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STGi is seeking an Infectious Disease physician to perform medical review work and provide consultation and guidance to the Department of Labor (DOL) for a variety of workers' compensation cases. Each physician will receive work on a case by case basis and will be compensated for their work at an hourly rate for time spent performing the reviews. Estimated hours per month may vary. Work will be performed remotely (outside of DOL facilities) at FOH offices or from the physician's home/office. Physician Requirements: Physicians eligible to perform the work must maintain the following credentials and meet the following requirements specified by DOL and FOH: Current, unrestricted license in any state. American Board of Infectious Disease certification Must have a minimum of two years experience clinical practice. Must have a minimum of 240 hrs. of direct patient care annually Must possess understanding of Federal safety and health regulations, and experience reviewing worker's compensation cases. A broad knowledge of requirements of federal workers compensation is desired. STGi is a workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services and human capital solutions help our clients. Our services and solutions help our clients sustain and enhance their operations to better accomplish their mission. Pay:$226/hr STGi is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service Corps - 67G, 67J Medical CMF - 68A, 68B, 68E, 68F, 68G, 68J, 68Q, 68R, 68S, 68T, 68W, 68X, 68Y

Job DescriptionVecchione, Vecchione & Cano, LLP, is looking for a Workers' Compensation Attorney to join our dynamic and growing practice. For new attorneys, there will be in depth, in office training, then will turn into a fully remote position. The Attorney will be required to handle hearings and depositions, as well as complete writing assignments as needed. The ideal candidate is an initiative-taker with good analytical skills and will actively participate in all aspects of Workers' Compensation cases from start to finish and make virtual appearances before the Workers' Compensation Board. Responsibilities: Day-to-day handling of cases and depositions. Dictating and/or drafting correspondences to clients keeping them apprised of hearings and depositions results. Interactions with Witnesses to include telephone conferences. Guiding clients, when necessary, through the Workers' Compensation process. Qualifications: Law degree from a fully accredited law school. An active member in good standing with the New York State Bar Association. **Pending admission to NYS Bar Association is acceptable. Workers' Compensation knowledge and experience in New York a plus. Strong attention to detail. Strong written and verbal skills. Excellent growth and advancement opportunities. Please provide your resume, and if applicable include **writing sample and **transcripts. Compensation, $75,000-$85,000 - Depends On Experience

This opportunity is tailor-made for an accomplished attorney with extensive experience in workers' compensation defense, demonstrating a proven track record in this specialized area of law. As a partner, you will lead our dedicated team, drive our strategic vision in workers' compensation defense, and maintain the exceptional level of service our clients expect. We are seeking candidates throughout Florida! The Workers' Compensation Defense Partner will play a crucial role in managing, leading, and expanding our firm's workers' compensation defense practice. This position involves overseeing case strategy, litigation, and resolution for our clients, as well as mentoring associates and contributing to the firm's overall growth. The ideal candidate is a self-starter, capable of managing a full caseload remotely while fostering client relationships and pursuing business development opportunities. Qualifications: Must have a minimum of 5 years of practice experience in Workers Compensation Defense. Florida Bar member in good standing Benefits Include: Competitive Salary with Yearly BONUS! Company Paid PPO Health Insurance + Dental & Vision Options Generous Paid Time Off + Floating Holiday and Mental Health Day 401K Retirement with Employer Match Diverse, Equal & Inclusive Work Environment Continued Support & Professional Career Development #Promote

Currently seeking a full-time Workers' Compensation Partner. The successful candidates will be a self-motivated independent thinker with exceptional attention to detail, excellent time management, organizational, and communication skills, with the ability to work as a team member in a high-volume fast paced work environment. Experience with workers' compensation matters is required. J.D. and license to practice law in Illinois required. At least 5 years of experience in the areas of workers' compensation required. 100% remote

Job Title: Locum Neurologist in Columbus, Ohio Join a dedicated healthcare team at a leading inpatient facility in Columbus, Ohio. This opportunity allows you to practice in a well-supported environment with a focus on adult neurology. The position offers flexible coverage starting in May 2025, catering primarily to hospital-based patients with collaborative physician support. Key Responsibilities: Provide comprehensive inpatient neurology services. Manage a maximum of 8 hospital-based patients daily. Conduct outpatient EEG reviews as needed. Participate in collaborative care with a team of 14 neurologists and 3 advanced practice providers. Utilize EPIC for documentation and electronic medical records. Engage in on-call duties and weekend coverage as scheduled. Perform EEG remote monitoring as part of essential job functions. Qualifications: Board Certified in Epilepsy - REQUIRED Valid Ohio medical license - REQUIRED (no exceptions) BLS certification - REQUIRED Clean background with no malpractice history - REQUIRED Availability for specified dates is mandatory for credentialing. Local candidates preferred for easier travel. License and Certification Requirements: Ohio Medical License - REQUIRED Board Certification in Epilepsy - REQUIRED BLS Certification - REQUIRED Covid Vaccination - REQUIRED Columbus, Ohio, is a vibrant city known for its diverse offerings. Enjoy a range of cultural events, parks, and restaurants, making it an ideal location for both work and leisure. Join us in this dynamic city and advance your career in neurology!

Everlywell's mission is to transform lives with modern, diagnostics-driven care, and we believe that the future of healthcare is meeting people where they are. Headquartered in Austin, Texas, Everly Health is the parent company to Everlywell, Everly Health Solutions, Everly Diagnostics, PWN Health, and Natalist. We've set a new standard of people-focused, diagnostic-driven care that puts patients at the center of their own health journey. Our infrastructure guides the full testing experience with the support of a national clinician network that's composed of hundreds of physicians, nurses, genetic counselors, PharmDs, and member care specialists. Our solutions make world-class virtual care more attainable with rigorous clinical protocols and best-in-class science to tackle some of the healthcare industry's biggest problems. We are a digital health company pioneering the next generation of biomarker intelligence-combining technology with human insight to deliver personalized, actionable health answers. We transform complex data into life-changing awareness -seamlessly integrating advanced diagnostics, virtual care, and patient engagement to reshape how and where health happens. Over the past decade, Everlywell has delivered close to 1 billion personalized health results, transforming care for 60 million people and powering hundreds of enterprise partners. PWN Remote Care Services, P.A. (PWN) is a telehealth practice facilitating access to high-quality, diagnostic-driven patient care. PWN is part of a provider network affiliated with Everly Health, a leading remote-based healthcare company. At PWN our mission is to enable access to diagnostic testing, treatment, and professional guidance that empowers individuals to improve their health. Our suite of services enables a broad spectrum of health industry clients to provide seamless access to diagnostic testing and related care interventions. We are a 50-state physician, registered nurse, and genetic counselor network with a strong care coordination and patient support team and technology infrastructure. We are looking for a board-certified physician licensed in all 50 states and Washington DC, who is passionate about expanding access to care by providing focused telehealth consultations to our patients.Specific Needs: The physician will use their expertise and clinical judgment to provide telehealth sessions to patients via phone and/or video for prescriptive and/or informational sessions. The physician will adhere to the required state telemedicine regulatory guidelines. The physician will use their expertise and clinical judgment to conduct comprehensive health assessments on patients as they deem appropriate. The physician will use their expertise and clinical judgment to develop and implement treatment plans as they deem appropriate. The physician will use their expertise and clinical judgment to educate patients and their families on health promotion, disease prevention, and self-care techniques. Position Credential Requirements: Medical licensure is in good standing in all active states. Board Certified in internal medicine or family medicine. Must be a physician in good standing in their medical practice (if applicable). Physician must be enrolled and in good standing with Medicaid in the states in which the physician is physically located, multiple medicaid state enrollments a plus. Physician must be enrolled and in good standing with Medicare. Must be in compliance with HIPAA regulations and our privacy policies. Participating providers must be board certified by an ABMS-recognized board. Exceptional webside manner and ability to deliver high-quality patient care. Ability to provide result interpretation, in addition to education, information and guidance on appropriate next steps in their care. 1+ year of telehealth experience. Must be tech savvy. Able and willing to learn/adjust to changes in protocols and/or workflows Medical Specialities: Internal Medicine Family Medicine Benefits: Flexible schedule Professional Liability Insurance Standard shift: Day shift between the hours of 8:00am-8:00pm for a minimum of 16 hours a week. Work Setting: Remote Telehealth

Associate Underwriter - Excess Workers Compensation | 100% Remote (WFH) Opportunity Responsible for underwriting new and renewal Excess Workers Compensation accounts for agents and producers assigned within their territory in compliance with company underwriting, pricing and letters of authority. Essential Duties and Responsibilities Underwrite and retain new and renewal business through solid risk analysis, pricing with adherence to state filings, corporate guidelines, and delegated authority. Compile and document underwriting decisions and make referrals to management when appropriate including rational and recommendations. Basic product line and industry knowledge. Awareness of changes/trends in the local and national markets. Collaborate with Sales Team to develop and maintain strong agency relationships with shared accountability in meeting territory goals. Keep leadership, peers and sales team informed of all issues and meaningful activities. Work with general supervision to meet commitments/deadlines. Act with a customer-first mindset and a sense of urgency. Participate and engage in tactical and strategic business planning with Sales and distribution partners. Provide thorough and pertinent information and guidance to Underwriting Services staff required to process coverage requests in accordance with service guidelines and standards/SLA's Provides professional, timely and courteous communication and service to internal and external customers to resolve issues. Focus on exceptional customer service, collaboration with the Sales team, the development of strong agency relationships. Excess WC Agent Relationships: Demonstrates a high level of responsiveness and focuses on supporting Agent's objectives. Establishes, develops, and maintains successful relationships with Agents. Develop strong personal brand to build and maintain a long-term quality pipeline with Agents. Portfolio Management: Assists leadership in managing a sizable book of business by analyzing the portfolio, identifying areas of opportunity for improved growth, profit and diversification, and executing marketing plans to increase market share by stewardship visitation and collaboration with sales at the various offices. A Specialty Associate Underwriter develops knowledge and independent judgement to determine the eligibility of risks when compared to guidelines of programs available. Examines and evaluates documents such as applications forms, supplemental applications, loss control reports, product brochures and financial reports etc to determine degree of risk and acceptability of application for insurance. Develop expertise including education, on-the-job experience, training, and qualifications that make up the know-how in the specialty space with industries and risk types that are not generally within the insurers normal risk profile. Application of underwriting methodologies to support coverage terms / conditions to profitably take risks that do not fit within our core profile and provide solutions and insight for these niche markets. Responsibility for keeping up to date with trends that will impact risk and eligibility in the program space. Requirements Ability to read and interpret documents such as instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to calculate figures and amounts such as discounts, interest, and percentages. Ability to apply problem solving skills involving variable and standard situations. Excellent communication skills including written, verbal, telephone, and virtual meetings Excellent organizational and time management skills. Excellent negotiation skills. Demonstrated proficiency with Microsoft Office Product Suite. Proficiency with pivot tables in excel Foundational knowledge of accounting and finance Knowledge of basic actuarial concepts Education Associate's degree or equivalent from two-year College or technical school, or six months to three years equivalent business experience, or equivalent combination of education and experience. Work Environment: Remote: This role is a remote (work from home (WFH)) opportunity, and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary Range: $48,000 - $65,000 and a comprehensive benefits package, please follow the link to our benefits page for details! ********************************************************* About EMPLOYERS As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #LI-Remote

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills, curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change agents like yourself that will help us continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. It's our team members who make us an employer of choice and the vibrant company we are today. We strive to make both our internal and external communities better everyday! Learn more about why you want to be here! Be the CEO of Your Territory! As a Business Development Underwriter at ICW Group you are the main point of contact for agents and brokers. Overseeing both underwriting and marketing initiatives ensures you grow to become your agents' business partner. You decide how to go about fostering relationships and building your book of business. You will have the opportunity to establish collaborative relationships with agencies and producers to understand the external marketplace and underwrite within established guidelines. This role will evaluate routine business for risk acceptability, matching price to exposure, loss frequency, and severity for profitability, and rating plans/modifications for renewal retention. This role exists to ensure that the Company's marketing and producer management objectives are met, through the generation and maintenance of a profitable book of business. WHAT YOU WILL DO Drives and manages a profitable and growing book of business. Sells, services, and maintains a producer force that can sell and control a profitable and growing book of business. Monitors production and quality of assigned producers. Drives profitable sale of the Company's products including increasing sales of existing products and introducing new products as they are developed. Develops the assigned producer group to improve the quality and quantity of the business we obtain from assigned producers. Keeps alert to industry changes, including WCIRB/NCCI rulings, forms, and coverage changes. Prospects and develops new business. Prospects and prequalifies new producers to determine working relationship. Appoints new quality producers; sets and monitors production expectations with each Agency. Attains a thorough knowledge of the geographic territory assigned with regard to production sources, competitor activity, and economic and demographic idiosyncrasies. Produces marketing research to help identify opportunities for management, product enhancements, new distribution channels, and new geographic markets with growth potential. Utilizes underwriting authority to effectively price Company's products. Accepts or rejects simple to slightly complex risks, evaluating all risk characteristics (operations, financials, management, employees, prior experience, etc.) as compared to the average in its class and price for profit within Company Underwriting guidelines. Delivers superior customer service through collaborative relationships. Provides productions support through producer visitations and by participating in underwriting and production presentations. Provides personal assistance to agents and insureds through regular visits to outside locations such as producer's offices. Maintains communication with customers through the use of Company technology. Communicates decisions and resolve agent/customer concerns promptly. Presents Agency Management solutions to agency principals and ICW management team. Serves as the primary Company contact and representative with existing and prospective producers. WHAT YOU BRING TO THE ROLE Bachelor's degree from four-year college or university with a major or emphasis in Business, Accounting, Statistics, or related field or equivalent combination of education and experience. Minimum 1 year of related experience and/or training required. Demonstrated ability to service the Company's clients and maintain relationships with production sources. Ability to apply fundamental Underwriting concepts, practices, and procedures in area of specialization. Ability to read and interpret documents such as submissions, loss control reports, and standard policy form/endorsements. Current driver's license required. PHYSICAL REQUIREMENTS Office environment - no specific or unusual physical or environmental demands and employees are regularly required to sit, walk, stand, talk, and hear. Role requires approx. 50% travel to meet with clients, attend industry events, and develop new business opportunities. Travel is usually limited to automobile but occasional air travel is required. Requires regular visits to outside locations such as producer's offices. WORK ENVIRONMENT This position operates in a home office environment and requires the frequent use of a computer, telephone, copier, and other standard office equipment. Ideal candidate will be located in or near New York City or the boroughs. We are currently not offering employment sponsorship for this opportunity. #LI-KK1 #LI-REMOTE The current range for this position is $90,559.93 - $152,723.07 This range is exclusive of fringe benefits and potential bonuses. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work. WHY JOIN ICW GROUP? • Challenging work and the ability to make a difference • You will have a voice and feel a sense of belonging • We offer a competitive benefits package, with generous medical, dental, and vision plans as well as 401K retirement plans and company match • Bonus potential for all positions • Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per year) • 11 paid holidays throughout the calendar year • Want to continue learning? We'll support you 100% ICW Group is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. ICW Group will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law. ___________________ Job Category Underwriting

011250 CCA-Claims This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this time. Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the end-to-end review, analysis, and resolution of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and provider engagement initiatives. This role also provides support in managing provider disputes and escalations requiring detailed pricing and reimbursement validation. Supervision Exercised: No, this position does not have direct reports. Essential Duties & Responsibilities: Analyze MassHealth and Medicare claim reimbursements to ensure compliance with contractual terms, state and federal regulations, and internal payment policies. Resolve provider inquiries and disputes related to pricing discrepancies, contract interpretation, and fee schedule issues. Collaborate closely with Provider Relations, Contracting, Payment Integrity, Appeals & Grievances, and Configuration teams to validate and resolve reimbursement concerns. Conduct retrospective audits to identify systemic payment issues and recommend resolution pathways. Interpret and apply MassHealth fee schedules, All-Payer Rate Setting regulations, and CMS payment methodologies (e.g., DRG, APC, RBRVS). Support provider appeal reviews and internal payment integrity investigations by providing reimbursement validation. Escalate systemic or high-impact discrepancies to the Director of Claims Operations and Quality Assurance for further investigation or configuration updates. Document all research, findings, and outcomes in claims systems (e.g., Salesforce, Facets) in compliance with audit standards and MassHealth requirements. Maintain awareness of MassHealth transmittals, billing guides, and program updates to ensure adherence in payment practices. Ensure SLA compliance for inquiry resolution, appeal response times, and post-payment audits. Assist in the resolution of complex provider disputes and escalations, including direct support to leadership in pricing determinations and dispute case documentation. Working Conditions: Standard office conditions. Required Education (must have): N/A Desired Education (nice to have): Associate's or Bachelor's degree in Health Administration, Finance, or related field preferred. Certified Professional Coder (CPC) - AAPC Certified Claims Professional (CCP) Other AHIMA or Medicaid billing-related certifications Required Experience (must have): 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. Experience with core claims platforms such as Facets, QNXT, or Amisys. Desired Experience (nice to have): Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. Required Knowledge, Skills & Abilities (must have): Proficiency with Excel and reporting tools for data analysis. Understanding of provider contracts, rate tables, and state-set payment methodologies. Strong problem-solving and analytical skills. Effective verbal and written communication with both internal stakeholders and providers. Meticulous attention to detail and documentation standards. Required Language (must have): English Desired Knowledge, Skills, Abilities & Language (nice to have): Knowledge of Facets, MassHealth, and CMS is a plus. Compensation Range/Target: $64,000 - $96,000 Commonwealth Care Alliance takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Locum Physician - Neurology Join a dynamic Neurology practice in Westerville, Ohio, where we are committed to providing high-quality care to our growing patient network. Our facility features four locations, including the newly opening site in Dublin, offering inpatient coverage with a collaborative environment that includes 12 physicians and 4 advanced practice providers. We provide a welcoming atmosphere for both patients and staff, using cutting-edge systems like EPIC for documentation. Job Responsibilities: Provide comprehensive neurology care, including inpatient consultations. Deliver care to an average of 14 adult patients per day. Collaborate with a multidisciplinary team of neurologists and support staff. Participate in varying schedules of 7 on and 7 off (7 a.m. - 7 p.m.) across four Mount Carmel sites. Document patient care using the EPIC system. Qualifications: Board Certified or Board Eligible in Neurology (Board Certified preferred). Valid Ohio medical license (no exceptions, not accepting IMLC). Current BLS/ACLS certification. Excellent communication and interpersonal skills. Clean background with no malpractice (required). License and Certification Requirements: Ohio medical license (required). Board Certification or Eligibility (required). BLS and ACLS certification (required). Westerville, Ohio, offers a vibrant community with a rich history and an array of amenities. Enjoy the beautiful parks, charming downtown shops, and easy access to Columbus, making it a fantastic location for both work and leisure. Experience the perfect balance of professional opportunity and quality living!

Job Opportunity: Remote General Radiologist Join an esteemed healthcare facility in Leesburg, Florida, as a remote General Radiologist. You'll be part of a team dedicated to providing exceptional patient care in a modern practice environment, utilizing advanced technology and a supportive infrastructure. Enjoy the flexibility of remote work while making a significant impact in the field of radiology. Job Responsibilities: Interpret and analyze imaging results across multiple modalities: XR, CT, MR, and US. Handle a diverse case mix, including ER and Neuro cases. Utilize the Epic EMR system for patient documentation. Work with Merge Unity for image management and Moddule for dictation. Meet daily volume expectations of 90-100 cases per 8-hour shift. Qualifications: Board Certification in Radiology (REQUIRED) Active Florida Medical License (REQUIRED) DEA Registration (REQUIRED) Clean malpractice history (REQUIRED) Ability to specify shift preference at time of submission (REQUIRED) License and Certification Requirements: Board Certification in Radiology Active Florida Medical License DEA Registration Clean malpractice history Leesburg, Florida, offers a charming small-town atmosphere with modern amenities and a close-knit community feel. Enjoy beautiful landscapes, local parks, and recreational activities, making it an ideal place to balance work and lifestyle. Discover the welcoming spirit of Leesburg and make it your new home!

Job Opportunity: Locum Physician - Interventional Radiology in Springfield, OH Join our dedicated team at a leading healthcare facility in Springfield, Ohio, offering essential services in Interventional Radiology. This locum position calls for in-person coverage, providing an excellent opportunity to contribute to a vibrant hospital setting that sees an annual ER volume of approximately 80,000 patients. Our practice is well-equipped with advanced technology, including full epic and PACs documentation systems, and features a supportive staff to assist in your daily duties. Job Responsibilities: Provide in-person interventional radiology coverage during assigned shifts. Perform a variety of general community interventional radiology procedures. Address strong biopsy and cancer needs within the community. Collaborate with a fully staffed radiology group consisting of two IR specialists. Maintain a call schedule providing coverage seven days per week. Oversee a daily volume of 15 to 25 procedures. Qualifications: Board Certified in Interventional Radiology - Required BLS and ACLS Certified - Required Valid Ohio Medical License - Required Fellowship in Nuclear or Mammography - Preferred Clean professional files to be considered - Required Proximity to Ohio for travel convenience - Preferred DEA Registration - Required License and Certification Requirements: Board Certification in relevant specialty BLS and ACLS Certification Current and valid Ohio Medical License DEA Registration Springfield, Ohio, is a charming city that combines rich history with modern amenities. Enjoy a vibrant community atmosphere, diverse dining options, and numerous parks and recreational activities. This is an excellent opportunity to enhance your career while experiencing the unique charm of Springfield!

Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world. As a Reimbursement Specialist, you are responsible for policies and protocols related to coding and billing to ensure compliance. You will create, revise and maintain departmental documents for professional and technical charges, assist with the onboarding and monitoring of new physicians and perform various other research duties as needed. This role is critical to the overall functioning and organization of Cleveland Clinic. **A caregiver in this position works days from 7:00AM - 3:30PM. This is a fully remote position.** A caregiver who excels in this role will: + Ensure accountabilities for all services performed and compliance with billing and internal standards is maintained. + Identify opportunities and efficiencies in business office functions and operations. + Manage patient accounts receivable and conducts denial analysis. + Monitor departmental accounts receivable to achieve appropriate reimbursement percentages and maintain financial stability within the department. + Analyze accounts receivable to identify inequities in payment. + Collaborate with CCF contract management for resolution of payment issues. + Conduct revenue-reporting analysis of costs associated with performing examinations and surgical/medical procedures and recommends fee modifications. + Maintain departmental charge master files and perform ongoing reviews of professional and technical charges per compliance guidelines. + Administer responsibilities associated with departmental expansion. + Assist in practice startup, new service lines and affiliate programs to ensure corporate compliance adherence to capture appropriate revenue. + Complete finance accounting and maps revenue of billable services. + Conduct research analysis, IDE compliance and billing follow up. Minimum qualifications for the ideal future caregiver include: + High School Diploma/GED + Computer literacy with Microsoft office products with an emphasis on spreadsheets and word processing applications + Knowledge of medical terminology and anatomy/physiology + Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS-P), Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Associate (CCA) by American Health Information Management Certification (AHIMA) + Four years of extensive CPT and ICD 9 CM coding and medical, billing and reimbursement experience + Understanding of third party and government payer regulations + Experience providing education and trend analysis related to revenue and reimbursement Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: ******************************************** **Physical Requirements:** + Manual dexterity to operate office equipment. + Ability to lift and transport up to 15 pounds. + May require extended periods of standing, walking or sitting. + Good visual acuity through normal or corrected vision. **Personal Protective Equipment:** + Follows Standard Precautions using personal protective equipment as required for procedures. **Pay Range** Minimum hourly: $18.88 Maximum hourly: $28.80 The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.). Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

Castle Biosciences Earns "Top Workplaces USA Award" for Phoenix, Pittsburgh, and Friendswood! You won't find a work culture and benefits package like ours every day. Come join our team and a group of colleagues who love working at Castle! Learn more at ************************* Castle Biosciences Inc. is growing, and we are looking to hire a Reimbursement Specialist (Medical Records Focus) working remotely from your home office based in the USA, with a start date on or before January 15, 2026. Why Castle Biosciences? Total Compensation Package: * Salary Range: $46,000.00 - $47,277.00. Final salary is based on Experience and Education levels. * Excellent Annual Salary + 20% Bonus Potential * 20 Accrued PTO Days Annually * 10 Paid Holidays * 401K with 100% Company Match up to 6% * 3 Health Care Plan Options + Company HSA Contribution * Company Stock Grant Upon Hire * $75/month reimbursement for internet service A DAY IN THE LIFE OF A Reimbursement Specialist (Medical Records Focus) This individual is responsible for resolving insurance claims for laboratory test services that require medical record documentation by requesting records from clinician offices, following up on those requests, and submitting complete medical records to payers based on their requirements, medical policy, or state laws, while providing the highest level of customer service to internal and external customers. This role spends most of its time communicating with ordering clinicians and their staff via phone, fax, and email to obtain the necessary patient medical records, analyzing received records to ensure all required documentation is included, and securing any missing information. Additional responsibilities include preparing medical record cover letters and submitting documentation to demonstrate medical necessity or compliance with medical policy criteria. When needed, this individual creates custom submission letters with arguments that support claim processing according to payer policy, state laws, or Medicare regulations, and contacts patients, physician offices, or sales to gather any remaining required information. REQUIREMENTS * High School Diploma or equivalent, GED, or equivalent work experience. * Two years of health insurance billing with experience in reviewing medical records, extracting key details, and populating custom medical records submissions to payers. * Must have in-depth experience reading and interpreting medical record documents and payer medical policies to ensure the medical documents contain the key "medical necessity" criteria required and meet CMS medical documentation requirements. * Experience handling a high volume of claims work on a daily basis (32 plus claims per day) * Must demonstrate the ability to type 35 WPM with 90% or higher accuracy. TRAVEL REQUIREMENTS * SCHEDULE * Monday - Friday, 8:00 AM to 5:00 PM, non-exempt position, working remotely from your home office based in the USA. READY TO JOIN OUR BIOTECH TEAM? We truly appreciate your time. If this feels like the right opportunity for you, we'd love for you to complete our mobile-friendly application. We're excited to learn more about you and look forward to connecting soon! Castle Biosciences Awards and Research Developments! WORK AUTHORIZATION All candidates must be legally authorized to work in the United States. Currently, Castle Biosciences does not sponsor H-1B visas, OPT, or employment-related visas. ABOUT CASTLE BIOSCIENCES INC. At Castle Biosciences, people are at the heart of everything we do. Our mission is to improve health through innovative tests that guide patient care. We empower patients and clinicians to make more confident, personalized treatment decisions through rigorous science and clinically actionable solutions that help improve disease management and patient outcomes. Our impact starts with our team. Every individual at Castle plays a meaningful role in advancing patient care. We value integrity, trust, and collaboration in all we do and are committed to fostering an environment where people can grow, thrive, and make a lasting impact. Here, your work has purpose, your voice matters, and together, we're shaping the future of precision medicine. Castle Biosciences is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities. If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail ReasonableAccommodationsRequest@castlebiosciences.com. This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response. No third-party recruiters, please

At Three Oaks Hospice we make a steadfast promise to our patients to Listen , Care and Serve as a trusted partner devoted to providing the highest-quality hospice and palliative care and to serve with compassion bringing peace during this season of life. WHY WORK FOR US: Grounded in a collective mission to listen, care and serve, we are committed to building a best-in-class hospice company with a culture focused on patient care, clinical quality and superior service. Outstanding compensation package Medical Insurance after 30 days of employment Dental, Vision and Life and AD&D & Long-term Disability - 100% Company Paid for employee Generous Paid Time Off Comprehensive new hire onboarding with ongoing support Opportunities for advancement Work/Life balance - we practice standardize staffing models and patient ratios We are looking for a passionate Reimbursement Specialist to join our leading team of hospice care professionals and make a difference, by listening, caring, and serving. POSITION SUMMARY : Responsible for the billing and collections for assigned hospice agencies within the company. Additionally, this position will be instrumental in analyzing and following up on billed medical claims to determine the appropriate course of action to resolve the claims in accordance with state and federal guidelines. QUALIFICATIONS: High school diploma or equivalent is required; Undergraduate degree is preferred Two years medical billing experience; physician practice billing experience is a plus Understanding and knowledge of requirements of Medicare, Medicaid, and Insurance billing Experience verifying benefits through various insurance systems Ability to read and understand claims to effectively review and process billing requirements Ability to exercise discretion and independent judgment Excellent oral and written communication skills Ability to work with high volume of work while maintaining attention to detail Computer proficiency in MS Office and Web enabled applications

At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. Managing Director - Disputes, Compliance, & Investigations Consulting General Purpose: Primary role will be to manage a variety of engagements within the Disputes, Compliance, and Investigations group. Managing Directors provide value-added consulting services to clients by expanding existing relationships, cultivating new relationships, and providing excellent product delivery. Assignments primarily consist of overseeing the completion of various types of economic damages calculations and/or related financial analyses in litigation as well as fraud and forensic matters including but not limited to, forensic investigations, intellectual property disputes, and economic damages in complex commercial litigation and other types of business disputes. Major Duties & Responsibilities: Responsible for creating successful revenue streams through clients and referrals. The candidate will also be responsible for identifying potential clients and building and maintaining new and existing relationships. It is also important for the candidate to have knowledge of the firm's product offerings Provide subject matter expertise to clients and oversee and lead engagements ensuring all needs of the client are met Set a strategic direction for determining appropriate marketing activities as well as attending marketing/business development activities with clients/potential clients Have a high level of involvement in setting the group's vision and strategic focus as well as being involved in overall budget to achieve financial goals/objectives of group Provide guidance and training to group members, both technically and professionally Knowledge, Skills & Abilities: Proven management and leadership skills in heading up a practice group. Ability to generate leads for new work and also close work when leads are provided. Excellent client-management skills Critical and logical thinking abilities Excellent communication skills, both verbal and written Creative problem-solving skills Ability to critically analyze financial statements and other financial documents Ability to critique alternative arguments/opinions Ability to work with changing client-imposed deadlines High degree of professional ethics, integrity and gravitas - will live the Stout core values Education and/or Training: Minimum of 10 years of relevant experience in valuation, corporate finance, or consulting 4-year degree, advanced degree a plus Designations welcome (CPA, CFA, ASA, CMA, CIRA, CTP, CFE) Education and/or Training: Minimum of 8-10 years consulting experience in the accounting, finance or economics areas. Experience at a professional services firm preferred. 4-year degree, advanced degree a plus Designations welcome (CPA, CFA, ASA, CMA, CIRA, CTP, CFE) COVID-19: (if vaccination required / gov contract) This position is expected to work on or in connection with a federal government contract. The Covid-19 Vaccination is required, subject to applicable state and federal law. The company will provide accommodations as required by law for medical and religious-based reasons. (if non-gov contract) To enter Stout offices, Covid-19 Vaccinations are required, subject to applicable state and federal law. The company will provide accommodations as required by law for medical and religious-based reasons. Work Location: For jobs posted in Colorado (looking to have a hire sit in CO office): The anticipated salary range for this position is between $XX,XXX and $XX,XXX depending on prior work and industry experience, education level, and unique skills. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - ***************************************** For positions where work location is flexible (can work out of any Stout office): Work location is flexible if approved by the company except that position may not be performed remotely from Colorado. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity, national origin, physical or mental disability, protected genetic information, protected veteran status or any other characteristic protected by applicable local, state or federal law. Why Stout? Our goal is to provide a comprehensive Total Rewards program that includes competitive compensation, benefits & wellness programs that allows employees to choose what's most important to them at any life stage. At Stout, we are committed to the personal and professional development of our employees while fostering a diverse and inclusive environment. Stout Culture: We honor the fundamental value and dignity of all individuals. We are committed to representing and including the unique experiences, perspectives, and backgrounds of our people, partners, and the communities we serve. Our core values embrace a culture of inclusion and the equitable treatment of all team members, starting with Stout's leadership and spreading across the organization. We strive to recruit, develop, and retain individuals with an array of talents, ideas, and experiences that propel the entrepreneurial spirit and exceptionalism that drive our success. To learn more about our commitment to diversity, equity, and inclusion, click here. Professional Development: To foster employee development we offer ongoing training and learning opportunities, employee resources groups, mentorship programming, and professional designation reimbursement. We believe in timely and proactive performance excellence, ongoing 360 feedback, clear performance expectations at each level, and quarterly check-ins with your manager ensure you are supported and growing your career. Stout Benefits : Stout offers a variety of benefits to meet the ever-changing needs of our employees throughout their career at Stout. View our Benefits page to see what this can look like for you. Flexible Work Schedules: Work-life balance is important to us and we want our employees to have balanced lives, which is why we have a discretionary time off policy for all salaried exempt employees. This gives you the ability to take time off as appropriate. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, creed, religion, sex (including pregnancy), sexual orientation, gender identity, national origin, physical or mental disability, age, protected genetic information, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout values a diverse workforce and strongly encourages women, people of color, members of the LGBTQ+ communities, veterans, people with disabilities and members of other underrepresented communities to apply . Interested in joining a rapidly growing group of bright, ambitious professionals in a work environment that values culture, diversity, and personal growth? Stout might just be the right place for you.

Provides expertise with accuracy of diagnosis and procedure coding as aligned to applicable code sets (ICD10CM, ICD10PCS, CPT, etc.) and industry guidance. Ensures timely awareness with pertinent annual or other industry coding/reimbursement updates. Promotes quality coding while serving as a daily internal resource to hospital Coding and CDI teams, and more. Regularly assesses and monitors coding practices to provide education and recommendations ensuring best coding accuracy, adherence to industry coding convention and all pertinent guidelines. Supports hospital coding team orientation and onboarding quality assessment processes or with those team members migrating to a new type/specialty coding. Supports success among broader BMHCC partnered initiatives with Quality and physician leadership, Patient Financial Services, Registration, Revenue Integrity, Clinical Documentation Integrity (CDI), Internal Audit, Compliance and Revenue Cycle/Finance, among others. Actively supports all coding quality program initiatives and related activities. This position requires extensive subject matter expertise across ICD10-CM, ICD10-PCS and CPT code sets, including all applicable industry guidelines and rules (ICD10-CM/PCS Official Guidelines for Coding & Reporting, AHA quarterly Coding Clinic publications, CMS National Correct Coding Initiative (CCI) and Local and National Coding Determinations (LCD/NCD) for reimbursement impact, and more). Performs other duties as assigned. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES FOR THIS POSITION Serves as subject matter expert (SME) for correct code assignment supporting BMHCC hospital coding, determining code assignment accuracy based on patient record documentation; and related quality, reimbursement, and other risk exposure impact. Assesses individual Coding Specialist skills proficiency for ICD10CM, ICD10PCS and/or CPT code assignment accuracy; compiles and reports findings. Facilitates new Coding Specialist onboarding and initial quality reviews in partnership with hospital coding operations leadership to assess, educate/train and ensure code assignment accuracy prior to new hire release to code independently. Facilitates existing Coding Specialist cross training to other specialties/types in partnership with hospital coding operations leadership; assesses, educates/trains and ensures code assignment accuracy with a newly trained specialty/type prior to releasing the coder to code independently. Collaborates regularly with coding operations teams, Clinical Documentation Improvement (CDI), Quality, physician leadership, Compliance, fellow Revenue Cycle and other department teams impacted by coding accuracy to best support BMHCC outcomes (national rankings, quality metrics or penalties, reimbursement, etc.). Provides ongoing research, analysis, and updates as needed among new regulatory or industry coding/reimbursement developments. Completes performance goals and others as indicated with designated project work among target/challenge metrics. Performs other duties as assigned. Education Associate's Degree Health Information Management or related field Required* Bachelor's Degree Health Information Management or related field Preferred Experience 3 years of relevant experience Professional experience in acute healthcare coding industry role Required Skills, knowledge, and abilities acquired through career experience including use of electronic health records, encoder and abstracting software, production coding and/or reviewing records for coding accuracy; compiling and communicating record review findings, and; educating/teaching. Required Proficiency coding inpatient and outpatient (ancillary, emergency department, day surgery, observation, etc.) records utilizing ICD10CM, ICD10PCS and CPT coding. Required One-year or more internal experience Served among BMHCC hospital coding operations team as Coding Specialist, Trainer, Lead, etc .Preferred Licenses and Certifications (active/current/valid/verified) Licenses/Certifications Licensure/Certification Host Entity Req/Pref And/Or Other Coding Specialist (CCS) American Health Information Management Association (AHIMA) Required And/Or *May consider CCS with relevant experience in lieu of Associate's Degree Registered Health Information Administrator (RHIA) American Health Information Management Association (AHIMA) Required And/Or Registered Health Information Technician (RHIT) American Health Information Management Association (AHIMA) Required

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today! Job DetailsJob Description Please note: Interested candidates must live within a reasonable commuting distance of a major airport in the listed location and be able to travel up to 80% within a territory that includes but may not be limited to Texas. Field Reimbursement Specialists(FRSs) are responsible for providing field support for patient access to client's specified products through interaction with the client's patient support program and provider customers. FRSs provide their expertise and advanced skills to resolve complex patient access and provider reimbursement issues and to provide educational services across a variety of healthcare provider sites of care. FRSs work directly with the provider and their office support staff and commonly interact with other reimbursement and patient support services provided by clients. Play a vital role in helping patients gain access to life changing therapies! From oral medications to biosimilars to critical cancer treatments, our associates, with their passion for patients, represent these therapies providing education, coverage, and access solutions to healthcare personnel. FRSs will plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client's product. The FRS will manage daily activities that support appropriate patient access to our client's products in the provider offices and work as a liaison to other patient assistance and reimbursement support services offered by our clients. Our teams travel weekly, which could include overnight, to healthcare offices within a designated territory, using their knowledge of coverage, patient assistance, and health policy to educate office staff and break through access issues to ultimately help patients. As an FRS, a typical day might include: Educate provider office staff and practice managers on logistics needed to support client product, including infrastructure needed to support in-office administration including buy and bill and monitoring of product, and important coverage and payer policy changes within assigned territories. Educate provider office staff with understanding the payers' coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes. Probe to understand office processes and ability to discern root causes of access or reimbursement issues Deliver interactive educational presentations at various provider sites of service Provide information on relevant reimbursement topics related to our client's products based on client's approval Performs other related duties as assigned. Skills and Abilities: Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners. Understands the dynamics of Specialty Pharmacy vs. Specialty Distribution Broad understanding of the physician buy-and-bill model vs. assignment of benefits to alternate sites of care. Experience in revenue cycle, buy and bill (including billing with miscellaneous J-code), formulary, benefit investigations, prior authorization, coding, and appeals processes Deep understanding of medical and pharmacy benefits/policies. Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory that includes but may not be limited to Texas. Education and Experience: High School Diploma/GED required. Bachelor's degree or specific Practice Management experience preferred. Project management skills Experience with extensive travel Candidates must possess a Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment. What Cencora offers We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit ************************************** Full time Equal Employment Opportunity Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law. The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call ************ or email ****************. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned Affiliated CompaniesAffiliated Companies: Cencora Patient Services, LLC

at SBM Management SBM Management is searching for a Recycle Technician!The Recycle Technician will keep assigned recycle and reuse material areas clean and in an orderly condition.Responsibilities Collect, salvage, and sort reusable or recyclable materials or waste materials such as: Paper, Carboard, Packing Materials, Scrap Metal, Glass ETC. Use Equipment such as: Compactors, Vertical Balers, Forklift, Tuggers, Shredders, ETC. Work with rojaks, gaylords, iotas, gondolas and other collection containers. Inspects materials and sort items or materials according to type, size, condition, coloring, marking, or other characteristics. Weighs materials and containers and keeps records of total amount of waste collected Sweep and pick up trash from around dumpsters, utility courtyards, and fence lines. Monitor hazardous waste collection areas or handle hazardous waste occasionally (less than 33% of day). Qualifications Appearance - Wear the SBM standard uniform and have good hygiene. Attitude - Having a positive, friendly approachable demeanor. Be respectful and make eye contact. Responsiveness - Responding positively to requests in a timely manner. Take initiative and pride in your work. Equipment & Closets - Maintaining your equipment and closest with organization and care. Six months to one year recycling in a company environment or equivalent experience and/or training. Prefer H.S. diploma or GED or equivalent combination of training and experience. Completed all safety and task training certifications Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to speak effectively to customers, co-workers, contactors, and team members. Compensation: $15.50-$16.50Shift:6:00am-4:30pm Sun-Wed 6:00pm-4:30am Sun-Wed6:00pm-4:30am Wed-Sat SBM Management Services, LP and its affiliates are proud to be equal opportunity workplaces. We are committed to equal employment opportunity regardless of race, sex, color, ancestry, religion, national origin, sexual orientation, citizenship, age, marital status, disability, gender identity, Veteran status, or other legally protected status.