Call Center Admissions Specialist - Outpatien
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
Auto-ApplyPre-Certification Specialist
Specialist job at Gracepoint Wellness
The Pre-Certification Specialist is responsible for verifying funding for each patient who enters Central Intake and transferring or completing precertification in a timely fashion. The specialist maintains accurate documentation to reflect all contacts made. The specialist reports to and functions under the direction, instruction, and supervision of the Provider Services and Baker Act Office Supervisor.
COMPANY BENEFITS
Full-time staff- Health, Dental, Vision, Disability, Accidental Coverage, and 401(k) Matching!
Non-Profit Organization Student Loan Forgiveness Program
Nurse Loan Repayment Program
Free Wellness Events
Company Discounts
QUALIFICATIONS:
Associate's degree from an accredited college plus five years experience in a related field, or Bachelor's degree from an accredited college or university, plus three years experience in a related field, or master's degree from an accredited college or university, plus one year experience in a related field.
Proficiency in reading and writing documents, with a strong ability to navigate and operate programs such as Microsoft Word, Excel, Outlook, PowerPoint & Avatar.
FUNCTIONAL RESPONSIBILITIES INCLUDE:
Verification of Fund Source for each new patient.
Completes a transfer or precertification as indicated by the fund source.
Maintains good documentation on all forms to reflect contacts made for authorization.
Relays all duties completed and those that need to follow up on email shift report for the following shift.
Follow up on all incomplete tasks from the prior shift.
Maintains good communication with other managed care staff, as well as Central Intake and CSU regarding funding & authorization issues.
Responds to emails regarding changes or updates in funding as soon as they are known, but no later than the end of each shift.
COMPLIANCE RESPONSIBILITIES INCLUDE:
Adheres to all applicable federal, state, local, and company-maintained standards of compliance, ethics, and policies concerned with the administration and delivery of agency services.
Meets deadlines, requirements, and expectations as established by the supervisor, agency, and department.
Completes administrative functions and data entry timely and accurate.
CUSTOMER SERVICE RESPONSIBILITIES INCLUDE:
Provides exceptional customer service in all communications and interactions with staff and, the general public.
Maintains confidentiality and remains calm under stress.
Assists staff with support in all areas of functional responsibility in a courteous, supportive manner.
Maintains and exhibits servant leadership qualities and exceeds customers' expectations.
PHYSICAL DEMANDS:
Abilities in reaching, bending, talking, sitting, carrying, standing, grasping, fine hand coordination, ability to read and write, and the ability to remain calm under stress. Ability to reach with hands and arms, climb stairs, balance, stoop, kneel, crouch, or crawl. Must be capable of lifting 20 pounds alone.
WORK ENVIRONMENT:
General office, health care setting with client contact. Most work is completed while seated at the desk using standard office equipment. Fast-paced team approach. Multi-tasking ability requires above-average time management skills.
EOE
DRUG-FREE WORKPLACE
Auto-ApplyRisk, Claims, and Carrier Qualification Specialist
Plant City, FL jobs
The Risk, Claims & Carrier Qualifications Specialist plays a critical role in protecting Patterson Companies from operational, financial, and reputational risk. This position is responsible for managing all Overages, Shortages, and Damages (OS&D), processing and resolving freight claims, qualifying and onboarding carriers, maintaining carrier insurance compliance, and overseeing organizational risk management procedures. This role ensures that Patterson Companies operate within industry regulations while building strong partnerships with carriers and safeguarding our customers' freight.
Key Responsibilities
Claims & OS&D Management
Serve as the first point of contact for all OS&D and freight claims from shippers, carriers, and internal teams.
Investigate, document, and process claims in compliance with company policies, federal regulations, and industry best practices.
Communicate with carriers, customers, and internal stakeholders to resolve disputes promptly and fairly.
Maintain detailed claim files, documentation, and reporting for trend analysis and process improvement.
Carrier Vetting & Qualification
Conduct thorough vetting of new carriers, including verifying MC/DOT authority, safety ratings, insurance coverage, and operational capabilities.
Ensure carriers meet Patterson Companies' safety and compliance standards before onboarding.
Monitor ongoing carrier compliance, including insurance renewals, safety performance, and regulatory changes.
Manage the carrier onboarding process in collaboration with the operations team, utilizing TMS-integrated vetting tools (e.g., Highway).
Insurance & Compliance Management
Track and verify carrier insurance policies, ensuring timely renewals and appropriate coverage.
Coordinate with carriers and insurance providers to update coverage documents in company systems.
Monitor regulatory requirements and ensure company compliance with FMCSA, DOT, and other governing bodies.
Organizational Risk Management
Identify operational risks and recommend preventive strategies to mitigate exposure.
Develop and update company policies related to risk, claims, and carrier compliance.
Provide regular risk and claim trend reports to leadership to inform decision-making.
Collaborate with sales, operations, and leadership to ensure contractual agreements protect company interests.
Other duties as assigned
Qualifications
Required:
Minimum 3 years of experience in transportation, logistics, risk management, or claims processing.
Strong knowledge of carrier vetting, insurance requirements, OS&D processes, and freight claims procedures.
Proficient in using TMS platforms and compliance monitoring tools.
Excellent communication, negotiation, and problem-solving skills.
Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
Preferred:
Experience in a 3PL or freight brokerage environment. Operations experience is preferred.
Familiarity with Highway, RMIS, SaferWatch, Carrier411, or equivalent compliance software.
Knowledge of cargo insurance policies, Carmack Amendment, and freight claim regulations.
To apply online, please visit: *********************************
RCM OPEX Specialist
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
Bilingual Scheduling Specialist
Miami, FL jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
**** This is a BILINGUAL position, Spanish and English***
THE OPPORTUNITY
A Scheduling Specialist is a vital member of the healthcare team and responsible for providing world-class customer service to clients.
This position pays between $15.75-20.90/hr depending on experience
Essential Job Objectives:
Understanding admission, billing, payments, and denials.
Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
Knowledge of medical terminology or CPT or procedure codes.
Patient Access experience with managed care/insurance and Call Center experience is highly preferred.
Articulate, personable, dependable, and confident with excellent communication skills.
Customer service-oriented builds trust and respect by exceeding customer expectations.
Experience We Love:
Intermediate proficiency in MS applications (Word, Excel & PowerPoint), experience with multiple computer systems, and use of dual screens.
Able to multitask and work individually while applying critical thinking skills.
Customer Service experience is preferred.
Education/Certification(s):
High School Diploma Required - Associates Preferred
1-2 years of healthcare experience preferred
Must be bilingual (English & Spanish)
Certified Revenue Cycle Representative (CRCR) required within 9 months of hire
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
EEOC - Know Your Rights
FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
Know your Rights
Auto-ApplyBilingual Scheduling Specialist
Florida jobs
Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
* Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
* Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
* Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
This is a BILINGUAL position, Spanish and English*
THE OPPORTUNITY
A Scheduling Specialist is a vital member of the healthcare team and responsible for providing world-class customer service to clients.
This position pays between $15.75-20.90/hr depending on experience
Essential Job Objectives:
* Understanding admission, billing, payments, and denials.
* Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
* Knowledge of medical terminology or CPT or procedure codes.
* Patient Access experience with managed care/insurance and Call Center experience is highly preferred.
* Articulate, personable, dependable, and confident with excellent communication skills.
* Customer service-oriented builds trust and respect by exceeding customer expectations.
Experience We Love:
* Intermediate proficiency in MS applications (Word, Excel & PowerPoint), experience with multiple computer systems, and use of dual screens.
* Able to multitask and work individually while applying critical thinking skills.
* Customer Service experience is preferred.
Education/Certification(s):
* High School Diploma Required - Associates Preferred
* 1-2 years of healthcare experience preferred
* Must be bilingual (English & Spanish)
* Certified Revenue Cycle Representative (CRCR) required within 9 months of hire
Join an award-winning company
Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
* Innovation
* Work-Life Flexibility
* Leadership
* Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
* Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
* Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
* Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
* Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
EEOC - Know Your Rights
FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
Know your Rights
Auto-ApplySURGICAL SCHEDULING SPECIALIST
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.
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IT Help Desk
Melbourne, FL jobs
This is an intermediate position that performs tasks related to the repair of a variety of technology-based products typically associated with an end-user computing environment. This is a full-time, onsite position. Benefits include Health, Dental Vision and 401k.
Pay rate is $20.50 per hour
Responsibilities:
Performs basic and moderately complex troubleshooting and repair activities, typically associated in an end-user environment, including but not limited to PC's, desktops, laptops, tablets and printers.
Provides support to client identified VIPs
Responds to change management requests including installing new PC equipment, providing end-user desk side support and other related activities.
Perform Install/Move/Add or Change (IMAC) activities.
Perform all assigned desk-side support activities
Display outstanding technical and professional services skills at all times
Meet - established customer service satisfaction levels and other operational/customer service metrics as outlined in established guidelines
Proactively communicate with the end-user and service desk personnel regarding arrival times, repair time estimates and status of the repair
Understands and follows all documented service operations policies and procedures.
Other duties or certifications may be assigned to meet business needs
Qualifications
Education and Experience:
Typically requires technical school certification or equivalent of 2-4 years of relevant experience
Certifications and/or Qualifications:
Maintain all required OEM Certifications as directed by Management
Knowledge of relevant software and hardware systems
Understanding of ITIL methodologies
A+ certification is desired
May require additional customer-specific certifications or training as required
Skills:
Excellence in communication and customer-facing skills
Strong oral, written and interpersonal skills
Ability to follow instructions and processes with minimal instruction
Ability to lift and or move various computer equipment up to 50 lbs.
Must own a basic repair kit
Additional requirements may exist if offer of employment is extended
Additional Information
All your information will be kept confidential according to EEO guidelines.
Invasive Specialist (Tech) II - Cardiac Cath Lab - Wiregrass Ranch Hospital, Wesley Chapel, Florida
Wesley Chapel, FL jobs
Site: FMCOH Wiregrass Ranch Hospital Location: Wesley Chapel, Florida Position: Invasive Specialist (Tech) II Department: Cardiac Cath Lab Elevating Healthcare in Wesley Chapel and West Florida, Florida Medical Clinic Orlando Health Wiregrass Ranch Hospital is poised to revolutionize healthcare in Wesley Chapel and the broader West Florida region. This five-story, state-of-the-art multi-specialty hospital spans 380,000 square feet, purpose-built to serve one of Florida's fastest-growing communities with exceptional, outcomes-focused care. Designed for Excellence: Opening with 102 beds, expandable to 300 beds at full build-out 9 advanced operating rooms, including a hybrid OR with real-time imaging capabilities Comprehensive services in cardiology, neurology, oncology, surgery, and more From life-saving procedures to advanced diagnostics, this facility is engineered to meet the evolving needs of our community with precision and compassion. Job Summary Performs diagnostic imaging and related procedures to demonstrate anatomy for interpretation and/or intervention for cardiovascular procedures. Responsibilities Essential Functions Delivers appropriate care while recognizing patient conditions and ensuring successful completion of procedures and protocols. Assesses the patient's physical condition and age specific needs. Ensures that patient's education of procedure performed, needs,safety, and comfort are met while in their care. Acquires patient's clinical history and assures that the information is accurately documented. Verifies files and records for completeness and accuracy of the patient involved in studies. Archives and amends demographic information to appropriate storage media Positions patient, equipment, associated devices and manipulates technical factors to achieve high quality images for interpretation. Assesses processed image media for technical quality, and patient identification, ensuring that all relative anatomy is demonstrated. When applicable, applies principals ofradiation protection to minimize exposure to patient, self and others. Provides physiological and hemodynamic monitoring during diagnostic and interventional procedures. Supports the Physician as a scrub assistant for cardiovascular procedures. Demonstrates the knowledge of aseptic technique. Appraises and evaluates actual and potential hemostasis of a vessel post procedure. Locates, uses and troubleshoots complex technical equipment/instruments. Acts as a resource for its operation and training Maintains use of customerservice skillsin communication with allstaff, visitors and co-workers. Maintains adequate inventory levels ofsupplies, equipment, resourcestools and forms. Understands application and technical aspects of all equipment and supplies used in all procedures. Ensures case turnover time to be within established department standards by maintaining proper workflow and prioritizing optimize patient care. Must perform at least one of the following: Department preceptor (attend basic preceptor course), charge, actively participates in quality initiative and performance improvement initiative, measures by outcomes and shared governance. Must be a superuser on at least two of the department's clinical systems or unit specific technologies. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. Maintains compliance with all Orlando Health policies and procedures. Demonstrates awareness of legal issues, patients' rights and compliance with the standards of regulatory and accrediting agencies. Accountable for maintaining down time productivity. Notifies BioMed and/or equipment company as appropriate to resolve the problem and report the incident to the supervisor. Demonstrates good judgment and decision-making skills as required or willsolicit supervisory input. Utilizes all department computersystems effectively and accurately. Assists in developing and implementing essential policy and procedures. Maintains a working knowledge of all-procedural changes and equipment updates. Maintains cleanliness of work area and equipment. Maintains well stocked and organized work areas. Works evenings, weekends, holidays and call as scheduled. May be required to work at any Orlando Health facility. Performs all other duties as necessary to assure customer satisfaction. Demonstrates efficient use of supplies Assists with collection of QA data. Manages reportable occurrences and files appropriate forms with Risk Management. Implement established proceduresfor BSI. Participates in the process to ensure that all OSHA, JCAHO, FDA regulations are adhered to within the department. Assumes responsibility for professional development and continuing education to maintain licensure Qualifications Education/Training One of the following criteria must be met: CVT-RCIS or RCES: High school diploma or GED RRT or CRT: Associate degree from an accredited respiratory therapy education program. R.T.(R): Completion of an accredited radiography program. Paramedic-NREMT-P: Completion of an accredited paramedic education program. Licensure/Certification Maintain current BLS and ACLS certification. PALS may be required depending on unit specific needs. Must possess and maintain one of the following: Cardiovascular Technologist (CVT)-Registered Cardiovascular Invasive Specialist (RCIS) certification OR Registered Cardiovascular Electrophysiology Specialist (RCES) certification. Registered Respiratory Therapist (RRT)-Registered by the National Board for Respiratory Care (NBRC). Licensed for the state where they are employed. Certified Respiratory Therapist (CRT)-Certified by the National Board for Respiratory Care (NBRC). Licensed for the state where they are employed. Registered Radiologic Technologist (R.T.(R))-Certified by the American Registry of Radiologic Technologists (ARRT). Licensed for the state where they are employed. Paramedic-National Registry of Emergency Medical Technicians-Paramedic (NREMT-P) certification. Must also have a valid Registered Cardiovascular Invasive Specialist (RCIS) certification. Experience One (1) year experience in Cardiac Catheterization lab is required. Able to meet all job duties of Invasive Specialist I. Must meet unit specific performance competencies.
Education/Training One of the following criteria must be met: CVT-RCIS or RCES: High school diploma or GED RRT or CRT: Associate degree from an accredited respiratory therapy education program. R.T.(R): Completion of an accredited radiography program. Paramedic-NREMT-P: Completion of an accredited paramedic education program. Licensure/Certification Maintain current BLS and ACLS certification. PALS may be required depending on unit specific needs. Must possess and maintain one of the following: Cardiovascular Technologist (CVT)-Registered Cardiovascular Invasive Specialist (RCIS) certification OR Registered Cardiovascular Electrophysiology Specialist (RCES) certification. Registered Respiratory Therapist (RRT)-Registered by the National Board for Respiratory Care (NBRC). Licensed for the state where they are employed. Certified Respiratory Therapist (CRT)-Certified by the National Board for Respiratory Care (NBRC). Licensed for the state where they are employed. Registered Radiologic Technologist (R.T.(R))-Certified by the American Registry of Radiologic Technologists (ARRT). Licensed for the state where they are employed. Paramedic-National Registry of Emergency Medical Technicians-Paramedic (NREMT-P) certification. Must also have a valid Registered Cardiovascular Invasive Specialist (RCIS) certification. Experience One (1) year experience in Cardiac Catheterization lab is required. Able to meet all job duties of Invasive Specialist I. Must meet unit specific performance competencies.
Essential Functions Delivers appropriate care while recognizing patient conditions and ensuring successful completion of procedures and protocols. Assesses the patient's physical condition and age specific needs. Ensures that patient's education of procedure performed, needs,safety, and comfort are met while in their care. Acquires patient's clinical history and assures that the information is accurately documented. Verifies files and records for completeness and accuracy of the patient involved in studies. Archives and amends demographic information to appropriate storage media Positions patient, equipment, associated devices and manipulates technical factors to achieve high quality images for interpretation. Assesses processed image media for technical quality, and patient identification, ensuring that all relative anatomy is demonstrated. When applicable, applies principals ofradiation protection to minimize exposure to patient, self and others. Provides physiological and hemodynamic monitoring during diagnostic and interventional procedures. Supports the Physician as a scrub assistant for cardiovascular procedures. Demonstrates the knowledge of aseptic technique. Appraises and evaluates actual and potential hemostasis of a vessel post procedure. Locates, uses and troubleshoots complex technical equipment/instruments. Acts as a resource for its operation and training Maintains use of customerservice skillsin communication with allstaff, visitors and co-workers. Maintains adequate inventory levels ofsupplies, equipment, resourcestools and forms. Understands application and technical aspects of all equipment and supplies used in all procedures. Ensures case turnover time to be within established department standards by maintaining proper workflow and prioritizing optimize patient care. Must perform at least one of the following: Department preceptor (attend basic preceptor course), charge, actively participates in quality initiative and performance improvement initiative, measures by outcomes and shared governance. Must be a superuser on at least two of the department's clinical systems or unit specific technologies. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. Maintains compliance with all Orlando Health policies and procedures. Demonstrates awareness of legal issues, patients' rights and compliance with the standards of regulatory and accrediting agencies. Accountable for maintaining down time productivity. Notifies BioMed and/or equipment company as appropriate to resolve the problem and report the incident to the supervisor. Demonstrates good judgment and decision-making skills as required or willsolicit supervisory input. Utilizes all department computersystems effectively and accurately. Assists in developing and implementing essential policy and procedures. Maintains a working knowledge of all-procedural changes and equipment updates. Maintains cleanliness of work area and equipment. Maintains well stocked and organized work areas. Works evenings, weekends, holidays and call as scheduled. May be required to work at any Orlando Health facility. Performs all other duties as necessary to assure customer satisfaction. Demonstrates efficient use of supplies Assists with collection of QA data. Manages reportable occurrences and files appropriate forms with Risk Management. Implement established proceduresfor BSI. Participates in the process to ensure that all OSHA, JCAHO, FDA regulations are adhered to within the department. Assumes responsibility for professional development and continuing education to maintain licensure
Auto-ApplyPatient Charge Specialist - Surgery - Wiregrass Ranch Hospital - Wesley Chapel, Florida
Wesley Chapel, FL jobs
Site: FMCOH Wiregrass Ranch Hospital Location: Wesley Chapel, Florida Position: Patient Charge Specialist Department: Surgery Elevating Healthcare in Wesley Chapel and West Florida, Florida Medical Clinic Orlando Health Wiregrass Ranch Hospital is poised to revolutionize healthcare in Wesley Chapel and the broader West Florida region. This five-story, state-of-the-art multi-specialty hospital spans 380,000 square feet, purpose-built to serve one of Florida's fastest-growing communities with exceptional, outcomes-focused care. Designed for Excellence: Opening with 102 beds, expandable to 300 beds at full build-out 9 advanced operating rooms, including a hybrid OR with real-time imaging capabilities Comprehensive services in cardiology, neurology, oncology, surgery, and more From life-saving procedures to advanced diagnostics, this facility is engineered to meet the evolving needs of our community with precision and compassion. Job Summary Provides system support for collecting and summarizing data by performing daily data input on computers. Responsibilities Essential Functions Maintains current knowledge of Medical Terminology, the computer software systems used at Orlando Health and other Patient Charge Processes. Will be cross-trained to perform the duties of data entry and charge management. Serves as a resource to other staff members to provide guidance and direction for data entry and patient charging. Ensures prompt and accurate execution of duties and distribution of reports. Verifies all output is complete and ensures daily charge reconciliation. Assists support staff, coding, patient financial services, and clinical team in appropriate documentation methodology to support charging and determine medical necessity. Assists to resolve non-compliant operational or billing issues. Interacts with manager and staff in the timely solution and verification of procedure and patient charge information. Performs routine Orlando Health Account Management training. Accurately and efficiently accesses hospital billing and information systems to secure and assemble all necessary physician records in order to accurately bill professional physician and/or physician extender services. Verifies billable physician services by reviewing physician documentation. Assembles and inputs coding results into the current Practice Management billing system in order to expedite proper billing. Batches and balances daily charges checking provider, place of service, date of service, referring physician, diagnoses and procedures. Demonstrates self-motivation and self-direction. Maintains all daily work processes and status reports. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. Maintains compliance with all Orlando Health policies and procedures. Maintains established work production standards. Works as a team member in facilitating efficient and effective problem solving to meet goals. Establishes and maintains an environment of positive motivation through individual and group interaction. Assumes the responsibility for professional growth and development. Maintains open communication with departments and processes. Qualifications Education/Training High school diploma or equivalent. Successful completion of charge entry course in Orlando Health's Account Management System within thirty (30) days in position. Medical Terminology as demonstrated by completion of Orlando Health medical terminology course or through formal clinical training program within 6 months in position. Experience Two (2) years' experience in a hospital, health care or physician office setting. Proficient in applicable clinical division software (i.e.: Affinity GE) and applicable office software (i.e.: Microsoft Word, Excel).
Education/Training High school diploma or equivalent. Successful completion of charge entry course in Orlando Health's Account Management System within thirty (30) days in position. Medical Terminology as demonstrated by completion of Orlando Health medical terminology course or through formal clinical training program within 6 months in position. Experience Two (2) years' experience in a hospital, health care or physician office setting. Proficient in applicable clinical division software (i.e.: Affinity GE) and applicable office software (i.e.: Microsoft Word, Excel).
Essential Functions Maintains current knowledge of Medical Terminology, the computer software systems used at Orlando Health and other Patient Charge Processes. Will be cross-trained to perform the duties of data entry and charge management. Serves as a resource to other staff members to provide guidance and direction for data entry and patient charging. Ensures prompt and accurate execution of duties and distribution of reports. Verifies all output is complete and ensures daily charge reconciliation. Assists support staff, coding, patient financial services, and clinical team in appropriate documentation methodology to support charging and determine medical necessity. Assists to resolve non-compliant operational or billing issues. Interacts with manager and staff in the timely solution and verification of procedure and patient charge information. Performs routine Orlando Health Account Management training. Accurately and efficiently accesses hospital billing and information systems to secure and assemble all necessary physician records in order to accurately bill professional physician and/or physician extender services. Verifies billable physician services by reviewing physician documentation. Assembles and inputs coding results into the current Practice Management billing system in order to expedite proper billing. Batches and balances daily charges checking provider, place of service, date of service, referring physician, diagnoses and procedures. Demonstrates self-motivation and self-direction. Maintains all daily work processes and status reports. Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. Maintains compliance with all Orlando Health policies and procedures. Maintains established work production standards. Works as a team member in facilitating efficient and effective problem solving to meet goals. Establishes and maintains an environment of positive motivation through individual and group interaction. Assumes the responsibility for professional growth and development. Maintains open communication with departments and processes.
Auto-ApplyHospital Support Specialist - Bayfront Hospital
Saint Petersburg, FL jobs
About Orlando Health: Orlando Health Bayfront Hospital is a comprehensive tertiary care facility that has been serving St. Petersburg and the surrounding communities for more than 100 years. A teaching medical center, the 480-bed hospital's areas of expertise include heart and vascular, digestive health, orthopedics, surgical services, robotic surgery, rehabilitation, neurosciences, maternity care, emergency services and trauma care. The hospital's Level II Trauma Center is the only adult trauma center in Pinellas County. Home to the Center for Women and Babies, the hospital offers full obstetrical services, and, in partnership with Johns Hopkins All Children's Hospital, is one of Florida's 13 state-certified Level III Regional Perinatal Intensive Care Centers. A commitment to quality has earned the hospital recognition with a USA Today Top Workplaces award for 2025 and an "A" Hospital Safety Grade for Spring 2025 from The Leapfrog Group. Orlando Health Bayfront Hospital is part of the Orlando Health system of care, which includes award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities that span Florida's east to west coasts, Central Alabama and Puerto Rico. Collectively, our dedicated team members honor our over 100-year legacy by providing professional and compassionate care to the patients, families and communities we serve. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you The Hospital Support Specialist is responsible for working with a multidisciplinary team including hospital nursing, inpatient care management, attending hospitalists and consultants, and ambulatory physician practices, among others, to support safe and effective transitions of care from the hospital to outpatient care settings. This Hospital Support Specialist will work to reduce all-cause readmissions and improve the patient experience of care by identifying eligible patients for support services and subsequently aiding in coordination of care activities such as post-discharge scheduling and patient/caregiver education and engagement. Schedule: Monday - Friday: 8:00am - 4:30pm Responsibilities Essential Functions: • Possesses a strong understanding of medical terminology and understands healthcare operations, patient engagement, physician relations, and related healthcare issues. • Identifies patients eligible for specific population health or hospital quality programs using the electronic medical record in order to support all relevant post-discharge scheduling and support needs of the patient and caregivers. • Reviews and updates, as necessary, all patient demographic data, medical history information, family/caregiver information, and social needs data to ensure the medical record is complete and accurate. • Engages with patients using strong communication skills and utilizes patient feedback to identify current service needs and anticipate future service needs using a patient-first philosophy. • Conductsin-person scheduling, education, and support services at the hospital bedside for patients, while also engaging with patients telephonically to support other campuses and/or patients and caregivers post-discharge, as needed. • Collaborates with hospital operational leadership and quality management teams at participating hospital sites to identify areas for process improvement, ensure collaboration across stakeholders, and optimize transitions of care with aligned outpatient providers. • Partners with various healthcare entities and physician practices to foster integrated relationships with patients, families, and caregivers to facilitate streamlined patient transitions across the continuum of care, including resources to address social determinants of health and unmet needs for at-risk patients. • Distributes approved educational materials and other care transition resources to patients and caregivers to effectively remove barriers to care with the goal of preventing readmissions and other avoidable care events. • Encourages the use of appropriate medication management post-discharge to support optimal clinical outcomes and, as necessary, connects patients to in-house pharmacy programs to support medication needs, including the Meds-to-Beds Program. • Maintains a high level of proficiency with ELLiE to best identify patient needs, fully document next site of care planning and other relevant scheduling information, and ensure care transition support for patients is efficient, timely, and effective. • Ensures compliance with all necessary risk management programs, corporate quality initiatives, and other corporate objectives. • Performs other duties as assigned to support the health system's population health and hospital quality objectives. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Possesses the ability to prioritize and work independently in addition to being an integral part of the care team. • Communicates effectively through all forms of media and leverages critical thinking skills to effectively solve problems. • Documents work efforts in an organized and accessible fashion while respecting confidentiality/privacy standards. • Escalates operational and clinical concerns as they arise to hospital and corporate leadership to remove barriers. • Contributes to environment of psychological safety where ideas are welcomed, considered, and appreciated. Qualifications Education/Training • High school diploma or equivalent with completion of Medical Assistant training from an approved technical school required. • Graduate from an approved school of nursing (LPN) preferred. Licensure/Certification Maintains current certification as a Medical Assistant or current nursing license in the State of Florida renewed every two years Experience One (1) year experience as a Medical Assistant, Paramedic, Licensed Practical Nurse, Allied Health Professional, Nursing Assistant, or related health care role in a hospital setting required.
Education/Training • High school diploma or equivalent with completion of Medical Assistant training from an approved technical school required. • Graduate from an approved school of nursing (LPN) preferred. Licensure/Certification Maintains current certification as a Medical Assistant or current nursing license in the State of Florida renewed every two years Experience One (1) year experience as a Medical Assistant, Paramedic, Licensed Practical Nurse, Allied Health Professional, Nursing Assistant, or related health care role in a hospital setting required.
Essential Functions: • Possesses a strong understanding of medical terminology and understands healthcare operations, patient engagement, physician relations, and related healthcare issues. • Identifies patients eligible for specific population health or hospital quality programs using the electronic medical record in order to support all relevant post-discharge scheduling and support needs of the patient and caregivers. • Reviews and updates, as necessary, all patient demographic data, medical history information, family/caregiver information, and social needs data to ensure the medical record is complete and accurate. • Engages with patients using strong communication skills and utilizes patient feedback to identify current service needs and anticipate future service needs using a patient-first philosophy. • Conductsin-person scheduling, education, and support services at the hospital bedside for patients, while also engaging with patients telephonically to support other campuses and/or patients and caregivers post-discharge, as needed. • Collaborates with hospital operational leadership and quality management teams at participating hospital sites to identify areas for process improvement, ensure collaboration across stakeholders, and optimize transitions of care with aligned outpatient providers. • Partners with various healthcare entities and physician practices to foster integrated relationships with patients, families, and caregivers to facilitate streamlined patient transitions across the continuum of care, including resources to address social determinants of health and unmet needs for at-risk patients. • Distributes approved educational materials and other care transition resources to patients and caregivers to effectively remove barriers to care with the goal of preventing readmissions and other avoidable care events. • Encourages the use of appropriate medication management post-discharge to support optimal clinical outcomes and, as necessary, connects patients to in-house pharmacy programs to support medication needs, including the Meds-to-Beds Program. • Maintains a high level of proficiency with ELLiE to best identify patient needs, fully document next site of care planning and other relevant scheduling information, and ensure care transition support for patients is efficient, timely, and effective. • Ensures compliance with all necessary risk management programs, corporate quality initiatives, and other corporate objectives. • Performs other duties as assigned to support the health system's population health and hospital quality objectives. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA, and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: • Possesses the ability to prioritize and work independently in addition to being an integral part of the care team. • Communicates effectively through all forms of media and leverages critical thinking skills to effectively solve problems. • Documents work efforts in an organized and accessible fashion while respecting confidentiality/privacy standards. • Escalates operational and clinical concerns as they arise to hospital and corporate leadership to remove barriers. • Contributes to environment of psychological safety where ideas are welcomed, considered, and appreciated.
Auto-ApplyPeer Specialist
Punta Gorda, FL jobs
Job Details 1700 EDUCATION AVE - PUNTA GORDA, FL Full Time High School $16.25 - $17.82 Hourly Up to 25% Day Nonprofit - Social ServicesDescription
Make a lasting difference in the lives of individuals in recovery. Join our mission-driven team!
The Peer Specialist serves as a vital member of the Substance Use and Court Services program, providing peer-based support to individuals with substance use disorders (SUD), mental health (MH) disorders, and may also be involved in the judicial system. This role uses lived experience to engage individuals in recovery, offer encouragement, promote self-advocacy, and support treatment goals. The Peer Specialist assists with community reintegration, facilitates group discussions, attends court proceedings, and ensures individuals feel supported through their recovery journey. The work occurs across office, court, and community settings and is rooted in recovery-oriented principles and collaboration with a multi-disciplinary team.
What We Offer
Competitive salary and sign-on bonus.
Comprehensive Benefits:
Health, dental, vision, and life insurance.
Paid Time Off (PTO) and 11 paid holidays.
403(b) Retirement Plan with 9% employer contribution (for eligible staff).
Employer-sponsored contributions to a Health Savings Account (HSA) with qualifying plans.
Tuition reimbursement, Public Service Loan Forgiveness (PSLF) eligibility, and HRSA loan repayment opportunities.
Qualified Supervisor to provide clinical supervision for licensure candidates.
Career Growth Opportunities: We invest in our leaders!
Qualifications
High school diploma or equivalent.
Ability to become a Certified Recovery Peer Specialists within one (1) year of employment.
One (1) year experience working with individuals in recovery from SUD or MH required.
Two (2) years in personal recovery required.
Must maintain high standards of ethical and professional conduct, while adhering to agency policies and procedures.
Ability to work independently and as part of a team, in collaboration with other community partners.
Ability to manage stressful situations and display appropriate work demeanor and boundaries.
Strong understanding of confidentiality, personal boundaries, and peer ethics.
Ability to demonstrate excellent customer service.
Ability to pass a level II Background clearance and drug test.
Scheduling Specialist
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.
Scheduling Specialist
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 8:30am-5:00pm Monday-Friday, Rotating Saturdays 8am-2pm.
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 *******************************
CNAs & HHAs Flexible Schedules, Competitive Pay!
Fort Myers, FL jobs
Job DescriptionBenefits:
Overtime Opportunities
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 $16.50-$19.50 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 $16.50-19.50/ hour. Pay depends on location and complexity of the case or cases assigned. We cannot guarantee hours.
Revenue Cycle Specialist - Medicare
Coral Springs, FL jobs
Full-time Description
Overview of the Role
The Revenue Cycle Management (RCM) Specialist is responsible for managing key aspects of the revenue cycle process within Quest Health Solutions. While a third-party billing company handles initial billing functions, this role focuses on escalations, oversight, and specialized tasks to ensure accurate billing, effective denial management, and smooth coordination across departments. The RCM Specialist plays a vital role in maximizing revenue, supporting compliance, and enhancing overall operational efficiency.
Essential Duties and Responsibilities
Accounts Receivable (AR) & Billing
Handling AR tasks, including research and resolution of outstanding balances.
Conduct denials report reviews.
Manage write-off approvals.
Handle AR tasks related to denied or delayed claims.
Resupply Management Order Escalations
Manage RCM intake and order escalations involving AR and billing-related issues.
Medicare Appeals Oversight
Review Medicare appeals prepared by the billing company for accuracy.
Provide guidance and direction to the billing company on appeal content and strategy when needed.
Customer Service
Perform patient outreach to obtain updated information when required to resolve billing or order issues.
Support patients in understanding billing-related inquiries and coordinate resolutions with internal teams.
Process Improvement
Identify opportunities for process improvements within the revenue cycle to enhance efficiency, accuracy, and compliance.
Requirements
What You'll Bring
DME & Medicare Billing Expertise: Previous experience in a revenue cycle management role with a strong focus on Durable Medical Equipment (DME). In-depth knowledge of Medicare billing processes, claim requirements, and LCD (Local Coverage Determination) guidelines, with the ability to review documentation for compliance.
Technical Knowledge: Familiarity with Brightree and core revenue cycle functions, including AR management, billing workflows, and denial resolution.
Problem-Solving Ability: Demonstrated capacity to research, analyze, and resolve complex billing issues and denials effectively and efficiently.
Communication Skills: Strong verbal and written communication skills to collaborate with internal teams, patients, physicians' offices, and insurance providers.
Organizational Skills: Excellent organizational skills with the ability to manage multiple priorities, meet deadlines, and ensure timely resolution of escalations.
Benefits
Medical, Dental, and Vision Insurance
Life Insurance coverage
Paid time off and Holiday Pay
401K with company match option
Growth opportunities
Join a team where your work has real impact. Apply today and help transform the lives of people living with diabetes!
Insurance Collections Specialist
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!
Auto-ApplyReimbursement Collection Specialist I
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.
Reimbursement Collection Specialist I
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.
Insurance Collections Specialist
Boynton Beach, FL jobs
Job Description
FUNCTION/OVERVIEW:
This position will focus on accuracy in reviewing and assessing insurance denials or returned claims. Must be able to communicate with insurance companies and clients from a resolution based perspective. This communication should be focused on acquired knowledge, insurance carrier guidelines, company policies & procedures, research and collection efforts. In addition to following up on claims, the collection specialist will be responsible for sending out medical records and writing appeals for denials to the insurance companies.
PRIMARY DUTIES/RESPONSIBILITIES:
Promote the mission, values and vision of the organization.
Provide excellent customer service for clients; practices confidentiality and privacy protocols in accordance with HIPAA requirements.
Accurately and thoroughly enters data / notes into the electronic system for follow up.
Assists with follow up on claims processed to ensure payment to the agency.
Works directly with payers to verify client eligibility and client payment responsibility including co-pays, deductibles, co-insurance, and/or out of pocket maximums.
Assists as needed with follow-up on insurance denials, appeals, and reconsiderations.
Assists as needed with all billing tasks and functions related to insurance, grant, and client billing.
Responsible for investigating insurance rejected claims and the re-processing of denied claims and/or appeals of denied or underpaid claims.
Identify denial patterns, as well as notifying senior management of payment delay issues.
Contacts insurance companies regarding outstanding accounts.
QUALIFICATIONS REQUIRED:
High School Diploma or GED equivalent with combination of education and work experience, required; Bachelor's degree, preferred.
Minimum of two (2) years' experience in Substance abuse Billing, Coding and Collections.
Knowledge of Third Party payers, billing requirements and reimbursement methods; knowledge of medical terminology.
Knowledge of claims reimbursement and collection efforts for the field of Substance Abuse treatment.
Relevant computer software and hardware applications proficiency - Word, Excel, PowerPoint, Outlook, Electronic Medical Records, Billing Systems and/or other scheduling applications; KIPU preferred, Collaborate MD
SKILLS:
Strong communication skills, both written and verbal.
Ability to work independently, as well as part of a team.
Manage multiple tasks and set priorities.
Ability to handle highly sensitive and confidential information.
Ability to work in a fast-paced, high-energy environment.
Excellent interpersonal and customer-facing skills.
Ability to work accurately, with attention to detail.