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Clinical Support Specialist remote jobs - 1,112 jobs

  • CFSS Intake Specialist

    Pinnacle Services 4.1company rating

    Remote job

    Key Responsibilities: 1. Client Intake and Communication: Serve as the first point of contact for incoming person served calls and emails. Accurately complete intake forms, ensuring all necessary person served information is documented. Coordinate follow-ups for missing documentation or incomplete service agreements. 2. Data Entry and Record Management: Maintain detailed and organized records of all intakes in agency systems. Update and maintain spreadsheets by entering accurate information received through the intake process. 3. Team Collaboration: Work closely with CFSS workers to transition completed intakes for consultation. Provide status updates and feedback to the CFSS Supervisor as needed. 4. Administrative Support: Respond to client inquiries promptly and professionally. Assist in improving intake workflows to enhance efficiency. Company Perks: Training Program - 30 days, once training has been completed, and approved by direct supervisor, then position moves to fully remote. Health Insurance Dental Insurance Vision Insurance Life Insurance Short Term Disability Voluntary Life Insurance Flexible Spending Account Paid Time Off 7 Holidays 401K Eligible to contribute 6 months from start date. Animal Friendly Corporate Office Professional Growth Opportunities Employee Recognition Programs Flexible Schedules Team Atmosphere MSSA membership & paid CEUs Licensing supervision Flex-time available after the first 90 days. Requirements: DHS Requirements for Employees Working Directly with CFSS Participants: Must be at least 18 years old. Successfully pass a background study. Meet one of the following criteria: One year of full-time experience providing direct services to individuals with disabilities or those over 65. Experience coordinating or directing services for these populations, including self-directed services. Personal experience in coordinating their own services. PIf6ead367262a-37***********5
    $29k-34k yearly est. 1d ago
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  • Service Desk Specialist

    Insight Global

    Remote job

    Required Skills & Experience - 3+ years Help Desk Experience, ideally providing remote support in a call center environment with an excellent customer service background - A+ certification - Reliable internet - Strong Technical Aptitude (Active Directory, VPN, Network Printers, Microsoft Outlook, Mobile Device Management, etc.) - Experience in call center (30+ call/day) - Ticketing Experience (ServiceNow preferred) - Experience logging calls from end users - Excellent Communication Skills Job Description Insight Global is seeking a strong Service Desk Technician for a large, enterprise level building supplies manufacturing company. This position is FULLY REMOTE. This person will be the frontline support for internal customers nation-wide, responsible for password resets, software / hardware troubleshooting, VPN support and connectivity issues. We are looking for an experienced service desk technician who is comfortable in a fast-paced environment with a background working in a call center with excellent customer service skills. You will be taking inbound calls through Cisco Finesse, logging tickets via ServiceNow and handling password resets for Active Directory, Ceridian Dayforce and Foundations E-Learning Platform. This is an ongoing contract with possibility of conversion to FTE. Pay $22/hr M-F, 40 hours/week •Available Shifts: o 6:00am - 3:00pm CT o 8:00am - 5:00pm CT A PC, docking station, extra monitor and headset will be provided. Please apply right away if you are interested!
    $22 hourly 2d ago
  • IT Support Specialist (50126)

    National Conference of State Legislatures 4.2company rating

    Remote job

    JOB TITLE: IT Support Specialist PROGRAM: Operations SALARY: $52,125 annually STATUS: Full-time ABOUT NCSL: Are you ready to join an organization with an extraordinary mission? The National Conference of State Legislatures offers careers where you can use your skills, knowledge, and experience to truly make a difference. NCSL's mission is purposeful - strengthening the legislative institution. From informing effective policies and promoting communication among state legislatures, to ensuring states have a strong, cohesive voice in the federal system, our team works in service of legislatures. And, with a commitment to constantly innovating all resources and services to meet the evolving needs of members, NCSL has earned the reputation as the nation's most trusted bipartisan membership organization for legislators and legislative staff. Our success serving NCSL members relies on our team of passionate, dedicated professionals who work diligently to strengthen the legislative institution. Join our team and contribute to this unique, essential mission. NCSL has a flexible remote work policy. Building and maintaining our organizational culture is critical and we do so by bringing staff together, in person, for four consecutive days every six (6) weeks. The remote work policy provides the freedom to work from anywhere with the requirement that staff travel on their own fare to the NCSL office for four days every six (6) weeks for team meetings and professional development. ABOUT THE ROLE: As part of the information technology department, the IT Support Specialist provides triage services and tier I support to basic user issues and technical assistance requests received from staff. The IT Support Specialist assigns or escalates incidents to others as appropriate, and must be well-organized, flexible, positive, enthusiastic, resourceful, and able to see challenges as learning opportunities. WHAT YOU'LL DO: Respond in a timely fashion to support requests and tickets for all employees. Complete all IT tasks for onboarding and offboarding processes. Maintain the ticketing system, desktop management systems, inventory tracking, and patch management software. Support company-issued phones. Work cooperatively with all staff and vendors, maintaining a positive attitude and customer service orientation. Assist with user training and documentation on support issues. Assist with video conferencing and general A/V meeting setup, Teams, or other meeting software. Help maintain and organize all components of the organization's IT assets (laptops, monitors, files, and software applications). Guide users through installing applications and computer peripherals. Conduct remote troubleshooting. Some weekend and off-hours monitoring, correspondence and support should be anticipated. Learn and generate ideas for improving processes and systems. Stay abreast of technological trends. Learn, provide guidance and support for backend applications. Pay utmost care to confidentiality and privacy matters. Performs other responsibilities as needed. SHARE YOUR KNOWLEDGE: Supervisor/Management Responsibilities: N/A THE WORK ENVIRONMENT: This full-time position is mostly performed in an office environment, on or off-site, with prolonged periods of sitting at a desk and working on a computer. NCSL provides a unique hybrid remote work policy with the requirement that staff travel on their own fare to the NCSL office for four days every six (6) weeks for team meetings and professional development. Employees routinely use standard office equipment such as laptops, printers, scanners, copy machines, and smartphones. Occasional travel by airplane, including overnights and weekends, is required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Qualifications QUALIFICATIONS FOR SUCCESS: Minimum Qualifications: Bachelor's degree plus 4+ years progressive experience in computer support and help desk, with impressive technical aptitude and impeccable attitude. At least two years of concurrent professional support expertise in Microsoft environments. Experience with Microsoft 365 administration; Azure, Intune, Entra, and Exchange Online, including user account management; archiving, file and system backups, message retention, and other policies. Strong customer service and support orientation even when under pressure. Excellent cooperation with IT staff and vendors. Experience in user training of technical topics and writing effective technical documentation. Experience with desktop management systems, inventory tracking, or patch management software. Flexibility to assist staff or the IT team off-hours when necessary. Highly organized with a high degree of attention to detail and accuracy. YOUR BENEFITS AT A GLANCE: NCSL has a flexible remote work policy. Building and maintaining our organizational culture is critical and we do so by bringing staff together, in person, for four days every six (6) weeks. The remote work policy provides the freedom to work from anywhere with the requirement that staff travel on their own fare to the NCSL office every six (6) weeks for team meetings and professional development. We are committed to offering a full range of other benefits for you and your eligible family members, including domestic partners. Your total compensation goes beyond the number on your paycheck. Our outstanding benefits include low-cost health, dental and vision coverage, a 401(a)-retirement plan with 10% contribution after 6 months and full vesting, life & disability insurance, 3-weeks paid vacation with 5+ years of paid full-time work experience, generous time off plans and paid family leave, floating holidays, identity theft protection, employee assistance programs, pet insurance, paid time off to volunteer, and more! Relocation assistance provided for out-of-state candidates. HOW TO JOIN OUR TEAM: If you are a purpose-driven, dedicated professional looking to give as much as you get - submit your resume and cover letter by 11:59 PM MT, January 29, 2026 for best consideration. Learn more about working with NCSL by visiting our careers page: . We are looking forward to receiving your application! NCSL is proud to be an equal opportunity employer and is committed to developing a diverse, dynamic team and inclusive workplace. NCSL does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability, or any other status protected by law or regulation.
    $52.1k yearly 2d ago
  • Worker Support Specialist (Remote)

    Built In One LLC 3.9company rating

    Remote job

    Title: Worker Support Specialist Department: Customer and Worker Experience Position Type: Full Time Job Level: Specialist About The Company Built In One is a revolutionary technology startup on a mission to unify, simplify, and build the future of the gig economy. We are disrupting the traditional industry by creating a seamless, app-based marketplace that connects customers with reliable, on-demand gig worker professionals. We are fast-paced, data-driven, and people-first. About The Team The Customer and Worker Experience department is the heartbeat of our operations. Our goal is to resolve issues quickly and sustain high satisfaction for both sides of our marketplace-our customers and our gig workers. We are the first line of defense in ensuring trust and reliability within the Built In One ecosystem. About The Role As a Worker Support Specialist, you will be the voice of Built In One. You will handle the day-to-day interactions that keep our platform moving, specifically focusing on scheduling changes, booking issues, and resolving minor complaints. You will act as the bridge between the technology and the people who use it, ensuring a smooth experience for everyone involved. What You'll Do Dual-Sided Support: Assist both customers and gig workers regarding active jobs, mediating inquiries about pairings to ensure clarity and satisfaction. Troubleshooting: Provide Tier 1 technical assistance for app-related concerns (login issues, feature navigation, error messages) to ensure users can successfully utilize the platform. Booking Management: Resolve inquiries related to booking status, order details, and payment verification. Scheduling Coordination: Manage schedule change requests from customers, ensuring updates are communicated effectively to the assigned workers to prevent service disruptions. Quality Assurance: Monitor open bookings to ensure every order is paired with a qualified and vetted gig worker professional in a timely manner. Basic Qualifications (What You'll Need) Experience: Minimum of 1-2 years of experience in Customer Support, preferably in a BPO, Shared Services, or Tech Startup environment. Communication Skills: Excellent written and verbal command of the English language. You must be able to explain complex app processes simply and empathetically. Tech Savviness: Strong familiarity with mobile applications (iOS and Android) and the ability to learn new CRM/Ticketing tools (e.g., Zendesk, Intercom, Salesforce) quickly. Problem Solving: The ability to think on your feet. You can identify the root cause of a booking issue and offer a solution without needing a script. Remote Readiness: A dedicated, quiet workspace with a reliable high-speed internet connection and a working computer/laptop capable of handling support software. Schedule Flexibility: Willingness to work on rotating shifts, weekends, or holidays as needed to support our 24/7 marketplace. Preferred Qualifications (Bonus Points If) Industry Background: Experience working for a gig economy platform (e.g., Ride-sharing, Food Delivery, Home Services apps). Marketplace Experience: Previous experience supporting a two-sided marketplace (dealing with both buyers/consumers and sellers/providers). Tool Proficiency: Prior experience using modern support tools like Intercom, Slack, and Zendesk. Why Join Us? Build the Future: You aren't just processing papers or closing tickets; you are building the workforce that powers our platform and shaping the future of the gig economy. Autonomy: We hate micromanagement. We trust our specialists to identify bottlenecks in the support or onboarding process and empower them to suggest fixes. Career Growth: We are growing fast. As our supply pool grows, so does the need for leadership within the Operations team. High-performing specialists often move into Tier 2, QA, or Team Lead roles. How to Apply Send: Your resume A short video or voice note introducing yourself (optional but preferred) Your expected monthly salary Subject line: Worker Support Specialist - BIO
    $36k-62k yearly est. 2d ago
  • Specialist, Clinical Applications Support

    Archwell Health

    Remote job

    Must be able to work PST/MST hours The Clinical Applications Support Specialist will act as a key contributor to the configuration and buildout of eClinicalWorks for ArchWell Health. This role will actively partner and support end users across ArchWell Health's markets, acting as a subject matter expert for core clinical applications. The ideal candidate will have experience with implementations of eClinicalWorks in medium to large-scale environments, be a strong communicator, and demonstrate flexibility in a growing and ever-changing environment. Duties/Responsibilities: Deliver support via eCW Virtual Support Line and ServiceNow ticketing platform to resolve incidents or fulfill requests from market end users Onboard users in eClinicalWorks environment(s) and other clinical applications Assist in the change management process such as importing pharmacies, activating lab and DI orders as directed by leadership Perform system configuration in support of enterprise standards and assist in effort relating to change management process Ability to troubleshoot and support in collaboration with the Information Technology team on Medical Devices, integrations and interfaces connected to eClinicalWorks Assist and act as core clinical applications subject matter expert for market end users Participate in planning for, testing, and supporting changes as a result of core clinical systems upgrades Collaborate with team members and vendors to provide a resolution issues from market end users Required Skills/Abilities: Ability to build rapport with end users, excellent customer service, and known to work well in fast pace, high need, sometimes high stress situations Strong subject matter expertise, technical knowledge, and analytical skills Experience managing a high volume of problem tickets and support line entries from end users to resolve application and product issues. Demonstrated ability to track issues, test fixes, and perform post-resolution follow-ups to ensure problems have been adequately resolved Communicate application problems and issues to key personnel Identify and learn appropriate software applications used and supported by the organization Partners with Market Enablement and the IT teams in reviewing requirements, specifications, testing, support to ensure they are in line with business objectives and clinical standards on projects Experience with integration and medical troubleshooting strongly preferred Proficiency and experience with providing eClinicalWorks support to include basic workflow support, testing, troubleshooting, analysis, and support function Proficiency with new user account provisioning Experience with Support Ticket management internally and with vendors Experience with working in, and knowing the differences, with Production vs. non-production environments Experience with testing related to eClinicalWorks upgrades, patches to eClinicalWorks, and companion products Aptitude to learn and master new support and help desk tools, systems, and solutions Ability to think critically and effectively apply problem-solving techniques Understanding of eClinicalWorks installations Demonstrated ability to maintain productivity in a work-from-home environment Minimum Qualifications: Bachelor's degree preferred, or equivalent experience Understanding of process and change management Clinical support experience Efficient communication skills Minimum of one (1) year of experience supporting eClinicalWorks within a medium to large-scale organization implementations of eClinicalWorks (including, but not limited to, eClinicalWorks builds, testing, go-live support, optimizations) for providers and staff (front office and clinical) Minimum of one (1) year of experience managing eClinicalWorks issues from end users by resolving them on your own or by working with eClinicalWorks support Knowledge of quality programs (MIPS, HEDIS, ACO, etc.) within eClinicalWorks preferred Embodies and serves as a role model of ArchWell Health's Values: Be compassionate Strive for excellence Earn trust Show respect Stay resilient Always do the right thing About ArchWell Health: At ArchWell Health, we're creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life. Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We're passionate about caring for older adults and united by the belief that caring has the power to change everything for our members. ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.
    $81k-110k yearly est. 2d ago
  • IT Help Desk Technician (Remote)

    Capital Rx 4.1company rating

    Remote job

    About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (East Coast - 7am ET - 4pm ET) Position Summary: The IT Help Desk Technician assists in managing our ticketing system, MDM software, and AWS platform while overseeing the onboarding and off boarding IT activities associated with employee profiles. Position Responsibilities: Research end user issues independently, when needed, and document/develop a solution per company standards Developadditional MDM automation to facilitate user onboarding Identify MDM related company needs and create, configure, test and deploy management of user systems via MDM Software. Collaborate with internal partner teams to identify compliance, best practice, or other IT related policy needs within the cross functional existing processes and workflows; identify and present enhancements and deploy solutions to the business. Responsible for all onboarding and offboarding related IT activities, including system-wide access,purchasing and retrieving of equipment, upgrades, asset tagging, etc. Create Exchange rules to address spam/phishing emails as needed. Collaborate with the IT Engineering team to drive systemic improvements to email filtering system. Promptly respond to user requests via ticketing system/phone calls/IM Assist users with access/system issues Write and update documentation for user reference Help build andestablish procedures for newly established team Participate in a Help DeskOnCall schedule (tentatively will be 1 week/month, with potential higher volume at onset as the team grows). Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Work hours: 7am ET - 4pm ET Minimum Qualifications: 2+ Years experience in a Help Desk role (preferably in a medium or larger company) Acustomer-oriented approach to problem resolution Experience supporting Mac hardware/OSX in a Help Desk environment Experience supporting remote users in a distributed environment Experience with Jira Service desk or a similar ticketing system Experience with Office 365 suite Salary Range$24-$28 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at*********************************************
    $24-28 hourly 4d ago
  • Immediate Hire: Fully Remote Position (No Experience Needed - Start ASAP)

    Ao Globe Life

    Remote job

    Start Your Remote Career This Week - Interview in 24-48 Hours! 100% Work From Home | Flexible Hours | Weekly Pay + Uncapped Bonuses Join the fast-growing team at Globe Life AO! We provide full training, flexible hours, and unlimited earning potential. No prior experience is needed - you can start earning immediately with our quick onboarding process. Position Overview Company: Globe Life AO Location: Remote - U.S. Based Only (Dallas, TX listed for JazzHR) Employment Type: Full-Time or Part-Time Compensation: Weekly Commission-Based Pay + Uncapped Bonuses Start Date: ASAP - Quick Virtual Interview + Fast Onboarding Why You'll Love This Job 100% Remote - Work from Anywhere Weekly Commission + Performance Bonuses (No Limit!) Full Training Provided - No Experience Needed Flexible Schedule - Choose Your Hours Union-Backed Benefits (Life, Health, Retirement) Fast Hiring Process - Interview & Start in 24-48 Hours What You'll Be Doing Making outgoing calls, emails, texts, and chats from clients Explaining and updating benefit options clearly Maintaining accurate records and policy details Providing high-quality service with a friendly, professional attitude Collaborating with a virtual team and meeting daily goals Who We're Looking For No experience? No problem - we provide full paid training Excellent communication and people skills Reliable, organized, and motivated to succeed Comfortable using Zoom, email, and basic online tools Must be 18+ and legally authorized to work in the U.S. Willing to obtain a Life & Health Insurance License (company-assisted) Trending Keywords for Maximum Visibility Remote Jobs • Work From Home • Remote Position • Entry-Level Remote • Hiring Immediately • No Experience Needed • Weekly Pay • Apply Today Start Tomorrow • Virtual Work • Training Provided • Immediate Hire • Flexible Hours • Beginner Friendly • Remote Opportunity Ready to Get Started? Click APPLY NOW! Our hiring team will reach out within 24-48 hours to schedule your quick virtual interview. Start your remote career journey today with Globe Life AO - don't wait, spots are limited! Powered by JazzHR
    $37k-58k yearly est. 2d ago
  • IP Docketing Specialist - Remote Option Available

    Akerman 4.9company rating

    Remote job

    Founded in 1920, Akerman is recognized as one of the nation's premier law firms, with more than 700 lawyers across the United States. Akerman is seeking a full-time Intellectual Property (IP) Patent Docketing Specialist to provide timely and effective docketing and administrative support to the Intellectual Property Group. Responsibilities include, but are not limited to: Review, docket and distribute a high volume of incoming correspondence from the USPTO, WIPO and foreign associates according to established procedures Review and update docket based on USPTO filing receipts, WIPO confirmations, and correspondence from foreign associates according to established procedures Update docket based on docket answers/instructions received from attorneys and paralegals Monitor daily docket to ensure all deadlines are met Perform monthly status check of pending US patent applications Manage incoming and outgoing transferred files Respond to internal inquiries; generate reports as needed by the IP group Save correspondence in document management system to maintain electronic files Required Skills Include: Working knowledge of US and International patent and trademark prosecution processes and their associated rules and procedures Analytical reasoning skills and ability to interpret rules and instructions accurately Excellent organizational and follow-up skills Comfortable and efficient at calculating dates Detail oriented; ability to perform routine tasks and maintain concentration for long period of time. Ability to prepare accurate, highly detailed work; excellent proofreading skills. Proficient with MS Office applications 6+ years intellectual property experience in a law firm or legal services environment Prior IP docketing experience required, prior patent docketing experience preferred. Prior IP docketing experience using computer database programs, specifically FIP is highly preferred Undergraduate degree preferred We offer an excellent compensation and benefits package. Please submit your resume and salary requirements. EOE #LI-PT1 Equal Opportunity Employer 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.
    $55k-67k yearly est. 7d ago
  • Remote Window Shade Automation Specialist - Western US

    Draper, Inc. 4.7company rating

    Remote job

    A family-owned automation company is looking for a Window Shade Automation Specialist to work remotely across various territories. The role involves project management, dealer support, and technical training to ensure customer satisfaction and successful installations. Candidates should have a strong mechanical and electrical aptitude, along with excellent communication skills. A competitive salary and comprehensive benefits package are offered. #J-18808-Ljbffr
    $72k-94k yearly est. 1d ago
  • HYBRID PFRT Revenue Integrity Specialist - 249325

    Medix™ 4.5company rating

    Remote job

    Serve as a critical Charge Generation Tracker (CGT) Specialist and regulatory gatekeeper, ensuring strict compliance with all coding, billing, and third-party guidelines. This role is essential for revenue integrity and correct charge capture across the system. You will act as the primary resource for clinical staff, providers, and administration on coding and billing regulatory matters. Key Responsibilities Regulatory Compliance & CGT Management: Maintain and update the CGT in compliance with federal, state, and payer regulations, ensuring accurate reflection of clinical practice and proper synchronization with IT applications. Edit Review & Resolution: Review and resolve assigned billing/coding edits within prescribed timeframes, routing issues to appropriate owners and collaborating with clinical/charge capture staff for resolution. Monitor daily edit reports and address delinquencies. Expert Support & Resource: Provide expert regulatory support, guidance, and research on coding, billing, and charge capture to providers, clinical charge capture specialists, and administrative staff. Act as the primary subject matter expert for the organization. Education & Training: Develop and conduct educational courses, seminars, and training materials for physicians, clinicians, and billing staff on professional documentation, coding, and billing guidelines. Audit & Monitoring: Lead annual regulatory reviews (CPT, CMS updates) and perform quality audits of patient accounts to identify opportunities for improvement in documentation, charge capture, and coding. Monitor key coding and billing publications for timely compliance. Requirements CPC certification EPIC 3-5 years of experience in professional billing & coding Knowledge of CPT / HCPCS codes and third-party reimbursement policies Working knowledge of Microsoft applications; ability to create and present reports to physicians Schedule/Shift: Monday-Friday 8am-5pm (EST) **PLEASE NOTE**: This is a Hybrid position so candidates must be from the New England area, preferably in MA. Candidates must be able and willing to come on-site for at-the-elbow support, especially during new practice implementations
    $70k-109k yearly est. 2d ago
  • Integration Support Specialist, Tier 2 (Remote)

    Procore 4.5company rating

    Remote job

    We're looking for an Integration Support Specialist (ISS) to join Procore's ERP Support Team. In this role, you'll assist customers with troubleshooting sync-related errors that populate with Procore in relation to their ERP integration. The primary goal of this role is to diagnose, resolve, and investigate complex technical issues related to Procore's financial ERP integrations. As an Integration Support Specialist, you'll partner with customers, internal support teams, and development team members to provide tier 2 support across chat, email, and phone channels. Use your analytical skills, technical troubleshooting background, and problem-solving abilities to identify issues and ensure efficient problem resolution. This position reports into Manager, ERP Support and can be based remotely within the US. We're looking for someone to join us immediately. What You'll Do Investigate and resolve complex tier 2 technical issues for Procore's ERP Integrations, focusing on errors related to accounting software like Sage or QuickBooks. Troubleshoot integration technical issues that occur within the customer's Windows environment or Procore's internal microservices, often working in a queue-based system. Provide support for live customer interactions (phone and chat) as well as email, managing interruptible work while prioritizing customer experience. Manage efficiently a backlog of cases in ticketing systems like Salesforce, Jira, or Zendesk while actively taking on new cases daily. Escalate issues appropriately by collaborating with development team members to submit JIRAs and resolve API-related errors. Navigate technical ambiguity with confidence, applying strong problem-solving skills to diagnose brand new issues. Demonstrate a commitment to Ownership by taking accountability for customer outcomes and driving issues to resolution. Communicate openly and clearly with customers and internal stakeholders, providing transparent and optimistic updates throughout the troubleshooting process. What We're Looking For 2+ years of technical support experience in a contact center environment, with a Bachelor's degree or equivalent work experience. Proven background in providing technical support for complex software integrations, with specific experience with accounting software like Sage or QuickBooks being a huge plus. Experience in a queue-based technical support role, providing assistance via live phone, chat, and email channels. Familiarity with ticketing systems such as Salesforce, Jira, or Zendesk is a significant advantage, demonstrating proficiency in managing ticket escalations. Strong analytical and technical troubleshooting skills; enjoys working with details and numbers to diagnose root causes rather than following a basic script. Ability to embody Procore's core values of Ownership, Openness, and Optimism, thriving in a collaborative and problem-solving environment. Strong customer support and client relation skills, prioritizing a customer-focused approach. Ability to prioritize multiple tasks effectively and execute on resolutions under pressure. Additional Information Base Pay Range: 24.80 - 34.10 USD Hourly This role may also eligible for Equity Compensation. Procore is committed to offering competitive, fair, and commensurate compensation, and has provided an estimated pay range for this role. Actual compensation will be based on a candidate's job-related skills, experience, education or training, and location. For Los Angeles County (unincorporated) Candidates: Procore will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the Los Angeles County Fair Chance Ordinance for Employers, and the California Fair Chance Act. A criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment: 1. appropriately managing, accessing, and handling confidential information including proprietary and trade secret information, as well as accessing Procore's information technology systems and platforms; 2. interacting with and occasionally having unsupervised contact with internal/external customers, stakeholders, and/or colleagues; and 3. exercising sound judgment.
    $32k-48k yearly est. 3d ago
  • Remote Neuroradiologist

    University of Vermont Health 4.6company rating

    Remote job

    Remote Neuroradiologist - University of Vermont Health The University of Vermont Health's Department of Radiology is seeking a board-certified or board eligible neuroradiologist to join our growing radiology team. This is a full-time remote opportunity to practice high quality neuroradiology in collaboration with a well-established academic medical center - all while enjoying the flexibility and work life balance of fully remote work. Position Details: Work Remote: 100% remote position, flexible schedule options available. Teaching Opportunities: This role is integrated into an academic neuroradiology division with at-the-workstation resident and fellow teaching which can all be done remotely. There is no research requirement. Comprehensive Neuroradiology Practice: Interpret a full spectrum of adult neuroradiology exams including - brain, spine, head and neck MRI, & CT. Collaborative Environment: Work closely with a collegial group. Schedule: No evening shifts. Competitive vacation schedule. 6-8 weeks/year covering pager to answer resident questions after hours. Benefits: PSLF eligible Comprehensive benefits package that includes health, dental and vision 403(b) retirement plan CME reimbursement Malpractice coverage Competitive Salary: $539,000-$559,000* - Call included About the University of Vermont Medical Center: UVMMC serves as the major tertiary referral center, level 1 trauma center, and primary stroke center for Vermont and northeastern upstate New York In addition to UVMMC, the UVM Heath Network includes several community hospitals in Vermont and New York with an integrated PACS/EMR and ability to read studies remotely from any site Facilities include state-of-the-art MRI and CT scanners with a close business and technical development relationship with a major vendor Dedicated Division of Neuroradiology with experienced staff Collaborative multidisciplinary conferences with neurosurgery, neurology, ENT, pathology, and radiation oncology - can participate in all remotely For more information, please contact: Matt Canasi (Network Recruiter) *************************
    $53k-65k yearly est. 5d ago
  • Intake Specialist

    Vital Connect 4.6company rating

    Remote job

    Purpose The Intake Financial Clearance Specialist role belongs to the Revenue Cycle team and is responsible for coordinating all financial clearance activities by navigating all pre-registration (to include acquiring or validating patient demographic, insurance, and other required elements along with insurance verification activities), obtaining referral authorization, or precertification number(s). The role ensures timely access to care while maximizing reimbursement. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. This position reports to the Intake Financial Clearance Manager and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to insurance company representatives, patients, physicians, and practice staff. **This is a fully remote role** Responsibilities Monitors accounts routed to registration, referral and prior authorization work queues and clears work queues by obtaining all necessary patient and/or payer-specific financial clearance elements in accordance with established management guidelines. Maintains knowledge of and complies with insurance companies' requirements for obtaining prior authorizations/referrals and completes other activities to facilitate all aspects of financial clearance. Acts as subject matter experts in navigating payer policies to get the appropriate approvals (authorizations, pre-certs, referrals, for example) for the ordered services to proceed. The Intake Financial Clearance Specialist is an important part of the larger patient care team and helps clinicians understand what payer requirements are necessary for the widest possible patient access to services. Supports staff at all levels for hands-on help understanding and navigating financial clearance issues. Uses appropriate strategies to underscore the most efficient process to obtaining insurance verification, authorizations, and referrals, including online databases, electronic correspondence, faxes, and phone calls. Obtains and clearly documents all referral/prior authorizations for scheduled services Works collaboratively with primary care practices, specialty practices, referring physicians, primary care physicians, insurance carriers, patients, and any other parties to ensure that required managed care referrals and prior authorizations are obtained and appropriately recorded in the relevant systems. When it is determined that a valid referral does not exist, utilize computer-based tools, or contact the appropriate party to obtain/generate referral/authorization and related information. Record the referral/authorization in the practice management system. Contact physicians to obtain referral/authorization numbers. Perform follow-up activities indicated by relevant management reports. Collaborates with patients, providers, and departments to obtain all necessary information and payer permissions prior to patients' scheduled services. Communicates with patients, providers, and other departments such as Utilization Review to resolve any issues or problems with obtaining required referral/prior authorizations. Work collaboratively with the practices to resolve registration, insurance verification, referral, or authorization issue to the extent that these unresolved issues impact the ability to obtain a referral/authorization. Escalates accounts that have been denied or will not be financially cleared as outlined by department policy Accept registration updates from various intake points, including but not limited to those received via paper forms, internet registration forms, telephones located in practices and direct calls from patients. Ensure that all updated demographic and insurance information is accurately recorded in the appropriate registration systems for primary, secondary, and tertiary insurances. Review all registration and insurance information in systems and reconcile with information available from insurance carriers. For any insurance updates, utilize any available resources to validate the updated insurance information, insurance plan eligibility, primary care physician, subscriber information, employer information and appointment/visit information. Contact patients as necessary if clarifications or other follow-up is required, and at all times maintain sensitivity and a clear customer friendly approach. For self-pay patients or patients with unresolved insurance, and for financial counseling, refer patients Patient Financial Counseling. Maintains confidentiality of patient's financial and medical records; adheres to the State and Federal laws regulating collection in healthcare; adheres to enterprise and other regulatory confidentiality policies; and advises management of any potential compliance issues immediately. Demonstrates knowledge & skills necessary to provide level of customer experience as aligned with BMC management expectations. Demonstrates the ability to recognize situations that require escalation to the Supervisor. Establishes relationships and effectively collaborates with revenue cycle staff to support continuous improvement aligned with management expectations as outlined. Takes opportunity to know and learn other roles and processes and works together to assist with process improvement initiatives as directed. Consistently meets productivity and quality expectations to align performance with assigned roles and responsibilities. Handle telephone calls in a timely fashion, following applicable scripting and customer service standards. Appropriately manage all calls by either working with the customer or referring the call to the appropriate party. Communicate with all internal and external customers effectively and courteously. Maintain patient confidentiality, including but not limited to, compliance with HIPAA. Perform other related duties as assigned or required. Requirements Qualifications High School Diploma or GED required, Associates degree or higher preferred. 1-3 years patient registration and/or Insurance experience desirable. At least one year of experience must be in a customer service role General knowledge of healthcare terminology and CPT-ICD10 codes. Complete understanding of insurance is required. Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues. Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff, and other customers. Able to communicate effectively in writing. Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Must be able to maintain strict confidentiality of all personal/health sensitive information. Ability to effectively handle challenging situations and to balance multiple priorities. Basic computer proficiency inclusive of ability to access, enter and interpret computerized data/information including proficiency in Microsoft Suite applications, specifically Excel, Word, Outlook and Zoom. Displays a thorough knowledge of various sections within the work unit to provide assistance and back-up coverage as directed. Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards as outlined by Management Salary & Benefits The estimated hiring salary range for this position is $22/hr - $24/hr. * The actual salary will be based on a variety of job-related factors, including geography, skills, education and experience. The range is a good faith estimate and may be modified in the future. This role is also eligible for a range of benefits including medical, dental and 401K retirement plan.
    $22-24 hourly 60d+ ago
  • Claimant Outreach & Intake Specialist

    Advocates 4.4company rating

    Remote job

    OverviewAt Advocate, our mission is to empower Americans to obtain the government support they've earned. Advocate aims to reduce long wait times and bureaucratic obstacles of the current government benefits application process by developing a unified intake system for the Social Security Administration, utilizing cutting-edge technologies such as artificial intelligence and machine learning, crossed with the knowledge and experience of our small team of EDPNA's and case managers. We are seeking a dynamic and persistent Outreach & Intake Specialist to be the crucial first point of contact for potential claimants. In this role, you will engage new leads, guide them through the initial information gathering and contract signing process via our Onboarding Flow, and effectively convert interested individuals into Advocate claimants. You'll focus on initiating the claimant journey, ensuring potential claimants feel supported and informed from the very beginning. If you are results-oriented, possess excellent communication skills, and are passionate about helping people navigate complex processes, this role offers the opportunity to make a significant impact without managing ongoing case submissions.Job Responsibilities Act as the first point of contact for potential claimants, managing inbound leads via phone, text, and potentially other channels. Conduct prompt and persistent outreach to new leads (within 5 minutes) using tools like Salesforce and Aircall Power Dialer, following established contact sequences (calls, texts, voicemails). Clearly articulate Advocate's value proposition and answer frequently asked questions to build trust and encourage engagement. Guide potential claimants through Advocate's online Onboarding Flow, assisting them in providing necessary initial information and signing the representation contract. Maintain accurate and timely records of all outreach activities, claimant interactions, and lead statuses within Salesforce. Identify and appropriately handle leads who may not be eligible for services based on initial criteria. Collaborate with the team to meet and exceed lead conversion goals. Monitor Advocate's Intake communication lines for new client calls and texts, responding appropriately. Qualifications Proven experience in a high-volume outreach, sales, or customer engagement role (e.g., call center, intake specialist, sales development). Excellent verbal and written communication skills, with an ability to explain processes clearly and empathetically. Strong interpersonal and persuasion skills with a persistent approach to achieving goals. Experience using CRM software (Salesforce preferred) and communication tools (Dialers like Aircall preferred). Highly organized with strong attention to detail for tracking lead progress and documenting interactions. Ability to work independently and manage time effectively in a remote setting. Passionate about helping others and contributing to a mission-driven company. Familiarity with the Social Security disability process is a plus, but not required. This is a remote position and Advocate is currently a fully remote team. Advocate is an equal opportunity employer and values diversity in the workplace. We are assembling a well-rounded team of people passionate about helping others and building a great company for the long term.
    $26k-31k yearly est. Auto-Apply 60d+ ago
  • Clinical Support Specialist

    Avow Hospice 3.9company rating

    Remote job

    Provide organizational support for scheduling staff and patient visits, ensuring all visit scheduling complies with regulatory and legal requirements mandated by Medicare and Medicaid regulations. Communicates and collaborates with teams and leadership regarding scheduling and staffing. The Clinical Support Specialist is responsible for the overall knowledge of staffing in each area and to communicate to the appropriate managers, human resources, employee health, and incident command team. Able to multi-task and work under pressure with changing priorities and short deadlines, effectively handling a heavy workload. Job Duties: Include rotation of designated teams scheduling and staffing responsibilities as assigned to which include: Team nurse, Social Services Coordinator, (SSC) ,Chaplain (CH) and Pool personnel.. Medical Providers and PIC scheduling Home Health Aide (HHA) Continuous Home Care (CHC) Care24 All Clinical Support Specialists have Customer Service responsibilities, both internally and externally, in person and over the phone. Maintains positive relationships and rapport both internally and externally, including co-workers, patients and their family members and community personnel. All positions involve answering, routing or handling of telephone calls. All positions are expected to assist other Scheduling personnel when needed. Specific Duties and focus for Team nurse, SSC and CH: • Coordinates communication among team members and provides information or relays messages to team members. • Coordinates and schedules clinician's visits according to plan of care and regulations. • Prioritizes visits for End of Life and urgency. • Monitors unaccepted, unassigned, missed and declined visits for rescheduling. • Maintains client / staff schedules using software accurately. • Maintains on-call schedule for assigned care team. • Prepares reports for scheduling tracking. • Adheres to established confidentiality standards as required and HIPAA concerning community and patient information. • Communicate any requests to change the schedule in workflow responding with a follow up comment. • Ensure geographic scheduling to reduce drive time and to ensure timely patient care. • Proactively works with staff to determine holiday schedule. • Provides information to appropriate supervisor concerning any patient/employee concerns. • Resolve conflict using effective communication skills and problem solving techniques. • Identifies needs for additional training and communicates to supervisor. • Supports and implements appropriate procedures to promote and maintain an efficient scheduling flow. • Maintains knowledge of and adheres to established organizational and departmental policies and procedures. • Assures delivery of optimum service by following assigned work schedule. • Monitors and adjusts daily staffing schedules to ensure compliance with care plan, staffing policies, and budget considerations including overtime and driving distance. • Utilize blackout dates for staff on vacation or call offs. • Fulfill all responsibilities related to the success of the strategic plan of the organization, as requested and assigned • Assigns staff to patients. Develops staff future and day-to-day schedules. Match staff to clients' needs appropriately and considering discipline, skill, availability continuity of care, volume of hours and location to all clients. • Communicates all changes in schedules to staff on a concurrent basis. • Able to step in when other areas need help. • Participate in holiday coverage on rotating basis with other staff. • Follow proper infection control policies and procedures. • Runs all assigned reports within the given time frame. • Other duties as assigned Specific Duties and focus for HHA's • Receives report from each department on staffing and coordinates a database of staffing. • Coordinates communication with managers, human resources, and employee health related to staffing and staff assignments. • Work with managers on alternative job assignments during time of staffing crisis. Communicate to employees, human resources, managers, and employee health, related to work from home or alternate job duties of staff. • Act as a staffing liaison during activated emergencies. • Communicates with and participates in the incident command team. • Ensure geographic scheduling to reduce drive time and to ensure timely patient care • Proactively works with staff to determine holiday schedule • Prepares reports for scheduling tracking • Monitors unaccepted, unassigned, missed and declined visits for rescheduling • Maintains client / staff schedules using software accurately • Utilize blackout dates for staff on vacation or call offs • Monitors and adjusts daily staffing schedules to ensure compliance with care plan, staffing policies, and budget considerations including overtime and driving distance • Maintains spreadsheet with staff call off's. • Participate in holiday coverage on rotating basis with other Staff • Communicates all changes in schedules to staff on a concurrent basis • Runs all assigned reports within the given time frame. • Other duties as assigned. Specific Duties and focus for CHC • Answers all calls relating to availability and/or scheduling of crisis care cases. • Process Patient Chart when Continuous Care started. Add clinical staff to chart. Add Manual Bill Hold Coordination Note. Notify outside doctors. Provide Patient Status Change Distribution List. • Coordinate and assign staff members on spreadsheet relating to crisis care staffing. Coordinate and assign staff members to electronic schedule. • When staffing is not adequate, request sent to outside agency for assistance. • Process crisis care folders when returned to office. Folders are logged in by staff at the end of a case. Coordinator logs them into spreadsheet. Folder disassembled to process. Pink Patient Care Note scanned to Clinical Supervisor. • Paper visit assigned to staff member. Audit sheet is completed and attached to folder and then turned over to Clinical Supervisor to complete Audit. Folders are delivered to HIM when completed. • Supply of blank crisis care folders maintained. Copies are printed and kept in supply drawer. • Provides backup support for Care24. Participates in holiday coverage on rotating basis. • Maintains communication between crisis care staff and Supervisor. • Ensures adequate staff on the schedule, by updating the daily schedule to be able to start the required number of cases a day. • Send out notification by 9am to all departments when we have staff available to start cases. • Act as a staffing liaison during activated emergencies • Communicates with and participates in the incident command team. • Collaborate with managers and staff on assurance of the understanding of alternative job duties. • Monitors and adjusts daily staffing schedules to ensure compliance with staffing policies, and budget considerations including overtime and driving distance • Maintains client / staff schedules using software accurately • Communicates all changes in schedules to staff on a concurrent basis • Runs all assigned reports within the given time frame. • Other duties as assigned. Specific Duties and focus for Care24 • Run Contract Bed Report. • Run Covid Report. • Maintain Care24 White Board. When Provider Coverage information is available, update information to current date. Update Nurse On Call, SSW On Call, Chaplain On Call Information. Update Team Staffing/PTO/Out. Assist Triage with staffing for Care24 requests. • Answers and routes outside, and incoming telephone calls. • Answer all non-clinical calls. • Provides back up support to Crisis Care. • Maintains communication with Triage, Care24 and Crisis Care staff. • Steps in to cover Team scheduling duties and requests as other schedulers end their shifts. • Check par levels, maintain stock and order supplies. • SHEC - Medical Equipment as needed. • Scans and fax patient information as needed. • Updates patient location and demographic information as needed, through workflow. • Act as a staffing liaison during activated emergencies • Communicates with and participates in the incident command team. • Collaborate with managers and staff on assurance of the understanding of alternative job duties. • Monitors and adjusts daily staffing schedules to ensure compliance with staffing policies, and budget considerations including overtime and driving distance • Maintains client / staff schedules using software accurately • Communicates all changes in schedules to staff on a concurrent basis • Runs all assigned reports within the given time frame. • Other duties as assigned. Core Values: Innovation: We embrace change and are always looking at creative ways to solve problems and serve new populations. Integrity: We are honest, hardworking, fiscally responsible professionals driven solely by the well-being of our patients, their loved ones, and the communities we serve. Collaboration: We know we cannot achieve everything we want without working hand-in-hand with each other, with our healthcare partners, and with the community. Celebration: We believe in the importance of celebrating life and relationships. Education: We believe it is important not only to serve the community but to educate community members about our services and the role we can play at the end of life. Qualifications Education/Experience: Bachelor's degree from an accredited university preferred in business related field preferred. Associates degree in business related field and/or experience in office management, scheduling, and customer service or combination of education and experience. Computer Skills: Strong computer skills including database software and Microsoft programs. Email experience required. Experience in electronic medical records (EMR) systems. Supervisory Responsibilities: None Language Skills: Ability to read, analyze, and interpret common documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to effectively communicate and present information to supervisors and team members. Mathematical Skills: Ability to work with mathematical concepts. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Certificates, Licenses, Registrations: Current Florida Driver's License. Compensation and Benefits: This is only a summary of our employee benefits; it is subject to change. Medical insurance (PPO) with prescription drug co-pay or HDHP w/HSA Supplemental Benefits (hospital confinement, accident and/or cancer) Dental insurance Vision Insurance Life and accidental death/dismemberment insurance (company paid) Long term care insurance (company paid) Retirement savings plan (TSA/403(b) matching program) Short and long term disability insurance (company paid) LegalShield (identity protection and more) Bereavement leave for family and pets Direct deposit Credit union availability Employee Assistance Program Paid time off Mileage reimbursement In-house continuing education opportunities Discounted membership at local area Fitness Center Tuition reimbursement Other employer-sponsored activities Avow is a Tobacco Free Organization which includes but is not limited to cigarettes, electronic cigarettes, vaping, cigars, cigarillos, pipes, chewing tobacco, snuff, dip, and loose tobacco smoked via pipe or hookah. And due to the above, Avow will only hire Nicotine Free individuals. All applicants offered a position are required to complete a screening through the Clearinghouse. For more information, click here *********************************
    $63k-74k yearly est. 12d ago
  • Meditech Clinical support

    Clindcast LLC

    Remote job

    Job Description: Strong knowledge of clinical workflows (nursing documentation, physician orders, medication administration, etc.). Experience with troubleshooting, ticketing systems (ServiceNow, Remedy, etc.), and root cause analysis. Experience with data migration and system conversions from legacy EHRs 9+ years of experience supporting Meditech 6.x and Meditech Magic and Expanse systems (focus on clinical modules). Provide application support for Meditech Clinical Modules such as Nursing, PCS, EMR, Order Management, Laboratory, Pharmacy, and Radiology. Troubleshoot user-reported issues and coordinate resolution with Meditech or internal IT teams. Perform system configuration, testing, and validation during updates, patches, and optimization projects. Support interface integrations between Meditech and other systems (e.g., PACS, LIS, RIS, Epic, Cerner, etc.). Develop and maintain user documentation, workflows, and training materials. Participate in system upgrades, conversions, and new module implementations. Monitor system performance and ensure clinical data accuracy and consistency. Collaborate with end-users to identify opportunities for process improvements and system enhancements. Strong knowledge of clinical workflows (nursing documentation, physician orders, medication administration, etc.). Experience with troubleshooting, ticketing systems (ServiceNow, Remedy, etc.), and root cause analysis. Experience with data migration and system conversions from legacy EHRs This is a remote position.
    $35k-51k yearly est. 4d ago
  • Charge Capture Coordinator - Clinical Revenue Integrity - Full Time 8 Hour Days (REMOTE) (Non-Exempt) (Non-Union)

    Usc 4.3company rating

    Remote job

    Under the general direction of the Revenue Manager, the Charge Capture Coordinator is primarily responsible for unit and area specific charge capture of clinical services and procedures within revenue producing departments throughout the system. The Charge Capture Coordinator's main role is to enter charges into existing computerized billing system (Cerner and or PBAR). The Charge Capture Coordinator will perform due diligence in entering all appropriate charges accurately and within a timely manner, including conducting reconciliation of department generated record with billing system report to ensure optimal charge capture; auditing for completeness, correcting, and resubmitting rejected charges and charge follow-up. The Charge Capture Coordinator is also responsible for communicating missing or incomplete clinical documentation and charge entry errors for clinical department process improvement. Essential Duties: Review department clinical documentation from multiple sources and enter hospital charges accurately, timely and in accordance with Keck Medical Center of USC charge capture policies/guidelines, into Patient Accounting System -Cerner or PBAR. . Demonstrate proficiency in using Keck Medical Center of USC charge capture policies, rules, criteria and decision trees (algorithms) to assign the correct charge code. Demonstrate understanding of CMS Medicare billing rules, regulations, and compliance related to outpatient intravenous infusion and chemotherapy administration charges, observation charging (and other service line charges.) Perform daily charge reconciliation on accounts; check charges for accuracy and completeness, correct errors. Follow processes to send appropriate notification to other parties such as Coding Manager, Clinical Department Manager, or Patient Accounting Manager. For example, notify the nursing team of incomplete medical records or coding questions. Attend scheduled meetings and trainings and be accountable for what has been discussed in staff meetings. Identify events requiring administrative review and forward these promptly to the appropriate Revenue Cycle Supervisor, Manager or Director. Review own work for accuracy and completeness prior to end of shift. Daily focus on attaining productivity standards, recommending new approaches for enhancing performance, and productivity when appropriate. Identify and alert a member of the management staff of any situation that may negatively impact the patient, department operations, public relations, or the hospital's integrity. Adhere to health information regulations including HIPAA. Perform other duties as assigned. Required Qualifications: Req High school or equivalent Req 2 years Clinical or healthcare disciplines such as previous hospital or medical office, charge entry or medical records experience. Req Must have excellent data entry and quality outcome skills Req Proficient in Microsoft Office applications and others as needed Req Communicates clearly and concisely, verbally and in writing Req Demonstrates knowledge and understanding of organizational policies, procedures and systems Req Must have the ability to maintain confidentiality of patient, physician and health system information Req Strong interpersonal, teamwork and customer service skills are necessary Req Ability to maintain minimum standards of productivity and accuracy Req Strong analytical skills Req Understanding and/or experience computerized billing systems. Req Current knowledge of medical terminology, anatomy, and physiology. Req Basic coding knowledge Preferred Qualifications: Pref Related undergraduate study Related college or trade school coursework Pref 1 year Experience with advanced education degree/certification Pref Knowledge of legal and fiscal requirements in the healthcare industry. Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only) Pref Certified Coding Specialist - CCS (AHIMA) or CPC from AAPC or related HFMA, AHIMA certification The hourly rate range for this position is $29.00 - $45.20. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at **************, or by email at *************. Inquiries will be treated as confidential to the extent permitted by law. Notice of Non-discrimination Employment Equity Read USC's Clery Act Annual Security Report USC is a smoke-free environment Digital Accessibility If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: *************************************************************
    $29-45.2 hourly Auto-Apply 38d ago
  • Clinical Review Coordinator

    Soleo Health 3.9company rating

    Remote job

    Full-time Description Soleo Health is seeking a Clinical Review Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA) . Join us in Simplifying Complex Care! Must be able to work 8:30am-5pm Eastern Time Zone Monday-Friday. Soleo Health Perks: Competitive Wages Flexible schedules 401(k) with a match Referral Bonus Paid Time Off Annual Merit Based Increases No Weekends or Holidays Affordable Medical, Dental, and Vision Insurance Plans Company Paid Disability and Basic Life Insurance HSA and FSA (including dependent care) options Education Assistant Program The Position: The Clinical Review Coordinator works closely with all departments to research and provide accurate and timely clinical review on complex, patient cases to ensure that approval is secured and to mitigate risk of technical and clinical denials. The Clinical Review Coordinator attempts to resolve denials by utilizing nationally recognized criteria for appeal submission. Responsibilities include: Completes prior authorization reviews in a timely manner through their clinical expertise evaluating patient clinicals and payer clinical criteria to determine if the service meets medical necessity of the payer Reviews and comprehends patient progress notes, lab reports, infusion summaries, imaging reports, and plan of care. Identifies appropriate medical documentation that satisfies payer medical policy criteria. Request additional clinical information when needed to render a decision and/or determine next steps Assists with creation of clinical support packets to be used for the initial prior authorization and/or subsequent appeals In cases of authorization denials, constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate medical necessity criteria and other pertinent clinical facts. Creates and maintains, a library of clinical support resources to include templates for appeals, journal articles, other reference tools that can be used to support medical necessity. When existing resources are unavailable search for supporting clinical evidence to support appeals. Provides program support by staying current on the top payer covered services, medical necessity requirements and formulary details. Also, must be proficient in locating payer resources related to medical policies. Assist with post service insurance denials & appeals Participates in outcome programs including but not limited to data entry, reporting functions, and patient calls with necessary to complete denial support tasks Provides inter-departmental training to increase teams' knowledge for top disease states and specialty drugs, clinical requirements, and prior authorization & appeal best practices Schedule: Must be able to work Remote, 8:30am-5pm Eastern Time Zone Monday-Friday Must have experience with denial support, clinical reviews, and appeals for Infusions Requirements Bachelor's degree in healthcare field or 3 years in a qualified position Preferred experience with patients with specialty infusion needs and challenges Excellent communication skills (written, oral, and presentation), excellent customer service and interpersonal skills Flexible communication style, highly motivated team player with excellent listening skills Able to handle stress to meet identified program objectives and manages time effectively Self-starter that takes responsibility, is comfortable with accountability and results oriented Competent in the use of Word, Excel, and Power Point Must be able to communicate effectively with all levels of organization within Soleo Health. Must enthusiastically support Soleo Health's philosophy and goals. 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: Now Hiring, Hiring Now, Immediately Hiring, Hiring Immediately, Clinical Review Coordinator, Infusion Clinical Review Coordinator, Patient Access, Patient Access Clinical Review Coordinator, Denial Support Clinical Review Coordinator, Appeals Clinical Review Coordinator, Home Infusion, Specialty Infusion Salary Description $68,000 - $85,000 per year
    $68k-85k yearly 7d ago
  • Pharmacy Clinical Coordinator (Temporary 9 months)

    Careoregon 4.5company rating

    Remote job

    --------------------------------------------------------------- This position is responsible for assisting with the management of the pharmacy benefit and developing and delivering clinical and educational interventions designed to improve pharmaceutical use. Responsibilities include formulary management; assisting with management of specific patients in the multidisciplinary case management/medication therapy management program, P&T, developing and conducting educational initiatives to improve prescribing patterns; develop and conduct quality improvement programs related to the pharmacy program; evaluating medication authorization requests and providing oversight to the medication PA process; and other pharmacy program activities as assigned. NOTE: This is a temporary position expected to last 9 months. Estimated Hiring Range: $151,965.00 - $185,735.00 Bonus Target: Bonus - SIP Target, 5% Annual Current CareOregon Employees: Please use the internal Workday site to submit an application for this job. --------------------------------------------------------------- Essential Responsibilities Prepare drug utilization reports and analyses for the Pharmacy & Therapeutics Committee. Use an evidence-based process to perform new drug reviews, and to develop formulary recommendations and drug use criteria for the Pharmacy & Therapeutics Committee. Critically evaluate drug therapy regimens for patients enrolled in the case management program and assist with developing treatment plans. Provide medication therapy management services. Develop and conduct retrospective drug use reviews. Review medication prior authorization requests and appeals. Develop and implement clinical educational programs to improve drug utilization and quality. Review and refine policies and procedures regarding Pharmacy Department functions including medication therapy management, DUR programs, medication prior authorization, and others. Develop and conduct quality improvement programs related to the pharmacy program. Monitor functions provided by the plans' Pharmacy Benefit Manager including pharmacy benefit coding, customer service guidelines, prior authorization activities, and other delegated services. Develop and critically evaluate pharmacy claim data analysis/reports in support of specific projects or program objectives. Assess, review, and respond to federal and state regulatory requirements/audits of the pharmacy benefit. Consult with clinicians and pharmacists to resolve pharmacy benefit issues. Review and refine pharmaceutical reimbursement and purchasing procedures. Develop materials to communicate pharmacy benefit or other information to members, clinicians, and pharmacists. Experience and/or Education Required Graduate of an accredited pharmacy program Current, unrestricted license as a pharmacist in Oregon Advanced pharmacy training (PharmD, residency, fellowship, or master's degree in related discipline) Practical experience as a clinical pharmacist in formulary management or ambulatory care or other clinical setting Preferred Previous experience in managed care Experience with reviewing Prior Authorization requests against plan criteria and making approval or decline decisions Knowledge, Skills and Abilities Required Knowledge Must have comprehensive, clinical pharmaceutical knowledge base Knowledge of the principles of managed care, pharmacy benefit management, pharmaceutical reimbursement, and pharmaceutical utilization Skills and Abilities Ability to critically evaluate clinical pharmaceutical and medical literature and apply principles of evidence-based medicine Ability to design and review pharmacy claims analysis/reports according to specific project requirements Must be highly motivated and have the ability to work independently Excellent organizational, project management, and time-management skills Excellent written and verbal communication skills Excellent customer service skills Ability to manage multiple tasks Ability to negotiate, problem-solve, and consensus-build Basic word processing, spreadsheet, and database skills Ability to work effectively with diverse individuals and groups Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day Ability to lift and carry for at least 1-3 hours/day Working Conditions Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person Hazards: May include, but not limited to, physical and ergonomic hazards. Equipment: General office equipment Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used. Work Location: Work from home We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information. We are an equal opportunity employer CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
    $48k-62k yearly est. Auto-Apply 8d ago
  • Clinical Review Coordinator / Remote

    Brightspring Health Services

    Remote job

    Our Company Amerita The Clinical Review Coordinator will support the new referral process / patient onboarding experience by assisting the Clinical Review team in gathering and obtaining missing information needed to initiate care. The Clinical Review Coordinator is a specialist intake role, which will enhance the speed and efficiency in time from receipt of referral to initiation of infusion care. This role reports to the Manager of Operations-Clinical. Schedule: Monday - Friday 8:30am - 5:30pm CST We Offer: • Competitive Pay • Health, Dental, Vision & Life Insurance • Company-Paid Short & Long-Term Disability • Flexible Schedules & Paid Time Off • Tuition Reimbursement • Employee Discount Program & DailyPay • 401k • Pet Insurance Responsibilities Will work in List L (Clinical Review) to collect needed information for start of care. Reviews referral documents and updates information in the patient's demographics. After initial clinical review, coordinates with pharmacists to obtain / gather missing information needed to initiate care. Information sources may include sales, referral sources, EMR/online portals, and verbal communications. Works closely with sales partners to ensure completeness of submitted referral information. Updates pharmacy team of successful provision of missing information. Escalates issues to expedite dispense as necessary. Qualifications High School Diploma/GED. State pharmacy technician licensure and PTCB certified technician credentials (CPhT, CPhT-Adv, or CSPT) Required 3+ years pharmacy intake/onboarding experience CPR+ software experience highly preferred Excellent interpersonal skills, able to work with all levels of management and staff, good working knowledge of pharmacy terminology and process. Ability to multitask in a demanding environment. Excellent organizational skills and mindfulness to detail. About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit ****************** Follow us on Facebook, LinkedIn, and X. Additional Job Information This position can be WFH after proper training and clearance from manager. Occasional branch attendance may be required. This position requires a significant amount of computer time, including keyboard entry and viewing text on a standard computer monitor. While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is frequently required to walk and use hands to finger, handle or feel. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.
    $41k-58k yearly est. Auto-Apply 2d ago

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RankCompanyAverage salaryHourly rateJob openings
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3Sun Life$45,170$21.7215
4Sun Life of Canada$42,570$20.474
5Envision Healthcare$33,774$16.240

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