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  • Remote Sales Manager (FIBC Bags) - $65K to $125K, Dallas, TX

    Private Practice 4.2company rating

    Dallas, TX jobs

    Remote Sales Manager (FIBC Bags $65K to $125K Dallas, TX About the Role: Are you a results-driven Sales Manager with a passion for driving business growth? We're looking for a motivated, experienced individual to lead our sales efforts in the FIBC bags sector. If you have a strong background in manufacturing or packaging sales and want to be part of a company that values strategic thinking and customer relationships, this role is for you. *Key Responsibilities: - Develop and implement targeted sales strategies to grow our footprint in the U.S. market. - Actively identify new business opportunities and cultivate relationships with potential clients. - Maintain and expand relationships with key customers, ensuring their needs are met and business is retained. - Work closely with the marketing team to create compelling sales campaigns that resonate with our target audience. - Stay ahead of market trends, adapting strategies to outpace competitors. - Generate detailed sales reports and forecasts to keep senior management informed of progress. - Lead and support a team of sales professionals, fostering a collaborative and high-performance culture. - Negotiate contracts, secure deals, and meet sales quotas. - Monitor and manage the sales budget to ensure profitability and efficiency. *What We're Looking For: - Proven success in sales within the manufacturing or packaging industries, with a preference for FIBC bag experience. - Strong closing and negotiation skills. - Excellent communication skills, both verbal and written, with the ability to build strong client relationships. - Expertise in developing and executing sales plans that deliver measurable results. - Experience with CRM systems and sales tracking software. - Leadership experience with a track record of coaching teams to success. - Deep understanding of the U.S. market, including regional nuances. - Ability and willingness to travel up to 50%. *Qualifications: - Bachelor's degree in Business, Marketing, or a related field. - 1+ years of experience in CRM software and account management. - 1+ years of negotiation experience in a sales environment. - Strong analytical mindset and business strategy development experience. - Budget management skills and the ability to meet sales targets. - Customer-centric approach with leadership capabilities. *Job Type: - Full-time - Remote *Benefits:* - Competitive salary with performance bonuses - 401(k) plan - Comprehensive health, dental, and vision insurance - Paid time off and flexible scheduling - Cell phone reimbursement - Work-from-home flexibility *Schedule: - Monday to Friday, 8-hour shifts *Location: - Fully remote role based in Dallas, TX, with travel required up to 50%. If you're a strategic thinker with a proven track record in sales and are excited about the opportunity to lead a dynamic sales team, we'd love to hear from you! Apply today to be part of a growing company with a strong vision for the future.
    $65k-125k yearly 60d+ ago
  • Consumer Services Representative

    Ocean Dental 3.3company rating

    Edmond, OK jobs

    We are seeking a customer-focused and detail-oriented Consumer Services Representative to join our team in a fully remote capacity. The ideal candidate will be responsible for assisting customers with inquiries, resolving issues, providing product or service information, and ensuring a positive customer experience across multiple communication channels. Key Responsibilities Respond to customer inquiries via phone, email, chat, or messaging platform. Provide accurate information about products, services, policies, and procedures. Resolve customer issues efficiently while maintaining professionalism and empathy. Document all customer interactions in the CRM system. Process orders, returns, refunds, and account updates as needed. Escalate complex issues to the appropriate department or supervisor. Meet performance metrics such as response time, customer satisfaction, and quality standards. Stay informed about product updates, feature changes, and company policies. Contribute to a positive team environment and suggest process improvements. Qualifications High school diploma or equivalent (Associates or Bachelors degree a plus). Prior customer service experience preferred (call center, retail, hospitality, or similar). Strong written and verbal communication skills. Ability to work independently in a remote environment with minimal supervision. Comfortable using customer support software, CRM systems, and communication tools. Strong problem-solving and multitasking abilities. Reliable high-speed internet and a quiet workspace. Key Skills Customer service & communication Active listening Conflict resolution Multitasking & time management Tech-savviness Attention to detail Empathy & patience Work Environment 100% remote position Flexible or set schedule depending on role Requires consistent internet connection and adequate home office setup Benefits (Optional Section) Health, dental, and vision insurance Paid time off & holidays Retirement savings plan Performance bonuses Remote work stipend Preferred qualifications: Legally authorized to work in the United States 18 years or older
    $24k-28k yearly est. 2d ago
  • Clinical Program Manager RN * Hybrid*

    Providence Health and Services 4.2company rating

    Wolfforth, TX jobs

    Clinical Program Manager RN Hybrid. Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply. In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Bachelor's Degree: Nursing Master's Degree: Nursing (Practice or Education) 5 years - Nursing experience in an acute care setting. 3 years - Clinical practice development, quality, or education experience. active RN License for WA, OR or TX Preferred Qualifications: Ph.D.: Nursing or DNP (Doctor of Nursing Practice) Salary Range by Location: Oregon: Portland Service Area: Min: $59.39, Max: $93.75 Texas: Min: $45.30, Max: $71.51 Washington: Eastern: Min: $52.85, Max: $83.42 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 403508 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4007 SS CNTRL DIV EDU ADMIN Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Hybrid Pay Range: $see posting - $see posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:Wolfforth, TX-79382
    $46k-77k yearly est. 2d ago
  • Developmental Disabilities Specialist (remote within Oklahoma)

    Liberty Healthcare Corporation 4.0company rating

    Lawton, OK jobs

    * Experience supporting people who are living with intellectual and developmental disabilities * Bachelor's degree in Social Work, Psychology, Special Education, or related healthcare / human services field * Computer proficiency and effective communication skills * Outstanding organizational skills and ability to work autonomously Residency in Oklahoma is required. Since this is a remote / virtual position, you should have a dedicated home office. A computer, office equipment and supplies, and a mobile phone will be provided by Liberty Healthcare. You will be required to attend in-person meetings quarterly. Liberty Healthcare is an equal opportunity employer committed to diversity, equity, and inclusion. Our organization is composed of, and proudly serves, people of diverse backgrounds and abilities. Click "Apply" and submit your resume for immediate consideration.
    $47k-57k yearly est. 30d ago
  • Scheduling Specialist Remote after training

    Radiology Partners 4.3company rating

    Chesterfield, MO jobs

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Activities Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and team members Schedules patient examinations according to existing company policy Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately Ensures all patient data is entered into information systems completely and accurately Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction Maintains an up-to-date and accurate database on all current and potential referring physicians Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only (10%) Insurance Activities Pre-certifies all exams with patient's insurance company as required Verifies insurance for same day add-ons Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Other Tasks and Projects as Assigned
    $33k-39k yearly est. 7h ago
  • Reimbursement, Pre-Billing Specialist (Eligibility) (Remote)

    Castle Biosciences 3.7company rating

    Texas jobs

    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 Pre-Billing Specialist (Eligibility) working remotely from your home office based in the USA, with a start date on or before January 16, 2026. Why Castle Biosciences? Total Compensation Package: * Salary Range: $40,000 - $42,000. 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 Pre-Billing Specialist (Eligibility) This individual will be responsible for assigning medical insurance plans and performing eligibility verification checks on new patient accounts entering the billing system. They will resolve eligibility issues by contacting providers and patients to obtain updated information, and will submit and follow up on assigned prior authorizations. This role will spend the most time assigning medical insurance plans, verifying eligibility, resolving issues, and managing prior authorization submissions and follow-ups. REQUIREMENTS * High school Diploma, GED, or equivalent work experience. * Minimum of two years of health insurance eligibility and prior authorization experience. * Experience collaborating with patients, providers, and insurance plans to complete the pre-billing process. * Experience researching and utilizing payor websites. * Certification in Medical Billing and/or Coding or equivalent experience. * 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
    $40k-42k yearly 1d ago
  • Client Relationship Manager

    Cardinal Health 4.4company rating

    Jefferson City, MO jobs

    Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Together, we can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** + Responsible for regularly reviewing weekly, monthly & quarterly - program activities with the client. + Attend all program and client meetings, takes detailed meeting notes during client interactions and internal strategy sessions, ensuring all key points and decisions are documented. + Monitors all program's activities and IT projects associated with the program + Includes setting due dates and responsible parties + Follows up on action items from meetings, ensuring that responsibilities are clear, and deadlines are met + Regular reporting out of all program's activities + Solicit feedback from the activity/task owners on sub-tasks + Maintain up-to-date activity timeline, articulate progresses and delays + Develops and manages activities timelines to ensure all deliverables are completed on schedule. + Obtain consensus for activities risks, decisions and closures + Coordinates cross-functional teams to ensure alignment and timely completion of tasks related to program activities. + Facilitates communication between internal teams and external clients to ensure all activities objectives are understood and met. + Escalate delayed activities to program's leadership + If activity owners are missing deadlines consistently and/or are unresponsive. + Managing contract amendments and project change requests for the client. + Coordinates customer interactions with internal & external partners to meet the evolving business needs of the client. + Responsible for sharing and presenting current and future program expectations during weekly meetings with client leadership in addition to Quarterly Business Review meetings with client's Access and Marketing teams. + Manages client access to internal applications including client-facing data reports and data streams with 3rd party vendors. + Oversee daily operations and ensure alignment with client expectations and internal standards + Supports audits and regulatory reviews as needed + Ensure financial billing accuracy + Contact healthcare professionals for clarifications and information as needed **_Qualifications_** + Min 5 years related client services experience, preferred + Min 5 years' experience in managing complex program activities with high accountability, preferred + Bachelor's degree preferred + Ability to travel - less than 25% + Proven product knowledge in business area + Licensed pharmacy technician in Texas preferred **_What is expected of you and others at this level_** + Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of program activities. + Own and develop tracking tools to achieve specific program management goals and activities. + Create and participate in recurring business review presentations + Recommends new practices, processes, metrics, or models + Projects may have significant and long-term impact + Provides solutions which may set precedent + Independently determines method for completion of new projects + Receives guidance on overall project objectives + Acts as a mentor to less experienced colleagues **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated salary range:** $80,900.00 - $92,400.00 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 1/19/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $80.9k-92.4k yearly 22d ago
  • Special Ops Client Specialist

    Convatec 4.7company rating

    Oklahoma City, OK jobs

    Collect information and medical documentation to setup new customers of 180 Medical. To provide service support, through inbound and outbound calls, for the Account Management teams for new and existing customers of 180 Medical receiving specialized supplies. Coordinate with manufacturer(s) service information to provide select items as requested by facility and/or customer. Key Responsibilities: Contact customers to set up medical supply orders and follow-up as necessary to maintain seamless service of supplies and world-class service Perform follow up phone calls to customers after an initial shipment is delivered Handle inbound and outbound phone calls from customers regarding orders & service issues Make appropriately detailed notations in Medtrack2, a proprietary database system, as well as provide necessary communication to Teams and Sales regarding customer account status Place orders, make changes or adjustments to upcoming orders in Medtrack2 as needed to support customer supply needs Request and follow-up on necessary documentation from Teams or Facilities as required by a customer's insurance through scanning, faxing or utilization of other electronic communication methods Verify customer accounts are complete and all necessary documentation is in place to ensure a 180 Medical adheres to all compliance guidelines Monitor and respond promptly to email communication with customers, sales reps, and others within the company Support Team Supervisor on special projects All other duties as assigned Qualifications/Education: Must have a high school diploma; college degree preferred, not required. Six months to one-year related customer service experience and/or training; or equivalent combination of education and experience. Typing: 35-40 wpm with 40 (adjusted) highly recommended Effective written and verbal communication skills with attention to detail Ability to reason, problem solve and think outside the box Clear reasoning on prioritizing multiple tasks and satisfactory organizational skills Flexible and adaptable to change in environment and industry Work with integrity, upholding organizational values and Code of Ethics Meet productivity standards and complete work in a timely manner Sales experience preferred Proficient in Microsoft Office programs Collaborate well with others while being relied upon to work independently with applicable direction Physical Demands Regularly required to sit, stand, walk, and occasionally bend and move about the facility when in-office. Infrequent light physical effort required. Occasional lifting up to 10 lbs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position. Working Conditions Work performed in an office environment, Special Factors This role can be performed remotely. Beware of scams online or from individuals claiming to represent Convatec A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address. If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************. Equal opportunities Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law. Notice to Agency and Search Firm Representatives Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you. Already a Convatec employee? If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!
    $26k-33k yearly est. Auto-Apply 60d+ ago
  • Revenue Integrity Director- Remote

    Conifer Health Solutions 4.7company rating

    Frisco, TX jobs

    The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master (“CDM”) and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions Demonstrated critical-thinking skills with proven ability to make sound decisions Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely Ability to manage multiple projects/initiatives simultaneously, including resourcing Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels Ability to effectively and professionally motivate team members and peers to meet goals Advanced knowledge of external and internal drivers affecting the entire revenue cycle Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree Minimum of five years healthcare-related experience required Extensive experience as Revenue Integrity manager Extensive knowledge of laws and regulations pertaining to healthcare industry required Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. Must frequently lift and/or move up to 25 pounds Specific vision abilities required by this job include close vision Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Normal corporate office environment TRAVEL Approximately 10 - 25% Compensation and Benefit Information Compensation Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, life, and business travel insurance Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. 401k with up to 6% employer match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
    $104.6k-157k yearly Auto-Apply 56d ago
  • Healthcare Disability Specialist - Fully Remote!

    Centauri Health Solutions 4.6company rating

    Texas jobs

    Our company helps hospitals and health plans improve their revenue and deliver community benefits. On their behalf, we help their patients and plan members with low or no income, and those who are aged or disabled, to enroll in government-funded assistance programs. Disability Specialists work in a fast-paced, multi-tasking, contact center environment, managing both inbound and outbound calls. Healthcare Specialists is an entry level position and will handle all submitted Social Security applications from beginning to end while providing claimants with outstanding customer service and support and will work closely with Social Security offices nationwide. The Healthcare Specialist will coordinate appointments, provide resources and materials, and provide medical updates to Disability Determination Services and private institutions. A successful Healthcare Specialist is an empathetic communicator, likes to juggle multiple projects, is detail oriented and, above all, is compassionate. Role Responsibilities: Maintains regular communication with claimants, answers questions regarding the application, services, and benefits and clarifies eligibility data Will manage all inbound and outbound queue calls while staying on top of own tasks Assists in gathering eligibility data, verifications, completed forms and medical records. Manages positive professional relationships with agencies and clients. Submits documents/applications to proper agencies; follows up appropriately with all entities to ensure processing and stays updated on status of claims. Manages all accounts and taking appropriate action to secure eligibility until all methods are exhausted. Secures and submits all necessary signed SSA forms and any missing verifications Contacts providers / secures medical records as needed Is thoughtful and proactive to anticipate and foresee key requirements for all accounts and takes appropriate action to secure eligibility until all methods are exhausted Works with government agencies/physician offices to obtain coverage for clients Maintains positive professional relationship with agencies and clients Understand and agree to role-specific information security access and responsibilities Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies Read, understand, and agree to security policies and complete all annual security and compliance training Role Requirements: 2 years of Customer Service Must be fluent in both Arabic and English (speak, read, write) Excellent communication and interpersonal skills with an ability to clearly communicate and influence Call Center experience and/or De-Escalation experience a plus Experience working with government agencies a plus Experience in Social Services, case management, processing disability/claims evaluation and/or adjudication, and Medicaid/Medicare knowledge a strong plus Strong interpersonal skills and ability to work in a team environment Detail Oriented, Willing to Learn, and Goal Driven Ability to multi-task and manage time appropriately Strong computer skills, proficiency with Microsoft Word, Excel and Outlook, and ability to navigate multiple platforms and screens smoothly
    $44k-72k yearly est. 60d+ ago
  • Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)

    Maximus 4.3company rating

    Kansas City, MO jobs

    Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus. This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area. Key Areas of Responsibility - Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials. - Developing new programs for customer engagement including integrated marketing programs from concept to execution - Drive Maximus Federal solutions and offerings. - Manage digital and social media strategies across the federal market - Build, manage, and coach a high-performing marketing team. - Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports. - Work closely with the growth leaders to align sales and marketing strategies - Maintain brand standards and ensure compliance across all marketing and communications channels. - Build long-term relationships with employees, clients, government officials, and stakeholders. - Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company. - Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement. - Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation. This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions. Qualifications: -15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team. -Previous experience at a corporation focused on the Federal sector. -Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered. -MA degree in Marketing, Communication, or similar relevant field, preferred. -Outstanding communication, presentation, and leadership skills. -In-depth knowledge of the Federal sector. -Critical thinker with problem-solving skills. -Strong interpersonal and communication skills. Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 216,155.00 Maximum Salary $ 292,455.00
    $89k-168k yearly est. Easy Apply 3d ago
  • Centralized Scheduler - Referrals

    St. Francis Medical Center 4.6company rating

    Cape Girardeau, MO jobs

    Current Saint Francis Colleagues - Please click HERE to login and apply. The Centralized Scheduler is responsible for scheduling surgeries, appointments and procedures at the request of physicians and customers. Responsible for transcribing and scanning all orders and H&P's into the electronic medical record. Responsible for maintaining scheduling related work queues. Responsible for "schegistration" of patients, which includes verification of insurance benefits & eligibility. Responsible for initiating medical necessity checking on surgeries, appointments and/or procedures. Assures the specific needs of department, physician and customers are met. Providing assistance and direction to physicians, their staff and other hospital personnel with whatever needs they may have. Maintains the master physician listing for use by the medical center. Working closely with departments on new procedures and requirements to ensure compliance and proper reimbursement. Lives the Mission, Vision, Values and Philosophy of the department and Saint Francis Medical Center. Constantly works with and maintains restricted or confidential information from many sources within the medical center. Any and all duties as assigned by the Assistant Manager, Manager and/or Director. JOB DETAILS AND REQUIREMENTS Type: Full Time (80 hours per 2 week pay period, with benefits) Typical hours for this position: Monday-Friday 8:00am-4:30pm Opportunity for remote work after 6 months on-site training Education: High School Diploma required Certification & Licensures: N/A Experience: - One year of experience in a medical environment which included scheduling duties strongly preferred. - Medical terminology or prior Administrative Partner experience. - Professional and courteous manners in dealing with customers. - Appropriate and timely independent judgement. - Computer experience required. Saint Francis Healthcare System is committed to a compensation philosophy that aligns to the fiftieth percentile of the marketplace, while also crediting applicable and/or relevant work experience when computing compensation offers for selected candidates. Internal equity is factored into all offers presented to candidates. Minimum hourly rate: $15.00/hour A relevant and up to date general benefits description may be found on our website: ************************************** ADDITIONAL INFORMATION Saint Francis Healthcare System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, or genetics. In addition to federal law requirements, Saint Francis Healthcare System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. In compliance with the ADA Amendments Act (ADAAA) should you have a disability and would like to request an accommodation in order to apply for a currently open position with Saint Francis Healthcare System, please call ************ or email us at ***********. Saint Francis Healthcare System supports the overall health and wellness of our colleagues by discouraging the use of tobacco and nicotine products. If you are selected for a career opportunity with our organization, and are a tobacco or nicotine user, you will be required to complete a tobacco/nicotine cessation program within your first year of employment. This program is free of charge as part of our Employee Assistance Program.
    $15 hourly Auto-Apply 25d ago
  • Clinical Program Manager RN * Hybrid*

    Providence Health and Services 4.2company rating

    Slaton, TX jobs

    Clinical Program Manager RN Hybrid. Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply. In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Bachelor's Degree: Nursing Master's Degree: Nursing (Practice or Education) 5 years - Nursing experience in an acute care setting. 3 years - Clinical practice development, quality, or education experience. active RN License for WA, OR or TX Preferred Qualifications: Ph.D.: Nursing or DNP (Doctor of Nursing Practice) Salary Range by Location: Oregon: Portland Service Area: Min: $59.39, Max: $93.75 Texas: Min: $45.30, Max: $71.51 Washington: Eastern: Min: $52.85, Max: $83.42 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 403508 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4007 SS CNTRL DIV EDU ADMIN Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Hybrid Pay Range: $see posting - $see posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:Slaton, TX-79364
    $46k-76k yearly est. 2d ago
  • Pre-Bill Coder Specialist - Inpatient

    Advocate Health and Hospitals Corporation 4.6company rating

    Oklahoma jobs

    Department: 10460 Enterprise Revenue Cycle - Facility Production Coding Admin Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday-Friday, Flexible hours This is a REMOTE Opportunity Pay Range $28.05 - $42.10 Prioritizes and codes and abstracts high dollar charts, day after discharge, as well as interim charts, at regular intervals, with a high degree of accuracy. Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Assigns codes for present on admission, research, Hospital acquired Conditions and Core Measure Indicators for all diagnoses both concurrently and post-discharge. Collaborates with other departments to clarify pre-bill coding documentation issues such for inpatient and outpatient to insure reimbursement and clinical outcomes. Works claim edits for all patient types and may codes consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios. Completes informal peer-review on inpatient and outpatient coders. Tracks and trends quality information from internal and external sources to partner with the educational team on opportunities. Communicates with Medical Staff, CDI, Post -bill for documentation clarification. Utilizes EMR communication tools to track missing documentation on inpatient queries that require follow-up to facilitate coding in a timely fashion. Partners with HIM, Patient Accounts, and Integrity, when needed, to help resolve issues affecting reimbursement and outcomes. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for coding all types of patients. Must be able to use critical decision-making skills to determine when to query to clarify documentation independently for outcomes, reimbursement and benchmarking. License/Registration/Certification: Must have a certification through American Health Information Management Association (AHIMA) or American Academy of professional Coders (AAPC) Education: Two Year associate degree or equivalent work experience Experience: Five to Seven years of inpatient coding experience in an acute care inpatient setting in an Academic Inpatient Care Tertiary Facility Knowledge, Skills & Abilities Required: Advanced proficiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications. Excellent communication (oral and written) and interpersonal skills. Excellent organization, prioritization, and reading comprehension skills. Excellent analytical skills, with a high attention to detail. Ability to work independently and exercise independent judgment and decision making. Ability to meet deadlines while working in a fast-paced environment. Ability to take initiative and work collaboratively with others. Physical Requirements and Working Conditions: Exposed to a normal office environment. Must be able to sit for extended periods of time. Must be able to continuously concentrate. Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #REMOTE #LI-Remote Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $29k-35k yearly est. Auto-Apply 54d ago
  • (Non-Remote) Revenue Cycle Manager

    Asian American Health Coalition 4.0company rating

    Houston, TX jobs

    Job DescriptionDescription: Revenue Cycle Manager REPORTS TO: Chief Financial Officer EDUCATION: Bachelor's degree from four-year college or university, and/ or 5-7 years of experience in lieu of WORK EXPERIENCE: One to two years supervisor experience and/or training; and FQHC experience a plus! SALARY RANGE: DOE FLSA STATUS: Exempt POSITION TYPE: Full-Time LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is preferred HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. **This is not a fully remote position** JOB SUMMARY: As the Revenue Cycle Manager for HOPE Clinic, you focus on partnering with our patients to clearly understand their institutional goals, challenges, organizational structure, and key business drivers. The role of the Revenue Cycle Manager oversees the Billing and Insurance Verification team's daily activities and follows up with teams to drive the overall performance and daily management of multiple assigned providers' schedules. The Revenue Cycle Manager serves as a liaison between the Billing and Insurance Verification team and other HOPE Clinic departments and the patients. MAJOR DUTIES & RESPONSIBILITIES: Manage overall medical billing operations such as ensuring effective flow of demographic changes and payment information, claims accuracy and timely submission, and account reconciliations; Oversee aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements; Track fee schedules and insurance denials to ensure fully allowed reimbursements; Identify and implement strategies to improve internal and patient billing processes; Incorporate and execute quality assurance processes related to ensuring accurate patient billing activities; Review and analyze patient accounts, identify trends and issues, and recommend solutions; Collaborate with other team members to improve/maintain an overall positive work environment for the team; Provide a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues; Collaborate with the front desk, call center, and other departments as needed to resolve any billing/payor issues; Research, compile the necessary documentation, and complete appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary; Prepare, review, and transmit claims using billing software to include electronic and paper claim processing both primary claims and secondary claims; Follow up on unpaid claims within the standard billing cycle timeframe; Collaborate with the billing team when necessary to make coding changes to submit corrected claims or appeals; Stay current with payer trends as to how to submit corrected claims and the payer-specific appeal processes; Analyze root causes of denials; trends and issues: propose solutions and work with the management team to determine the appropriate action to resolve; Identify areas of concern regarding the various areas of the revenue cycle; Share trending and feedback to reduce denials to the CFO and/or Credentialing Coordinator; Hospital billing - identify charges that are billed for hospital visits, update spreadsheets and reports for documentation, and create claims to be billed; Apply insurance and patient payments to the Practice Management system, utilizing ERAs and manual application; Reconcile payments applied to the system to cash received; Answer patient's estimate of benefits or statements, telephone inquiries verifying insurance and benefits within the practice management system; Attend on-site/off-site community engagement activities, clinic events, and/or training as needed; Perform other duties as assigned to support HOPE Clinic's Mission, Vision, and Values. Requirements: QUALIFICATION REQUIREMENTS: 5-7 years of experience with revenue cycles, medical billing, collections, and payment posting; Understand regulatory and compliance requirements associated with submitting claims to payers; Experience with Electronic Medical Records (EMR); Strong communication and interpersonal skills; Expertise with medical and billing terminology; Excellent organization and time management skills; Proficiency in computers, particularly Word and Excel. EDUCATION and/or EXPERIENCE: Bachelor's degree from four-year college or university (desired); Or 5-7 years related experience and/or training; or equivalent combination of education and experience; 1-2 years of supervisory experience; Knowledge of medical billing, front-office, physician practice management, and healthcare business processes; Strong understanding of medical billing/coding, with an understanding of various insurance carriers, including Medicare, private HMOs, and PPOs; Previous FQHC (Federally Qualified Health Center) RCM experience. OTHER SKILLS and ABILITIES: Bilingual (Vietnamese, Chinese, Arabic, and/or Spanish with English) is preferred. Above average skills in language ability as well as public speaking and writing. Must have good transportation and a valid Texas Driver's license.
    $72k-101k yearly est. 29d ago
  • Ostomy Client Specialist

    Convatec 4.7company rating

    Spring, TX jobs

    Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care. With more than 10,000 colleagues, we provide our products and services in around 90 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE:CTEC). To learn more please visit **************************** Position Overview: To provide client service support to the Account Management teams. Collect medical documentation and information to setup new clients of 180 Medical. Key Responsibilities: Contact clients to set up medical supply orders Handle incoming phone calls from clients regarding orders & customer service issues Request Medicare documentation on Medicare clients Contacts HH agencies to coordinate sending supplies Make entries as appropriate in Medtrack an internal Microsoft Access database Place orders in Medtrack Change orders in Medtrack Support Team Supervisor on miscellaneous projects Obtain verbal authorization for supplies from facilities Suspense auditor to obtain Plan of Cares and chart notes when needed Verifying insurance for existing customer insurance changes Performs follow up phone calls to clients after initial shipment Verifies that client files are complete and all necessary documentation is in place All other duties as assigned. Qualifications/Education: Must have a high school diploma, college degree preferred, not required. Six months to one year related experience and/or training; or equivalent combination of education and experience. Typing: 35-40 wpm with 40 (adjusted) highly recommended Possess medical administrative skills Good communication skills with professionals in clinics and hospitals Sales experience preferred Ability to reason, problem solve, and think outside the box Multi-task a variety of issues Good organization skills and can prioritize tasks Proficient in Microsoft Office programs Good attention to detail Reliable/dependable Flexible and adaptable to changes in environment and industry Team Player; work well with others Dimensions: Physical Demands Regularly required to sit, stand, walk, and occasionally bend and move about the facility. Infrequent light physical effort required. Occasional lifting up to 10 lbs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Working Conditions Work performed in an office environment, Special Factors This role can be performed remotely. Beware of scams online or from individuals claiming to represent Convatec A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address. If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************. Equal opportunities Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law. Notice to Agency and Search Firm Representatives Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you. Already a Convatec employee? If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!
    $35k-51k yearly est. Auto-Apply 25d ago
  • Developmental Disabilities Specialist (remote within Oklahoma)

    Liberty Healthcare Corporation 4.0company rating

    Oklahoma City, OK jobs

    Liberty Healthcare operates a program in Oklahoma which serves and supports people who have intellectual and developmental disabilities. This program helps people navigate the application, eligibility determination, and wait list process for publicly funded home and community based services. Program services include: Providing information to people about publicly funded services Educating people about the process for determining their eligibility for services Assisting people to navigate the service application process Assessing people to determine their needs and eligibility for services Communicating with people about the wait period for services Liberty Healthcare is now hiring for a full-time “Waitlist Specialist” position. This position comes with a high level of autonomy. Daily responsibilities include: Meeting by phone and video with people - and their families and caregivers Conducting structured interviews and assessments to determine person-centered needs and eligibility for services and supports Accurately documenting pertinent details of assessments into structured report templates Answering questions related to services, eligibility criteria, and wait periods for services Serving as an ongoing resource for information and updates Independently managing a work schedule to successfully meet individual and program goals Participating in team meetings and training activities As a full-time employee of Liberty Healthcare in this role, you can expect: Starting pay at $22.75 per hour (approximately $47,000 annually) 30 days of paid time off each year for holidays, vacation, sick leave, and personal days Health insurance, dental insurance, vision insurance, disability insurance, and life insurance Health Savings Account, 401k plan, and other perks Full details on Liberty's benefits plan are available at ************************************************ Liberty Healthcare operates a program in Oklahoma which serves and supports people who have intellectual and developmental disabilities. This program helps people navigate the application, eligibility determination, and wait list process for publicly funded home and community based services. Program services include: Providing information to people about publicly funded services Educating people about the process for determining their eligibility for services Assisting people to navigate the service application process Assessing people to determine their needs and eligibility for services Communicating with people about the wait period for services Liberty Healthcare is now hiring for a full-time “Waitlist Specialist” position. This position comes with a high level of autonomy. Daily responsibilities include: Meeting by phone and video with people - and their families and caregivers Conducting structured interviews and assessments to determine person-centered needs and eligibility for services and supports Accurately documenting pertinent details of assessments into structured report templates Answering questions related to services, eligibility criteria, and wait periods for services Serving as an ongoing resource for information and updates Independently managing a work schedule to successfully meet individual and program goals Participating in team meetings and training activities As a full-time employee of Liberty Healthcare in this role, you can expect: Starting pay at $22.75 per hour (approximately $47,000 annually) 30 days of paid time off each year for holidays, vacation, sick leave, and personal days Health insurance, dental insurance, vision insurance, disability insurance, and life insurance Health Savings Account, 401k plan, and other perks Full details on Liberty's benefits plan are available at ************************************************ You are a good fit for this position if you possess the following: Experience supporting people who are living with intellectual and developmental disabilities Bachelor's degree in Social Work, Psychology, Special Education, or related healthcare / human services field Computer proficiency and effective communication skills Outstanding organizational skills and ability to work autonomously Residency in Oklahoma is required. Since this is a remote / virtual position, you should have a dedicated home office. A computer, office equipment and supplies, and a mobile phone will be provided by Liberty Healthcare. You will be required to attend in-person meetings quarterly. Liberty Healthcare is an equal opportunity employer committed to diversity, equity, and inclusion. Our organization is composed of, and proudly serves, people of diverse backgrounds and abilities. Click “Apply” and submit your resume for immediate consideration. Skills & Requirements You are a good fit for this position if you possess the following: Experience supporting people who are living with intellectual and developmental disabilities Bachelor's degree in Social Work, Psychology, Special Education, or related healthcare / human services field Computer proficiency and effective communication skills Outstanding organizational skills and ability to work autonomously Residency in Oklahoma is required. Since this is a remote / virtual position, you should have a dedicated home office. A computer, office equipment and supplies, and a mobile phone will be provided by Liberty Healthcare. You will be required to attend in-person meetings quarterly. Liberty Healthcare is an equal opportunity employer committed to diversity, equity, and inclusion. Our organization is composed of, and proudly serves, people of diverse backgrounds and abilities. Click “Apply” and submit your resume for immediate consideration.
    $47k yearly 51d ago
  • Client Relationship Manager

    Cardinal Health 4.4company rating

    Austin, TX jobs

    Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Together, we can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** + Responsible for regularly reviewing weekly, monthly & quarterly - program activities with the client. + Attend all program and client meetings, takes detailed meeting notes during client interactions and internal strategy sessions, ensuring all key points and decisions are documented. + Monitors all program's activities and IT projects associated with the program + Includes setting due dates and responsible parties + Follows up on action items from meetings, ensuring that responsibilities are clear, and deadlines are met + Regular reporting out of all program's activities + Solicit feedback from the activity/task owners on sub-tasks + Maintain up-to-date activity timeline, articulate progresses and delays + Develops and manages activities timelines to ensure all deliverables are completed on schedule. + Obtain consensus for activities risks, decisions and closures + Coordinates cross-functional teams to ensure alignment and timely completion of tasks related to program activities. + Facilitates communication between internal teams and external clients to ensure all activities objectives are understood and met. + Escalate delayed activities to program's leadership + If activity owners are missing deadlines consistently and/or are unresponsive. + Managing contract amendments and project change requests for the client. + Coordinates customer interactions with internal & external partners to meet the evolving business needs of the client. + Responsible for sharing and presenting current and future program expectations during weekly meetings with client leadership in addition to Quarterly Business Review meetings with client's Access and Marketing teams. + Manages client access to internal applications including client-facing data reports and data streams with 3rd party vendors. + Oversee daily operations and ensure alignment with client expectations and internal standards + Supports audits and regulatory reviews as needed + Ensure financial billing accuracy + Contact healthcare professionals for clarifications and information as needed **_Qualifications_** + Min 5 years related client services experience, preferred + Min 5 years' experience in managing complex program activities with high accountability, preferred + Bachelor's degree preferred + Ability to travel - less than 25% + Proven product knowledge in business area + Licensed pharmacy technician in Texas preferred **_What is expected of you and others at this level_** + Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of program activities. + Own and develop tracking tools to achieve specific program management goals and activities. + Create and participate in recurring business review presentations + Recommends new practices, processes, metrics, or models + Projects may have significant and long-term impact + Provides solutions which may set precedent + Independently determines method for completion of new projects + Receives guidance on overall project objectives + Acts as a mentor to less experienced colleagues **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated salary range:** $80,900.00 - $92,400.00 **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 1/19/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $80.9k-92.4k yearly 22d ago
  • Scheduling Specialist - Remote after training

    Center for Diagnostic Imaging 4.3company rating

    Chesterfield, MO jobs

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position, working 11:30am to 8pm. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling * Answers phones and handles calls in a professional and timely manner * Maintains positive interactions at all times with patients, referring offices and staff * Schedules patient examinations according to existing company policy * Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately * Ensures all patient data is entered into information systems completely and accurately * Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment * Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction * Maintains an up-to-date and accurate database on all current and potential referring physicians * Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices * Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave) * Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only) (10%) Insurance * Pre-certifies all exams with patient's insurance company as required * Verifies insurance for same day add-ons * Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Completes other tasks as assigned Required: * High school diploma or equivalent * Microsoft Office Suite experience * Proficient with using computer systems and typing * Able to handle multi-level phone system with a high volume of calls at one time Preferred: * 1-2 year customer service experience * Medical terminology and previous clinical business office experience * Bilingual RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible. We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled. We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all ******************************* DailyPay implementation is contingent upon initial set-up period.
    $40k-48k yearly est. 15d ago
  • Clinical Program Manager RN * Hybrid*

    Providence Health and Services 4.2company rating

    New Deal, TX jobs

    Clinical Program Manager RN Hybrid. Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply. In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Bachelor's Degree: Nursing Master's Degree: Nursing (Practice or Education) 5 years - Nursing experience in an acute care setting. 3 years - Clinical practice development, quality, or education experience. active RN License for WA, OR or TX Preferred Qualifications: Ph.D.: Nursing or DNP (Doctor of Nursing Practice) Salary Range by Location: Oregon: Portland Service Area: Min: $59.39, Max: $93.75 Texas: Min: $45.30, Max: $71.51 Washington: Eastern: Min: $52.85, Max: $83.42 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 403508 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4007 SS CNTRL DIV EDU ADMIN Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Hybrid Pay Range: $see posting - $see posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:New Deal, TX-79350
    $46k-77k yearly est. 2d ago

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