstrations Additional Requirements Information for applicants with a need for accommodation: ************************************************************************************************************ Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters. Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you. Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our clients' most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte's purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn more. Professional development From entry-level employees to senior leaders, we believe there's always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career. As used in this posting, "Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte LLP. Please see ********************************* for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law. Requisition code: 317215 Job ID 317215

Description: About Us At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives. Shift Options: 12:00 PM-8:00 PM or 1:00 PM-9:00 PM Note: Bilingual candidates will be given priority. Position Summary As the Resolution Specialist at Gifthealth, you will oversee the resolution of complex patient issues, ensuring timely and effective responses. This role requires close collaboration with cross-functional teams to enhance the patient experience and drive continuous improvement in our support processes. Key Responsibilities Escalation Management: Serve as the primary point of contact for high-priority patient concerns. Coordinate with internal teams to resolve issues promptly. Develop and implement protocols for handling escalations efficiently. Team Leadership: Mentor and support Patient Care Representatives in managing challenging cases. Provide training on best practices for issue resolution and customer service. Monitor team performance and provide feedback for continuous improvement. Process Improvement: Analyze escalation trends to identify areas for operational enhancements. Collaborate with stakeholders to implement solutions that reduce recurrence of issues. Maintain documentation of processes and updates for transparency and training purposes. Compliance and Reporting: Ensure all patient interactions comply with HIPAA and other regulatory standards. Generate reports on escalation metrics and outcomes for leadership review. Participate in audits and quality assurance activities as needed Qualifications Bachelor's degree in Healthcare Administration, Business, or related field. Minimum of 3 years in a patient support or customer service role, with at least 1 year in a supervisory capacity. Strong problem-solving skills and the ability to handle high-stress situations calmly. Excellent communication and interpersonal skills. Proficiency in customer service software (e.g., Zendesk) and Microsoft Office Suite. Knowledge of pharmacy operations and healthcare regulations is a plus. Success Metrics: Reduction in escalation resolution time. Improvement in patient satisfaction scores. Decrease in repeat escalation cases. Enhanced team performance and morale. Work Environment Location: Hybrid Schedule: Full-time May require additional availability or flexibility for escalations. Regular meetings with teams, departments, or leadership to ensure alignment. Key Essential Functions Must be able to remain seated and work at a computer for extended periods (up to 8 hours). Must be able to type and perform repetitive hand/wrist motions throughout the shift. Must be able to use a headset for phone-based communication for the majority of the workday. Must be able to navigate multiple computer systems and applications simultaneously. Must maintain focus and attention to detail while managing a high volume of calls or tasks. Must be able to communicate clearly and professionally via phone, chat, and email. Must be able to work onsite/remote (customize) for all scheduled shifts, including potential weekends or evenings depending on business needs. Must be able to handle occasional escalated or emotionally charged interactions with composure. Must be able to meet productivity and quality standards consistently. Employment Classification Status: Full-time FLSA: Non-Exempt Equal Employment Opportunity (EEO) Statement Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply! Disclaimer This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time. Requirements:

Job DescriptionDescription:We are hiring in the following states: AR, AZ, CA, CO, FL, GA, IA, IL, LA, MA, ME, MO, NC, NE, NV, OK, PA, SD, TN, TX, VA, WA, and WI This is a remote position. Candidates who meet the minimum qualifications will be required to complete a pre-interview. At Currance, we believe in recognizing the unique skills and experiences that each candidate brings to our team. Our overall compensation package is competitive and is determined by a combination of your experience in the industry and your knowledge of revenue cycle operations. We are committed to offering a rewarding environment that aligns with both individual contributions and our company goals. Benefits include paid time off, 401(k) plan, health insurance (medical, dental, and vision), life insurance, paid holidays, training and development opportunities, a focus on wellness and support for work-life balance, and more. Please note that we are looking for people who have hospital billing experience in collections and have some HB billing experience, in high dollar collections, adjustments and denials management. Job Overview The Coding Denial Resolution Specialist I plays a vital role in Operations, working remotely and responsible for clearly identifying, investigating, and resolving coding-related denials from payers. This position helps prevent lost reimbursements and supports denial prevention efforts. This role is responsible for timely, accurate, and thorough corrections and appeals for all assigned accounts, identifying the root causes of denials, and ensuring compliance with local, state, and federal regulations, as well as accrediting body guidelines. They are expected to resubmit corrected claims accurately, resolve coding denials effectively, and maximize client reimbursements by collaborating with internal and client teams. Job Duties and Responsibilities Execute tasks focused on revenue generation through account resolution for any company client. Review documentation to support or contest payer coding decisions for multiple facilities. Prepare clear, concise, and well-supported appeals where applicable, using all available documentation, coding guidelines, and regulatory references to defend billed claims and secure reimbursement on insurance accounts receivable. Investigate the root causes of denials and downgrades, as needed. Provide targeted training on coding practices to Currance team members, promoting accuracy, compliance, and efficiency in resolving coding-related issues. Participate in daily shift briefings and contribute actively. Resubmit corrected claims according to Federal, State, and payer-mandated guidelines. Research, analyze, and correct claim errors and rejections to ensure accurate resubmission and to avoid payer denials due to preventable errors. Escalate problematic accounts, recurring issues, or trends to Supervisor and recommend education or denial prevention measures to the client. Stay current on payer updates, process changes, and coding guidelines to maintain compliance with Federal, State, and payer requirements. Meet productivity standards while maintaining quality output. Communicate payer-specific issues to the team and management for timely resolution. Engage in continuous learning to remain up to date on coding and payer policies. Requirements: Performance Expectations Productivity: Achieve 100% of the project daily goal. Quality: Achieve 95% monthly quality assurance score. Other expectations: As outlined by the department. Qualifications High school diploma or equivalent (GED) required. Associate or bachelor's degree in healthcare management, Health Information Management/Technology (HIM/HIT) preferred. Current/active CCS or CPC certification required Minimum of 3 years' experience resolving payer denials and/or conducting coding audits. At least 3 years' experience in medical claim payments, follow-up, and appealing denials, with proven success resolving complex, high-value claims. Advanced knowledge of ICD-10, CPT/HCPCS, NCCI edits, DRG/APC assignment, payer policies, and reimbursement regulations. Strong negotiation, research, written communication, and problem-solving skills, with the ability defend coding-related positions. Experience correcting and resubmitting denied claims due to coding issues, including modifiers, revenue codes, bundling, and NPI discrepancies. Ability to research regulatory references (CMS, Medicaid, LCD/NCD guidelines) and apply them to appeals. Demonstrated ability to analyze denial trends and recommend process or coding improvements. Familiarity with compliance standards (OIG, CMS, HIPAA) related to coding and billing. Experience using EHR/EMR systems such as Meditech, Epic, Cerner, Allscripts, Nextgen, or similar platforms for billing and account resolution. Ability to collaborate effectively with other coders, clinicians, and account resolution specialists to resolve complex coding and reimbursement issues. Proficiency in Microsoft Office Suite, Teams, and various desktop applications. Knowledge, Skills, and Abilities Understanding of ICD-10 diagnosis and procedure codes, as well as CPT/HCPCS codes. Familiarity with regulations related to Healthcare Revenue Cycle administration. Skill in investigating medical accounts and resolving claims. Ability to validate payments and make informed decisions quickly. Capacity to learn and use collaboration and messaging tools effectively. Ability to maintain a positive attitude, pleasant demeanor, and act in the best interests of both the organization and the client. Competence in researching healthcare revenue cycle rules and regulations. Ability to maintain a positive attitude, pleasant demeanor, and act in the best interests of both the organization and the client. Professional commitment to the quality and timeliness of work. Capacity to achieve results with minimal supervision while balancing multiple priorities. Strong organizational skills with the ability to manage high-volume workloads and meet deadlines.

The Rapid Resolution Specialist is responsible for providing quality services and solutions to our clients while maintaining a high level of client satisfaction. You will be responsible for determining problem severity, performing basic remediation, and assigning service requests to appropriate resources. ESSENTIAL FUNCTIONS: Respond to client calls, client emails, system alerts and other correspondence in an appropriate and timely manner. Participate as a primary resource within the inbound calling contact center for Managed IT clients. Determine problem severity, establish priorities, and assign service request to the appropriate resource. Accurately and promptly log client problem information and create a service request. Provide prompt communications to clients (internal and external) on detailed status information and estimated resolution times for issues. Remediate support requests for move/add/change type work. Troubleshooting and remediate support requests for basic and intermediate break/fix type work. Verify systems and applications functionality to identify proper resources to assign for resolution. Verify and maintain client contact and database information. Participate in best practices and follow operations procedures to create efficiencies. Accurately maintain and comply with documentation and administrative procedures in a timely basis to include time entry process. Attend required company and departmental meetings. Act in accordance with Marco policies and procedures as set forth in the employee handbook. EDUCATION AND EXPERIENCE: High School diploma and two years of relevant experience or an Associate's degree; or equivalent combination of education and experience. Previous IT experience preferred. REQUIRED SKILLS: Proficiency with business collaboration tools including MS Office applications, Outlook and company specific programs. Solid customer service abilities including telephone skills. Excellent verbal and written communication with internal and external clients. Excellent organizational and time/task management skills with the ability to prioritize tasks and work within a defined timeline and to operate with changing priorities. Ability to gather and analyze information. Performs work with accuracy and thoroughness. Excellent follow through to see tasks through completion. Function collaboratively as part of a fast-paced, client orientated team. Pay Range: $19.94 - $29.92 hourly + bonus The pay range listed for this position is based on candidate's skill level, experience, relevant licenses, and educational background. For detailed information about our benefits, please visit our careers page at ************************* Location: This is a remote-eligible position, however, Marco Technologies requires employees to reside within one of the following states: DE, FL, IA, IL, IN, KY, MD, MI, MN, MO, ME, NE, ND, NJ, PA, RI, SD, TX, WI

What will your job look like? The Resolution Specialist is responsible for managing complaints, incidents and accidents for designated Clients, in accordance with Client requirements and MTM Policies and Procedures for Quality & Compliance. Location: Work From Home Hours: 8am - 5pm Monday - Friday (Schedule may vary slightly.) What you'll do: Document, review, investigate, resolve and provide follow up for all complaints and complaint issues reported for assigned clients within the specified timeframe Closely adhere to client service level agreements to ensure complaints do not go out of compliance Obtain responses within 24-48 hours from Transportation Providers to complaints and complaint issues Provide immediate follow up for complaint responses that are not submitted within the specified timeframe Respond to client, Program Director, or Account Executive inquiries sent via email, or fax, within the specified timeframe Ensure accuracy of information in report prior to deadline submission Triage issues and provide assistance to MTM's internal departments with complaint issues Assist with monthly trending information in regards to potential network inadequacies, transportation provider deficiencies, and training opportunities to applicable departments; report trends to leadership for further review Monitor and report incident/accident issues Monitor and report issues of non-compliance to the leadership staff and Network Management as indicated Compile weekly/monthly summaries of incident/accident investigations, findings, and resolutions as required Send out monthly Quality & Compliance Tips to transportation providers and Network Management regarding prevention measures identified Ensure all training documents received per Q&C request Create relevant workflows, and tracking mechanisms as assigned Perform activities and participate in quality improvement projects for the Quality Improvement Program(s) as assigned to ensure ongoing compliance with URAC standards Compile daily/weekly/monthly complaint reports to be submitted to designated clients per contract What you'll need: Experience, Education & Certifications: High School Diploma or G.E.D. 2 years of customer service experience Skills: Proficient in Microsoft Suite Strong and effective communication skills, with an emphasis on grammar and spelling Ability to tactfully question and obtain information Excellent organizational skills Excellent interpersonal skills Ability to manage multiple priorities required Ability to handle confidential information in a professional manner Strong problem solving skills Even better if you have... Previous Quality & Compliance experience preferred Some college preferred A minimum of six months in the MTM Customer Service Center preferred Working knowledge of MTM Customer Service protocols and procedures preferred What's in it for you: Health and Life Insurance Plans Dental and Vision Plans 401(k) with a company match Paid Time Off and Holiday Pay Maternity/Paternity Leave Casual Dress Environment Tuition Reimbursement MTM Perks Discount Program Leadership Mentoring Opportunities Rate of Pay: $18.50 an hour This information reflects the base salary pay range for this job based on current national market data. Ranges may vary based on the job's location. We offer competitive pay that varies based on individual skills, experience, and other relevant factors. We encourage you to apply to positions that you are interested in and for which you believe you are qualified. To learn more, you are welcome to discuss this with us as you move through the selection process. Equal Opportunity Employer: MTM is an equal opportunity employer. MTM considers qualified candidates with a criminal history in a manner consistent with the requirements of applicable local, State, and Federal law. If you are in need of accommodations, please contact MTM's People & Culture. #MTM

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of partnership-and that's exactly what you'll find here. We're a team of fast-paced fixers, empathetic experts, and outcomes drivers - people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you're here, you're part of something bigger. You're part of a team that shows up, stands together, and leads with purpose. Overview Salary: up to $160,000 per year, dependent upon experience Jurisdictions: Open to Any Licenses: must be willing to obtain all licenses stated by manager within specified timeframe Location: This role is eligible for fully remote work. Claims Background: Medical Malpractice - Long Term Care How you'll make an impact * Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett's specialty claims areas (Medical Malpractice). * Generally, incumbent does not work on workers compensation claims. * Able to manage the full-life cycle of all assigned claims files. * Analyzes coverage and determines defense obligations. * Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans. * Creates reservation of rights and coverage denial letters. * Negotiates settlements with clients, client attorneys, and Public Adjusters. * Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary. * Prepares reserve and settlement authority requests for client and carrier approval. * May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage. * Has a solid understanding of claims processing and the insurance brokerage business. * Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry. * Handles claims consistent with clients' and corporate policies, procedures and best practices and also in accordance with any statutory, regulatory and ethical requirements. * Incumbents at this level should be able to work at full case load capacity. About You Potential candidates should have the following: * Claims Background: Medical Malpratice * Jurisdictional Experience: Open to any * Active Adjusters' licenses: must be willing to obtain all licenses stated by manager within specified timeframe Required: * High school diploma and 5 years related claims experience required. * Prior experience working within the applicable specialty claims area or demonstrated ability to handle unique/challenging claims issues. * Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. * Knowledge of accepted industry standards and practices. * Computer experience with related claims and business software. Preferred: * Bachelor's Degree preferred. * Two or more years of prior experience adjusting claims in applicable specialty area preferred. * Law Degree (JD) Highly preferred. * Litigation Experience Behaviors: * Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. * Analytical skill necessary to make decisions and resolve issues inherent in handling of claims. * Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation. #LI-TJ1 #GBTopJob

Under the direction of the Sr. Manager, Revenue Cycle Management, the Insurance Credit Resolution Specialist is responsible for complete, accurate and timely processing of all assigned insurance related credits. Processing of these credits includes reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming inquiries, preparing insurance refund checks for mailing, and processing returned checks. * Identify and review patient accounts with insurance overpayments, ensuring accuracy and compliance with payer guidelines * Reconcile account balances by applying, transferring, or refunding credits where necessary * Analyze explanation of benefits (EOBs) and insurance payments to verify credits and resolve discrepancies * Process refunds for insurance companies in a timely and accurate manner * Prepare and submit refund requests according to established policies and procedures, to include payer specific workflows * Ensure proper documentation and communication regarding refund transactions with all relevant parties * Resolve any outstanding credits or account discrepancies by working with insurance companies, patients, and internal teams * Ensure all refund and credit transactions are conducted in compliance with healthcare regulations, including HIPAA and payer-specific guidelines. * Maintain detailed records of all credit and refund activities for auditing and reporting purposes. * Respond to inquiries regarding refunds, and resolve issues in a timely and customer-focused manner. * Be able to meet productivity expectations * Use Salesforce to manage worklists and requests/inquiries from Care Centers * Education: High School Graduate, Medical Office training certificate or relevant experience * Must be familiar with Arizona Medicaid (AHCCCS) and Arizona Medicare. * 3+ years experience in physician revenue cycle / claims management * Background with posting charges, claim follow up, collections, and payment posting * Must have experience working with athenahealth's suite of tools * Must comply with HIPAA rules and regulations * Experience with AZ Payers preferred. The hourly range for this role is $25.00-$26.45 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 10%. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. All your information will be kept confidential according to EEO guidelines. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like *************************** This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost. Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.

We're looking for talented professionals, anywhere in the United States, to join us in bringing smart money management and payment solutions to everyone's fingertips. At Green Dot, we are evolving to a new and permanent “Work from Anywhere” model designed to maximize the benefits of remote work, promote and enable a strong culture of performance and connectedness, and attract the best and brightest talent who align with our entrepreneurial spirit and mission. <<>><<>><<>><<>><<>><<>><<>><<>><<>><<>> JOB DESCRIPTION This role will require working the Blue Ash, OH office. This role requires written and verbal bilingual skills in Spanish/English. Monday-Friday 8:00am-4:30pm EST What does a Bilingual Corporate Resolutions Specialist do at Green Dot? As the Corporate Resolutions Specialist, you will be responsible for resolving the most escalated customer-initiated issues to the highest professional standards. Using your excellent customer service skills, you will have the opportunity to advocate for our customers by delivering world-class customer service and managing all escalations to attain the best possible response/resolution. In Green Dot Customer Escalations, we continually seek individuals with a keen passion for delivering exceptional customer experiences, a desire to make a positive impact, a commitment to their work, the ability to elevate the performance of their team members and display enjoyment for solving complex customer issues. As a Bilingual Corporate Resolutions Specialist, you can look forward to: Ensuring that all customer escalations and complaints are managed to excellent professional standards and within Green Dot terms and policies. Receiving inbound contacts calls and complete outbound contacts (callbacks, responses, etc.) to ensure that all queues are maintained, and all service levels are met. Maintain personal and team accountability for productivity and efficiency. Demonstrating ownership of customer issues and work proactively with Green Dot business units, partners and vendors to manage issues through to a complete resolution in a timely manner. Demonstrating the ability to understand the big picture and identify the underlying drivers causing complaints by capturing, reporting and analyzing systematic issues and recommending solutions to improve processes and products. Proactively make recommendations to address the root causes of escalations and complaints by leveraging escalation contacts and processes. Understanding current business processes and tools that impact our customers and work with the manager and the necessary owners internally to resolve any issues and fix processes. Sharing information and knowledge with other team members to recognize and reduce the number of repeated issues. Capturing all pertinent customer contact information accurately and concisely within the data capture systems and ensure data is properly maintained. Following escalation and complaint procedures in order to ensure that all customer escalations and complaints are tracked, and all relevant parties are informed of actions taken to resolve issues. Utilizing appropriate tools to ensure the customer receives relevant information and identify knowledge gaps and/or outdated policy/procedure which caused frontline efforts to fail. Supporting Green Dot employees and executives with resolving customer issues. Maintaining contact with all other relevant customer groups within Green Dot to ensure support for resolution of customer issues, consistency of approach and smooth cross-department cooperation. Performing other duties as assigned. You might be the right match for this role if: You have a passion for customer service and enjoy finding solutions. You enjoy demonstrating sound negotiation, problem-solving and conflict resolution skills by working to resolve issues within your own authority and parameters whenever possible You are excited to advocate as the “voice of the customer”. you have the ability to work independently and follow directions related to your job with little follow-up by your manager. These are qualifications we are looking for to help add to our culture and for you to join us in our mission! Required: Minimum 3 years of customer service experience. Bilingual in Spanish/English (written and verbal) Ability to communicate effectively with all levels of management and company personnel. Demonstrated negotiation and conflict management skills. Proficiency in MS Outlook, Word, PowerPoint and Excel skills required. Preferred: Previous corporate escalations or higher tier experience desired. Exceptional problem-solving and organizational skills Proven success working in a collaborative team within a fast-paced, highly visible, customer-centric and focused environment. POSITION TYPE Regular PAY RANGE The targeted base salary for this position is $36,200 to $55,300 per year. The final compensation will be determined by a number of factors such as qualifications, expertise, and the candidate's geographical location. <<>><<>><<>><<>><<>><<>><<>><<>><<>><<>> Green Dot promotes diversity and provides equal opportunity for all applicants and employees. We are dedicated to building a company that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better our work (and work environment) will be for everyone. Additionally, Green Dot provides reasonable accommodations for candidates on request and respects applicants' privacy rights.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Position Purpose: Responsible for resolving provider inquiries via telephone and email correspondence in a timely and appropriate manner. Provider inquiries including claims, eligibility, covered benefits, authorization status issues Document all activities for reporting and resolution through the customer relationship management application (CRM) Answer inquiries from providers regarding claim, eligibility, covered benefits, authorization status issues Provide first call resolution through issue documentation and resolution with appropriate internal resource, follow-up and ensure closure with the contact who initiated the inquiry Respond appropriately to provider issues and concerns, and provide trending feedback to improve the customer experience Process customer correspondence and provide the appropriate level of timely follow up Manage service related follow up items and outstanding tasks in accordance with established turnaround times Provide assistance to provider regarding website registration, navigation and customer related inquires-Educate provider on health plan initiatives during interactions with providers via telephone Maintain performance and quality standards based on established call experience guidelines Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations' team for claim adjustment Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction Qualifications Healthcare Experience at least I year HS Diploma or equivalent - Put education on resume 2+ years of experience in healthcare or insurance customer service Additional Information Advantages of this Opportunity: • Competitive salary • Fun and positive work environment • Long Term Contract Assisgnment • Can start on 7/13 Interested in being Considered? If you are interested in applying to this position, APPLY NOW to Lovely Loriezo of Healthcare Support.

Positions are full-time, remote Hours: Monday-Friday between 8AM and 6:00PM EST. Specific schedule assigned after training based on the needs of the department at that time. Hours for the 12 week training period are 9:30AM to 6PM. Hourly rate: $19.50 per hour It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: In this role, you will serve as the first line of support for our stakeholders by providing accurate and thorough information to current and prospective members, providers and internal customers about our various health plans. In this role, you'll make a difference for others every day. This role has also proven to be an excellent starting point for long-term growth and advancement in our company. Our Investment in You: High-performing representatives may be eligible for promotion and pay increases within their first year through our Career Progression program · Annual Commitment to Service bonus for Customer Care representatives, program requirements apply WellSense is committed to offering team members the opportunity to grow their career within the company. We encourage team members to pursue new roles within the company and qualified internal candidates are given preference when possible. We believe in recognizing and rewarding outstanding performance and dedication to our members. Various department specific and company-wide reward and recognition programs are in place to support this commitment. Bring your enthusiasm and people skills, and we will train you on the health insurance business and how to confidently resolve inquiries. Paid 12-week training period New hire buddy program Dedicated Team Assist Line to support complex/challenging calls in real time Robust training and skills development opportunity through Ulysses Learning, a leader in customer service and call center learning programs One-on-one coaching and mentoring from dedicated training and quality professionals We are proud of our comprehensive employee benefits and generous paid time off program. · Team members are encouraged to participate in a variety of engagement activities including our Business Resource Groups (BRGs), where you can connect with colleagues, grow professionally and share your experiences. Key Functions of the Job: · Customer Interaction & Problem Resolution: Own each customer interaction by utilizing the appropriate resources to accurately interpret and respond to inquiries. Deliver outstanding, empathetic service that fosters trust, builds loyalty, and contributes to member retention. · Call Management: Respond to a high volume of inbound calls from members and providers, addressing a wide range of topics. Calls may vary significantly in length and complexity, requiring adaptability and attention to detail. · Communication & Conflict Resolution: Apply strong interpersonal and conflict-resolution skills to manage challenging calls with professionalism, courtesy, and empathy. · Accurate Documentation: Record call details and customer interactions accurately in accordance with departmental standards and compliance requirements. · Collaboration & Teamwork: Work collaboratively with peers and cross-functional teams to resolve issues, contribute to shared goals, and foster a positive team environment. · Performance Goals: Consistently meet or exceed departmental goals related to quality, productivity, customer satisfaction, and compliance. · Flexibility: Support the department by performing additional duties as needed, demonstrating reliability and adaptability. What We're Looking For: Professional Experience: Prior work experience in a customer-facing position. Demonstrated career progression preferred. A minimum of three consecutive years in a previous role. Technical Competency Assessment: The completion of a 60-90 minute competency assessment is a required step in our hiring process. This assessment must be completed on a laptop or desktop computer. It cannot be completed on a mobile device References: Outstanding professional references from prior supervisors. Background Check: Successful candidates will be required to satisfactorily complete a pre-employment background check. This includes a criminal history check as well as verification of education and last 3 employers. · Remote Workspace: WellSense remote employees are required to have a quiet, distraction-free, private, and secure workspace. WellSense Health Plan is hiring in the following states: Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, and Wisconsin Qualifications Education: High school diploma or equivalent required, bachelor's degree preferred Experience: Prior professional work experience, ideally with customer service Competencies, Skills, and Attributes: Outstanding customer service skills Excellent verbal and written communication skills Strong organizational skills with the ability to prioritize a high volume of adjustment requests, multi-task and prioritize work Ability to make reasonable and sound business decisions based on established standards and guidelines Working knowledge of Microsoft Office products Bilingual in Spanish, Portuguese, Haitian Creole or other language is highly desirable Able to comfortably work from home with access to a high-speed internet connection Regular and reliable attendance Ability to work overtime during peak periods About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

We are looking for an Recovery Resolution Specialist (Collections) to join our Yield Management team! This role will facilitate the collection of funds for the client and maintains exceptional provider relations. Works closely with audit team, payers and providers to understand claims and or concepts to facilitate effective communication and collection. Engages in verbal and written communication involving the provider, audit staff and client. Identifies problems in the collection process for escalation to the appropriate parties. Responsibilities Prepares Collections Letters. Prepares collection letters in accordance with policy and ensure they are sent out to providers within established guidelines. Follow-up on Outstanding Claims. Follows established policies and procedures to collect identified claims. This includes contacting the providers to verify receipt of the claims and to obtain the status of any outstanding claims. Responsible for responding to correspondence, requesting additional information from providers, preparing documents, and other administrative tasks. Investigates Claim Disputes. Investigates claim disputes as required. Identifies issues timely and escalate to appropriate parties. Provides accurate information, supporting documentation, and effective communication to complete recovery process. Documents Activities Utilizing Established Tools and Systems. Documents details in the system. Utilizes with increasing proficiency, proprietary reports, tools and systems required to perform duties. Meets or Exceed Standards for Productivity. Maintains productivity goals and standards set by the department. Insures all department rules and processes are followed. Alerts manager of system issues or other issues impacting productivity. Meets or Exceeds Standards for Quality. Achieves the expected level of quality set by the department. Verifies completeness and accuracy of work. Alerts manager of issues or concerns impacting quality of work. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications High School graduate or equivalent education. 1 to 3 years prior collections or customer service experience required. Billing or coding experience preferred. Strong oral and written communication. Required knowledge of Microsoft applications. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $16.00 to $19.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 12/3/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/12/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LI-KK1 #entrylevel

Primary function for the Business Loan Resolution Specialist is to reduce delinquency, attempt to prevent repossession/foreclosure, avoid legal action, and minimize charge offs/charge downs on accounts assigned in the work queue through the use of the department business system (CARM-Pro). Will use phone contact, letters, skip tracing, repossession, foreclosure, as well as other methods as directed by Credit Resolution Officers in an effort to resolve delinquencies and return the loans to performing status. Will utilize working files and update the CARM-Pro system as the account progresses in delinquency and will make recommendations to management of action needed to secure payment of all past due amounts and/or possession of collateral. Will be expected to adhere to and be knowledgeable of state and federal regulations with respect to debt collection, billing, and credit reporting practices. CUSTOMER SERVICE SKILLS: Willingness to provide a level of service which will clearly differentiate us from our competitors. INTERPERSONAL SKILLS: Professional demeanor in appearance, interpersonal relations, work ethic and attitude. Possess clear, concise, effective written and oral communication skills to effectively express thoughts, ideas and concepts to management, bank employees and bank customers in a collaborative and solutions oriented manner. Must be able to speak clearly and have proven telephone skills, as well as an ability to maintain positive relations with customers while discussing financial circumstances in a tactful manner. Ability to accurately follow instructions on a variety of subjects. Must be comfortable with customer contact. Must be able to manage time effectively. Must be willing to work as part of a team. Ability to maintain confidentiality. Attention to critical details to properly document plan of action. ESSENTIAL DUTIES AND RESPONSIBILITIES: Manage day-to-day collection activity on assigned accounts through the CARM-Pro business system. Analyze loan and collateral files to make recommendations as to appropriate action to resolve delinquency. Consult with CRU Officers and Business Bankers/Business Development Officers on specific account situations that require attention and feedback. Maintain a comprehensive knowledge of applicable local, state and federal regulations relating to collections and ensure that the Bank's policies, processes and procedures are compliant with the same. Other duties may be assigned. OTHER REQUIREMENTS: Banking is a highly regulated industry and you will be expected to acquire and maintain a proficiency in the Bank's policies and procedures, and adhere to all laws, rules and regulations that are applicable to your conduct and the work you will be performing. You will also be expected to complete all assigned compliance training in a timely manner. Ability to define problems, collect data, establish facts, and draw valid conclusions to present to Management for direction. Develop appropriate strategies and follow-up on progress and/or promised actions. Review loan files and documents per direction of Credit Resolution Officers to understand the transaction and circumstances. Ability to discuss and present various plans of action to supervisor, other management personnel, and, if needed, legal counsel to develop strategies and solutions. Interaction with Commercial and Business Bankers as warranted during the collection process. MS Office, including Word, Excel, and Outlook required. Knowledge and ability to use IBS Insight and CARM-Pro software preferred. High school diploma or General Education Degree (GED) required. Associates or Bachelor's Degree in business related studies is preferred. Minimum of three years within a banking or financial service environment preferred. Minimum of one year of loan collection experience preferred. Commercial loan collection experience highly preferred.

PURPOSE STATEMENT: The Business Office Coordinator is responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections. ESSENTIAL FUNCTIONS: Responsible for auditing the admission packets and for the verification of benefits along with all patient demographic information in the patient accounting system. Financial counseling of patients and/or guarantors and collecting any out of pocket (deductibles, copays, exhausted days, etc). Provide information to the patient and/or guarantors regarding their benefits and financial obligations. Complete financial disclosure paperwork for patients that request assistance including verifying income and expenses. Complete adjustment forms for any charity or administrative adjustments for approval. Complete promissory notes for patients that request payment arrangements. Update daily the upfront collection log, charity log, and admin adjustment log. Review with BOD on a weekly basis. Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment. OTHER FUNCTIONS: Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: High school diploma or equivalent required. Three or more years' experience in related field required. Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required. LICENSES/DESIGNATIONS/CERTIFICATIONS: Not applicable BENEFITS: Ohio Hospital provides a comprehensive package of benefits for our nurses and patient care staff. Current benefits include: Competitive hourly rates with shift differentials available Medical, dental, and vision insurance Acadia Healthcare 401(k) plan Excellent training program Professional growth opportunities that are second to none in the industry - Join a team with defined career paths and a national family of hospitals and facilities TRAINING AND ORIENTATION (optional) Ohio Hospital is committed to training and safety. All new hires will attend a 4-day hospital-wide orientation before spending further on-the-job training once in the position.

We are looking to add an experienced Business Office Coordinator to our team. The Coordinator would be responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections. Ohio Hospital for Psychiatry is centrally located in Columbus, Ohio's state capital, with approximately 70 counties surrounding the hospital from which referrals are made. OHP is a 130-bed free-standing behavioral health facility that provides a continuum of behavioral healthcare services for adults and senior adults across five different units including Adult Behavioral, Dual Diagnosis, Intensive Treatment and Geriatric. We also offer Intensive Outpatient Services. PURPOSE STATEMENT: The Business Office Coordinator is responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections. ESSENTIAL FUNCTIONS: * Responsible for auditing the admission packets and for the verification of benefits along with all patient demographic information in the patient accounting system. * Financial counseling of patients and/or guarantors and collecting any out of pocket (deductibles, copays, exhausted days, etc). Provide information to the patient and/or guarantors regarding their benefits and financial obligations. * Complete financial disclosure paperwork for patients that request assistance including verifying income and expenses. * Complete adjustment forms for any charity or administrative adjustments for approval. * Complete promissory notes for patients that request payment arrangements. * Update daily the upfront collection log, charity log, and admin adjustment log. Review with BOD on a weekly basis. * Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment. OTHER FUNCTIONS: * Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * High school diploma or equivalent required. * Three or more years' experience in related field required. * Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Not applicable BENEFITS: Ohio Hospital provides a comprehensive package of benefits for our nurses and patient care staff. Current benefits include: * Competitive hourly rates with shift differentials available * Medical, dental, and vision insurance * Acadia Healthcare 401(k) plan * Excellent training program * Professional growth opportunities that are second to none in the industry - Join a team with defined career paths and a national family of hospitals and facilities TRAINING AND ORIENTATION (optional) Ohio Hospital is committed to training and safety. All new hires will attend a 4-day hospital-wide orientation before spending further on-the-job training once in the position. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null

Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Resolute HB Specialist you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Specialist (PDS) at Deloitte, you will work within an engagement team and be responsible for supporting the overall project goals and objectives. In this role, you will interact with stakeholders and cross-functional teams. It is expected that you will be able to perform independent tasks as well as provide technical guidance to team members, as needed. + Work with the implementation team to plan and complete build, implement end-to-end Epic. + Work command center shifts to investigate during go-live, document, and resolve break-fix tickets. + Conduct and document root cause analysis and complete any assigned system maintenance. + Assist in low level design, operational discussions, build, test, and migrate Epic build, provide go-live support following migration of new build. + Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management. The Team Join our AI & Engineering team in transforming technology platforms, driving innovation, and helping make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation. AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements. Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector. Qualifications Required + Current Epic Certification in Epic Hospital Billing + 5+ years' experience in Epic Hospital Billing + Experience in Epic implementation or enhancement processes + Experience in application design, workflows, build, troubleshooting, testing, and support. + Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience + Limited immigration sponsorship may be available. + Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve Preferred + Hospital or Clinic operations experience + Additional Epic Certifications + ITIL process knowledge + Analytical/ Decision Making Responsibilities + Analytical ability to manage multiple projects and prioritize tasks into manageable work products + Can operate independently or with minimum supervision + Excellent Written and Communication Skills + Ability to deliver technical demonstrations Additional Requirements Information for applicants with a need for accommodation: ************************************************************************************************************ All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of partnership-and that's exactly what you'll find here. We're a team of fast-paced fixers, empathetic experts, and outcomes drivers - people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you're here, you're part of something bigger. You're part of a team that shows up, stands together, and leads with purpose. Overview Role specifics: * Jurisdictions: Any * Licenses: Any (NY, TX, AZ and HI a plus) * Location: This role is open to fully remote How you'll make an impact * Independently conducts detailed analysis vital to investigating claims exposure and recommend appropriate settlement strategies and action plans. * Create reservation of rights, coverage denial letters, negotiate and resolve settlements directly with involved parties. * Interact extensively with various parties involved in the claims process, and may recommend retaining the advice of outside specialists. * Handle claims consistent with clients' and corporate policies, procedures in accordance with any statutory, regulatory and ethical requirements within specialized niche/industry. * Document and communicate claim activity timely and efficiently and in a manner which supports the outcome of the claim file. * Coach, mentor and may supervise lower level adjusters. About You Potential candidates should have the following: * Claims Background: General liability, complex bodily injury, litigation, negligent security and grocery store claims a plus * Jurisdictional Experience: Any * Active Adjusters' licenses: Any (NY, TX, AZ and HI a plus) As a key member of our Claims Adjuster team, you will: * Investigate, evaluate, and resolve complex claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution. * Work in partnership with our clients to deliver innovative solutions and enhance the claims management process * Think critically, solve problems, plan, and prioritize activities to optimally serve clients Required Qualifications: * High school diploma * 7 or more years related claims experience and proven track record to handle complex claims issues at a senior adjuster level * Appropriately licensed and/or certified in all states in which claims are being handled * Knowledge of accepted industry standards and practices * Computer experience with related claims and business software Desired Qualifications: * Bachelor's Degree * Litigation #LI-KQ1 #LI-Remote Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you'll get, depending on your job level these benefits may improve: * Medical/dental/vision plans, which start from day one! * Life and accident insurance * 401(K) and Roth options * Tax-advantaged accounts (HSA, FSA) * Educational expense reimbursement * Paid parental leave Other benefits include: * Digital mental health services (Talkspace) * Flexible work hours (availability varies by office and job function) * Training programs * Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing * Charitable matching gift program * And more... The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it's embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees' diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as "protected characteristics") by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Position Purpose: Responsible for resolving provider inquiries via telephone and email correspondence in a timely and appropriate manner. Provider inquiries including claims, eligibility, covered benefits, authorization status issues Document all activities for reporting and resolution through the customer relationship management application (CRM) Answer inquiries from providers regarding claim, eligibility, covered benefits, authorization status issues Provide first call resolution through issue documentation and resolution with appropriate internal resource, follow-up and ensure closure with the contact who initiated the inquiry Respond appropriately to provider issues and concerns, and provide trending feedback to improve the customer experience Process customer correspondence and provide the appropriate level of timely follow up Manage service related follow up items and outstanding tasks in accordance with established turnaround times Provide assistance to provider regarding website registration, navigation and customer related inquire Educate provider on health plan initiatives during interactions with providers via telephone Maintain performance and quality standards based on established call experience guidelines Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations' team for claim adjustment Identify any trends related to incoming or outgoing calls that may provide policy or process improvements to support excellent customer service, quality improvement and call reduction Qualifications Healthcare Experience at least I year HS Diploma or equivalent 2+ years of experience in healthcare or insurance customer service Additional Information Advantages of this Opportunity: Pay $15/per hour Start Date: 7/13 Long Term Contract Assignment If you are interested, please call, Lovely 321-574-6539 and email your resume to me. The greatest compliment to our business is a referral. If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.