Combat Medic Jobs Near Me

City/State Hampton, VA Work Shift First (Days) (United States of America) Generous sign-on bonus $3000 for qualified candidates! Ask Recruiter for details! Sentara Careplex Hospital located in Hampton, VA is currently recruiting an ED Tech for the Emergency Department. Shift: Swing Full-time: 36 hours Requirements: 1. EMT-B with state or national certification at time of hire OR 2. Successful completion of US Military Hospital Corps School, qualified MMAC candidates OR 3. Current student enrolled in clinical program (e.g., RN, LPN, Respiratory, Physical Therapy) having completed at least one semester within the program. Sentara CarePlex Hospital is a 224-bed, acute care hospital, and Certified Primary Stroke Center located in Hampton, Va. Sentara CarePlex Hospital provides care through advanced surgical programs, emergency cardiac intervention, fellowship-trained physicians, and the newly-opened Family Maternity Center. It is also home to the Orthopedic Hospital at Sentara CarePlex Hospital, the area's first dedicated orthopedic hospital, taking specialized orthopedic care to a new As an Emergency Department Technician (ED Tech)with Sentara, you can work in either inpatient or outpatient Emergency Department settings. This role is a great gateway to begin your career in the medical field. This position's primary responsibilities include lab draws, EKGs, and assisting the nurses and doctors with patient care. You will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Brendan tell us about a day in the life of an Emergency Department Technician (ED Tech) with Sentara Healthcare. Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Keywords : Emergency Technician, Talroo - Allied Health, Talroo - Nursing Talroo - NCP and Entry Level, EMT, RN Student, LPN Student, Corpsman, Swing Job Summary Assists the Physician, Advanced Practitioner, or Nurse in implementing plans of care for emergency/minor emergency care patients. Performs patient procedures and treatments under the supervision of the Physician, Advanced Practitioner, or Nurse. De-escalation and physical intervention training within 15 days of hire. BLS certification within 90 days of hire for all incumbents. New incumbents must have one of the following in addition to the minimum Education : 1. EMT-B with state or national certification at time of hire OR 2. Successful completion of US Military Hospital Corps School, qualified MMAC candidates OR 3. Current student enrolled in clinical program (e.g., RN, LPN, Respiratory, Physical Therapy) having completed at least one semester within the program. Candidates with prior employment in the Sentara ED tech job code in the past two years will also be considered in lieu of the 3 criteria above. Qualifications: HS - High School Grad or Equivalent (Required) Basic Life Support (BLS) - Certification - American Heart Association (AHA) RQI Clinical Skills Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application. In support of our mission “to improve health every day,” this is a tobacco-free environment.

Our phlebotomists draw and prepare blood for medical testing, transfusions or donations. Our team is trained to collect blood via venipuncture, finger pricks, or in the case of infants, heel pricks. We have the ability to be station in hospitals, clinics, outpatient care facilities, diagnostic laboratories and blood donation centers. What You'll Do * Work in ambulatory clinics to obtain blood and urine specimens according to laboratory specifications, following written procedures without deviation. * Obtain specimens using phlebotomy, alternate access device, dermal puncture and heel stick (newborn) * Handle all specimens according to test specifications, prepare specimens for transport and ensure proper delivery to central lab in a timely manner * Utilize electronic medical record (MiChart) and laboratory information system (Soft) to monitor order requests * Model professional and respectful behavior at all times, providing the highest level of service to all internal and external customers * Work effectively with others to accomplish common goals * Maintain a safe work environment by adhering to institutional and departmental policies and procedures. Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Who We Are The aim of Michigan Medicine is to advance health to serve Michigan and the world. With annual revenues of approximately $5.0 billion, Michigan Medicine ranks as one of the top academic health centers in the country, and is committed to providing exceptional patient care, facilitating groundbreaking research, and developing the next generation of physicians and scientists. Michigan Medicine consists of the University of Michigan Hospitals, the University of Michigan Medical School and its Medical Group, Michigan Health Corporation, and affiliated health systems. What Benefits can you Look Forward to? * Excellent medical, dental and vision coverage effective on your very first day * Flexible spending accounts * Prescription Drug Plan * Mental and emotional health programs * Child Care Resources * Life Insurance * Legal Services Plan * Retirement Savings Opportunities Another reason to Go Blue! * Nationally Recognized for work/life effectiveness by WorldatWork * Top 5 employer in Michigan by Crain's Detroit Business * Fobes #1 Best Employer in Michigan * Ranked #11 in the US and best in Michigan "Best Hospitals" rankings for 2020-21 * Five medical specialties ranked in the nation's top 10 and was ranked No. 1 in the state of Michigan. * Michigan Medicine ranked #15 in Newsweek's "World's Best Hospitals" rankings Required Qualifications* * High school diploma or an equivalent combination of education and experience is necessary. * Demonstrated customer service skills. * A minimum of 1 year of phlebotomy experience is required for the Specialist level. Desired Qualifications* * Considerable experience in phlebotomy, including but not limited to work with pediatric patients. * Phlebotomy Certification or equivalent coursework. * Demonstrated experience working in a team environment. * Proficient in basic computer functions. Work Schedule Operating hours are from 6am - 7pm with one rotating weekend a month. Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes

Baptist Health Home Care is looking for a CDI Specialist and Coder PRN to join our team. This is a remote position that requires residency in KY or IN The Home Health Specialty Coder is responsible for reviewing clinical documentation and assigning appropriate ICD-10, CPT, and HCPCS codes to ensure accurate billing for home health services. This role requires a strong understanding of home health care regulations, coding guidelines, and the ability to work collaboratively with clinical and billing staff to ensure compliance with CMS regulations and improve reimbursement outcomes. Essential Duties: * Review and analyze clinical documentation for home health services to assign accurate and compliant ICD-10, CPT, and HCPCS codes. * Communicate with clinical staff to clarify diagnoses, procedures, and services to ensure accurate documentation. * Ensure coding is compliant with CMS guidelines, OASIS assessments, and home health-specific regulations. * Monitor coding trends and offer recommendations to improve coding efficiency and accuracy Minimum Education, Experience, Training and Licensures Required * Associate degree in Nursing with two years job-related experience * Professional License or Certification * Must obtain HCS-D Certification within twelve months of hire; must obtain COS-C or HCS-O Certification within twenty-four months of hire. Home Care Specialist-Diagnosis (HCS-D); Home Care Specialist - Oasis (HCS-O) or Certificate for OASIS Specialist - Clinical (COSC) If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.

**Location** : This is a remote position. The ideal candidate will live within 50 miles of an Elevance Health Pulsepoint office location in one of the following states: IN, CT, CO, GA, KY, NY, NV, VA, WI, MO, NH, OH, or ME. **Work Schedule : Monday - Friday, 8:00am - 5:00pm EST** The **Outreach Care Specialist** is responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals. **How you will make an impact :** + Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in case management programs. + Assesses member compliance with medical treatment plans via telephone. + Identifies barriers to plan compliance and coordinates resolutions. + Identifies opportunities that impact quality goals and recommends process improvements. + Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider. + Coordinates identification of and referral to local, state or federally funded programs. + Coaches members on ways to reduce health risks. + Prepares reports to document case and compliance updates. + Establishes and maintains relationships with agencies identified in appropriate contract. **Minimum Requirements:** + Requires a H.S. diploma or equivalent and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities & Experiences:** + Behavioral health experience preferred. + Experience working with individuals experiencing mental health and/or substance use challenges. + Outbound call center experience. + Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred. + Bilingual candidates preferred. + For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $18.77 to $33.79/hr. Locations: Colorado; Nevada; New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.

This position is responsible for patient check-in and check-out functions utilizing EPIC. Assists patients as they present for scheduled appointments. Verifies patient demographics, collect co-payments, generates and provides receipts, has patients complete and sign all necessary paperwork. Assists physicians and nurses on each floor by processing appropriate paperwork for scheduled appointments. Provide excellent customer service to all of our patients & co-worker. Qualifications High School Diploma or Equivalent Primary Location: TampaWork Locations: Family Care Center Healthpark 5802 N. 30th Street Tampa 33610Eligible for Remote Work: On SiteJob: Office/Administrative/ClericalOrganization: Academic Medical Group IncSchedule: Full-time Scheduled Days: Monday, Tuesday, Wednesday, Thursday, FridayShift: Day JobJob Type: On SiteMinimum Salary: 15.00Job Posting: Jan 2, 2025, 6:51:55 PM

**Schedule:** Full-time, including four 10hr shifts. Additionally BHCS offer evening groups (at least twice a week) and a weekend group (up to twice a month). **Reports to:** Behavioral Health Care Specialist Lead and/or Clinical Director **Why Workit:** Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven and compassionate individuals who share this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in America. **Job Summary:** As a Behavior Health Care Specialist (BHCS) at Workit Health you will be responsible for providing group based intervention and case management to members with Substance Use Disorders (SUD). Primary focus is on group based treatment, including co-facilitation of shared medical appointments. BHCS are full-time employees that work primarily remote and can provide all services via telehealth platforms. Schedule is full time, including four 10hr shifts. Additionally BHCS offer evening groups (at least twice a week) and a weekend group (up to twice a month). **Job Responsibilities:** * Excels at group facilitation, on SUD related topics with and without standardized curriculum. * Comfortable co-facilitating multidisciplinary groups, such as shared medical appointments. * Willing to work a flexed schedule to accommodate evening and weekends groups. * Provide evidence based SUD services through facilitation of psychoeducational, skills development, cognitive behavioral, interpersonal process, and support based groups. * Fluent with group co-facilitation within groups, with other recovery coaches and medical providers. * Capable of managing crisis intervention remotely. * Prepare all related documentation in accordance with applicable organizational and state standards in a clear, thorough, and timely manner. * Comfortable with treating adults and adolescents. * Participation in meetings, supervision, and clinical audits. * Maintain standards of confidentiality, HIPAA and 42 CFR Part II. * Demonstrate adaptability and flexibility without compromising clinical effectiveness. * Commitment to Harm Reduction philosophy in all aspects of clinical practice. * Expertly manage member communication over chat, email, and phone in a way that embodies the company mission and values * Attend member chats and messages. * Contribute to Behavioral Health services by providing support groups and subsequent documentation. * Provide individualized resources to members. * Be empowered to work autonomously, continuously learning, and are expected to adhere to meeting schedules and times, and prioritize accordingly. * Complete tasks for referrals, resources and discharges. * Demonstrate empathy, compassion, and respect for clients in all interactions. * Go above and beyond to provide excellent member experiences resolving member inquiries and, overall, ensure our members' needs are placed first. * Increase overall member satisfaction by meeting and exceeding support metrics and service levels. * Expect that new states have varying requirements (ex: internal drug testing, fingerprinting) that we aim to meet while being sensitive to our employee work force and mission around addiction. * Other duties as assigned. **Qualifications:** * Peer Recovery Coach Certification (Required) * Must have experience facilitating support groups * At least 1 year of peer recovery experience * Preferred experience in customer service settings * Experience with Electronic Medical Records, HIPAA and 42 CFR part II * Familiarity with addiction recovery * Enthusiastic dedication to service excellence * Able to tackle tough support cases, enjoying the challenge of solving new issues. * Mindfully manage stress and pressure-focusing on what matters most while managing time, and maintaining a positive, calm presence within a start-up environment * Comfortable in asking for support, help, and guidance as needed * Case management experience * Strong analytical and problem solving abilities * Energized by working with others * Excellent communication skills * Outstanding organizational skills * Aptitude for problem-solving **Benefits:** * 5 weeks PTO (includes your birthday, 2 mental health days and 2 floating holidays!) * 11 paid holidays * Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs * Company contributions to dependent premiums at higher than market rates (65%) * 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families) * 401k + matching * Healthcare & dependent care Flexible Spending Accounts (FSA) * Flexible schedules and flex-time work for all full-time and part-time employees * Employee assistance program, complete with financial coaching and counseling sessions * Professional development allowance for healthcare providers * Opportunities for professional development and growth within the company * Fully remote roles throughout the company * Vibrant, employee-driven cultural initiatives including multiple ERG groups * Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations As we are an addiction recovery company founded by people in recovery, those in addiction recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. #LI-REMOTE

If you enjoy working outdoors in a professional and safe environment, consider a career with Bartlett Tree Experts! At Bartlett, we value a strong culture of excellence in safety, scientific research, lifelong learning, and career development. We are seeking entry-level Plant Health Care Specialists who are ambitious self-starters, that have a passion for preserving and caring for trees. This position will focus on monitoring, evaluating, and providing the plant health care needs of trees and shrubs on commercial and residential properties. Benefits We offer competitive compensation, as well as: A safety-first culture and professional workplace Advancement opportunities - we promote from within Medical, dental, vision, life, and disability insurance 401k retirement plan Paid time off and holidays Industry credential/license pay increases - we encourage and invest in your professional development Company provided uniforms, PPE, gear, and equipment Boot reimbursement up to $150 Access to training, continuing education programs, and a variety of resources provided by the Bartlett Tree Experts Research Laboratories in Charlotte, NC To find out more about what life is like at Bartlett, check us out on Instagram @LifeatBartlett. Responsibilities To ensure your success, we provide hand on training provided by Bartlett's dedicated team of arborists. As a Plant Health Care Specialist Trainee, you will play an important role in: Learning to perform all functions of integrated pest management programs, including: Performing tree and shrub care treatments using spray, tree injection, and soil injection tools as prescribed by the Arborist Representative Communicating with clients regarding work performed during site visits Mixing and applying pesticides and fertilizers to trees and shrubs according to diagnosis, safety procedures, label instructions, and state laws Properly maintaining and operating equipment and vehicles (hand tools, spray agitators, portable spray equipment, and other machinery) Completing accurate record-keeping and reporting daily Safely driving a company vehicle to multiple properties throughout the day Working as a member of a tree care crew, under the Arborist Crew Leader's supervision during the off-season Qualifications A passion for nature, the environment, and the outdoors Ability to pass a criminal background check Interest in working outdoors year-round, performing manual labor in all weather conditions Ability to obtain a Commercial Pesticide Applicator License - we will pay for the cost of the exam and help you prepare! Valid driver's license and clean motor vehicle record Degree in Arboriculture, Forestry, Horticulture, Plant Science, Landscape Management, Environmental Science or a related field OR prior experience working in the tree care industry if preferred but not required The F. A. Bartlett Tree Expert Company is an Equal Opportunity and E-Verify Employer. Location : Name Ashburn Location : State/Province VA Category Plant Health Care Latest Post Date: englishcareers 12/6/2024 Type Regular Full-Time

> Medical Refund Specialist Medical Refund Specialist Job Type Full-time Description **General Job Summary:** Promotes the OrthoCincy mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for all aspects of patient refunds and insurance reimbursement requests. ****Option to work from home after training period is complete.** **Essential Job Functions:** - The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. - Manages multiple work queues within the Credit Work Queue. - Generate refund requests with the appropriate the documentation attached to support the refund. - Post refunds within the practice management system and ensure accounts are balanced. - Appropriate record keeping and management of documentation to support the refunds. - Assist with self-pay patients, payment arrangement and online services. - Collaborates with manager, coordinator, and director to report trends to ensure proper credit balance resolution. - Experience with variety of billing issues involving payers (Medicare, Medicaid, private insurance, worker's compensation) including forms, coding compliance and reimbursement guidelines. - Thorough knowledge of medical terminology, managed care financial agreements; CPT, HCPCS, and ICD-10 codes. - Handle billing calls and answer incoming calls as needed. - Demonstrates superior interpersonal relationship skills necessary for developing and maintaining positive professional relationships with patients, peers, providers, clinical departments, the management team, and payer organizations through telephone, electronic and written correspondence. - Ensure compliance with all guidelines set by government programs, and OrthoCincy policies, such as federal regulations, HIPPA, and the No Surprises Act. - Takes initiative in performing additional tasks that may be necessary or in the best interest of the practice. Requirements **Education/Experience:** High School Diploma or equivalent. Associate's Degree in Coding/Billing or minimum of two years medical billing experience is preferred. EPIC experience is preferred. Medical billing experience with an understanding of HCPCS, ICD-10 and medical terminology is preferred. **Other Requirements:** Must be customer service oriented with a team environment focus. Schedules may change as department needs change, including overtime and weekends. **Performance Requirements:** ***Knowledge:*** - Knowledge and application of OrthoCincy's Mission, Vision and Values. - Medical billing terminology required. - CPT and ICD-10 coding knowledge preferred. - Knowledge of medical billing/collection practices. - Knowledge of medical terminology and anatomy. - Knowledge of insurance filing and payment posting techniques. - Knowledge of basic medical coding and third-party operating procedures and practices. - Knowledge of electronic health records and practice management systems. - Knowledge of current professional billing and reimbursement procedures preferred. ***Skills:*** - Skilled in attention to detail. - Skilled in organizing. - Skilled in grammar, spelling, and punctuation. - Skilled in communicating effectively with providers, staff, patients and vendors. - Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages. ***Abilities:*** - Ability to read and interpret Explanation of Benefits and patient account ledgers. - Ability to problem-solve and the ability to interpret and make decisions based on established guidelines. - Ability to work on a team while maintaining positive and professional relationships. - Ability to multitask and handle stressful or difficult situations with professionalism. - Ability to analyze situations and respond in a calm and professional manner. **Equipment Operated:** Standard office equipment. **Work Environment:** Medical office environment. **Mental/Physical Requirements:** Involves sitting and viewing a computer monitor approximately 90 percent of the day. Must be able to use appropriate body mechanics techniques when making necessary patient transfers and helping patients with walking, etc. Must be able to remain focused and attentive without distractions (i.e. personal devices). Must be able to lift up to 30 pounds.

Medical Provider Specialist page is loaded **Medical Provider Specialist** **Medical Provider Specialist** remote type Hybrid locations Lakeland, FL (USA) time type Full time posted on Posted 15 Days Ago job requisition id R6845 Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers' comp, we strive to provide an atmosphere of constant growth and development for our employees. Summit provides workers' compensation programs and services to thousands of employers throughout the Southeast. Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise. So, if you're ready for an altogether different workplace experience, get to *know* the people who know workers' comp. Apply today. **Essential Job Functions and Responsibilities** * Recruits and contracts with physicians to be part of a provider network. + Negotiates terms and reimbursement rates on routine to complex contracts. + Evaluates physician retention within the network and determines recruiting needs to maintain an approved network. + Identifies education needs and trains network providers. + Contacts out-of-network specialists to negotiate arrangements to provide services to a claimant with a unique injury. * Prepares moderately complex to complex contractual provisions. + Negotiates amendments, contract language, and/or terms as necessary. + Functions as an intermediary between providers and Corporate Legal. + Supports staff in preparing and verifying contracts and associated language and paperwork for complex contract packages. + Participates in developing contract language to meet business, regulatory, and legal requirements. + Researches and advises Credentialing Committee of potential legal and financial risks of contracts. + May make recommendations on contract changes. * Analyzes accuracy, timeliness, and quality of work to recommend improvements to processes and procedures. * Responsible for the assessment of the networks and providers within the network. Responsible for accurate and complete audit of provider files. Responsible for creating, maintaining, and updating information on contracted physicians within the network. + Verifies and maintains accurate data on network providers which may include updates to name, address, payment information, credentialing information, etc. * Prepares and evaluates contract and credential reports to ensure compliance. * Processes renewal contracts and/or terminations. * Researches and resolves questions (telephone, email, correspondence, etc.) from physicians regarding issues with bills and payments. * May participate in determining customer satisfaction with services or products * Serves as liaison with network providers, claims staff, Corporate Legal, and managed care staff to resolve provider concerns and issues. * Applies advanced knowledge of department policies and procedures and utilizes broad understanding of the business and organization. * May lead the work of others. Provides guidance, technical advice, training, and assistance to lower-level positions and other functional areas. * Performs other duties as assigned. * The person hired for this position will work out of the Lakeland, FL office which offers a hybrid work environment of 3 days in the office and 2 days' work from home. #LI-Hybrid **Job Requirements** **Education: Associate Degree or equivalent experience.** **Field of Study: Business Administration or related discipline.** **Experience: Generally, 5 or more years related experience.** **Company:** SCI Summit Consulting, LLC**Benefits:** Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process. Headquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers' comp, we strive to provide an atmosphere of constant growth and development for our employees. With more than 40 years of experience, Summit provides workers' compensation programs and services to thousands of employers throughout the Southeast. Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryThis position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing data for regulatory reports. Perform assessments, care planning and care coordination in the member/family home and telephonically. This position will represent the company to members, providers and state regulators. Required Job Qualifications: Registered Nurse (RN), Licensed Professional Counselor (LPC), Licensed Clinical Professional Counselor (LCPC), Licensed Master Social Worker (LMSW), Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW) OR Licensed Mental Health Counselor (LMHC) with 2 years direct clinical care to the consumer in a clinical setting Current, valid, unrestricted license in the state of operations (or reciprocity). For compact licensee changing permanent residence to state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire. Knowledge of the health and wellness marketplace and employer trends. Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources. Analytical experience including medical data analysis. PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications. Current unrestricted driver's license, transportation and applicable insurance. Ability and willingness to travel within assigned territory. Preferred Job Qualifications: Plus 1 year wellness or managed care experience. 3 years clinical experience. Patient education experience. Condition Management experience. Bilingual in English and Spanish. Experience in managing complex or catastrophic cases. Certification in Case Management, Training, Project Management or nationally recognized health care certification. **This is a work from home position visiting members in their homes in the Roswell, NM and surrounding areas** Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! HCSC Employment Statement: We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range$25.72 - $56.77

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve. Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there's no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you'll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community. This position is accountable for performing medical review to ensure correct dispositions according to all contracts, related endorsements, government regulations and BCBSNE medical policies BCBSNE is happy to offer four work designations for our Omaha area employees: 100% in-office, Hybrid options, and 100% remote. If choosing to work remote, this role can be located in one of the following states: Florida, Iowa, Kansas, Missouri, Nebraska, North Dakota, and Texas. This position will require occasional weekend rotations (approximately once every 10 weeks but can vary). What you'll do: Responsible for meeting all State and Federal regulations as well as BCBSA and BCBSNE mandates related to claims and preauthorization processing. Responsible for accurate and timely medical review of claims and preauthorization's. Responsible for accurate and timely medical review of Customer Service inquiries about claims and preauthorization's. Responsible for determining availability of benefits according to company contracts, endorsements and medical policy. Responsible for determining member eligibility prior to medical review. Responsible for fostering a constructive relationship with all departments within BCBSNE. Responsible for maintaining professional licensure and practicing within the scope of licensure. Responsible for collaborating and consulting with healthcare providers, members, and internal team of clinical support specialists, nurses, physicians, medical directors and pharmacists to ensure medically appropriate, high quality, cost-effective care, promote positive member outcomes, effective use of resources, optimize member benefits, and support business initiatives. To be considered for this position, you must have: Associate degree in nursing or Certified Practical Nurse and three (3) years clinical experience in a health care setting. Must hold a current, unrestricted Registered Nurse or Licensed Practical Nurse license from the state of Nebraska or a state in the consortium in which Nebraska participates. The strongest candidates for this position will also possess: Bachelor's degree in healthcare field. Medicare Advantage knowledge Certification in Managed Care Clinical experience in multiple levels of care. Experience in medical review or utilization management. Knowledge of accreditation standards and regulatory requirements. Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers. We strongly believe that diversity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members. Blue Cross and Blue Shield of Nebraska is an Equal Opportunity /Affirmative Action Employer - Minorities/Females/Disabled/Veterans

Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving complex challenges in Health, Defense, and Civilian missions. Our proven Empower AI Platform provides a practical, sustainable path for clients to achieve transformation that is true to who they are, what they do, how they work, with the resources they have. The result is a government workforce that is exponentially more creative and productive. For more information, visit *************** Empower AI is proud to be recognized as a 2024 Military Friendly Employer by Viqtory, the publisher of G.I. Jobs. This designation reflects the company's commitment to hiring and supporting active-duty and veteran employees. Responsibilities As a Lead Medical Review Specialist V (Medical Reviewer V), you will perform management duties including direction and research involving Medicare comprehensive medical record and claims review to make payment determinations for Medicare PART B. These claim specialties include Physician Offices, Ambulances, Physician Professional Services, Laboratory, and others. Perform management projects and duties as assigned as the Lead Medical Review Specialist. You will serve as a critical component in meeting our mission of providing excellent services to our clients. Your experience ensures an exciting and rewarding opportunity to be at the forefront of activities related to implementing healthcare reform on a national level. Highlights of Responsibilities: Perform management level review, direction and research on comprehensive medical record and claims review to make payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare B Physician Office and Professional Services, Ambulance Services, Laboratory, and others. Serves as the immediate manager for resources of the medical review specialists on your team involving coverage, coding, and medical necessity issues Performs the third level of Medical Review in determination of claims payment review when the first and second level medical review determinations are in opposition Provides development and training to integral staff and subcontractors for special studies as well as regular project claims review Conducts in-depth claims analysis utilizing ICD-10-CM, CPT-4, and HCPCS Level II coding principles as part of the management team for the customer as well as the Medical Review Manager and Medical Directors Utilize electronic health information imaging and input medical review decisions by electronic database module. Utilize internet and intranet sources for policy verification. Utilize Microsoft Office suite and other software templates as associated source input for claims review. Make clinical judgment decisions based on clinical experience when applicable. Responsible for the surveillance of medical review specialist's production and quality review of Medicare Part B claims. Supervising the analysis of provider and service specific claims to identify error. Meeting quality and production standards. Ensuring departmental compliance with quality managements system and ISO requirements. Completes other projects or duties as assigned by the Medical Review Manager Qualifications Requirements: Must be a Registered Nurse obtained by either a Bachelor's degree - OR - Associate's degree - OR - Diploma in Nursing. At least four (4) years claims knowledge either from billing, reviewing, or processing. At least ten (10) years clinical experience as a Registered Nurse. At least four (4) years supervisory experience Minimum four (4) years federal and local policy applications in relation to Medicare insurance procedures for medical necessity for Physician Office practices, Laboratory, and Ambulance Services. Current licensure as a Registered Nurse in one or more of the 50 states or D.C. Ability to keep sensitive and confidential material private. Must have no adverse actions pending or taken against him/her by any State or Federal licensing board or program and must have no conflict of interest (COI). Must have and maintain a valid state driver's license for the state of residence. Prior work as a Medicare Contractor Medical Review Nurse or Commercial Insurance Physician Office/Ambulance Services/Laboratory claims reviewer Preferred Education and Experience: Optional - Bilingual (Spanish) - Fluency in reading and understanding Spanish language especially as it relates to medical records is a plus! Physical Requirements: This position requires the ability to perform the below essential functions: Sitting for long periods Standing for long periods Ambulate throughout an office We can recommend jobs specifically for you! Click here to get started.

Experience Level Greater Cincinnati Veterinary Specialists and Urgent Care Wilder, Kentucky Expand Show Other Jobs Job Saved Veterinary Specialist - Internal Medicine and Medical Oncology | Pennsylvania Animal Hospital of Rye Details **Posted:** 09-Dec-24 **Location:** Marysville, Pennsylvania **Type:** Full Time **Categories:** Private Practice **Occupation:** Veterinarian **Species:** Canine Feline **Required Education:** DVM or equivalent **Internal Number:** AH Rye **Qualifications** * Internal Medicine or Oncology board-qualified/board-certified veterinarian. * Third-year residents are welcome to apply. **Benefits** * We offer competitive salary medical benefits (including health dental and vision) 401(k) employee assistance program (EAP) CE allowance vacation dues liability coverage mentorship and so much more * Competitive salary and compensation package not based on production for qualified applicants. **Full Description** Animal Hospital of Rye is seeking a board-certified or residency-trained Internist or Oncologist to join our team. Third-year residents are encouraged to apply. This is a unique opportunity to join an established small animal internal medicine and oncology-focused practice. This position would work alongside our current internal medicine residency-trained Chief of Staff, a generalist with advanced medical and soft tissue surgical skills and a third associate primarily practicing orthopedic surgery. **We offer a more personal setting with a tailored approach to meet the needs of both our clients and employees in contrast to the larger specialty centers:** * Work/life balance with a 4-day schedule (Monday-Thursday) * **No on-call hours no overnight hours and no weekends** * Electronic medical records allow for additional possibility of remote/work from home days * Caseload approximately 50% internal medicine and 50% oncology appointments for initial visits with a higher percent of oncology follow-up appointments due to chemotherapy treatments * Flexibility to adjust appointment types based on candidate's interests and comfort level including option to see GP appointments if desired * Highly skilled support staff with a 3:1 technician to doctor ratio * Well-equipped facility including endoscopy GE S7 ultrasound digital x-ray 16 slice CT scanner in-house and Antech lab services and on-site rehabilitation facility that includes an underwater treadmill * Close working relationship with several specialty centers for additional services when needed and coverage for after-hours emergencies by a local 24-hour ER * Competitive Sign on Bonus Marysville is located along the Susquehanna River and is bordered by the Appalachian Mountains to the north and south. It is 1.5 hours from Philadelphia and Baltimore and 3.5 hours to NYC and shore points. Outdoor activities include rafting, kayaking, paddle boarding, excellent hiking trails including the Appalachian trail cycling, and proximity to skiing and snowboarding. We allow for ample time off to enjoy all that south-central Pennsylvania has to offer with no on-call or overnight hours, no weekends or holidays and a generous PTO package. This position offers a very competitive salary medical benefits (including health dental and vision) 401(k) employee assistance program (EAP) CE allowance vacation dues liability coverage mentorship and so much more. About Animal Hospital of Rye Established in 1997, Vetcor is a fast-growing network of community-centric veterinary hospitals supporting over 850 practices across the US and Canada. Vetcor is an organization devoted to active learning and elevating wellbeing, in fact, employee experience is at the heart of what we do. Joining Team Vetcor means you are part of a stable, larger network that provides well-rounded employee health and wellness benefits and employee engagement programs, including mentorship and collaboration circles. With paid vacation, career development support, and wellness initiatives, our team members follow their passion for pet care without sacrificing their work-life balance. Join an unmatched community and network where employees feel welcome and play a key part in making a difference. *****************************************************************************************************************

Full-time Description General Job Summary: Promotes the OrthoCincy mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for all aspects of patient refunds and insurance reimbursement requests. **Option to work from home after training period is complete. Essential Job Functions: The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. Manages multiple work queues within the Credit Work Queue. Generate refund requests with the appropriate the documentation attached to support the refund. Post refunds within the practice management system and ensure accounts are balanced. Appropriate record keeping and management of documentation to support the refunds. Assist with self-pay patients, payment arrangement and online services. Collaborates with manager, coordinator, and director to report trends to ensure proper credit balance resolution. Experience with variety of billing issues involving payers (Medicare, Medicaid, private insurance, worker's compensation) including forms, coding compliance and reimbursement guidelines. Thorough knowledge of medical terminology, managed care financial agreements; CPT, HCPCS, and ICD-10 codes. Handle billing calls and answer incoming calls as needed. Demonstrates superior interpersonal relationship skills necessary for developing and maintaining positive professional relationships with patients, peers, providers, clinical departments, the management team, and payer organizations through telephone, electronic and written correspondence. Ensure compliance with all guidelines set by government programs, and OrthoCincy policies, such as federal regulations, HIPPA, and the No Surprises Act. Takes initiative in performing additional tasks that may be necessary or in the best interest of the practice. Requirements Education/Experience: High School Diploma or equivalent. Associate's Degree in Coding/Billing or minimum of two years medical billing experience is preferred. EPIC experience is preferred. Medical billing experience with an understanding of HCPCS, ICD-10 and medical terminology is preferred. Other Requirements: Must be customer service oriented with a team environment focus. Schedules may change as department needs change, including overtime and weekends. Performance Requirements: Knowledge: Knowledge and application of OrthoCincy's Mission, Vision and Values. Medical billing terminology required. CPT and ICD-10 coding knowledge preferred. Knowledge of medical billing/collection practices. Knowledge of medical terminology and anatomy. Knowledge of insurance filing and payment posting techniques. Knowledge of basic medical coding and third-party operating procedures and practices. Knowledge of electronic health records and practice management systems. Knowledge of current professional billing and reimbursement procedures preferred. Skills: Skilled in attention to detail. Skilled in organizing. Skilled in grammar, spelling, and punctuation. Skilled in communicating effectively with providers, staff, patients and vendors. Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages. Abilities: Ability to read and interpret Explanation of Benefits and patient account ledgers. Ability to problem-solve and the ability to interpret and make decisions based on established guidelines. Ability to work on a team while maintaining positive and professional relationships. Ability to multitask and handle stressful or difficult situations with professionalism. Ability to analyze situations and respond in a calm and professional manner. Equipment Operated: Standard office equipment. Work Environment: Medical office environment. Mental/Physical Requirements: Involves sitting and viewing a computer monitor approximately 90 percent of the day. Must be able to use appropriate body mechanics techniques when making necessary patient transfers and helping patients with walking, etc. Must be able to remain focused and attentive without distractions (i.e. personal devices). Must be able to lift up to 30 pounds.

Since 1996, Surgical Information Systems ("SIS") has been dedicated to providing surgical care providers with the solutions and services they need to deliver improved operational, financial, and clinical outcomes. Focused exclusively on perioperative IT, SIS serves over 2200 facilities across the US and Canada. The SIS product suite is built specifically for the perioperative environment and includes hospital and ASC-focused solutions covering perioperative Electronic Health Records (EHRs), Anesthesia Information Management Systems (AIMS), ASC business management, business intelligence and analytics solutions, and revenue cycle services. SIS has been recognized by Black Book Research for nine consecutive years as the No. 1 ranked ASC Technology Vendor[1]. SIS received the Best in KLAS Award in 2022 and 2023 in the ASC Solutions category for SIS Charts, SIS' EHR solution. SIS has been recognized as one of the Top 100 Healthcare Technology Companies by The Healthcare Technology Report and as a Top Workplace US by Energage for four years in a row (2021-2024). For more information, visit SISFirst.com. SIS, the SIS logo, and Surgical Information Systems are trademarks of Surgical Information Systems, LLC. AmkaiSolutions, AmkaiCharts, AmkaiOffice, and AmkaiAnalytics are trademarks of Amkai LLC. AdvantX, Vision, and SurgiSource are trademarks of Source Medical. Other company and product names may be trademarks of their respective owner. [1]Black Book Research: "Top User-Rated Technology Solutions: Ambulatory Surgical Centers" February 2024, "Top Client/User-Rated Digital Solutions: Ambulatory Surgery Centers" February 2023, "Top Technology Solutions: Ambulatory Surgical Centers" March 2022, "Top Technology Solutions: Ambulatory Surgical Centers" March 2021, "Top Technology Solutions: Ambulatory Surgical Centers" February 2020, "Top Technology Solutions: Ambulatory Surgical Centers" April 2019, "Top Ambulatory Electronic Health Records Solutions: Ambulatory Surgical Centers" April 2018, "Top Electronic Medical Records/Electronic Health Records Vendors" April 2017, & "Top Ambulatory Electronic Health Records Vendors Comparative Performance Result Set of Top EHR Vendors," May 2016. THIS IS A REMOTE POSITION SUMMARY: The Self Pay Specialist is responsible for collection efforts on Self-Pay Accounts. Will act as the billing office for designated Ambulatory Surgical Centers. Will handle the Accounts Receivable for Clients, generate statements, and contact patients for medical claim payment. ESSENTIAL DUTIES/ RESPONSIBILITIES: * Willing to learn software billing systems * Generates Patient Statements, uploading to statement vendor daily * Places Courtesy Calls to patients regarding outstanding balance(s) * Initiates contact through online solutions; like Text Messaging, dialer, etc… * Creates and Reports to client(s) Monthly Collections List for accounts that require review and approval to send to Collection Agency and/or written off to bad debt * Researches and explains patient financial responsibility, according to Explanation of Benefits and Facilities Self Pay policy guidelines * Handles all inbound calls from patients and clients regarding Self Pay Accounts Receivable * Researches and Documents all patient contact (inbound or outbound) in clients software system, which includes clear and detailed description of action taken, next step and expected resolution date * Monitors and resolves all Self Pay Accounts Receivable upon Self Pay entry or transfer date from Insurance; Follow up at least once every 30 days with more frequent follow up as necessary * Credit card payments processed to center in a timely fashion * Collaborates cross-functionally within the team, to accomplish adjustment requests, insurance research, etc… * Other duties as assigned * Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time SPECIFIC KNOWLEDGE & SKILLS REQUIRED: * Healthcare billing experience required * Healthcare patient collections/customer service experience preferred * Knowledge of CPT, HCPCS, ICD-9/10 codes is a plus * Knowledge of how to read and understand an Explanation of Benefits is a plus * Knowledge of computers and Windows-driven software, Microsoft Excel required * Ability to solve problems and everyday tasks with critical thinking * Excellent command of written and spoken English * Knowledge of Billing Software System - AdvantX, Vision, SurgiSource a plus * Cooperative work attitude toward and with co-employees, management, patients, outside contacts * Ability to promote favorable company image with patients, insurance companies, and general public * Must have a minimum of 40Mbps internet download speed to effectively run SIS Systems BENEFITS: * Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance * Vacation/Sick time * 401(k) retirement plan with company match * Paid Holidays * SIS Cares Day * Hybrid or Remote environment depending on the role We believe employees are our greatest asset and we empower them to make a difference in our business. Diversity and inclusion makes us all better. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, protected veteran status, and all other protected statuses Surgical Information Systems is an Equal Opportunity Employer and complies with applicable employment laws. M/F/D/V/SO are encouraged to apply. At this time we are unable to sponsor H1B candidates

Medication Access Specialist page is loaded **Medication Access Specialist** **Medication Access Specialist** locations Richmond, VA time type Full time posted on Posted 30+ Days Ago job requisition id R14875 The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Programs and/or copay cards for patients with high co-pays or those without insurance coverage. This role works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing. The Reimbursement Specialist arranges refills, transfers, and delivery of medications. Updates patient case management system regularly. Ideally, this role is familiar with disease state terminology or willingness to research. This role also works as a Pharmacy Technician when deemed necessary.Licensure, Certification, or Registration Requirements for Hire: Current certification by the Pharmacy Technician Certification Board (PTCB) Current licensure with the Virginia State Board of Pharmacy By virtue of societal trust and security explicitly imparted to pharmacies for the control of drugs, candidate/incumbent must have a clean criminal record (i.e. no felony conviction; no drug or pharmacy related convictions, including misdemeanors); no denial, suspension, revocation, or restriction of registration or licensure by any State Board of Pharmacy Licensure, Certification, or Registration Requirements for continued employment: Current certification by the Pharmacy Technician Certification Board (PTCB) Current licensure with the Virginia State Board of Pharmacy Experience REQUIRED: Minimum of one (1) year previous pharmacy practice experience in a similar setting Minimum of three (3) years prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication Previous work experience using a personal computer and various billing software applications as well as e-mail, spreadsheets, word processing, databases, etc. Experience PREFERRED: N/A Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Associates Degree in Business or related field from an accredited program Independent action(s) required: Identifies equipment problems; various aspects of assisting the pharmacist that don't require a pharmacist's supervision or check. Supervisory responsibilities (if applicable): N/A Additional position requirements: Able to work all shifts, weekends, holidays, emergency coverage Age Specific groups served: N/A Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting less than 20 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change Workday Day (United States of America) EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

* Lafayette, LA, USA * 14-15 per hour Hourly * Hourly * Full Time * *PTO, Sick Days, Medical, Dental, Vision, 401k, Life & Disability Insurance, HSA,* Email Me This Job Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers. **Job Summary:** We're seeking a self-starting, detail-oriented team member to join us as a **full-time** **Medical Canvassing Specialist.** In this position, you'll operate as a medical records detective and researcher and will serve as a liaison between insurance providers and medical facilities, including hospitals, clinics, and pharmacies. **This is an ON-SITE position in our Broussard, LA office. You will be eligible to work REMOTELY after one year of employment.** **Key Responsibilities:** * Contacting medical facilities (via outbound calls) to gather essential patient and treatment information * Documenting findings and information in Ethos' client database * Partnering with colleagues and clients to resolve and guide ongoing insurance claims and fraud investigations **Qualifications:** * **Education:** High School Degree/GED (required). * **Experience:** Previous experience in call center, medical or insurance environment (preferred). * **Skills:** Proficiency with Microsoft Word, Interpersonal Skills, Microsoft Word, Time Management, Organization * **Bonus:** Fluent in Spanish and English **Working Conditions:** This position works in our Broussard, LA office environment where temperatures are constant. Frequent prolonged periods of a stationary position. Constant operation of a computer and other office productivity machinery, such as a calculator, copy machine/printer. Frequent communication via telephone and in person with clients, customers and co-workers. **Job Title:** Medical Canvassing Specialist **Location:** Broussard, LA + Remote Afte 1-Year of Employment **Employment Type:** Full Time, Hourly + Bonus (Non-Exempt) **Pay Range:** $14-$15/hr + $300 sign-on bonus (payable after 90 days) *Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic pr* *otected by law.* You must select a location. You must select an education status answer. You must select a seeking status answer.

The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically. The Reimbursement Specialist carries out benefit investigation and coordinates Patient Assistance Programs and/or copay cards for patients with high co-pays or those without insurance coverage. This role works closely with nursing and physicians in order to obtain required documentation for prior authorization and billing. The Reimbursement Specialist arranges refills, transfers, and delivery of medications. Updates patient case management system regularly. Ideally, this role is familiar with disease state terminology or willingness to research. This role also works as a Pharmacy Technician when deemed necessary.Licensure, Certification, or Registration Requirements for Hire: Current certification by the Pharmacy Technician Certification Board (PTCB) Current licensure with the Virginia State Board of Pharmacy By virtue of societal trust and security explicitly imparted to pharmacies for the control of drugs, candidate/incumbent must have a clean criminal record (i.e. no felony conviction; no drug or pharmacy related convictions, including misdemeanors); no denial, suspension, revocation, or restriction of registration or licensure by any State Board of Pharmacy Licensure, Certification, or Registration Requirements for continued employment: Current certification by the Pharmacy Technician Certification Board (PTCB) Current licensure with the Virginia State Board of Pharmacy Experience REQUIRED: Minimum of one (1) year previous pharmacy practice experience in a similar setting Minimum of three (3) years prior experience with Manufacturers Patient Assistance Programs and prior experience with prescription on-line adjudication Previous work experience using a personal computer and various billing software applications as well as e-mail, spreadsheets, word processing, databases, etc. Experience PREFERRED: N/A Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Associates Degree in Business or related field from an accredited program Independent action(s) required: Identifies equipment problems; various aspects of assisting the pharmacist that don't require a pharmacist's supervision or check. Supervisory responsibilities (if applicable): N/A Additional position requirements: Able to work all shifts, weekends, holidays, emergency coverage Age Specific groups served: N/A Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting less than 20 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change Workday Day (United States of America) EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

As a provider with Riverside Medical Group, you would join a team of providers who are respected leaders and part of our collaborative care delivery team. Our providers care for our patients as if they are those they love. Our core values are built into our provider compact that outlines our dedication to our patients as our first priority. Our providers encourage patient involvement, embrace change, and take ownership in the success of the team and the organization. If that resonates with you, we would like to speak to you. Riverside Medical Group is currently seeking a Full Time Advanced Practice Provider to join our team at Riverside Urology Specialists in Hampton, Virginia. Our commitment is to provide the right care, at the right time to our patients to enhance their well-being and improve their health. Our Riverside Care Difference reflects our commitment to quality, safety, and service. Our team of experienced urological specialists are ready to provide expert, individualized urology care for a better quality of life. We offer a full continuum of urological care, including leading edge diagnostic tools and treatment options such as da Vinci robotic assisted surgery, minimally invasive and advanced laparoscopic surgery, as well as endoscopic stone surgery. Our experienced, board certified urology specialists, coupled with the latest diagnostic techniques, deliver the kind of urology care every patient deserves along with a comprehensive array of services including Bladder Cancer Benign prostate hypertrophy Erectile dysfunction Kidney cancer Kidney stones Low testosterone Infertility Prostate cancer Urinary incontinence Nephrectomy Urogynecology Vasectomy Other specialties and services: ************************************************** Education Nurse Practitioner- Masters in Nursing Nurse Practitioner License Nurse Practitioner certification * For Hospital rounding roles: Nurse Practitioner certification - FNP must have a subspecialties in Urology Physician Assistant - Master Degree Physician Assistant License Required Meet comprehensive and professional standards Have a current, valid state of Virginia medical license or be eligible for one Have a valid DEA controlled substance registration Skills Strong oral and written communication skills Collaborative approach with other physicians and providers Strong interpersonal and written communication skills. Ability to provide guidance to other medical staff The ability to work in a fast-paced environment Qualifications Ability to make independent decisions regarding patient care Experienced in diagnosis and treatment of common medical conditions Basic working knowledge of managed care and Medicare population Pleasant speaking voice and demeanor Excellent communication skills Professional appearance Scope of Practice Orders, performs and interprets diagnostic studies Performs thorough physical examinations and assessments Assessment of health status Formulate patient care plans Performing Pulmonology consultations Provides counseling to patients about their care Prescribe tests and treatments / analyze the tests and treatments Document findings Basic computer skills Other specialties and services: ************************************************** More about Riverside, a great place to work We are one of the area's larger employers, with about 10,000 team members. More than 2,300 have worked here 10 years or more! Riverside has been certified by the Great Place to Work organization since 2017.