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Clearance Specialist
Soleo Health, Inc. 3.9
Frisco, TX jobs
Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Soleo Health Perks:
Competitive Wages
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
Annual Merit Based Increases
No Weekends or Holidays
Paid Parental Leave Options
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) Options
Education Assistance Program
This Position:
The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include:
Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc
Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including
Reviewing and obtaining clinical documents for submission purposes
Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed
Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations
Generate new patient start of care paperwork
Schedule:
Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time
Weekend On-call once monthly
Must have experience with Acute Infusion for Prior authorization/Benefits Verification
Requirements
High school diploma or equivalent
At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met
Ability to work in a fast-paced environment
Knowledge of HIPAA regulations
Basic level skill in Microsoft Excel & Word
Knowledge of CPR+ preferred
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.
Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring
Salary Description
$23.00-$27.00 per hour
$23-27 hourly 2d ago
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Inpatient Coder - Remote
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).
Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility.
Coder Productivity: Meets and/or exceeds Conifer's inpatient coding productivity guidelines
Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.
Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls.
DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures
Proficient at writing AHIMA compliant physician queries
Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
Works collaboratively with CDI, Quality and other facility leadership
Functional knowledge of facility EMR, encoder, CDI tool and other support software
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
One to three years experience performing inpatient coding in acute care setting required
High school graduate or equivalent is required
Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements.
CERTIFICATES, LICENSES, REGISTRATIONS
* Required: AHIMA RHIT or RHIA or AAPC CCS approved credential
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to lift 15-20lbs
* Ability to sit and work at a computer for a prolonged period of time. Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments if appropriate
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office/Hospital Work Environment
* Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide
OTHER
* Must be able to travel nationally as needed, not to exceed 10%
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
Pay: $27.30-$40.95 per hour. Compensation depends on location, qualifications, and experience.
Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
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$27.3-41 hourly 8d ago
Director, Global Issues & Public Affairs - Hybrid
Texas Children's Hospital 4.7
Houston, TX jobs
A leading children's healthcare institution is seeking a Director of Issues Management in hybrid format. This role focuses on shaping and protecting the organization's reputation through strategic leadership across various issues management and external communications. The ideal candidate will have significant experience in navigating high-impact issues and driving public affairs strategies effectively. Candidates should possess a relevant bachelor's degree and at least 12 years in public affairs or related fields.
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$157k-252k yearly est. 3d ago
Remote CAD Drafting Supervisor: Substations & Power
Leidos 4.7
Houston, TX jobs
A leading technology company is seeking a CAD Drafting Supervisor in Bethesda, Maryland. The role involves supervising a team of CAD technicians and ensuring the production of accurate drawing packages for utility power delivery projects. Candidates should have experience in AutoCAD and MicroStation, strong leadership abilities, and at least 5 years of relevant experience. Competitive salary and opportunities for professional growth are provided.
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$78k-108k yearly est. 1d ago
Senior Major Gifts Director - Remote, Six-Figure Campaign Impact
University of Texas Md Anderson Cancer Center 4.3
Houston, TX jobs
A leading healthcare institution in Houston seeks a Senior Associate Director for Major Gifts to secure substantial philanthropic support. The role involves cultivating relationships with high-net-worth donors to raise significantly for institutional priorities. The ideal candidate will have extensive fundraising experience and exceptional leadership skills. This position offers competitive compensation starting at $121,000, with comprehensive employee benefits including paid medical, dental coverage, and tuition assistance.
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$121k yearly 3d ago
Part Time Remote Psychiatric Nurse Practitioner - Fee For Service
Thriveworks 4.3
Colorado Springs, CO jobs
Thriveworks is currently seeking Psychiatric Mental Health Nurse Practitioners in Colorado. ***Clinicians need to be licensed and living in the state in which they will be practicing.*** Compensation: This is a Fee for Service (W2) position, the range for this position is $70,000-$100,000 per year based on 15-20 clinical hours per week.
To maintain safety and best practices for our clinicians and patients via telemedicine, Thriveworks does not push or incentivize the use of stimulant medications; instead, we offer them as an option based on the client's specific symptoms and diagnosis, with prescribing decisions left to the discretion of the clinician. We do not currently treat substance use disorders, and make every effort to refer out to an in-person provider when symptoms arise that are too severe to be treated via telemedicine only.
Thriveworks Nurse Practitioners are expected to provide care to a diverse population of clients with mental health conditions such as depression, anxiety, ADHD, and more. They work with a broad range of age groups, primarily adults and adolescents, with a future focus on expanding care across the lifespan.
Qualifications:
Licensed Psychiatric Mental Health Nurse Practitioner - Board Certification required
Master's in Nursing with active prescriptive authority required in the state
Understanding of AdvancedMD (AMD) EMR is a plus
Three years of experience is a plus; 1 year of psychiatry practice is required
Licensed Psychiatric Mental Health Nurse Practitioners need to be licensed and live in the state in which they will be practicing
Part-time requires 15 - 20 hours of availability per week
All clinicians are required to complete an in-house training on our ADHD treatment standards, guidelines, and approach, followed by a brief exam. While all new hires are enrolled in the ADHD Clinic and expected to accept and treat ADHD clients, there are no quotas for the number of clients or prescriptions.
What We Need:
Make Psychiatric assessments and evaluations of clients in an ongoing telemedicine capacity
Willingness to treat 14 years old and up
Prescribe medication to reduce mental health symptoms, as needed
Create and collaborate with clients on care plans
Complete and/or administer appropriate paperwork and assessment tools for clients
Adhere to Thriveworks' Clinical Practice Guidelines
Consult with Regional Clinic Directors and staff on clients, programs, and services at the various sites
What We Give:
We are dedicated to taking great care of our employees and empowering them to succeed. This enables them to focus on providing excellent care to our clients. We offer the following benefits:
Fully Remote
Remote Medical Assistants
Guaranteed, bi-weekly pay (no need to wait on reimbursement)
401K with 3% employer match
Paid orientation and annual pay increases
Flexible scheduling (Sessions are available from 7 am-10 pm, 7 days/week)
Paid orientation, Paid Credentialing, Paid Malpractice Coverage, In-house professional development, including case consultation groups
Annual pay increases and Bonus Opportunities
Schedule Flexibility with No Show Protection and No required on-call
Amazing team culture and clinical support
Who we are - about Thriveworks:
Thriveworks is a trusted mental health provider with 340+ locations and a nationwide hybrid care model. We serve over 175,000 clients annually through more than 1.7 million sessions, and these numbers continue to grow. As a clinician-founded and clinician-led organization, we offer the tools, support, and community you need to build a fulfilling, long-term career.
A career at Thriveworks isn't just about finding a job that pays the bills. It's about helping others, joining a community, and learning to thrive both personally and professionally. We believe that the success of our employees is just as important as the success of our organization; they go hand in hand.
So, what do you say? Are you interested in joining our team? Apply today.
#LI-Remote #LI-MS1
Interested in joining Team Thriveworks? We're thrilled to meet you!
With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:
Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address.
Our interviews will take place over Google Meet (not Microsoft Teams or Zoom)
We will never ask you to purchase or send us equipment.
If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
$70k-100k yearly 8d ago
Billing Specialist
Vital Care Infusion Services 4.8
Phoenix, AZ jobs
Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer:
Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
Paid time off, personal days, and company-paid holidays.
Paid Paternal Leave.
Volunteerism Days off.
Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
401(k) matching and tuition reimbursement.
Employee assistance programs include mental health, financial and legal.
Rewards programs offered by our medical carrier.
Professional development and growth opportunities.
Employee Referral Program.
Job Summary: Perform duties to process Home Infusion medical claims with a focus on accuracy, timeliness, and adherence to process, to reduce denial rate, DSO, and bad debt. Performs revenue cycle billing duties to process within the limits of standard Compliance practices. Position is 100% remote.
Duties/Responsibilities:
Create and submit medical, pharmacy and third-party vendor claims timely and accurately. Ensure all revenue opportunities are included, and complete and submit billing to primary and secondary payers.
Resolve rejected electronic claims so that current submission is successful and future submissions are not rejected.
Maintain ready-to-bill delivery tickets and indicate tickets that cannot be billed with appropriate status for communication purposes within RCM and Franchises
Document case activity, communications, and correspondence in CareTend to ensure completeness and accuracy of account activity.
Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team.
Perform other related duties as assigned.
Required Skills/Abilities:
Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
Proven ability to identify gaps and problems from a review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action.
Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications.
Ability to complete job duties in a designated workspace outside the dedicated RCM location.
Disciplined work ethic with ability to work remotely with little direct supervision and meet production and collection targets.
Education
and Experience:
2-5 years home infusion billing and/or collections experience required.
High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections.
Experience in an infusion suite setting is a plus.
Previous remote work environment is a plus but not required.
Detailed oriented with post-billing and post-payment investigative experience preferred.
Physical Requirements:
Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
Keyboarding: Frequent use of a keyboard for typing and data entry.
Reaching: Occasionally reaching for items such as files, documents, or office supplies.
Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork
Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.
Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.
Vital Care Infusion Services participates in E-Verify.
This position is full-time.
Our company helps hospitals and health plans improve their revenue and deliver community benefits. On their behalf, we help their patients and plan members with low or no income, and those who are aged or disabled, to enroll in government-funded assistance programs.
The Disability Specialist is an entry level position and will handle all submitted Social Security Disability applications from beginning to end while providing claimants with outstanding customer service and support and will work closely with Social Security offices nationwide. Disability Specialists work in a fast-paced, multi-tasking, contact center environment, managing both inbound and outbound calls.
The Disability Specialist will coordinate appointments, provide resources and materials, and provide medical updates to Disability Determination Services and private institutions.
A successful Disability Specialist is an empathetic communicator, likes to juggle multiple projects, is detail oriented and, above all, is compassionate.
Role Responsibilities:
Maintains regular communication with claimants, answers questions regarding the application, services, and benefits and clarifies eligibility data
Will manage all inbound and outbound queue calls while staying on top of own tasks
Assists in gathering eligibility data, verifications, completed forms and medical records.
Manages positive professional relationships with agencies and clients.
Submits documents/applications to proper agencies; follows up appropriately with all entities to ensure processing and stays updated on status of claims.
Manages all accounts and taking appropriate action to secure eligibility until all methods are exhausted.
Secures and submits all necessary signed SSA forms and any missing verifications
Contacts providers / secures medical records as needed
Is thoughtful and proactive to anticipate and foresee key requirements for all accounts and takes appropriate action to secure eligibility until all methods are exhausted
Works with government agencies/physician offices to obtain coverage for clients
Maintains positive professional relationship with agencies and clients
Understand and agree to role-specific information security access and responsibilities
Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
Read, understand, and agree to security policies and complete all annual security and compliance training
Role Requirements:
2 years of Customer Service
Must be fluent in English (speak, read, write)
Fluency in additional language(s) highly desirable!
Excellent communication and interpersonal skills with an ability to clearly communicate and influence
Call Center experience and/or De-Escalation experience a plus
Experience working with government agencies a plus
Experience in Social Services, case management, processing disability/claims evaluation and/or adjudication, and Medicaid/Medicare knowledge a strong plus
Strong interpersonal skills and ability to work in a team environment
Detail Oriented, Willing to Learn, and Goal Driven
Ability to multi-task and manage time appropriately
Strong computer skills, proficiency with Microsoft Word, Excel and Outlook, and ability to navigate multiple platforms and screens smoothly
$51k-82k yearly est. 6d ago
Senior Substation Physical Engineer - Hybrid Career Growth
Leidos 4.7
Houston, TX jobs
A leading technology solutions provider is seeking a Senior Substation Physical Engineer in Maryland. In this role, you will design electrical projects for electric utilities and maintain compliance with project scopes. Successful candidates will enjoy opportunities for career growth, flexible work arrangements, and a supportive work environment. Key skills include experience with AC/DC circuits and communication skills. Join us to make an impact on the energy sector while working in a diverse and innovative team.
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$82k-100k yearly est. 2d ago
Technical Account Manager
Cardinal Health 4.4
Phoenix, AZ jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Job Description**
As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used.
**Position Summary**
Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients.
**Role contribution and responsibilities:**
+ Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs
+ Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes.
+ Monitors performance and recommends scope, schedule, cost or resource adjustments
+ Connects short-term demands to long-term implications, in alignment with the supporting business case.
+ Prioritizes multiple tasks while meeting deadlines
+ Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion.
+ Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success.
+ Connects project objectives to broader organizational goals.
+ Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility.
+ Negotiates with stakeholders to obtain the resources necessary for successful project execution.
+ Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making.
+ High level of client contact in an Account Management portfolio approach.
**What is expected of you and others at this level**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Participates in the development of policies and procedures to achieve specific goals
+ Recommends new practices, processes, metrics, or models
+ Works on or may lead complex projects of large scope
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
+ Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships
**Accountabilities in this role**
+ Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services
+ Acts as single technical liaison for the client
+ Daily interactions with client to assess and advise client needs and requests
+ Analyze client program, needs and propose solutions and options that provide value to client
+ Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements.
+ Manage client deliverables, timelines, and artifacts
+ Monitor team backlog and prioritize activities to deliver on time, on budget, on scope
+ Anticipate client needs and proactively make program recommendations to enhance service value
+ Perform necessary project administration, project status, and risk, issue management
_Qualifications_
+ Master's Degree preferred
+ 3-5 years' experience of client relationship management experience at the account management level preferred
+ Prior experience working in a Specialty Pharmaceutical HUB environment, preferred
+ 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred
+ Proficiency in Microsoft Office products preferred
+ Strong oral and written communication skills, with executive facing presentation experience
+ Strong project management skills
+ Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Travel requirement up to 10%
TRAINING AND WORK SCHEDULES:
+ Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
REMOTE DETAILS:
+ You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet.
+ We will provide you with the computer, technology and equipment needed to successfully perform your job.
+ You will be responsible for providing high-speed internet.
+ Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $105,100-$150,100
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 03/15/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$105.1k-150.1k yearly 11d ago
LPN Licensed Practical Nurse (Homecare) - One-on-one client care in a low-stress, independent work environment (ARVADA)
Care Options for Kids 4.1
Arvada, CO jobs
About the Role
Increase your chances of reaching the interview stage by reading the complete job description and applying promptly.
At Care Options for Kids, a pediatric home health care company providing one-on-one care in the home, we do things a little differently. There's no revolving door of patients or hospital setting chaos blinking call lights, scurrying doctors, and wards bursting at the seams. You work with self-sufficient autonomy, empowered to make a real difference in your clients' lives. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for.
Benefits for Licensed Practical Nurses (LPNs)
Paid Time Off (PTO) and flexible schedule
Medical, dental and vision coverage
401(k) retirement plan
Weekly pay and directdeposit
24/7 on-call for support
CEU credits
Training opportunities
Sign on bonus for eligible nurses*
Nurse Referral Bonus
Responsibilities of Licensed Practical Nurses (LPNs)
Medication administration per physician orders
Physician ordered treatments for:
Nutrition via a feeding tube
Tracheostomy care
Suctioningnasal, oral and/or endotracheal
Ventilation care
Seizure assessment and treatment
Requirements for Licensed Practical Nurses (LPNs)
Current, active ColoradoLPN license
Current BLS CPR card (obtained in-person, not online)
G-tube, trach, vent experience, or willing to train
TB Skin Test (PPD) or TB Blood Test (QF)
About Care Options for Kids
Care Options for Kids is the leading provider of pediatric nursing services. Our mission is to provide high-quality pediatric services that help children and families live their best lives. Achieving that mission can only be accomplished with talented and caring nurses like you.
With locations in Colorado, Texas, Arizona, Nevada, Florida, Oregon, Washington, California, Wyoming, New Jersey, Delaware, and Pennsylvania, the Care Options for Kids Community offers a wide range of pediatric health services, including pediatric nursing and therapies, ABA therapy, nursing, Family Caregiver Services, and school-based services.
*Bonus for eligible cases only. The eligible employee will receive $500 for every 250 billable hours worked up to $2,500. Eligible employees must complete the pre-onboarding process within 10 days of submission of the initial application. Valid for first-time employees only and on completion of all required documents. Parents and/or Guardians of a Care Options for Kids clients or a potential Care Options for Kids clients are not eligible to receive a bonus. Not to be combined with any other Care Options for Kids offers. xevrcyc Talk with your dedicated recruiter for more information.
#APPNUCO
#RDNUCO
Salary:
$39000.00 - $82940.00 / year
$39k-82.9k yearly 2d ago
Manager, Document Control (Hybrid Opportunity)
Quest Diagnostics 4.4
Lewisville, TX jobs
The Manager, Document Control will report to the quality management organization, and lead the development, management, and execution of document control programs in support of the QA/RA function.
This position is responsible for managing and maintaining Quest's documents and document control system, including document creation, revision control, approval, publication, retrieval, distribution, and archive of all documents within Quest's quality management system.
This is a hybrid position and requires 3 days on site at a major Quest Diagnostics sites. Sites include Lewisville, TX, Marlborough, MA, Clifton, NJ, Lenexa, KS, Houston, TX, Pittsburgh, PA, Tampa, FL, and Wood Dale, IL.
Responsibilities
Document Management
Maintain and oversee all quality documents and records to ensure accuracy, completeness, and compliance with applicable regulatory/standard requirements and established company procedures/policies/systems.
Receive policy/process changes from multiple sources (e.g. Regulatory, Quality, Product, R&D, etc.) and apply appropriate update actions
Manage and maintain the full lifecycle of all controlled documents in the quality management system (QMS) and electronic quality management system (eQMS).
Oversee the creation of new documents, ensure proper formatting, version control, and approval processes are followed.
Create, maintain, and revise document templates.
Document Distribution, Retrieval, and Compliance
Distribute documents to relevant stakeholders and manage requests for document retrieval.
Ensure all documents are compliant with company policy, regulation requirements, and standards.
Maintain hard copy records in accordance with Quest's retention policy.
Training and Support
Provide training to employees on document control procedures and best practices.
Partner with cross-functional areas to support timely periodic review, gather document requirements, facilitate document updates, assignment of training documents, and resolve document-related issues.
Maintain and implement improvements to the document control and record retention program.
Drive execution change control activities related to document and training.
Drive generation of documents, quality records in support of internal and external audits activities.
Drive generation and preparation of documentation, records, and other artifacts in support of regulatory submissions.
Qualifications
Required Work Experience:
5+ years of experience in document control in the medical device and/or IVD industry.
Previous experience with implementing, maintaining, and/or managing electronic quality management systems (e.g., SmartSolve, MediaLab, Veeva, etc.) in a regulated environment.
Experience applying Medical device regulations (e.g. FDA 21 CFR Part 803, 21 CFR Part 806, 21 CFR Part 820, ISO 13485, ISO 14971, ISO 15189, IVDR, CAP, and CLIA).
Preferred Work Experience:
Technical writing
ASQ or medical device related certification
Physical and Mental Requirements:
Strong attention to detail for thorough documentation to ensure consistency in documentation.
Excellent problem-solving skills to identify and address quality issues effectively.
Ability to work under pressure and meet deadlines, while maintaining accuracy.
Knowledge:
Broad-based technical knowledge and skills in diverse areas of business such as quality engineering, quality assurance, quality systems, regulatory affairs, laboratory operations, GCP, and GMP operations.
Strong working knowledge of applicable regulations, such as but not limited to, the medical device regulations: FDA 21 CFR Part 820 Quality Systems Regulations/new Quality Management System Regulation and ISO 13485 standards. Preferred: ISO 14971, ISO 15189, IVDR, CAP, CLIA, and NYSDOH requirements.
Skills:
Ability to manage large volumes of documents systematically and efficiently.
Demonstrated strong analytical thinking skills and attention-to-detail.
Strong communication and effective interpersonal skills to collaborate with various departments and stakeholders.
Ability to clearly communicate, both verbal and written, with all levels of organization.
Must be able to work/support multiple projects simultaneously and demonstrate organizational, prioritization, and time management proficiencies.
Proficient technical writing and document management tools (e.g., Microsoft Word, Microsoft Visio, Microsoft Excel, and Adobe) and with quality systems.
Ability to work independently and collaboratively with cross-functional departments in a fast-paced environment with minimal supervision.
Proficient in document management systems.
$74k-103k yearly est. Auto-Apply 60d+ ago
Analyst - Corporate Strategy
Fresenius Medical Care Windsor, LLC 3.2
Dallas, TX jobs
You will be able to work remotely from your home location in the
United States
PURPOSE AND SCOPE: The Analyst, Corporate Strategy will focus on complex problem solving and growth opportunities in the core and adjacent markets. The role requires, excellent problem solving skills, knowledge of Strategy discipline, good business acumen, and the ability to lead cross-functional teams in a matrixed organization. Specifically, key responsibilities will include: conducting strategic analyses and developing business plans for various product and service lines, facilitating integration of these plans into strategic planning process and leading cross functional teams in problem solving of complex and high-impact issues.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
As a highly skilled specialist, contributes to the development of concepts and techniques.
Completes complex tasks in creative and effective ways.
Consistently works on complex assignments requiring independent action and a high degree of initiative to resolve issues.
Makes recommendations for new procedures.
Involved with planning, preparation and final execution of communications.
Often acts as a facilitator and team leader.
Research industry trends and conduct strategic analyses.
Lead nimble cross-functional teams to explore, evaluate, and analyze ideas.
Translate ideas into opportunities worthy of investment.
Develop business/strategic plans in partnership with executive team.
Present business plans to Sr. Executives.
Facilitate the process for prioritization and selection of new opportunities for investment.
Source ideas from a variety of internal (i.e. employees) and external (i.e. industry analysts, market scans) sources.
Assist with developing longer term transformational strategy to pursue new opportunities and address changes in healthcare market.
Raise the level of strategy skills across the organization by advising leaders and sharing appropriate best practices, tools and frameworks.
Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.
Assist with various projects as assigned by direct supervisor.
Other duties as assigned.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functio
EDUCATION:
Bachelor's Degree required
EXPERIENCE AND REQUIRED SKILLS:
5 - 8 years' related experience; or a Master's degree with 3 years' experience; or a PhD without experience; or equivalent directly related work experience.
Experience in Management Consulting, Investment Banking, or Private Equity industries.
Quantitative skillset in market analysis & scenario modeling, development of business plans.
6+ years' Healthcare industry experience is strongly preferred.
Experience and track record of success in identifying opportunities that have quantifiable and measurable success in business value creation within a mature market.
Strong inductive thinking ability - the ability “connect the dots” and to identify and recognize growth opportunities that are beyond the surface.
Structured deductive thinking- the ability to frame an ambiguous problem/opportunity in a logical and well-structured way.
The ability to identify the most important and consequential component of a problem and where there is value on important issues.
Related to the above, the right candidate will have a strong intuition and appreciation of what it takes to practically implement an opportunity given a set of organizational constraints.
Demonstrated ability to structure and lead projects with cross-functional teams, leveraging cross-functional expertise while exercising influence without formal power.
Ability to communicate to Execs with presence, passion and credibility.
If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (smartsheet.com)
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
$56k-91k yearly est. Auto-Apply 12d ago
Collections Specialist
Vital Care Infusion Services 4.8
Glendale, AZ jobs
Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer:
Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
Paid time off, personal days, and company-paid holidays.
Paid Paternal Leave.
Volunteerism Days off.
Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
401(k) matching and tuition reimbursement.
Employee assistance programs include mental health, financial and legal.
Rewards programs offered by our medical carrier.
Professional development and growth opportunities.
Employee Referral Program.
Job Summary:
Perform duties to collect Home Infusion claims, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Recognize additional revenue opportunities and improve collection rates; perform revenue cycle collection duties within standard or accepted practice limits.
Position is 100% remote
Duties/Responsibilities:
Review claims with outstanding balances and identifies actions to successfully collect revenues. Follow up with insurers and patients to collect outstanding balances in an environment focused on building enduring customer and business relationships. Utilize Payer Portals via the internet for claim disposition.
Review documents received including Explanations of Benefits (EOBs), Remittance Advices (RAs), and other documents indicating denials or claims acceptance. Identify reasons for denials, take required corrective action, and take ownership of claims through to timely, successful collection.
Analyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt and simplified processes that are responsive to the requirements of specific payers.
Identify payor requirements for submittal of appeals for denied claims. Verify insurance information with patients, order medical records, review original claim coding, compile other validating documentation required, and submit appeals in keeping with payor requirements and VCI processes.
Communicate effectively with franchise partners and other VCI departments regarding the status of collections. Resolve payer issues/concerns timely.
Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions are taken to resolve outstanding claims issues. Schedule follow-ups in required intervals.
Investigate and verify benefits for pharmacy and medical third-party claims.
Communicate billing problems found during collection process as to avoid the same issues in the future.
Communicate financial obligation information with patients so that they have a clear understanding of all costs of therapy prior to starting service.
Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Assist with the processing of online adjudication of collection issues and nurse billing as assigned.
Perform other related duties as assigned.
Required Skills/Abilities:
Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
Proven ability to identify gaps and problems from the review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action.
Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications.
Ability to complete job duties in a designated workspace outside the dedicated RCM location
Disciplined work ethic with ability to work remotely with minimum direct supervision, to effectively meet production and collection targets.
Education and Experience:
2-5 years home infusion billing and/or collections experience required.
High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections.
Previous remote work environment is a plus but not required.
Detailed oriented with post-billing and post-payment investigative experience preferred.
Physical Requirements:
Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
Keyboarding: Frequent use of a keyboard for typing and data entry.
Reaching: Occasionally reaching for items such as files, documents, or office supplies.
Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork
Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.
Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.
Vital Care Infusion Services participates in E-Verify. This position is full-time. #LI-remote
$32k-43k yearly est. 3d ago
Laboratory Informatics Consultant-Remote supporting territory aligned to US South West
Varian Medical Systems, Inc. 4.4
Texas jobs
Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions.
Be the Catalyst for Digital Transformation in Healthcare
Imagine shaping the future of laboratory medicine-where data drives decisions, workflows are seamless, and patient care reaches new heights. At Siemens Healthineers, we're not just transforming technology; we're transforming lives. If you're passionate about innovation and want to make a measurable impact on healthcare systems across North America, this is your opportunity.
A Healthier Future Starts with You
We're looking for a Clinical Laboratory Informatics Consultant (IC) to join our team of trusted advisors driving laboratory digital transformation. In this role, you'll bridge operational workflows, digital solutions, and business outcomes-helping laboratories deliver maximum clinical and operational value for better patient care.
Why You'll Love This Role
* Be at the forefront of digital healthcare innovation
* Work with leading laboratories to optimize workflows and improve patient outcomes
* Collaborate with cross-functional teams in a dynamic, global organization
* Enjoy remote flexibility with opportunities to travel and engage directly with customers
Your Impact
As a Clinical Laboratory Informatics Consultant, you will:
* Lead discovery sessions with lab leadership to identify workflow challenges and strategic goals
* Conduct digital maturity assessments and design transformation roadmaps
* Develop future-state workflows and support business cases for ROI and KPI tracking
* Partner with sales teams to articulate value propositions and deliver executive-level presentations
* Ensure successful implementation alignment and change management for digital solutions
What We're Looking For
* Bachelor's degree in Clinical Laboratory Science, Medical Technology, Biomedical Engineering, Healthcare Informatics, or related field
* 3+ years in laboratory operations or clinical informatics
* Strong knowledge of LIS/HIS integration, middleware, and digital health platforms
* Proven ability to analyze and redesign workflows for efficiency and quality
* Exceptional communication and presentation skills for technical and executive audiences
* Ability to travel up to 60% (company car provided)
Preferred:
* Experience with Siemens Atellica Informatics portfolio or similar platforms
* Familiarity with Lab Automation, multi-site workflow optimization, and regulatory compliance
* Certifications in Lean Six Sigma, PMP, Clinical Informatics, or Change Management
Why Siemens Healthineers?
We offer a culture of collaboration and innovation, competitive compensation, comprehensive benefits, and opportunities for professional growth. Join us and help shape the future of healthcare.
Ready to make an impact?
#LI-BH1
Who we are: We are a team of more than 72,000 highly dedicated Healthineers in more than 70 countries. As a leader in medical technology, we constantly push the boundaries to create better outcomes and experiences for patients, no matter where they live or what health issues they are facing. Our portfolio is crucial for clinical decision-making and treatment pathways.
How we work: When you join Siemens Healthineers, you become one in a global team of scientists, clinicians, developers, researchers, professionals, and skilled specialists, who believe in each individual's potential to contribute with diverse ideas. We are from different backgrounds, cultures, religions, political and/or sexual orientations, and work together, to fight the world's most threatening diseases and enable access to care, united by one purpose: to pioneer breakthroughs in healthcare. For everyone. Everywhere. Sustainably.
To find out more about Siemens Healthineers businesses, please visit our company page here.
The base pay range for this position is:
$98,140 - $134,937
Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.
If this is a commission eligible position the commission eligibility will be in accordance with the terms of the Company's plan. Commissions are based on individual performance and/or company performance.
The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan. life insurance, long-term and short-term disability insurance, paid parking/public transportation, paid time off, paid sick and safe time.
Equal Employment Opportunity Statement: Siemens Healthineers is an Equal Opportunity and Affirmative Action Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to their race, color, creed, religion, national origin, citizenship status, ancestry, sex, age, physical or mental disability unrelated to ability, marital status, family responsibilities, pregnancy, genetic information, sexual orientation, gender expression, gender identity, transgender, sex stereotyping, order of protection status, protected veteran or military status, or an unfavorable discharge from military service, and other categories protected by federal, state or local law.
EEO is the Law: Applicants and employees are protected under Federal law from discrimination. To learn more, click here.
Reasonable Accommodations: Siemens Healthineers is committed to equal employment opportunity. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations.
If you require a reasonable accommodation in completing a job application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please fill out the accommodations form here. If you're unable to complete the form, you can reach out to our HR People Connect People Contact Center for support at *****************************************************. Please note HR People Connect People Contact Center will not have visibility of your application or interview status.
California Privacy Notice: California residents have the right to receive additional notices about their personal information. To learn more, click here.
Export Control: "A successful candidate must be able to work with controlled technology in accordance with US export control law." "It is Siemens Healthineers' policy to comply fully and completely with all United States export control laws and regulations, including those implemented by the Department of Commerce through the Export Administration Regulations (EAR), by the Department of State through the International Traffic in Arms Regulations (ITAR), and by the Treasury Department through the Office of Foreign Assets Control (OFAC) sanctions regulations."
Data Privacy: We care about your data privacy and take compliance with GDPR as well as other data protection legislation seriously. For this reason, we ask you not to send us your CV or resume by email. We ask instead that you create a profile in our talent community where you can upload your CV. Setting up a profile lets us know you are interested in career opportunities with us and makes it easy for us to send you an alert when relevant positions become open. Register here to get started.
Beware of Job Scams: Please beware of potentially fraudulent job postings or suspicious recruiting activity by persons that are currently posing as Siemens Healthineers recruiters/employees. These scammers may attempt to collect your confidential personal or financial information. If you are concerned that an offer of employment with Siemens Healthineers might be a scam or that the recruiter is not legitimate, please verify by searching for the posting on the Siemens Healthineers career site.
To all recruitment agencies: Siemens Healthineers does not accept agency resumes. Please do not forward resumes to our jobs alias, employees, or any other company location. Siemens Healthineers is not responsible for any fees related to unsolicited resumes.
$98.1k-134.9k yearly Auto-Apply 3d ago
Hybrid Musculoskeletal Radiologist - Consultants in Radiology P.A.
Radiology Partners 4.3
Dallas, TX jobs
Consultants in Radiology P.A. (CIRPA), A Radiology Partners Practice, is looking for fellowship-trained radiologists for daytime weekday coverage, to staff at outpatient imaging sites across the Dallas Ft Worth area due to continued growth.
POSITION DUTIES AND RESPONSIBILITIES
* Monday-Friday on-site coverage in the Dallas/Fort Worth area (8am-5pm)
* No nights, weekends, holidays or on-call duties
* Full-time and part time positions available
* All positions eligible for partnership
* Fellowship directed studies allowing for up to 100% sub-specialty reads, if desired
* Competitive Salary and Benefits
* Internal moonlighting opportunities available
LOCAL PRACTICE AND COMMUNITY OVERVIEW
CIRPA is more than a radiology practice. We are a team of professionals working together to provide the highest quality of care to the patients, referring doctors, and communities we are proud to serve. CIRPA is a quality driven (versus wRVU driven) practice, focused on providing the highest quality interpretations. With a 40-year history of providing exceptional care to the Dallas/Fort Worth area, CIRPA specializes in outpatient imaging which allows our radiologists to read up to 100% within their sub-specialty.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
* Candidates must be a Doctor of Medicine or Osteopathy and residency trained in the practice of Diagnostic Radiology
* Board certified by the American Board of Radiology or American Osteopathic Board of Radiology (or board-eligible for recent graduates falling under the new ABR guidelines).
* Active TX license or the ability to obtain license
* MQSA Certified
COMPENSATION:
The salary range for this position is $300,000-$425,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
FOR MORE INFORMATION OR TO APPLY:
For inquiries about this position, please contact Jessica Williams at ************************** or **************.
RADIOLOGY PARTNERS OVERVIEW
Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
Radiology Partners participates in E-verify.
Beware of Fraudulent Messages:
Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
$125k-223k yearly est. 26d ago
(Non-Remote) Revenue Cycle Manager
Asian American Health Coalition 4.0
Houston, TX jobs
Job DescriptionDescription:
Revenue Cycle Manager
REPORTS TO: Chief Financial Officer
EDUCATION: Bachelor's degree from four-year college or university, and/ or 5-7 years of experience in lieu of
WORK EXPERIENCE: One to two years supervisor experience and/or training; and FQHC experience a plus!
SALARY RANGE: DOE
FLSA STATUS: Exempt
POSITION TYPE: Full-Time
LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is preferred
HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
**This is not a fully remote position**
JOB SUMMARY:
As the Revenue Cycle Manager for HOPE Clinic, you focus on partnering with our patients to clearly understand their institutional goals, challenges, organizational structure, and key business drivers. The role of the Revenue Cycle Manager oversees the Billing and Insurance Verification team's daily activities and follows up with teams to drive the overall performance and daily management of multiple assigned providers' schedules. The Revenue Cycle Manager serves as a liaison between the Billing and Insurance Verification team and other HOPE Clinic departments and the patients.
MAJOR DUTIES & RESPONSIBILITIES:
Manage overall medical billing operations such as ensuring effective flow of demographic changes and payment information, claims accuracy and timely submission, and account reconciliations;
Oversee aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements;
Track fee schedules and insurance denials to ensure fully allowed reimbursements;
Identify and implement strategies to improve internal and patient billing processes;
Incorporate and execute quality assurance processes related to ensuring accurate patient billing activities;
Review and analyze patient accounts, identify trends and issues, and recommend solutions;
Collaborate with other team members to improve/maintain an overall positive work environment for the team;
Provide a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues;
Collaborate with the front desk, call center, and other departments as needed to resolve any billing/payor issues;
Research, compile the necessary documentation, and complete appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary;
Prepare, review, and transmit claims using billing software to include electronic and paper claim processing both primary claims and secondary claims;
Follow up on unpaid claims within the standard billing cycle timeframe;
Collaborate with the billing team when necessary to make coding changes to submit corrected claims or appeals;
Stay current with payer trends as to how to submit corrected claims and the payer-specific appeal processes;
Analyze root causes of denials; trends and issues: propose solutions and work with the management team to determine the appropriate action to resolve;
Identify areas of concern regarding the various areas of the revenue cycle;
Share trending and feedback to reduce denials to the CFO and/or Credentialing Coordinator;
Hospital billing - identify charges that are billed for hospital visits, update spreadsheets and reports for documentation, and create claims to be billed;
Apply insurance and patient payments to the Practice Management system, utilizing ERAs and manual application;
Reconcile payments applied to the system to cash received;
Answer patient's estimate of benefits or statements, telephone inquiries verifying insurance and benefits within the practice management system;
Attend on-site/off-site community engagement activities, clinic events, and/or training as needed;
Perform other duties as assigned to support HOPE Clinic's Mission, Vision, and Values.
Requirements:
QUALIFICATION REQUIREMENTS:
5-7 years of experience with revenue cycles, medical billing, collections, and payment posting;
Understand regulatory and compliance requirements associated with submitting claims to payers;
Experience with Electronic Medical Records (EMR);
Strong communication and interpersonal skills;
Expertise with medical and billing terminology;
Excellent organization and time management skills;
Proficiency in computers, particularly Word and Excel.
EDUCATION and/or EXPERIENCE:
Bachelor's degree from four-year college or university (desired);
Or 5-7 years related experience and/or training; or equivalent combination of education and experience;
1-2 years of supervisory experience;
Knowledge of medical billing, front-office, physician practice management, and healthcare business processes;
Strong understanding of medical billing/coding, with an understanding of various insurance carriers, including Medicare, private HMOs, and PPOs;
Previous FQHC (Federally Qualified Health Center) RCM experience.
OTHER SKILLS and ABILITIES:
Bilingual (Vietnamese, Chinese, Arabic, and/or Spanish with English) is preferred.
Above average skills in language ability as well as public speaking and writing.
Must have good transportation and a valid Texas Driver's license.
$72k-101k yearly est. 15d ago
Medical Invoicing Specialist
Principle Health Systems 3.7
Houston, TX jobs
Job Title: Invoicing Specialist Job Type: Full-Time, Hybrid Schedule Reports To: A/R Manager
Pay: $19.00 - $20.00 per hour. Benefits: Full-time employees are eligible for competitive benefits, including health/vision/dental, 3 weeks PTO, 9 paid holidays, and a matching 401k plan.
Schedule: Monday - Friday, 8:00 AM to 5:00 PM. Ability to WFH Mondays and Fridays after 90-day probationary period.
Job Summary:
Principle Health Systems is on the hunt for a detail-savvy, invoice-wrangling guru to join our team as an invoicing specialist.
Your mission (should you choose to accept it):
Tame the data monster: Navigate through mountains of data like a pro, organizing, analyzing, and mastering data sets.
Invoice with Flair: Ensure every invoice is accurate, timed to perfection, and compliant, because precision + speed = 💰 efficiency!
Champion the AR Cycle: You'll play a vital role in making sure payments flow smoothly, keeping cash flow fabulous for everyone.
Detail Detective: You catch tiny inconsistencies before anyone else sees them (your eagle eye keeps us on point).
A “BIG picture” visionary: You're someone who steps back to see how invoicing fits into the greater business narrative: anticipating trends, suggesting smarter workflows, and always thinking about the “why” beyond line items.
Why you will love it here:
We are a mission-driven company where we put people over profits. Patients are 100% our purpose!
Love spreadsheets? You'll get a front row seat to organized chaos (your everyday playground).
Your work fuels our business! Each clean invoice helps the company thrive, so your impact will be felt everywhere.
Every day is a new challenge, every entry a new clue. You're the Sherlock Holmes of Skilled Nursing Facility (AKA: SNF) invoicing.
You will work alongside a small team that appreciates your expertise and celebrates your victories.
Who you basically are:
A detail-obsessed spreadsheet nerd (in the best way).
A finance-savvy individual with SNF or healthcare invoicing experience.
A cross-checking marvel who knows how to catch, reflect, and correct.
A master of efficiency (your organizational skills are next level).
Feeling called to transform SNF billing into a smooth, well-oiled machine? If organizing data and crafting precision perfect invoices lights you up, we can't wait to meet you!
Key Responsibilities:
Census retrieval and some interpretation.
Ad hoc reporting from LIMS (Laboratory Information Management System) to retrieve raw data and build reports.
Prepare and upload CSV and Standard Driver sheets into LIMS and RCM software.
Prepare and submit invoices for diagnostic services to skilled nursing facilities (SNF) and other contracted clients according to contract terms.
Collaborate with internal team members and SNF administrators, admissions teams, and finance staff to resolve billing discrepancies.
Assist in month-end closing activities, including invoice reconciliation and AR reporting.
Identify and implement process improvements for invoicing efficiency and accuracy.
Manage shared email inbox.
Other duties as assigned by management.
Qualifications:
Proficiency in Microsoft Excel (intermediate to advanced) and Outlook.
Excellent attention to detail and problem-solving skills.
Ability to meet deadlines, demonstrate urgency, prioritize tasks, and work both independently and collaboratively.
Strong verbal and written communication skills.
Preferred Qualifications:
Knowledge of HIPAA and healthcare compliance standards.
Experience working with multi-facility organizations or third-party billing companies.
2+ years billing/invoicing experience, preferably in a Skilled Nursing Facility, long-term care, or healthcare setting.
1+ years working in a LIS or LIMS. (Laboratory Information System)
Familiarity with applicable Skilled nursing facility (SNF) billing systems (e.g., PointClickCare, MatrixCare, Netsmart, or similar).
Bachelor's degree.
We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact ***********************.
Monday-Friday 8:00am-5:00pm; 1 Sunday a month for month-end support
Ability to work from home after 90 days on Monday & Friday
Works within the company's corporate office
$19-20 hourly Auto-Apply 13d ago
AP/CP Pathologist
Sonic Healthcare USA 4.4
Fort Worth, TX jobs
We're not just a workplace - we're a Great Place to Work certified employer!
Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!
ProPath, a leading pathology practice based in Dallas, Texas, is seeking a passionate and dedicated AP/CP board-certified or eligible Pathologist to become a part of our dynamic team. With more than 50 experienced physicians and over 550 dedicated employees, ProPath is recognized as a premier provider of full-service diagnostic services nationwide. As a proud member of the Sonic Healthcare USA family, we are at the forefront of practicing unparalleled medical care, fostering a culture of medical leadership across our network of 350 physicians and over 30 practices around the country.
Exciting Development:
We are thrilled to announce the construction of a new state-of-the-art laboratory located within the John Peter Smith Health Network $1.5B expansion, further extending our capabilities and reinforcing our commitment to excellence in pathology services. This development opens up exciting opportunities for innovation and professional growth for our team members.
Opportunity Highlights:
Hybrid/Remote Work Models: Embrace the flexibility of splitting your work between our esteemed facilities and the comfort of your home, facilitated by our advanced digital pathology infrastructure.
Serve an Underserved Community: Play a pivotal role in delivering exceptional medical care to the underserved communities within the John Peter Smith Health Network (JPS) in Fort Worth, Texas. With over 40 clinics and a 537-bed teaching hospital, JPS serves as Tarrant County's only Level 1 Trauma center, offering a challenging yet rewarding practice environment.
Complex and High Complexity Cases: As part of our multi-person practice at JPS, engage in high complexity cases that challenge your skills and foster your growth as a pathologist.
Subspecialty Fellowship Training: Candidates with fellowship training in surgical pathology subspecialties such as general surgpath, cytopath, breast, GI, and/or gyn are highly desirable. Additional experience with complex surgical pathology cases is a bonus.
Collaborative Environment: Benefit from subspecialty backup, in-house esoteric testing capabilities, frequent courier runs, and daily virtual case conferences, enabling real-time case sharing and discussion.
Ideal Candidate Profile:
Medical degree, AP/CP board certified or eligible.
Licensed or eligible for licensure to practice medicine in the State of Texas.
Excellent diagnostic skills, communication abilities, and a commitment to serving underserved communities.
Enthusiastic about learning and/or contributing to digital pathology.
Why ProPath?
Competitive Salary: Commensurate with background and experience.
Comprehensive Benefits Package: Includes medical, dental, a matched 401(K) plan, and more.
Professional Growth: Be part of a team that's leading the digital pathology revolution, offering both in-person and remote work opportunities.
ProPath is dedicated to fostering a diverse and inclusive work environment. We are an equal opportunity employer (EOE M/F/Disabled/Veteran) and provide accessibility accommodations to ensure all our team members can thrive.
Take The Next Step:
If you're driven by a passion for pathology and a desire to make a difference in an underserved community, while enjoying the flexibility of a hybrid work model, we would love to hear from you.
Company:
Sonic Anatomic Pathology
Scheduled Weekly Hours:
40
Work Shift:
Job Category:
Pathology
Company:
ProPath Associates
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
$61k-109k yearly est. Auto-Apply 36d ago
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