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Accounts Receivable Specialist jobs at Discover Vision - 3407 jobs

  • Supervisor Patient Care

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    Full Time 36 hours/week 7pm-7am onsite The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander Responsibilities: 1.Understands the business, financials industry trends, patient needs, and organizational strategy. 2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards. 3. Assist in monitoring the department budget and helps maintain expenditure controls. 4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts. 5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers. 6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital. 7. Assist in decision-making processes and notifies the Administrator on call when necessary. 8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively. 9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures. 10. Other duties as assigned. Other information: Technical Expertise 1. Experience in clinical pediatrics is required. 2. Experience working with all levels within an organization is required. 3. Experience in healthcare is preferred. 4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience 1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required. 2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required. 3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred. 4. Years of relevant experience: Minimum 3 years of nursing experience required. 5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred. Full Time FTE: 0.900000 Status: Onsite
    $52k-69k yearly est. 21d ago
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  • MR Fusion Specialist

    United Medical Systems 4.1company rating

    Columbus, OH jobs

    Schedule: Full-time | Guaranteed 80 hours per pay period/flexible and changing schedule Radiologic Technologist/ MRI/CT Tech or Ultrasound Tech for MR Fusion Biopsy Specialist United Medical Systems, a national leader in mobile medical services, is currently seeking medical imaging professionals with MRI, Ultrasound, or Radiologic Technology/Interventional experience for a Full-Time position. Our highly specialized Fusion Biopsy Technologists travel to various hospitals in their assigned region each month to provide the MR Fusion device and support the Urologists in its operation for MR Fusion Prostate Biopsy procedures in the OR. MR Fusion Biopsy is a revolutionary new procedure which is changing the landscape for detecting Prostate cancer earlier and more accurately. Our MR Fusion Specialists work independently and oversee the logistical and clinical needs for their route in preparation for the procedures. Responsibilities include of MR / Radiology / Ultrasound / Fusion Specialist: Communicating with Urology offices to confirm upcoming schedule Obtaining MRI Mappings from the Radiology teams (can be accomplished remotely through the Cloud) Traveling to facilities to deliver the equipment prior to day of procedures Providing technical and clinical support to the Urologists during the procedures. This position does not involve performing MRI scans but does involve assisting the Urologist in fusing the MRI Mapping to the live Ultrasound capture and in navigating in a 3D environment with the Fusion device. This is a unique opportunity to become part of a new movement in Prostate cancer detection, and to help in the ongoing development of this new program at UMS. Our company's mission is to deliver this potentially life-saving technology to suburban and community hospitals nationwide. Extensive training will be provided for operating the fusion device and ultrasound. If you enjoy new technology, furthering your specialization as an imaging professional, and working independently, this could be an ideal fit for you. Some overnight travel may be required for certain facilities. Perks & Pay Guaranteed 80 hours per pay period/two week pay periods Paid training in advanced mobile lithotripsy systems Travel expenses and hotel stays reimbursed Full benefits package Be part of a passionate, mission-driven team Benefits: Medical insurance Dental Insurance Vision Insurance Fully Paid STD/LTD Insurance Fully Paid 2x Basic life Insurance 401k with excellent company match Paid Vacation/sick/personal Time pm19 PI62451d***********8-39557054
    $26k-47k yearly est. 3d ago
  • Growth Specialist - Kitty Hawk

    ARS 4.4company rating

    Kitty Hawk, NC jobs

    R S Andrews of Tidewater Heating, Cooling Pay: $18.00 - $20.00 per hour + commission Earning potential: $20 - $30/hour on average with commission Schedule: Mon - Friday weekends required Part-time and full-time opportunities available Join RS Andrews, the nation's largest provider of residential HVAC, plumbing, and electrical services with 7,000+ professionals and over 45 years of trusted home service. What We Offer: Weekly pay via direct deposit Commission on top of hourly rate Paid training - no HVAC experience required Career path into Sales Advisor roles Full-time employees also receive: Insurance available after 31 days Low-cost medical (as low as $5/week) Dental, vision, HSA/FSA 401(k) with company match Paid time off + holiday pay Company-paid life insurance Apply TODAY or Call NOW to interview with our Retail Program Manager at ************ Work inside a national retail home improvement store engaging customers about HVAC upgrades, indoor air quality, and energy savings. You'll promote free in-home consultations or schedule tune-ups - our expert sales advisors handle the rest. What You Need: Outgoing personality and willingness to speak with shoppers Retail, kiosk, or sales experience preferred (not required) Ability to stand and walk during shift Weekend and some holiday availability Reliable transportation Clean, professional appearance to represent the ARS brand Must be at least 18 years old and pass a background check Attend weekly in-office meetings Note: This posting outlines potential pay ranges and opportunities, which are not guaranteed and do not represent a formal offer. Additional compensation may be offered based on experience and will be outlined in an offer letter addendum. ARS is an equal opportunity employer and does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other protected status under applicable federal, state, or local laws. Privacy policy available upon request.
    $18-20 hourly 4d ago
  • MR Fusion Specialist

    United Medical Systems 4.1company rating

    Jupiter, FL jobs

    Schedule: Full-time | Guaranteed 80 hours per pay period/flexible and changing schedule Radiologic Technologist/ MRI/CT Tech or Ultrasound Tech for MR Fusion Biopsy Specialist United Medical Systems, a national leader in mobile medical services, is currently seeking medical imaging professionals with MRI, Ultrasound, or Radiologic Technology/Interventional experience for a Full-Time position. Our highly specialized Fusion Biopsy Technologists travel to various hospitals in their assigned region each month to provide the MR Fusion device and support the Urologists in its operation for MR Fusion Prostate Biopsy procedures in the OR. MR Fusion Biopsy is a revolutionary new procedure which is changing the landscape for detecting Prostate cancer earlier and more accurately. Our MR Fusion Specialists work independently and oversee the logistical and clinical needs for their route in preparation for the procedures. Responsibilities include of MR / Radiology / Ultrasound / Fusion Specialist: Communicating with Urology offices to confirm upcoming schedule Obtaining MRI Mappings from the Radiology teams (can be accomplished remotely through the Cloud) Traveling to facilities to deliver the equipment prior to day of procedures Providing technical and clinical support to the Urologists during the procedures. This position does not involve performing MRI scans but does involve assisting the Urologist in fusing the MRI Mapping to the live Ultrasound capture and in navigating in a 3D environment with the Fusion device. This is a unique opportunity to become part of a new movement in Prostate cancer detection, and to help in the ongoing development of this new program at UMS. Our company's mission is to deliver this potentially life-saving technology to suburban and community hospitals nationwide. Extensive training will be provided for operating the fusion device and ultrasound. If you enjoy new technology, furthering your specialization as an imaging professional, and working independently, this could be an ideal fit for you. Some overnight travel may be required for certain facilities. Perks & Pay Guaranteed 80 hours per pay period/two week pay periods Paid training in advanced mobile lithotripsy systems Travel expenses and hotel stays reimbursed Full benefits package Be part of a passionate, mission-driven team Benefits: Medical insurance Dental Insurance Vision Insurance Fully Paid STD/LTD Insurance Fully Paid 2x Basic life Insurance 401k with excellent company match Paid Vacation/sick/personal Time pm19 PIb9eb6d***********8-39495670
    $34k-62k yearly est. 3d ago
  • MR Fusion Specialist

    United Medical Systems 4.1company rating

    Fredericksburg, VA jobs

    Schedule: Full-time | Guaranteed 80 hours per pay period/flexible and changing schedule Radiologic Technologist/ MRI/CT Tech or Ultrasound Tech for MR Fusion Biopsy Specialist United Medical Systems, a national leader in mobile medical services, is currently seeking medical imaging professionals with MRI, Ultrasound, or Radiologic Technology/Interventional experience for a Full-Time position. Our highly specialized Fusion Biopsy Technologists travel to various hospitals in their assigned region each month to provide the MR Fusion device and support the Urologists in its operation for MR Fusion Prostate Biopsy procedures in the OR. MR Fusion Biopsy is a revolutionary new procedure which is changing the landscape for detecting Prostate cancer earlier and more accurately. Our MR Fusion Specialists work independently and oversee the logistical and clinical needs for their route in preparation for the procedures. Responsibilities include of MR / Radiology / Ultrasound / Fusion Specialist: Communicating with Urology offices to confirm upcoming schedule Obtaining MRI Mappings from the Radiology teams (can be accomplished remotely through the Cloud) Traveling to facilities to deliver the equipment prior to day of procedures Providing technical and clinical support to the Urologists during the procedures. This position does not involve performing MRI scans but does involve assisting the Urologist in fusing the MRI Mapping to the live Ultrasound capture and in navigating in a 3D environment with the Fusion device. This is a unique opportunity to become part of a new movement in Prostate cancer detection, and to help in the ongoing development of this new program at UMS. Our company's mission is to deliver this potentially life-saving technology to suburban and community hospitals nationwide. Extensive training will be provided for operating the fusion device and ultrasound. If you enjoy new technology, furthering your specialization as an imaging professional, and working independently, this could be an ideal fit for you. Some overnight travel may be required for certain facilities. Perks & Pay Guaranteed 80 hours per pay period/two week pay periods Paid training in advanced mobile lithotripsy systems Travel expenses and hotel stays reimbursed Full benefits package Be part of a passionate, mission-driven team Benefits: Medical insurance Dental Insurance Vision Insurance Fully Paid STD/LTD Insurance Fully Paid 2x Basic life Insurance 401k with excellent company match Paid Vacation/sick/personal Time pm19 PIf6e8d96b7ece-37***********8
    $34k-65k yearly est. 3d ago
  • Patient Account Specialist

    La Rabida Children's Hospital 4.2company rating

    Chicago, IL jobs

    La Rabida Children's Hospital provides specialized, family-centered health care to children with medically complex conditions, disabilities, and chronic illness. Through expertise, compassion, and advocacy we help children and their families reach their fullest potential, regardless of their ability to pay. Our not-for-profit hospital, licensed for 49 beds, helps transition children from neonatal or pediatric intensive care to home, by providing medical, rehabilitative and developmental care, and by training families to continue treatments and manage the necessary equipment in the home. La Rabida also provides extensive rehabilitation for those recovering from wounds or burns and treatment for exacerbations of chronic conditions. The hospital's enhanced pediatric patient-centered medical home provides primary care to children with complex medical conditions and their siblings. Children with medical homes elsewhere come to La Rabida for specialty services. La Rabida offers a wide range of specialty services provided to children with sickle cell disease, diabetes, and many others. Children are supported in their emotional and developmental growth, particularly in cases where such growth has been interrupted by accident or disease. Finally, La Rabida provides forensic and treatment services for children exposed to abuse and neglect, comprehensive assessments for youth in care, early intervention for children between 0 and 3 years of age. Care coordination services for medically complex children are also provided for those who are covered by a health plan and receive care from providers in Cook County Job Description We are seeking a detail-oriented and efficient Patient Account Specialist to join our healthcare organization in Chicago, United States. In this role, you will be responsible for managing patient accounts, ensuring accurate billing, and resolving financial inquiries to maintain a smooth revenue cycle. Process and manage patient accounts, including billing, collections, and payment posting Verify insurance coverage and obtain necessary pre-authorizations for medical procedures Analyze and resolve claim denials and rejections in a timely manner Communicate with patients, insurance companies, and healthcare providers to address billing inquiries and discrepancies Maintain accurate patient financial records and update account information in the Electronic Health Record (EHR) system Collaborate with other departments to ensure proper documentation and coding for billing purposes Generate and review financial reports to identify trends and areas for improvement Assist in the development and implementation of policies and procedures to enhance revenue cycle efficiency Ensure compliance with healthcare regulations, including HIPAA, in all financial transactions and communications Qualifications 2-3 years of experience in patient accounting, medical billing, or a related healthcare finance role Proficiency in medical billing and coding practices Strong knowledge of healthcare revenue cycle management Experience with Electronic Health Record (EHR) systems and Microsoft Office Suite Excellent attention to detail and ability to manage multiple priorities efficiently Strong verbal and written communication skills for interacting with patients, insurance representatives, and healthcare professionals Problem-solving skills and ability to analyze complex financial data Customer service orientation with a professional and supportive demeanor Bachelor's degree in Healthcare Administration, Business Administration, or related field (preferred) Certified Revenue Cycle Representative (CRCR) or similar certification (preferred) Familiarity with healthcare industry regulations, particularly HIPAA Understanding of insurance claim processes and medical terminology Additional Information All your information will be kept confidential according to EEO guidelines. La Rabida is a place unlike any other. We understand the needs of families with children dealing with the most serious or complicated of conditions. With teams of the best healthcare providers in Chicago, we give continuous, comprehensive care, education, and support, helping families face their unique obstacles head-on. La Rabida Children's Hospital is very proud to be an Equal Employment Opportunity Employer.
    $51k-70k yearly est. 2d ago
  • MR Fusion Specialist

    United Medical Systems 4.1company rating

    Oklahoma City, OK jobs

    Schedule: Full-time | Guaranteed 80 hours per pay period/flexible and changing schedule Radiologic Technologist/ MRI/CT Tech or Ultrasound Tech for MR Fusion Biopsy Specialist United Medical Systems, a national leader in mobile medical services, is currently seeking medical imaging professionals with MRI, Ultrasound, or Radiologic Technology/Interventional experience for a Full-Time position. Our highly specialized Fusion Biopsy Technologists travel to various hospitals in their assigned region each month to provide the MR Fusion device and support the Urologists in its operation for MR Fusion Prostate Biopsy procedures in the OR. MR Fusion Biopsy is a revolutionary new procedure which is changing the landscape for detecting Prostate cancer earlier and more accurately. Our MR Fusion Specialists work independently and oversee the logistical and clinical needs for their route in preparation for the procedures. Responsibilities include of MR / Radiology / Ultrasound / Fusion Specialist: Communicating with Urology offices to confirm upcoming schedule Obtaining MRI Mappings from the Radiology teams (can be accomplished remotely through the Cloud) Traveling to facilities to deliver the equipment prior to day of procedures Providing technical and clinical support to the Urologists during the procedures. This position does not involve performing MRI scans but does involve assisting the Urologist in fusing the MRI Mapping to the live Ultrasound capture and in navigating in a 3D environment with the Fusion device. This is a unique opportunity to become part of a new movement in Prostate cancer detection, and to help in the ongoing development of this new program at UMS. Our company's mission is to deliver this potentially life-saving technology to suburban and community hospitals nationwide. Extensive training will be provided for operating the fusion device and ultrasound. If you enjoy new technology, furthering your specialization as an imaging professional, and working independently, this could be an ideal fit for you. Some overnight travel may be required for certain facilities. Perks & Pay Guaranteed 80 hours per pay period/two week pay periods Paid training in advanced mobile lithotripsy systems Travel expenses and hotel stays reimbursed Full benefits package Be part of a passionate, mission-driven team Benefits: Medical insurance Dental Insurance Vision Insurance Fully Paid STD/LTD Insurance Fully Paid 2x Basic life Insurance 401k with excellent company match Paid Vacation/sick/personal Time pm19 PI710c04d1bd56-37***********2
    $28k-47k yearly est. 3d ago
  • MR Fusion Specialist

    United Medical Systems 4.1company rating

    Plantation, FL jobs

    Schedule: Full-time | Guaranteed 80 hours per pay period/flexible and changing schedule Radiologic Technologist/ MRI/CT Tech or Ultrasound Tech for MR Fusion Biopsy Specialist United Medical Systems, a national leader in mobile medical services, is currently seeking medical imaging professionals with MRI, Ultrasound, or Radiologic Technology/Interventional experience for a Full-Time position. Our highly specialized Fusion Biopsy Technologists travel to various hospitals in their assigned region each month to provide the MR Fusion device and support the Urologists in its operation for MR Fusion Prostate Biopsy procedures in the OR. MR Fusion Biopsy is a revolutionary new procedure which is changing the landscape for detecting Prostate cancer earlier and more accurately. Our MR Fusion Specialists work independently and oversee the logistical and clinical needs for their route in preparation for the procedures. Responsibilities include of MR / Radiology / Ultrasound / Fusion Specialist: Communicating with Urology offices to confirm upcoming schedule Obtaining MRI Mappings from the Radiology teams (can be accomplished remotely through the Cloud) Traveling to facilities to deliver the equipment prior to day of procedures Providing technical and clinical support to the Urologists during the procedures. This position does not involve performing MRI scans but does involve assisting the Urologist in fusing the MRI Mapping to the live Ultrasound capture and in navigating in a 3D environment with the Fusion device. This is a unique opportunity to become part of a new movement in Prostate cancer detection, and to help in the ongoing development of this new program at UMS. Our company's mission is to deliver this potentially life-saving technology to suburban and community hospitals nationwide. Extensive training will be provided for operating the fusion device and ultrasound. If you enjoy new technology, furthering your specialization as an imaging professional, and working independently, this could be an ideal fit for you. Some overnight travel may be required for certain facilities. Perks & Pay Guaranteed 80 hours per pay period/two week pay periods Paid training in advanced mobile lithotripsy systems Travel expenses and hotel stays reimbursed Full benefits package Be part of a passionate, mission-driven team Benefits: Medical insurance Dental Insurance Vision Insurance Fully Paid STD/LTD Insurance Fully Paid 2x Basic life Insurance 401k with excellent company match Paid Vacation/sick/personal Time pm19 PI967c9609fe82-37***********9
    $35k-62k yearly est. 3d ago
  • MR Fusion Specialist

    United Medical Systems 4.1company rating

    Romulus, MI jobs

    Schedule: Full-time | Guaranteed 80 hours per pay period/flexible and changing schedule Radiologic Technologist/ MRI/CT Tech or Ultrasound Tech for MR Fusion Biopsy Specialist United Medical Systems, a national leader in mobile medical services, is currently seeking medical imaging professionals with MRI, Ultrasound, or Radiologic Technology/Interventional experience for a Full-Time position. Our highly specialized Fusion Biopsy Technologists travel to various hospitals in their assigned region each month to provide the MR Fusion device and support the Urologists in its operation for MR Fusion Prostate Biopsy procedures in the OR. MR Fusion Biopsy is a revolutionary new procedure which is changing the landscape for detecting Prostate cancer earlier and more accurately. Our MR Fusion Specialists work independently and oversee the logistical and clinical needs for their route in preparation for the procedures. Responsibilities include of MR / Radiology / Ultrasound / Fusion Specialist: Communicating with Urology offices to confirm upcoming schedule Obtaining MRI Mappings from the Radiology teams (can be accomplished remotely through the Cloud) Traveling to facilities to deliver the equipment prior to day of procedures Providing technical and clinical support to the Urologists during the procedures. This position does not involve performing MRI scans but does involve assisting the Urologist in fusing the MRI Mapping to the live Ultrasound capture and in navigating in a 3D environment with the Fusion device. This is a unique opportunity to become part of a new movement in Prostate cancer detection, and to help in the ongoing development of this new program at UMS. Our company's mission is to deliver this potentially life-saving technology to suburban and community hospitals nationwide. Extensive training will be provided for operating the fusion device and ultrasound. If you enjoy new technology, furthering your specialization as an imaging professional, and working independently, this could be an ideal fit for you. Some overnight travel may be required for certain facilities. Perks & Pay Guaranteed 80 hours per pay period/two week pay periods Paid training in advanced mobile lithotripsy systems Travel expenses and hotel stays reimbursed Full benefits package Be part of a passionate, mission-driven team Benefits: Medical insurance Dental Insurance Vision Insurance Fully Paid STD/LTD Insurance Fully Paid 2x Basic life Insurance 401k with excellent company match Paid Vacation/sick/personal Time pm19 PI448790e7c540-37***********1
    $30k-52k yearly est. 3d ago
  • Medical Biller/Collector

    Tri-City Medical Center 4.7company rating

    Oceanside, CA jobs

    Tri-City Medical Center is a full-service acute-care hospital located in Oceanside, California, serving the communities of Oceanside, Vista, Carlsbad, and San Marcos. Known for its Gold Seal of Approval, the hospital features two advanced clinical institutes and a team of physicians specializing in over 60 medical fields. As a leader in robotics and minimally invasive technologies, Tri-City Medical Center has been delivering high-quality healthcare services to the local community for over 50 years. The hospital's facilities include the main campus, outpatient services, and the Tri-City Wellness Center in Carlsbad. The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. Maintains a safe, clean working environment, including unit based safety and infection control requirements. Reviews patient bills for accuracy and completeness; obtains missing information Knowledge of insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances Utilize a combination of electronic health record (EHR) to perform billing duties; maintain an accurate, legally compliant medical record Process claims as they are paid and credit accounts accordingly Review insurance payments for accuracy and compliance with contract discounts Review denials or partially paid claims and work with the involved parties to resolve the discrepancy Manage assigned accounts, ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to Business Office Manager. Prepare reports and forms as directed and in accordance with established policies Perform a variety of administrative duties including, but not limited to: answering phones, faxing and filing of confidential documents; and basic Internet and email utilization Provide excellent and professional customer service to internal and external customers Function as a contributing team member while meeting deadlines and productivity standards Qualifications: Minimum of 1 year of experience posting in a health care setting. Strong background in customer service. Competencies in the areas of leadership, teamwork and cooperation. Strong ethics and a high level of personal and professional integrity. Ability to understand medical/surgical terminology. Educated on and compliant with HIPAA regulations; maintains strict confidentiality of patient and client information. Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites Preferred experience with billing systems such as GE Centricity & SRS Caretracker Strong written, oral and interpersonal communication skills; Ability to present ideas in a business-friendly and user-friendly language; Highly self-motivated, self-directed and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high pressure environment Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations Education: High school diploma or equivalent, required. Associate's Degree in Business Administration, preferred. Certifications: Certified Medical Reimbursement Specialist (CMRS) certification, preferred. Please follow following link Medical Biller/Collector - OSNC in Oceanside, California | Careers at Tri-City Medical Center
    $34k-40k yearly est. 1d ago
  • Senior Biller

    Caremore Health 4.4company rating

    Cerritos, CA jobs

    The Senior Biller is responsible for ensuring the accuracy, compliance, and timeliness of all billing and reimbursement activities for CareMore Health. This position plays a key role in optimizing revenue cycle performance through advanced knowledge of payer requirements, denial management, and appeals processes. The Senior Biller reviews complex claims, identifies trends impacting reimbursement, and collaborates across departments to resolve issues that affect cash flow and financial accuracy. This role serves as a subject matter expert and escalation point for billing staff, helping to uphold CareMore Health's commitment to operational excellence and integrity in serving our members. How will you make an impact & Requirements Review and analyze complex patient account files to ensure accuracy, completeness, and compliance with payer, regulatory, and CareMore Health billing standards. Prepare, review, and submit billings to primary and secondary insurance carriers, including Medicare and Medi-Cal, ensuring accuracy and timely submission. Lead the investigation and appeal of complex or high-value claim denials; prepare detailed documentation to support successful resolution and reimbursement. Monitor and manage assigned accounts receivable, focusing on high-dollar or aged accounts to drive collection efficiency and reduce outstanding balances. Partner with internal teams-coding, utilization management, finance, and provider operations-to resolve billing issues and identify process improvements. Prepare and submit refund requests, claim adjustments, and rebills as necessary to maintain compliance and revenue accuracy. Respond to escalated inquiries from patients, payers, and internal stakeholders in a professional, timely, and solutions-oriented manner. Support the training and mentoring of billing staff; assist in quality review and serve as an internal expert on complex billing questions and payer requirements. Contribute to revenue integrity initiatives, tracking billing and denial trends, and recommending process or system improvements to prevent recurrence. Maintain up-to-date knowledge of regulatory changes, payer policies, and billing system updates relevant to CareMore's lines of business. Review and analyze complex patient account files to ensure accuracy, completeness, and compliance with payer, regulatory, and CareMore Health billing standards. Prepare, review, and submit billings to primary and secondary insurance carriers, including Medicare and Medi-Cal, ensuring accuracy and timely submission. Lead the investigation and appeal of complex or high-value claim denials; prepare detailed documentation to support successful resolution and reimbursement. Monitor and manage assigned accounts receivable, focusing on high-dollar or aged accounts to drive collection efficiency and reduce outstanding balances. Partner with internal teams-coding, utilization management, finance, and provider operations-to resolve billing issues and identify process improvements. Prepare and submit refund requests, claim adjustments, and rebills as necessary to maintain compliance and revenue accuracy. Respond to escalated inquiries from patients, payers, and internal stakeholders in a professional, timely, and solutions-oriented manner. Support the training and mentoring of billing staff; assist in quality review and serve as an internal expert on complex billing questions and payer requirements. Contribute to revenue integrity initiatives, tracking billing and denial trends, and recommending process or system improvements to prevent recurrence. Maintain up-to-date knowledge of regulatory changes, payer policies, and billing system updates relevant to CareMore's lines of business. Compensation: $22.00 to $33.00
    $22 hourly 5d ago
  • Healthy Lifestyle Specialist

    Boys & Girls Club of Austin 3.8company rating

    Austin, TX jobs

    (Essential Job Responsibilities): Creates, implements, promotes, and manages Healthy Lifestyles and Sports programs and activities that promote healthy living and physical activity. Coordinates fee-based programs. Trains and ensures all staff are com Health, Specialist, Sports, Staff, Monitoring, Healthcare
    $31k-42k yearly est. 4d ago
  • Dietary Specialist PRN

    Adventhealth 4.7company rating

    Ottawa, KS jobs

    Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Schedule: PRN Shift: Day (United States of America) Address: 1301 S MAIN ST City: OTTAWA State: Kansas Postal Code: 66067 Job Description: Guide patients through the meal ordering process using a computerized diet office system, ensuring selections align with prescribed diets and enhancing satisfaction through personalized suggestions. Verify patient identifiers during meal delivery, ensure tray accuracy, and confirm patients have everything they need before leaving the room to support a positive dining experience. Round on patients and nursing staff to identify and resolve foodservice concerns, taking ownership of complaints and implementing service recovery to improve patient experience scores. Assemble and deliver trays according to therapeutic diet guidelines and presentation standards, maintaining timely and accurate service across all patient areas. Perform physically active duties including walking long distances, standing for extended periods, and working up to 12-hour shifts while maintaining a clean, organized, and compliant work environment. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: High School Grad or Equiv Pay Range: $16.44 - $26.31 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $16.4-26.3 hourly 2d ago
  • Billing Specialist

    Spooner Medical Administrators, Inc. 2.7company rating

    Westlake, OH jobs

    Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker. The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices. Essential Functions Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information. Perform fee bill audits according to established procedures and guidelines. Data enter fee fills accurately for electronic transmission. Adhere to established billing performance requirements. Review electronic response to transmitted bills and make modifications accordingly. Respond to telephone inquiries from customers regarding bill payment status. Participate in continuous improvement activities and other duties as assigned. Supervision Received Reports to the Billing Supervisor Experience and Education Required Medical billing certification or at least 2 years of experience working in the medical billing field Data entry experience Additional Skills Needed Effective written and verbal communication Detail oriented Strong organizational ability Basic computer literacy skills Working Environment The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.
    $28k-33k yearly est. 1d ago
  • ER Enhancement Specialist (Chariton, Randolph, or Carroll County)

    Burrell Behavioral Health 4.5company rating

    Moberly, MO jobs

    Engage target consumers into ongoing treatment, coordinating care for the whole person by addressing behavioral health, physical health and basic needs, reducing the need for future emergency visits, hospitalizations and reducing hospital stays unnecessarily extended due to non-clinical factors. You will be working in the community which includes consumer's homes, clinics, and other places around the community. Essential Job Functions: * Responds to inquiries for mental health, domestic violence, and/or addictive disorder services and refers to appropriate system programs or outside agency(s), and community resources as appropriate. * Help locate resources, apply for these services, set appointments, provide accurate information, advocate, and follow up when necessary. * Maintain a system of records and reports necessary for documentation of referrals at specific time intervals. * Provide interim triage contact with consumers, and assist with connecting to behavioral and crisis intervention services. * Deliver supportive services to assigned consumers until they have established care with providers who will manage their on-going treatment needs. * Provide and/or coordinate follow-up to all consumers for whom he/she has been responsible, including follow up for missed appointments, and conducting outreach and engagement as needed. * Collaborate as part of a team which may include hospitals and medical clinic health professionals or other employees of a designated community partner. * Attend individual supervision and team meetings as scheduled by the ERE Supervisor. * Follows all policies and procedures as outlined by the system, the Missouri Behavioral Health Council, and the Department of Mental Health. Knowledge, Skills, and Abilities: * Work independently * Initiative (taking necessary and appropriate action on one's own) * Adaptability (ability to perform effectively in the face of changing job demands) * Able to follow direction and accept supervision * Establish effective relationships via telephone and personal, face-to-face contacts. Experience and Education Qualifications: * Requires a bachelor's degree in a human services field. Supervisory Requirements: * None. Employment Requirements: * Successful completion of background check including criminal record, driving record, abuse/neglect and fingerprint check. * Completion of New Hire Orientation at the beginning of employment. * All training requirements including Relias at the beginning of employment and annually thereafter. * Current driver's license, acceptable driving record and current auto insurance. Physical Requirements: ADA Consideration - Sedentary work: Exerting up to 10 pounds of force occasionally (exists up the 1/3 of the time) and/or a negligible amount of force frequently (exists 1/3 to 2/3 of the time) to lift, carry, push, or pull, or otherwise move objects, including the human body. Repetitive movements of hands, fingers, and arms for typing and/or writing during work shift. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met. Position Perks & Benefits: Paid time off: full-time employees receive an attractive time off package to balance your work and personal life Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more Top-notch training: initial, ongoing, comprehensive, and supportive Career mobility: advancement opportunities/promoting from within Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness. Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace. We are an Equal Employment Opportunity Employer. Burrell Behavioral Health is a Smoke and Tobacco Free Workplace.
    $25k-31k yearly est. 4d ago
  • ECMO Specialist Nights

    Adventhealth 4.7company rating

    Ocala, FL jobs

    **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Night (United States of America) **Address:** 1500 SW 1ST AVE **City:** OCALA **State:** Florida **Postal Code:** 34471 **Job Description:** + Manages ECMO circuits and equipment during patient care, including circuit interventions and change-outs. + Observes, monitors, assesses, and reports patient status and response to ECMO therapy. + Collaborates with multidisciplinary teams to provide comprehensive care for ECMO patients. + Participates in building and priming disposable ECMO circuits and other related equipment. + Leads ECMO patient transport, both within and between hospitals. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** Associate (Required), Bachelor's of Nursing, Master's of NursingAdvanced Cardiac Life Support Cert (ACLS) - RQI Resuscitation Quality Improvement, Basic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, NIH Stroke Scale (NIHSS) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body, State Registered Respiratory Therapist (RRT) - EV Accredited Issuing Body **Pay Range:** $34.71 - $64.55 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Medical Assistant & Technician Services **Organization:** AdventHealth Ocala **Schedule:** Full time **Shift:** Night **Req ID:** 150661872
    $20k-35k yearly est. 3d ago
  • ECMO Specialist Nights

    Adventhealth 4.7company rating

    Ocala, FL jobs

    Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Night (United States of America) Address: 1500 SW 1ST AVE City: OCALA State: Florida Postal Code: 34471 Job Description: Manages ECMO circuits and equipment during patient care, including circuit interventions and change-outs. Observes, monitors, assesses, and reports patient status and response to ECMO therapy. Collaborates with multidisciplinary teams to provide comprehensive care for ECMO patients. Participates in building and priming disposable ECMO circuits and other related equipment. Leads ECMO patient transport, both within and between hospitals. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: Associate (Required), Bachelor's of Nursing, Master's of NursingAdvanced Cardiac Life Support Cert (ACLS) - RQI Resuscitation Quality Improvement, Basic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, NIH Stroke Scale (NIHSS) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body, State Registered Respiratory Therapist (RRT) - EV Accredited Issuing Body Pay Range: $34.71 - $64.55 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $20k-35k yearly est. 3d ago
  • Dietary Specialist

    Adventhealth 4.7company rating

    Hendersonville, NC jobs

    Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 100 HOSPITAL DR City: HENDERSONVILLE State: North Carolina Postal Code: 28792 Job Description: Rotating schedule: 6 a - 630 P except Wednesday which is a 6 hour shift. Rotates working every other weekend. Guide patients through the meal ordering process using a computerized diet office system, ensuring selections align with prescribed diets and enhancing satisfaction through personalized suggestions. Verify patient identifiers during meal delivery, ensure tray accuracy, and confirm patients have everything they need before leaving the room to support a positive dining experience. Round on patients and nursing staff to identify and resolve foodservice concerns, taking ownership of complaints and implementing service recovery to improve patient experience scores. Assemble and deliver trays according to therapeutic diet guidelines and presentation standards, maintaining timely and accurate service across all patient areas. Perform physically active duties including walking long distances, standing for extended periods, and working up to 12-hour shifts while maintaining a clean, organized, and compliant work environment. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: High School Grad or Equiv (Required) Nutrition and Dietetics Technician Registered (NDTR) - Accredited Issuing Body Pay Range: $14.70 - $23.51 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $14.7-23.5 hourly 4d ago
  • Dietary Specialist

    Adventhealth 4.7company rating

    Hendersonville, NC jobs

    **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 100 HOSPITAL DR **City:** HENDERSONVILLE **State:** North Carolina **Postal Code:** 28792 **Job Description:** Rotating schedule: 6 a - 630 P except Wednesday which is a 6 hour shift. Rotates working every other weekend. + Guide patients through the meal ordering process using a computerized diet office system, ensuring selections align with prescribed diets and enhancing satisfaction through personalized suggestions. + Verify patient identifiers during meal delivery, ensure tray accuracy, and confirm patients have everything they need before leaving the room to support a positive dining experience. + Round on patients and nursing staff to identify and resolve foodservice concerns, taking ownership of complaints and implementing service recovery to improve patient experience scores. + Assemble and deliver trays according to therapeutic diet guidelines and presentation standards, maintaining timely and accurate service across all patient areas. + Perform physically active duties including walking long distances, standing for extended periods, and working up to 12-hour shifts while maintaining a clean, organized, and compliant work environment. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** High School Grad or Equiv (Required) Nutrition and Dietetics Technician Registered (NDTR) - Accredited Issuing Body **Pay Range:** $14.70 - $23.51 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Nutritional Services **Organization:** AdventHealth Hendersonville **Schedule:** Full time **Shift:** Day **Req ID:** 150660822
    $14.7-23.5 hourly 4d ago
  • Billing Coordinator - Stop Area Six

    Healthright 360 4.5company rating

    San Diego, CA jobs

    . The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources. The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing. Key Responsibilities Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered. Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.). Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks. And, other duties as assigned. Education and Knowledge, Skills and Abilities Education and Experience Required: High School Diploma or equivalent. Previous work experience working with spreadsheets. Previous work experience performing data entry. Type 45 wpm. Strong math skills. Desired: Bilingual. AA Degree; Experience may substitute for this on a year-by-year basis. We will consider for employment qualified applicants with arrest and conviction records. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.
    $45k-55k yearly est. Auto-Apply 60d+ ago

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