Call Center Admissions Specialists are integral members of the support team in providing the direct first line of assistance to patients and their family members. Call Center Admissions Specialists must work well under stressful high-paced environments as a collaborative team members. This is a professional role, requiring a bachelor's Degree in the field of Human Services or other related field to support and provide assistance to behavioral/mental health patients. However, a High School Diploma is acceptable for entry-level opportunities in this program.
JOB BENEFITS
Schedule Mon-Fri 8:00 am-5:00 pm or 8:30 am-5:00 pm
Full Health/Dental/Vision/Disability Benefits, and 401(k) Matching
Non-Profit Organization Student Loan Forgiveness
Company Discount Program
JOB DUTIES & COMPETENCIES:
Provides access to behavioral health services for clients by communicating directly with clients and/or families requesting services in a timely and efficient manner.
Makes appointments according to program guidelines.
Completes a brief triage screening of potential clients which meets established funders' expectations and regulatory standards.
Demonstrates knowledge of the DSM-5 and the ability to identify symptoms that require behavioral health treatment.
Links clients with resources that address identified needs, support continuity of care and reduce the likelihood of recidivism.
Completes required GP documentation for clinical services timely and accurately into the EMR system in compliance with agency and program guidelines.
Keeps supervisor informed at all times of relevant client, program, and community issues.
Notifies Managed Care timely of needed authorizations for services as required by guarantors at the time of triage.
JOB QUALIFICATIONS:
Previous Call Center and/or Intake Experience in a health care setting preferred
Computer proficient to navigate through EMR database, MS Word, MS Outlook, and MS Excel.
Excellent communication skills in documentation and dictation
Bachelor's Degree graduate in Human Services, Psychology, Social Work, Sociology, Behavioral Health, etc.
High School Diploma acceptable as entry-level into the program
Ability to work in a sitting position for the duration of the shift and operate standard office equipment
$25k-31k yearly est. Auto-Apply 60d+ ago
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Program Specialist I
Can Community Health 4.3
Miami, FL jobs
CAN Community Health is now hiring a Program Specialist I
Standard clinic hours are Monday-Thursday 8:00 am-5:30pm Friday 8:00 am-12:30 pm. This position requires hours of work outside normal operating hours including nights and weekends.
Are you passionate about patient care and ready to make a difference every day? We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values.
We have received recognition for more than six (6) years NPT's Best Non-Profit to Work for Award.
Salary: Starting at $21-$24 per hour based on education and experience.
Must be able to pass a Level I background check (a Level II background may also be required).
********************************
CAN Community Health, Inc. is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Why You'll Love It Here
Competitive pay
Generous paid PTO and Sick time
11 Paid Company Holidays
Paid training and certification support
Health, dental, vision, with generous company contribution, paid life and disability plans & retirement plan with generous match of up to 8% of your contribution additional match of 1%.
Tuition Reimbursement Plan
Other voluntary plans are available to support you and your family
Career growth opportunities in a supportive environment
What You'll Do
The Program Specialist I is an entry-level position within CAN Community Health's Education & Prevention Team. This role requires a basic understanding of HIV, Prevention, and Treatment pathways. The provisions of this role include but are not limited to HIV/STI Testing, Health Education, Risk Reduction Counseling, PrEP/HIV and Hep C Linkage and community outreach.
Provides HIV/STI/Hepatitis C testing and risk reduction counseling in community-based settings and in clinic settings when applicable, including phlebotomy.
Provides education on Pre-exposure Prophylaxis to clients and community members and links clients to the Pre-exposure Prophylaxis program.
Ensures client confidentiality 100% of the time by conforming to HIPAA laws and CAN Community Health Policies and Procedures.
Accurately documents the provision of testing in the electronic medical record, state reporting systems and on paper as required.
Fosters and assists in developing new community partnerships through the establishment of BRTA/FRTA agreements, other informal agreements, as well as formal agreements, including Memorandums of Agreement/Understanding and Business Associate Agreements under the supervision of the HIV Prevention Program Manager and Prevention Team Lead.
Serves as a representative of CAN Community Health and conducts community-based outreach in various settings including but not limited to shelters, bars, inpatient centers, resource centers, parks etc. Assist in the planning and execution of events including testing, tabling and provides health education as appropriate.
Distribute condoms and other promotional materials to community members and partner organizations.
Accurately documents and maintains all records as related to prevention data collection efforts.
Represents CAN Community Health at local, state, and national conferences and meetings, as deemed necessary.
Collaborates with other disciplines internally and externally to coordinate client/patient services and community needs.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Requirements:
Education/Professional:
High school diploma required
Minimum 1 year of experience in a related field preferred, relevant college-level coursework may substitute for experience.
Must be able to operate a motor vehicle and have valid insurance and driver's license.
PI00a2d74e02d1-37***********1
$21-24 hourly 1d ago
RCM OPEX Specialist
Femwell Group Health 4.1
Miami, FL jobs
The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes.
Essential Job Functions
Manage internal and external customer communications to maximize collections and reimbursements.
Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes.
Maintain fee schedule uploads in financial and practice operating systems.
Review and resolve escalations on denied and unpaid claims.
Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted.
Monitor accounts receivable and expedite the recovery of outstanding payments.
Prepare regular reports on refunds, under/over payments.
Stay updated on changes in healthcare regulations and coding guidelines.
*NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position.
Other Essential Tasks/Responsibilities/Abilities
Must be consistent with Femwell's core values.
Excellent verbal and written communication skills.
Professional and tactful interpersonal skills with the ability to interact with a variety of personalities.
Excellent organizational skills and attention to detail.
Excellent time management skills with proven ability to meet deadlines and work under pressure.
Ability to manage and prioritize multiple projects and tasks efficiently.
Must demonstrate commitment to high professional ethical standards and a diverse workplace.
Must have excellent listening skills.
Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures.
Must maintain compliance with all personnel policies and procedures.
Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members.
Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position.
Education, Experience, Skills, and Requirements
Bachelor's degree preferred.
Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management.
Strong knowledge of healthcare regulations and insurance processes.
Knowledgeable in change control.
Proficiency with healthcare billing software and electronic health records (EHR).
Knowledge of HIPAA Security preferred.
Hybrid rotation schedule and/or onsite as needed.
Medical coding (ICD-10, CPT, HCPCS)
Claims management (X12)
Revenue cycle management
Denials management
Insurance verification
Data analysis
Compliance knowledge
Comprehensive understanding of provider reimbursement methodologies
Billing software proficiency
$34k-49k yearly est. 15h ago
SURGICAL SCHEDULING SPECIALIST
Moffitt Cancer Center 4.9
Tampa, FL jobs
At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999.
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.
Summary
As a Surgical Scheduling Specialist here at Moffitt, you are responsible for scheduling any surgical cases for assigned providers and clinical area(s). As part of this process, responsibilities may include reviewing surgical orders for accuracy, scheduling any pre-op and ancillary services and communicating timely and providing the highest level of customer service to the surgical team, inter-departments and the patient and family.
The Ideal Candidate
The ideal candidate will have the following qualifications:
* Associates Degree or some college
* One (1) year experience in hospital, outpatient facility or physician office or equivalent healthcare experience.
* One (1) year of customer service experience.
* Excellent verbal communication and organization skills
Responsibilities:
* Processing orders submitted by surgeon(s).
* Communicates any issues impacting scheduling in a timely manner to medical team.
* Communicate with patients in a timely manner.
* Obtain open time for additional procedure scheduling.
* Coordinate and effectively communicate with other departments.
* Other duties as assigned.
Credentials and Qualifications:
* High School Diploma/GED
* Minimum of one (1) year of experience working in hospital, outpatient facility or physician office or equivalent healthcare.
* Minimum of one (1) year of customer service experience.
Share:
$41k-51k yearly est. 37d ago
Scheduling Specialist
Radiology Partners 4.3
Boynton Beach, FL 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 40 hours per week; shifts are Monday through Friday, 8:30am - 5:00pm.
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
$30k-36k yearly est. 1d ago
Scheduling Specialist
Center for Diagnostic Imaging 4.3
Boynton Beach, FL 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 40 hours per week. Shifts are from 9:00am-5:30pm. Onsite training is required for up to 6 months.
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.
$36k-51k yearly est. 43d ago
Scheduling Specialist
Center for Diagnostic Imaging 4.3
Boynton Beach, FL 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 40 hours per week; shifts are Monday through Friday, 8:30am - 5:00pm.
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
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:
* One (1) 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.
$36k-51k yearly est. 4d ago
Inpatient Call Center Specialist II, Hospitalist Team, Southbank Plaza
Baptist Health-Florida 4.8
Jacksonville, FL jobs
We are looking to add an Inpatient Call Center Specialist II at Baptist Southbank Plaza in downtown Jacksonville, FL for the Hospitalist team. This is a full-time, day-shift opportunity. This position's days of the week varies with the need to work every 3rd weekend 5:00am-12:30pm, with a day off before and after the weekend worked. Hours are Monday-Friday 9:00am-5:30pm.
As the Inpatient Call Center Specialist II, you will be responsible for all duties associated with the full support of the Baptist Primary Care Hospitalist Physicians and Administrative team. The physicians and APPs in this group provide care and coverage for patients who are admitted into any of Baptist's Hospitals. You will be responsible for telephone and paperwork duties associated with patient care and providing administrative support to physicians and administration.
The Inpatient Call Center Specialist II will be responsible for:
* Completing Physician's work schedules
* Pulling Data Reports
* Scheduling meeting requests for Directors at 5 different campuses
* Continuing Medical Education Tracking
* Tracking meeting attendance
* Assisting with Physician recruitment
* Handling ER admissions, consultations and transfer requests
* Maintaining patient list distributions
* Handling external and internal communication for the Hospitalist Team
This Inpatient Call Center Specialist II opportunity will be located at Baptist Southbank Plaza in downtown Jacksonville, FL. If you are interested in this full-time opportunity, please apply now.
Full/Part Time
Full-Time
Shift Details
Various shifts
Education Required
High School Diploma/GED
Education Preferred
Associate's Degree
Experience
* Three-Five Years Experience working in a Medical Office Required
* Three-Five Years Clerical Experience Required
Licenses and Certifications
* None
Location Overview
Baptist Primary Care
Baptist Health has the largest network of primary care providers in the Jacksonville area, with 45 offices throughout Northeast Florida and Southeast Georgia. The network has more than 130 physicians, including family physicians, pediatricians & internists. Baptist is repeatedly chosen as the area's most preferred health care provider and has been chosen as one of the Best Places to Work in U.S. Healthcare by Modern Healthcare.
$26k-30k yearly est. 2d ago
Scheduler - Surgical Specialist of Ocala
Surgical Care Affiliates 3.9
Ocala, FL jobs
At SCA Health, we believe health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.
As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.
What sets SCA Health apart isn't just what we do, it's how we do it. Each decision we make is rooted in seven core values:
* Clinical quality
* Integrity
* Service excellence
* Teamwork
* Accountability
* Continuous improvement
* Inclusion
Our values aren't empty words - they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you'll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.
At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, *********************************** to learn more about our benefits.
Your ideas should inspire change. If you join our team, they will.
Responsibilities
* Responsible for scheduling all outpatient surgeries and procedures as requested by the physician or the physician's office staff.
* Responsible for obtaining and adding patient demographics and insurance information into the billing system.
* Responsible for contacting payers to verify patient benefits and obtain necessary authorization.
* Coordinates efforts with the Director of Nursing to ensure availability of needed equipment, requested staff, and/or ancillary services.
* Prepares and distributes the daily surgery schedule to the Nursing Managers, RNs, Pre-Op and PACU Nurse and Technicians, Business Office Manager.
* Responsible for capturing complete and accurate clinical, demographic and insurance information on patients scheduled at the surgery center.
* Responsible for communicating to the Director of Nursing, and other appropriate employees, for same day and next day add-on cases.
* Responsible for communicating any potential scheduling conflicts to the Director of Nursing.
* Promptly communicates any patient problems to the Business Office Manager and/or Director of Nursing.
* Maintains positive communications with the medical staff members and their office personnel.
* Responsible for tracking cancellations.
* Responsible for monitoring and maintaining and releasing block time.
* Responsible for preparing daily bank deposits for monies received at the surgery center.
* Cross-training to cover the front desk for lunches, breaks, and extended absences of the Receptionist/Admitting Clerk. The Scheduler shall also be cross trained in medical records, chart preparation, collections, and patient account advocacy duties.
* Perform other clerical duties as directed by the Business Office Manager.
Qualifications
* High school diploma or GED required
* Minimum one (1) year scheduling experience in an ambulatory surgery facility, acute-care hospital, or doctor's office
* Attendance
* Punctuality
* Ability to meet deadlines
USD $18.00/Hr. USD $23.00/Hr.
* High school diploma or GED required
* Minimum one (1) year scheduling experience in an ambulatory surgery facility, acute-care hospital, or doctor's office
* Attendance
* Punctuality
* Ability to meet deadlines
* Responsible for scheduling all outpatient surgeries and procedures as requested by the physician or the physician's office staff.
* Responsible for obtaining and adding patient demographics and insurance information into the billing system.
* Responsible for contacting payers to verify patient benefits and obtain necessary authorization.
* Coordinates efforts with the Director of Nursing to ensure availability of needed equipment, requested staff, and/or ancillary services.
* Prepares and distributes the daily surgery schedule to the Nursing Managers, RNs, Pre-Op and PACU Nurse and Technicians, Business Office Manager.
* Responsible for capturing complete and accurate clinical, demographic and insurance information on patients scheduled at the surgery center.
* Responsible for communicating to the Director of Nursing, and other appropriate employees, for same day and next day add-on cases.
* Responsible for communicating any potential scheduling conflicts to the Director of Nursing.
* Promptly communicates any patient problems to the Business Office Manager and/or Director of Nursing.
* Maintains positive communications with the medical staff members and their office personnel.
* Responsible for tracking cancellations.
* Responsible for monitoring and maintaining and releasing block time.
* Responsible for preparing daily bank deposits for monies received at the surgery center.
* Cross-training to cover the front desk for lunches, breaks, and extended absences of the Receptionist/Admitting Clerk. The Scheduler shall also be cross trained in medical records, chart preparation, collections, and patient account advocacy duties.
* Perform other clerical duties as directed by the Business Office Manager.
$18-23 hourly 24d ago
Pharmacy Affairs Specialist, Pharmacy Business Affairs, FT, 8a-4:30p
Baptist Health South Florida 4.5
Miami Lakes, FL jobs
Partners with the corporate pharmacy team to coordinate and execute pharmacy-related programs including pharmacy billing/auditing practices, the 340B Program, and the Pharmaceutical Waste Program. This position is responsible for coordinating with and supporting the teams directly responsible for the aforementioned areas and responding to the day to day operations impacting the overall team. The incumbent may act as a liaison between all associated individuals, departments, and external partners in identifying and resolving issues. Estimated salary range for this position is $58494.88 - $76043.34 / year depending on experience. Degrees:
* Associates.
Additional Qualifications:
* Associates of Arts in Healthcare Administration, Business Administration, or related field and 5 years of experience in pharmacy or healthcare administration (i.
* e.
* billing and coding).
* Familiarity with pharmaceuticals and billing terminology preferred.
* Highly self-motivated with the ability to learn new concepts and job requirements quickly.
Minimum Required Experience: 5 Years
$58.5k-76k yearly 1d ago
YES Call Center Specialist - Tampa YMCA
Tampa Metropolitan Area YMCA 3.7
Tampa, FL jobs
Under the direction of the YMCA Engagement and Solutions Center (YES Center) Call Center Director, the YES Center Call Center Specialist will be responsible for receiving inbound and performing outbound calls that support Family Center operations and enhance the member/program participant's experience by assisting with general inquiries, performing business functions such as membership sales, cancels and adjustments, program registrations, collection of failed drafts and updating account information. When launched, outbound calls will support YMCA growth in areas of program fulfillment and optimization, member satisfaction and value added, process improvement and member retention.
The YES Center will be open extended hours to support the Call Center and Family Centers. Hours of operation may vary depending on need. Hours of operation will include early mornings, evenings, weekends and holidays. Ability to work shifts and hours is a necessity.
Critical areas of expertise include:
* Knowledge of computers and ability to learn software applications
* Excellent verbal, interpersonal and problem-solving skills
* Working well in team environment
* Highly organized and able to multi-task
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
YMCA Engagement and Solutions Center Call Center
* Responsible for effectively communicating information to callers regarding general inquiries, Family Center information, membership, programs, and events.
* Responsible for learning and following published SOP's in order to optimally support members, program participants and Family Center staff.
* Provides excellent customer service and enhances the YMCA experience to guests, members, program participants, and staff.
* Reports membership, program, or process concerns, as well as unusual situations or unresolved issues to supervisor.
* Ability to work towards common goals and objectives in a collaborative and team-centered environment.
* When launched, will perform outbound calls to increase program fulfillment, membership sales, renewals, and other initiatives as developed by Operations.
* Perform all duties, tasks and projects as assigned by supervisor.
* Assists with other projects as needed and participates in all staff meetings and/or related meetings.
* Adheres to all policies, guidelines, rules, and best practices as outlined by the Tampa Metropolitan Area YMCA or directed by supervisor.
POSITION REQUIREMENTS:
Education/ Experience Required:
* High school degree, or equivalent is required. Associate's degree preferred.
* Excellent verbal, interpersonal and problem-solving skills
* Bilingual in English and Spanish
* Ability to work in a fast-paced and constantly-changing environment
* Ability to multi-task
* Ability to relate effectively to diverse groups of people from all social and economic
segments of the community
* Ability to handle conflict professionally and manage conflict resolution in a timely manner
* Previous customer service, sales or related experience
* Knowledge of computers
* Must be able to work flexible hours including evenings, weekends, and holidays
* Able to learn and understand YMCA membership operating system and call center software
Certifications/Trainings Required:
* Must obtain within 30 days of employment and maintain current certifications in CPR, First Aid, AED and Oxygen Administration.
* Maintain other required certifications as stated in the training matrix.
WORK ENVIRONMENT AND 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 including, but not limited to:
* While performing the duties of this job, the employee is regularly required to use a computer for extended periods of time and be able to communicate using a computer and authorized work phone/smart device
* Ability to perform all physical aspects of the position, including but not limited to, walking, standing, bending, reaching, and lifting
* The employee frequently is required to sit and reach, and must be able to move around the work environment
* Ability to lift and move a minimum of 30 pounds
* Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust
* Ability to work in a variety of environments, specifically those subject to extreme humidity/dampness, heat and cold
* The noise level in the work environment is usually moderate
* This position may require availability to work flexible hours including evenings, weekends, and holidays as needed
* Must be able to perform all duties and functions of those that are supervised
$21k-24k yearly est. 24d ago
CNAs & HHAs Flexible Schedules, Competitive Pay!
Assisting Hands-Fort Myers 3.8
Fort Myers, FL jobs
Job DescriptionBenefits:
Competitive salary
Flexible schedule
Join Our Growing Team at Assisting Hands Home Care! Are you a compassionate CNA, HHA, or experienced caregiver looking for a rewarding career? Assisting Hands Home Care is hiring caregivers now to provide one-on-one in-home care for seniors in Lee County and Charlotte County, including Fort Myers, Cape Coral, Bonita Springs, Estero, and Lehigh Acres.
Why Work With Us?
Flexible Schedules Full-time & part-time available!
Competitive Pay Earn $17.00-$20.00 per hour (based on location & case complexity).
Overtime Pay Get paid fairly for your hard work.
Reliable Paycheck We are not a registry; we pay payroll taxes and liability insurance.
Supplemental Insurance Extra coverage available.
Family-Owned Business Hands-on support from owners who care.
Plenty of Hours Available We have more cases than staff!
Requirements:
CNA, HHA, or caregiving experience (home care or assisted living)
Level 2 Background Check (or ability to pass one)
CPR Certification
Alzheimers, HIV/AIDS, and Assistance with Medication Certificates
DOEA Training Certificate & TB Test
Valid Drivers License & Reliable Transportation
MUST speak and understand English
Ready to make a difference? Apply today!
call ************, extension 3.
Join Assisting Hands Home Care and help seniors stay safe and happy in their homes!
*note: Pay range is between $17.00-20.00/ hour. Pay depends on location and complexity of the case or cases assigned. We cannot guarantee hours.
Level 2 Background Screening Required
Applicants must have an active Level 2 screening in the Florida Clearinghouse. Information is available at ********************************
$17-20 hourly 25d ago
Call Center Specialist - East Orlando / Kissimmee, FL
First Choice Pediatrics Inc. 3.2
Orlando, FL jobs
Positions in Winter Garden/Alafaya/Kissimmee Poinciana
Call Center Specialist Under the supervision of the Clinical Management, the Call Center Specialist is responsible for customer service, registration, appointment scheduling and insurance verification. Typical duties include answering multi-line incoming customer calls, completing online registration, scheduling appointments and securing authorization for scheduled services. This position manages all incoming calls, front desk check-in, collecting copay's, COTA signatures, check-out processes, communication between providers and other staff. Screening calls to escalate to triage or management and communication with patients waiting on timeliness of providers. QUALIFICATIONS
Ability to multi-task and manage multiple lines and issues at once, while maintaining a positive attitude and excellent customer service.
Knowledge of third-party payers including federal, state and private health plans.
Customer service experience in a health care setting.
Experience with EMR, authorizations, managing multiple lines, collecting copay's, and completing Registrations. SPECIAL CONDITIONS Must be able to work various hours and locations based on business needs and be able to work overtime as required.
$25k-31k yearly est. Auto-Apply 60d+ ago
Business Specialist (Value Based Care)
Better-Health-Group 3.9
Tampa, FL jobs
Our mission is Better Health. Our passion is helping others.
What's Your Why?
Are you looking for a career opportunity that will help you grow personally and professionally?
Do you have a passion for helping others achieve Better Health?
Are you ready to join a growing team that shares your mission?
Why Join Our Team: At Better Health Group, it's our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients. We don't just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.
Responsibilities
Local candidate highly preferred. Hybrid work schedule (In office/Remote). If remote, travel will be required, specifically to Tampa, FL.
Reports to: VP National Products
The National Products Business Analyst plays a key role in leading and managing the execution of value-based care programs across the organization's MSSP ACO, Medicaid, and Commercial product lines. This role is responsible for ensuring successful program delivery through cross-functional coordination, data-driven decision-making, and continuous process improvement. The incumbent will serve as a key liaison between clinical, operational, and compliance stakeholders, ensuring deliverables are met, performance targets are achieved, and all activities remain audit-ready and compliant with contractual and regulatory standards.
Primary Responsibilities:
Lead the planning, execution, and performance tracking of National Products initiatives, ensuring all contract deliverables, milestones, and timelines are met in alignment with strategic objectives.
Own and maintain work plans, task trackers, and performance dashboards; monitor key risks, dependencies, and decisions, and proactively implement mitigation strategies.
Oversee the coordination of clinic-facing initiatives including care gap closure campaigns, quality improvement efforts, and performance optimization activities.
Analyze quality metrics (e.g., CQMs, HEDIS, Stars) and attribution data to identify trends, performance gaps, and improvement opportunities; develop and present actionable insights to leadership.
Partner cross-functionally with Product, Operations, IT, and Compliance to ensure efficient data exchange, operational alignment, and issue resolution.
Lead the development, documentation, and ongoing refinement of Standard Operating Procedures (SOPs), playbooks, and process maps; drive standardization and best practices across markets.
Prepare and present KPI summaries, executive updates, and progress reports to leadership.
Ensure all deliverables and communications meet contractual, CMS, Medicaid, and Commercial program requirements.
Lead quality assurance reviews of data submissions, provider rosters, and encounter files to ensure accuracy, integrity, and compliance.
Support strategic initiatives to enhance data integrity, improve operational efficiency, and reduce audit risk.
Coordinate and contribute to training and education efforts for clinics and internal stakeholders to drive program understanding and adoption.
Serve as a subject matter expert and consultant to leadership regarding regulatory expectations, operational performance, and program design.
Exercise discretion in prioritizing competing deliverables, allocating resources, and adjusting timelines as necessary to meet business needs.
Provide ongoing consultation to business leaders on compliance, process improvements, and program enhancements.
Represent the National Products function in meetings, committees, and workgroups; occasionally travel to markets as required.
Perform additional duties as assigned.
Position Requirements / Skills:
Bachelor's Degree in Business, Public Health, Healthcare Administration, or related field.
3+ years experience in healthcare project management or program operations, ideally within a value-based care environment.
Proven experience managing cross-functional healthcare projects from design through implementation.
Strong analytical and critical-thinking skills, with the ability to translate complex data into actionable insights.
Demonstrated success in influencing leadership decisions and driving measurable improvements in program or quality outcomes.
Ability to balance strategic oversight with tactical execution in a fast-paced environment.
Excellent written and verbal communication skills with experience presenting to senior management.
Proficiency with Google Workspace (Drive, Docs, Sheets, Slides) and project management tools for real-time collaboration.
Exceptional organizational, time management, and prioritization skills; able to make independent decisions and exercise discretion in a dynamic environment.
Results-driven, detail-oriented, and committed to maintaining compliance and operational excellence.
Ability to travel periodically as needed to markets and corporate locations.
Appreciation of cultural diversity and sensitivity toward target patient populations.
Demonstrated ability to handle data with confidentiality.
Physical Requirements:
Ability to remain in a stationary position for extended periods while working at a computer or attending meetings.
Frequent use of hands and fingers to operate standard office equipment.
Ability to move about the office environment, attend meetings, and collaborate with colleagues in person or virtually.
Occasional travel to markets or corporate offices as required.
.
Key Attributes/ Skills:
Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles.
An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments.
Is able to work within our Better Health environment by facing tasks and challenges with energy and passion.
Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals.
Other
Local candidate highly preferred. Hybrid work schedule (In office/Remote). If remote, travel will be required, specifically to Tampa, FL.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
$44k-83k yearly est. Auto-Apply 1d ago
Dme Collections Specialist
Integrated Home 4.2
Miramar, FL jobs
Who we are:
IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients - 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1
Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services. We currently serve over 2 million lives throughout the nation and the Commonwealth of Puerto Rico.
Join our team as we strive for excellence through teamwork delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care.
Full time team members competitive compensation package, include but not limited to;
Medical, Vision, Dental, Short- and Long-term insurance
Paid Federal Holidays
Inclusive rich sick and vacation paid days
Employer paid life insurance
401K with employer contribution
Wellness program with reward incentives
Employee recognition and reward programs
Comprehensive paid training program
What will you be doing:
As a DME Collection Specialist, you handle patient accounts after medical services have been rendered; ; liaison between our company and our patients and health plans; verify patient information, obtaining and releasing clinical documentation, appeals/denials, responds to health plan inquiries, process and perform follow-up on aging accounts, generate collection reports, and research and resolve delinquent accounts.
What will you need to succeed:
2-3 years of healthcare billing and coding support experience within Home Care Services preferred
Effective verbal and written communication skills.
Ability to use various computer programs and applications, IE EMR/EHR
Ability to self-motivate and work independently.
Ability to multi-task, set priorities and manage time effectively
Bilingual Spanish a plus
Medical Biller/Coder certification highly desired
Join our team as we strive for excellence through teamwork, where our patients are #1!
IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
$32k-42k yearly est. 29d ago
Insurance Collections Specialist
Gastro Health 4.5
Miami, FL jobs
Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team!
Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.
This role offers:
A great work/life balance
No weekends or evenings - Monday thru Friday
Paid holidays and paid time off
Rapidily growing team with opportunities for advancement
Competitive compensation
Benefits package
Duties you will be responsible for:
Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution
Maintains active communications with insurance carriers and third-party carriers until account is paid.
Negotiates payment of current and past due accounts by direct telephone and written correspondence.
Updates patient account information
Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.
Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.
Manage all assigned worklist on a daily basis for assigned insurances.
Utilize collection techniques to resolve accounts according to company's policies and procedures.
Report any coding related denial to the Coding Specialist.
Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
Conducts necessary research to ensure proper reimbursement of claims.
Assist with special projects assigned by Billing Manager or Supervisor
Minimum Requirements
High school diploma or GED equivalent.
At least 2 years' experience in insurance collections.
Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
Knowledge with letters of appeal.
Intermediate experience with Microsoft Excel and Office products is required.
Experience with HMO, PPO, and Medicare insurances.
Must be able to read, interpret, and apply regulations, policies and procedures
We offer a comprehensive benefits package to our eligible employees:
401(k) retirement plans with employer Safe Harbor
Harbor Non-Elective Contributions of 3%
Discretionary profit-sharing contributions of up to 4%
Health insurance
Employer contributions to HSAs and HRAs
Dental insurance
Vision insurance
Flexible spending accounts
Voluntary life insurance
Voluntary disability insurance
Accident insurance
Hospital indemnity insurance
Critical illness insurance
Identity theft insurance
Legal insurance
Paid time off
Discounts at local fitness clubs
Discounts at AT&T
Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.
Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees.
Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
We thank you for your interest in joining our growing Gastro Health team!
$30k-36k yearly est. Auto-Apply 60d+ ago
Call Center Admissions Specialist - Outpatien
Gracepoint 3.8
Specialist job at Gracepoint Wellness
Call Center Admissions Specialists are integral members of the support team in providing the direct first line of assistance to patients and their family members. Call Center Admissions Specialists must work well under stressful high-paced environments as a collaborative team members. This is a professional role, requiring a bachelor's Degree in the field of Human Services or other related field to support and provide assistance to behavioral/mental health patients. However, a High School Diploma is acceptable for entry-level opportunities in this program.
JOB BENEFITS
Schedule Mon-Fri 8:00 am-5:00 pm or 8:30 am-5:00 pm
Full Health/Dental/Vision/Disability Benefits, and 401(k) Matching
Non-Profit Organization Student Loan Forgiveness
Company Discount Program
JOB DUTIES & COMPETENCIES:
Provides access to behavioral health services for clients by communicating directly with clients and/or families requesting services in a timely and efficient manner.
Makes appointments according to program guidelines.
Completes a brief triage screening of potential clients which meets established funders' expectations and regulatory standards.
Demonstrates knowledge of the DSM-5 and the ability to identify symptoms that require behavioral health treatment.
Links clients with resources that address identified needs, support continuity of care and reduce the likelihood of recidivism.
Completes required GP documentation for clinical services timely and accurately into the EMR system in compliance with agency and program guidelines.
Keeps supervisor informed at all times of relevant client, program, and community issues.
Notifies Managed Care timely of needed authorizations for services as required by guarantors at the time of triage.
JOB QUALIFICATIONS:
Previous Call Center and/or Intake Experience in a health care setting preferred
Computer proficient to navigate through EMR database, MS Word, MS Outlook, and MS Excel.
Excellent communication skills in documentation and dictation
Bachelor's Degree graduate in Human Services, Psychology, Social Work, Sociology, Behavioral Health, etc.
High School Diploma acceptable as entry-level into the program
Ability to work in a sitting position for the duration of the shift and operate standard office equipment
Mon- Fri 8:00 am-4:30pm
$25k-31k yearly est. Auto-Apply 60d+ ago
Reimbursement Collection Specialist I
Axium Healthcare Pharmacy 3.1
Lake Mary, FL jobs
At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription.
Job Description
The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Include the following. Other duties may be assigned.
Ensures timely follow-up on all assigned claims to secure timely payment
Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner
Reduces claims in the over 90-day categories
Collects “Patient Responsibility” from the patient
Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems
Completes timely follow-up as required by department guidelines
Demonstrates successful collection meetings by adhering to all collection guidelines and rules
Mails, faxes or emails all appropriate collections correspondence
Receives incoming calls related to the Billing/Collections Department
Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off
Maintains relationships with insurance companies
Generates and prepares patients statements and review them for accuracy prior to mailing
Utilizes the Internet for Insurance claims status
Assists with external audits
Be willing to cross-train and fill-in in other areas within the department
Works in an efficient and cohesive group environment
Supports group and management efforts
Completes daily, weekly and monthly tasks as required by department standards
Qualifications
QUALIFICATIONS:
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 will be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE:
High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience.
LANGUAGE SKILLS:
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers.
MATHEMATICAL SKILLS:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages.
REASONING ABILITY:
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations.
COMPUTER and INTERNET SKILLS:
Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections.
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 will 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 and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds.
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 will be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in an environment of open-space cubicles where the noise level is usually quiet.
OTHER SKILLS THAT APPLY:
Diplomacy
Professionalism
Filing
Organizing
Planning
Multi-tasking
Additional Information
All your information will be kept confidential according to EEO guidelines.
$27k-32k yearly est. 10h ago
Reimbursement Collection Specialist I
Axium Healthcare Pharmacy 3.1
Lake Mary, FL jobs
At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription.
Job Description
The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner
Reduces claims in the over 90-day categories
Collects “Patient Responsibility” from the patient
Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems
Completes timely follow-up as required by department guidelines
Demonstrates successful collection meetings by adhering to all collection guidelines and rules
Mails, faxes or emails all appropriate collections correspondence
Receives incoming calls related to the Billing/Collections Department
Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off
Maintains relationships with insurance companies
Generates and prepares patients statements and review them for accuracy prior to mailing
Utilizes the Internet for Insurance claims status
Assists with external audits
Be willing to cross-train and fill-in in other areas within the department
Works in an efficient and cohesive group environment
Supports group and management efforts
Completes daily, weekly and monthly tasks as required by department standards
Qualifications
QUALIFICATIONS: 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 will be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience.
LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers.
MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages.
REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations.
COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections.
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 will 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 and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds.
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 will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet.
OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking
Additional Information
All your information will be kept confidential according to EEO guidelines.
$27k-32k yearly est. 60d+ ago
Collections Specialist
Dds Lab 4.4
Tampa, FL jobs
The Collections Specialist is responsible for day-to-day receivables activities that provide department level accounting support and ensure departmental goals and objectives are achieved. The Collections Specialist will be responsible for complying with department and company-wide accounting procedures and with generally accepted accounting principles while performing the job duties including maintaining customer accounts, processing and recording customer payments, identifying outstanding invoices, collections, credits, and responding to customer questions regarding invoices and credit requests.
Essential Duties
Process, record, and reconcile customer payments & credits.
Respond to customer questions and concerns timely via phone and email.
Prepare and send statements, invoices, and reports to clients, as scheduled or requested.
Establish and maintain relationships with new and existing customers.
Monitor accounts, identify potential customer issues, and manage delinquencies.
Process monthly customer payments for card on file customers.
Maintain case financial hold process for past due accounts.
Manage cases returned for financial credit review
Support year-end and other audits, responding to auditor requests for data, gathering information, and preparing schedules.
Participate in special projects and AR research as required.
Qualifications
Minimum of 3 years related collections experience
Excellent communication skills
Proficient in Word, Excel, Outlook
Previous experience with AR systems, namely Great Plains, preferred
General knowledge of GAAP and basic accounting principles
Familiarity with standard accounting concepts, practices, or procedures
Strong understanding and appreciation of deadlines and commitment to schedules and details
Special Position Requirements
Strong interpersonal communication and active listening skills.
Strong proficiency with Excel, Word and other MS Office programs
Ability to communicate both professionally and effectively on the phone or in email to ensure cooperation and teamwork between the customer and lab
Advanced critical thinking and problem-solving skills
Advanced organizational and time management skills
General understanding of accounting principles and practices
Ability to flourish in a dynamic, growing organization.