About Horizons
At Horizons, we're building the infrastructure to power borderless teams. By handling global payroll, benefits, taxes, and compliance, our technology enables businesses to hire anyone anywhere compliantly at the push of a button.
If you're interested in adding to our vision of enabling people to work in dream jobs, for every company, and from anywhere in the world, apply now!
We're committed to building a global, diverse team representing different and varied backgrounds, perspectives, and experiences. We welcome applications from everyone, regardless of gender, ethnicity, sexual orientation, religion, civil or family status, age, or disability. Being a Horizoneer means being part of a growing, international family.
About the role
As the Head of Product, you will be responsible for overseeing the development, management, and continuous improvement of the platform's product offerings. Your primary goal will be to ensure the platform meets the needs of its clients and remains competitive in the market.
Your key responsibilities will be:
Develop and maintain a comprehensive product strategy, setting short-term and long-term goals aligned with company objectives.
Create and manage a product roadmap, prioritizing features based on customer feedback, market trends, and business needs.
Collaborate closely with engineering, design, marketing, operations, and sales teams to facilitate seamless product development and launches.
Oversee platform user experience to ensure it's intuitive and functional for both businesses and employees.
Establish and monitor key performance indicators (KPIs) to measure product success and guide future decisions.
Build, mentor, and lead a high-performing product team, including diverse roles and responsibilities.
Effectively communicate product strategy, progress, and updates to internal and external stakeholders, including leadership, investors, and customers.
Ensure platform compliance with employment laws and data privacy regulations across operational countries, maintaining high standards for security and privacy.
Success in this role would come from a combination of strong leadership, strategic thinking, and the ability to stay ahead of market trends and customer expectations.
What you bring:
Working experience
7+ years of experience in product management, preferably within the HR technology, payroll, or Employer of Record (EoR) industries.
2+ years of experience in managing product teams.
A proven track record of leading product managers/owners and successfully launching and scaling products.
Experience working in cross-functional teams, including engineering, design, marketing, and sales.
Familiarity with global employment laws and regulations, as well as data privacy and security standards.
Experience working in a startup or fast-paced environment is a plus.
Skills
Strategic thinking and problem-solving.
Leadership and team management.
Communication and presentation skills.
Able to use data and metrics to inform product decisions and drive continuous improvement.
Comfortable adapting to shifting market conditions, evolving customer needs, and changing company priorities.
Familiar with technologies, platforms, and tools commonly used in HR tech, payroll, or Employer of Record (EoR) industries.
Qualities
Entrepreneurial mindset.
Growth mindset.
Emotional intelligence.
Vision and passion.
Ability to fast and efficient.
Resilience and perseverance.
What it's like working at Horizons
Our service & product. We're a technology company, not an accountancy, payroll provider, recruitment firm or similar. We build a workforce management platform that allows our customers to hire the best talent in minutes, without worrying about compliance, payroll, or HR admin.
Our amazing team and environment. Working at Horizons means you're working on something very exciting: Allowing every person on the planet to have access to equal opportunities in living a fulfilled work and personal life. We believe in hiring from within and going the extra mile to retain top talent. As the company continues to grow extremely fast, you will be given the opportunity to develop and grow alongside.
Our benefits and perks. Being a Horizoneer means that you get the benefit of:
A competitive salary
An asynchronous working environment
A "Remote-First" company environment (or Hybrid) - based on the nature of the job
The ability to work from abroad for a short period of time
Growth opportunities within the company
We provide all new joiners with the necessary hardware to ensure you have the tools you need to succeed from day one
How to apply
Please fill out the form and upload your CV in a PDF format.
If you don't have an up-to-date CV but you are still keen to reaching out, please feel free to add a copy of your LinkedIn profile instead.
Need help? Get in touch with us at: ***********************
$126k-177k yearly est. Auto-Apply 60d+ ago
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Global Partnerships Manager
Horizon Services 4.6
Remote
About Horizons
At Horizons, we're building the infrastructure to power borderless teams. By handling global payroll, benefits, taxes, and compliance, our technology enables businesses to hire anyone anywhere compliantly at the push of a button.
If you're interested in adding to our vision of enabling people to work in dream jobs, for every company, and from anywhere in the world, apply now!
We're committed to building a global, diverse team representing different and varied backgrounds, perspectives, and experiences. We welcome applications from everyone, regardless of gender, ethnicity, sexual orientation, religion, civil or family status, age, or disability. Being a Horizoneer means being part of a growing, international family.
About the role:
We are looking for an experienced partnerships manager to lead the charge in building and optimizing our global partner ecosystem. This role will be pivotal in identifying the right partners across diverse geographies, ensuring their performance aligns with our standards, and expanding our reach into new markets. With a focus on collaboration, efficiency, and quality, the Partnerships Manager will play a critical role in enabling Horizons to deliver unparalleled service to our clients worldwide.
Key responsibilities:
● Identify, evaluate, and onboard suitable EOR partners to expand Horizons' service offerings in target countries and regions.
● Establish partnerships with local payroll providers, tax advisors, and mobility service providers to ensure efficient and compliant operations.
● Negotiate terms and agreements with partners to secure competitive pricing and ensure high-quality service delivery.
● Monitor partner performance through regular assessments, ensuring adherence to service-level agreements (SLAs) and company standards.
● Collaborate with internal teams to resolve partner-related challenges and maintain operational excellence.
● Research market trends and emerging opportunities to expand the partnership network strategically.
● Maintain accurate records of partner interactions, agreements, and performance metrics in designated systems.
● Act as the primary point of contact for partner inquiries, escalations, and relationship management.
● Assist in developing a framework for evaluating new partners and optimizing existing relationships to improve efficiency and profitability.
Requirements for the role:
● A Bachelor's degree in business administration, law, international relations, or a related field.
● 5-7 years of experience in partnership management, vendor management, or a related role, within the EOR, HR, or global mobility industry.
● Strong understanding of EOR services, payroll systems, and global HR operations.
● Experience managing transitions or migrations of employer/employee portfolios, ideally from external vendors to internal operations.
● Excellent communication and interpersonal skills to build and nurture relationships with partners across different cultures and geographies.
● Strong organizational skills with attention to detail and the ability to manage multiple tasks effectively.
● Proficiency in Microsoft Office and CRM tools for managing partner data and communications.
● A proactive approach to problem-solving with a focus on delivering results.
● Ability to work independently while contributing to the broader team's goals.
Preferred Competencies:
Excellent communication and interpersonal skills (written and verbal), with a keen attention to detail and discipline.
Strong decision-making and organizational skills, with the ability to provide expert advice and practical solutions.
Proven ability to collaborate effectively with cross-functional teams, leveraging communication skills, knowledge, and expertise to resolve issues.
What it's like working at Horizons
Our service & product. We're a technology company, not an accountancy, payroll provider, recruitment firm or similar. We build a workforce management platform that allows our customers to hire the best talent in minutes, without worrying about compliance, payroll, or HR admin.
Our amazing team and environment. Working at Horizons means you're working on something very exciting: Allowing every person on the planet to have access to equal opportunities in living a fulfilled work and personal life. We believe in hiring from within and going the extra mile to retain top talent. As the company continues to grow extremely fast, you will be given the opportunity to develop and grow alongside.
Our benefits and perks. Being a Horizoneer means that you get the benefit of:
A competitive salary
An asynchronous working environment
A "Remote-First" company environment (or Hybrid) - based on the nature of the job
The ability to work from abroad for a short period of time
Growth opportunities within the company
We provide all new joiners with the necessary hardware to ensure you have the tools you need to succeed from day one
How to apply
Please fill out the form and upload your CV in a PDF format.
If you don't have an up-to-date CV but you are still keen to reaching out, please feel free to add a copy of your LinkedIn profile instead.
Need help? Get in touch with us at: ***********************
$70k-89k yearly est. Auto-Apply 10d ago
Licensed Life Insurance Sales Agent
The Price Group 4.0
Greenville, TX jobs
Job Description
Why Work Here?
“Industry-leading tech, training, lead system, and products”
If you are already licensed, great!
If not, we have a comprehensive training program that will help you every step of the way. We have a proven, reliable, and predictable business system. If working from home is something you are looking for, we have a remote call center that allows our agents to work alongside their mentors, all while working from home. If you feel your strengths are designed for face-to-face sales, we have an amazing system for that, too!
We bring high support and high challenge! No employees, only partners! Results will vary based on the amount of effort you put into it.
Applicants must have a strong work ethic, be driven to succeed, and be willing to go above and beyond to achieve above-average results. You must be willing to work for the income you expect to make in your first year. High achievers can take advantage of rewards clubs and incentive trips to exotic locations across the globe. A top-notch culture provides the ultimate resources for you to succeed.
Compensation:
$50,000 - $100,000 yearly
Responsibilities:
We value flexibility and the ability to care for yourself and your loved ones outside of work. Take charge of your own schedule and lifestyle!
We equip agents with cutting-edge technology and a comprehensive product portfolio that makes closing the sale simple and easy
Leads delivered straight to your cell phone
NO cold calling, NO door knocking, NO relying on referrals only
We will be giving you comprehensive training, guidance, and support. One-on-one mentoring is also provided
Qualifications:
If you have good communication skills, you can work anywhere in the nation, but you must stay connected to your mentor. (We operate a virtual call center through Zoom.)
Willing to get an insurance license if not already licensed
Requires a willingness to be trained
Coachable
Must have no felonies on record
About Company
The Price Group is a fully independent Insurance Marketing Organization (IMO) built on a foundation of integrity, opportunity, and agent empowerment. We believe that success in the insurance industry isn't about gimmicks or false promises-it's about providing real opportunities, proven systems, and unwavering support to those willing to put in the work.
Our exclusive lead system ensures that every agent gets fresh, high-intent prospects, maximizing their chances of closing sales and building long-term client relationships.
$50k-100k yearly 15d ago
Site Quality Assurance Supervisor
Comfort Systems 3.7
Houston, TX jobs
The Site Quality Assurance Supervisor shall be responsible for developing, implementing and managing installation project's quality program to ensure all installations meet design specifications, industry standards, (e.g., NEC, NFPA), and client requirements. This role involves extensive inspections, documentation, and coordination with various stakeholders from design through commissioning and final turnover. This position reports to the Director of Quality Assurance and will work closely with the Aftermarket Services Installation and Construction teams at each job site.
KEY JOB RESPONSIBILITIES:
Assist in ensuring the ongoing integrity of the quality management system (ISO 9001:2015, AISC, etc.) through internal auditing or as directed.
Develop and manage installation-specific QA/QC plans, procedures, and inspection/test plans (ITPs) in alignment with company and client standards.
Oversee and perform regular site inspections (including the three-phase control system: preparatory, initial, and follow-up) for all structural, architectural, and critical MEP (mechanical, electrical, plumbing) systems. Coordinate and manage third-party testing and inspection agencies as required for equipment installation.
Participate with superintendents to ensure all work adheres to relevant national and local building codes, specifications, and industry standards (e.g., NEC, NFPA 70E, IEEE).
Identify, document, and track non-conformances (NCRs) and other quality issues, leading the root cause analysis and verifying the effective implementation of corrective and preventive actions (CAPA).
Work closely with the installation team through L2 readiness, ensuring all systems are designed, installed, tested, and documented for operational readiness and client turnover.
Act as the primary liaison between the owner, general contractor, trade partners, design teams, and vendors to ensure alignment on quality expectations and work with Installation Site Leadership to resolve issues in a timely manner.
Maintain detailed records of all quality-related activities using project management software (e.g., Procore, CxAlloy, ACC, Bluebeam) and provide regular reports and trend analysis on performance metrics and defect trends to management.
Provide training and guidance to on-site staff and subcontractors on quality procedures, best practices, and the proper use of QA/QC tools.
Experience with construction management software platforms such as Procore, CxAlloy, Bluebeam, and Microsoft Office Suite is required for documentation and reporting.
Collaborate with the site safety team to ensure quality processes align with health and safety standards and protocols, promoting a strong safety culture on site.
Strong leadership, communication, problem-solving, and organizational skills, with a keen eye for detail and the ability to influence cross-functional teams.
OTHER RESPONSIBILITIES:
Participating with superintendents in being responsible for code compliance
Responsible for the administration and implementation of the quality control system for site installation activities.
Ensure all work fully complies with the contract drawings, specifications, and submittals.
Ensure all materials, equipment, and workmanship are inspected for compliance with specifications.
Identify quality control problems (non-conformances) through proper inspections and recommend/provide solutions.
Identify items for improvement and implement changes by coordinating with appropriate individuals with respective subcontractors, suppliers, or internal departments.
Maintain work performance records, inspection records, and other related compliance items as necessary.
Monitor subcontractor work to ensure compliance with company standards, procedures, and codes when applicable and issue reports regarding quality deficiencies and remediation requirements.
Act as a liaison with owner, regulatory agencies, subcontractors, and/or internal departments on quality related matters and submittals.
Participate in developing punch lists and final inspection and acceptance criteria.
Establish standards/procedures for commissioning and start-up of mechanical systems and manufacturing processes.
Ensure all certificates and final inspections have been obtained prior to project close out.
Exercise the authority to halt work on nonconforming work and activities.
Availability to travel to client facilities and sites to assist in quality related planning, training or remediation activities for short durations.
Any other tasks assigned by TAS Energy.
JOB SKILLS:
Highly Computer literate in all standard business operating software.
Ability to analyze complex data with a variety of variables to solve practical problems where only limited standardization exists.
High level of ability to manage a team dynamic and collaborate with junior employees.
Provide direct immediate technical support related to quality management processes and philosophies.
Ability to produce high quality results using autonomy.
EDUCATION AND TRAINING:
Bachelor's degree in Construction Management, Electrical or Mechanical Engineering, Architecture, or a related field is often preferred, or equivalent relevant experience.
ISO 9001:2015 Lead Auditor
OSHA 30 certification
MINIMUM REQUIREMENTS:
5+ years of experience in QA/QC in large-scale, mission-critical construction projects, specifically data centers, is essential.
Supervisory skills in an industrial manufacturing and modular installation environment.
Experience in operations involving structural steel and pipe weldment fabrication, mechanical and electrical assembly.
Relevant certifications such as the USACE/NAVFAC Construction Quality Management (CQM) certificate, ASQ certifications (CMQ/OE, CQA), or a Certified Commissioning Professional (CCP) are highly valued.
Deep understanding of MEP systems (HVAC, power distribution, fire suppression), construction methods, and the data center commissioning process.
Effective working knowledge of applicable codes and/or requirements:
ASME Section VIII, IX, and V
ANSI B31.1, 31.3, 31.9
AWS D1.1
NEC/IEC
PREFERRED REQUIREMENTS:
ISO 14001:2015 Internal Auditor
ISO 45001:2018 Internal Auditor
ISO 3834-3 Trained
AISC 207-20 Trained
NEC Trained
PHYSICAL REQUIREMENTS/WORK ENVIRONMENT:
Position is at least 40% to 50% at a desk working with a computer and up to 50% at outdoor locations at remote job sites. Ability to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Performs other physical activities including use of fingers, sitting, stooping, bending, crouching, talking, hearing, and performing repetitive motions. Visual acuity requirements include color, depth perception and field of vision necessary to prepare and analyze data and figures, operate a computer terminal, and conduct extensive reading. The incumbent will be subject to inside and outside environmental conditions at construction sites.
COMPANY OVERVIEW:
Join a team driven to excel in all that we do! When you join TAS, you join a Houston-headquartered company that is part of a large Houston-headquartered publicly traded company, Comfort Systems USA, with a solid reputation built on outstanding value, integrity, and customer focus. We offer our customers and employees the best of both worlds: a small company feel with the resources, talent, process, and international reach of a large company.
TAS delivers innovative packaged modular systems that are engineered and manufactured in one of our Houston, TX facilities and utilized in data centers, power, and commercial/industrial utility system applications. TAS has successfully delivered and commissioned over 520 packages to over 33 countries. The company is headquartered in Houston, TX and has five ISO 9001 certified manufacturing facilities in Houston, encompassing 1.2m sq. feet with proximity to major shipping ports and interstate highways. TAS manages all logistics and transportation facilitating accelerated construction at customers' facilities.
TAS' fastest growing business is the data center market. By applying deep expertise in cooling, thermodynamics, and power, TAS has developed an entire product line that revolutionizes data center delivery.
With our tremendous market potential, advanced technological systems, entrepreneurial culture as well as a talented and productive workforce, we continue to set and exceed aggressive market penetration and financial goals. More information is available on the company website at: ************
IMPORTANT NOTICE:
TAS has a tobacco-free workplace policy, under which individuals are not allowed to smoke or use tobacco or nicotine products on the TAS premises, while conducting TAS business off premises or take "smoking" breaks during working hours. “smoking” and “tobacco or nicotine products” includes, but is not limited to, product such as cigarettes, e-cigarettes, cigars, pipes, vaping, all forms of smokeless tobacco (chewing tobacco, snuff, dip) and clove cigarettes
The above declarations are not intended to be an all-inclusive list of the duties and responsibilities of the job described, nor are they intended to be such a listing of the skills and abilities required to do the job. Rather, they are intended only to describe the general nature of the job.
Applications and resumes will be kept on file for a limited time and the Company is under no duty or obligation to contact applicants if they are not selected for the job applied for or if other jobs become available in the future. Applicants that desire to apply for a job that becomes available at the Company in the future, should submit a new employment application or resume.
TAS Energy Inc. guarantees equal employment opportunities to all qualified applicants. All qualified applicants will receive consideration for employment, without regard to age, race, color, religion, sex, sexual orientation, gender identity, or national origin.
$54k-78k yearly est. Auto-Apply 2d ago
PS Customer Service Representative - Remote Bilingual Required
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
The purpose of the Customer Service Representative position is to support the Customer Service Call Center as it relates to physician billing for multiple clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned.
* Handle a large call volume while ensuring quality customer service and patient satisfaction
* issues not resolved during conversation with patient/guarantor
* Ability to complete other related customer service duties as assigned
SUPERVISORY RESPONSIBILITIES
If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position serves as the primary source of communication for patients' billing inquiries. This person must possess the skill to effectively assist patients with sensitive and confidential issues, while understanding our obligation to our clients to collect outstanding patient balances. They should be able to handle multiple tasks along with setting appropriate priorities with client information.
* Answer patient calls within the guidelines of call center metric objectives
* Ensure appropriate HIPAA compliance guidelines
* Adhere to work schedule and follow call center phone procedures
* Maintain professionalism and confidentiality
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* High School degree or equivalent required
* At least 1 year experience in a medical customer service role preferred
* Previous experience in a call center environment preferred
* Proficiency in Microsoft Outlook, Excel and Word required
* Previous experience with medical billing systems required; GE Centricity or EPIC experience a plus
REQUIRED CERTIFICATIONS/LICENSURE
Include minimum certification required to perform the job.
N/A
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
* Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office Work Environment
* Hospital Work Environment
TRAVEL
* No travel required
Compensation and Benefit Information
Compensation
* Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$14.5-21.8 hourly 19d ago
Nurse Quality Analyst - Remote
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
The Revenue Cycle Clinician for the Appellate Solution is responsible for: a) Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review b) Preparing and documenting appeal based on industry accepted criteria.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Performs retrospective (post -discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review.
* Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual or other key factors or systems as evidenced by Inter-rater reliability studies and other QA audits. Constructs and documents a succinct and fact based clinical case to support appeal utilizing appropriate module of InterQual criteria (Acute, Procedures, etc). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization.
* Demonstrates ability to critically think and follow documented processes for supporting the clinical appellate process.
* Adheres to the department standards for productivity and quality goals. Ensuring accounts assigned are worked in a timely manner based on the payor guidelines.
* Demonstrates proficiency in utilization of electronic tools including but not limited to ACE, nThrive, eCARE, Authorization log, InterQual, VI, HPF, as well as competency in Microsoft Office.
* Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, denials management, etc.
* Additional responsibilities:
* Serves as a resource to non-clinical personnel.
* Provides CRC leadership with sound solutions related to process improvement
* Assist in development of policy and procedures as business needs dictate.
* Assists Law Department with any medical necessity reviews as capacity allows up to and including attending mediation hearings, other litigation forums, etc.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Demonstrates proficiency in the application of medical necessity criteria, currently InterQual
* Possesses excellent written, verbal and professional letter writing skills
* Critical thinker, able to make decisions regarding medical necessity independently
* Ability to interact intelligently and professionally with other clinical and non-clinical partners
* Demonstrates knowledge of managed care contracts including reimbursement matrixes and terms
* Ability to multi-task
* Ability to conduct research regarding State/Federal appellate guidelines and applicable regulatory processes related to the appellate process.
* Ability to conduct research regarding off-label use of medications.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Must possess a valid nursing license (Registered)
* Minimum of 3 years recent acute care experience in a facility environment
* Medical-surgical/critical care experience preferred
* Minimum of 2 years UR/Case Management experience preferred
* Managed care payor experience a plus either in Utilization Review, Case Management or Appeals
* Previous classroom led instruction on InterQual products (Acute Adult, Peds, Outpatient and Behavioral Health) preferred
CERTIFICATES, LICENSES, REGISTRATIONS
* Current, valid RN licensure (Must)
* Certified Case Manager (CCM) or Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR , CPUM, or CPHM) preferred
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to lift 15-20lbs
* Ability to travel approximately 10% of the time; either to facility sites, National Insurance Center (NIC) sites, Headquarters or other designated sites
* Ability to sit and work at a computer for a prolonged period of time conducting medical necessity reviews
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Characteristic of typical office environment requiring use of desk, chair, and office equipment such as computer, telephone, printer, etc.
OTHER
* May require travel - approximately 10%
* Interaction with facility Case Management, Physician Advisor is a requirement.
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$30.9-46.3 hourly 54d ago
Digital Dentistry Support Technician
The Aspen Group 4.0
East Syracuse, NY jobs
The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and Lovet Pet Health Care. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.
As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as Digital Dentistry Support Technician.
Job Summary:
As a Support technician for Imaging Modality Digital Dentistry Support you will interact with over 1200 Practices under the Aspen Dental and Clear choice Implant Center brands, providing over the phone, remote support for Digital Dentistry Technology. Topics include Intraoral Scanning, 3D Printing, Appliance and Prosthetic design software and clinical diagnostic software. Technicians will work from a ticketing queue. Assigning cases based on priority and impact as well as participating in hardware preparation, software and hardware deployments, and implementation projects
Responsibilities:
Provide over the phone/remote technical support to users by helping with hardware and software issues and answering questions.
Troubleshoot and diagnose technical issues with intraoral scanning, 3d printing, and associated software and platforms
Research and apply solutions to presented issues in a timely manner
Provide step-by-step guidance for workflows and processes
Facilitate 3rd party vendor partner support escalations with field offices.
Coordinate remote field technicians to perform installations and services
Produce accurate and reproducible issue and solution documentation within a centralized ticketing system
Participate in Educational activities and device/technology/role specific trainings.
Other duties as required.
Core Competencies:
Comfortable working in fast paced, dynamic, large Healthcare Service Organization environment.
Excellent written and verbal communication skills.
Strong IT computing and networking support background
Strong Customer Service, Communication, and Documentation skillset
Ability to lift 50lbs.
Knowledge of X-Ray and other medical imaging concepts.
Knowledge of 3d Printing and additive manufacturing concepts
Understanding of medical and anatomical vocabulary
Perform remote based repair and troubleshooting of imaging equipment and PC equipment.
Strong Windows 10, 11 troubleshooting and support skillset.
Strong Computer Hardware experience
Understanding of Networking and Computer infrastructure concepts
Education:
High School Diploma or GED.
Preferred:
BS in Electrical Engineering, Computer Science, Computer Information Systems, or another related field. Or 5 years' experience in related field.
Annual Salary Range: $60,000-$65,000, with a generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match
Work Schedule: 5 days onsite in our Syracuse, NY location
If you are an applicant residing in California, please view our privacy policy here: *********************************************************************************
$60k-65k yearly Auto-Apply 7d ago
HVAC Master License Qualifier
One Hour Heating & Air Conditioning of Frisco, Tx 4.4
Frisco, TX jobs
Join Our Team of HVAC Service Pros Today! We are on a mission to help HVAC professionals achieve their dream goals, and we are currently looking for an HVAC manager who aims to grow with us. Job Description: As an HVAC Master License Qualifier at One Hour Frisco, you will be responsible for ensuring that our HVAC operations comply with all relevant local and state regulations and codes. You will be the technical expert holding our company's master HVAC license. Your role is essential in guiding our team to deliver HVAC services that meet the highest quality and safety standards.
Key Responsibilities:
Hold and maintain the HVAC Master License for Texas.
Review HVAC projects to ensure compliance with local HVAC codes and industry best practices.
Provide guidance and support to HVAC apprentices, journeymen, and technicians regarding code compliance and quality workmanship.
Collaborate with project managers and field teams to address code-related issues and ensure corrective actions are taken.
Stay current on changes in HVAC codes, regulations, and industry standards.
Assist in preparing and submitting permit applications as required.
Conduct periodic inspections and quality control checks on HVAC work.
Maintain accurate records of licenses, certifications, and compliance documentation.
Serve as a liaison with local authorities and regulatory agencies regarding HVAC matters.
Qualifications:
Valid HVAC Master License in Texas.
Minimum of 10 years of HVAC experience.
In-depth knowledge of local and state HVAC codes and regulations.
Excellent problem-solving skills and attention to detail.
Strong communication and interpersonal skills.
Work remote temporarily due to COVID-19.
$80k-142k yearly est. 21d ago
Scheduling Center Agent
The Aspen Group 4.0
Remote
Aspen Dental has over 1000 locations that are focused on providing dental services to all patients. We focus on breaking down the barriers that make it hard for patients to keep up with their dental health, affordability, transparency, and access.
Work from home as a Scheduling Center Agent where you will partner with our patients to schedule their appointment(s), providing them critical access to care and improved dental health.
We have full-time and part-time positions available. Virtual training classes begin soon, don't miss your opportunity to say YES to a career with Aspen Dental and make an impact on people's lives. Most importantly, you'll be part of an organization that offers career development and pathing so that you can better your quality of life while helping patients do the same.
Job Duties:
Work with patients to schedule appointments, as the first point of contact for new patients calling to book an appointment or learn about Aspen Dental services
Answer inbound calls in a high-volume environment, while compassionately handling questions/concerns
Listen empathetically and think critically to understand patient needs, use trained sales and customer service techniques to set appointments. Focus on appointment acceptance and customer care to reach individual and call center goals.
Additional duties as assigned by the Call Center Leadership team
Job Requirements:
High School Diploma or equivalent required
1+ years of customer service experience required (retail, call center, or hospitality preferred), with ability to answer calls in a high-volume call center environment strongly preferred
Desire to succeed in a fast-paced, goal and consumer driven environment
Communication skills, with the ability to speak clearly and professionally
Tech-savvy - Ability to navigate provided technology efficiently
Must have Cable/Fiber connect internet, with ability to hardwire the internet within 6 feet of the router (no WiFi/cellular/hotspot), and be at least 100 Mbps download and 10 Mbps upload
Must have a quiet, HIPPA compliant, private workspace
Some evening and weekend scheduling availability required
Spanish-English bilingual candidates are encouraged to apply. Additional compensation is offered for designated Spanish-speaking roles.
Compensation and Benefits:
Pay rate: $15.50/per hour, plus eligibility for performance-based bonuses paid monthly and pay rate increases at 90 and 180 days.
Various full and part-time shifts available
Comprehensive Health, Dental and Vision insurance offerings
Paid time off
401K - with generous company match
Apply today for immediate consideration and begin your career journey with Aspen Dental!
$15.5 hourly Auto-Apply 60d+ ago
Nuclear Medicine Technologist Full Time Days
Tenet Healthcare 4.5
Remote
may qualify for a sign-on bonus.
Performs imaging procedures with the use of radioactive isotopes. Responsible for preparation, calculations, and administration of isotope products in various diagnostic and therapeutic procedures. Performs under the direction of the physician during therapeutic procedures.
Minimum Education: Completion of an accredited educational program in nuclear medicine or radiologic
technology.
Minimum Experience: 1-year radiologic technology diagnostic and/or nuclear medicine experience
Required Certification: BLS
Required Licensure: TDH (MRT), NMTCB
FLSA Status:
Salary Grade:
Skills:
** Note - Required certifications are to be completed by 3 months of employment.
#LI-NS1
$72k-140k yearly est. Auto-Apply 56d ago
Merchant Sales Acquirer
Aire Serv 4.2
Florida jobs
Benefits:
Bonus based on performance
Flexible schedule
HAS NOTHING TO DO WITH HVAC WORK! Tired of the same old approach? So are business owners. Cash Discount Program is an entirely new way of offering merchant services and it ELIMINATES the MAJORITY of their processing fees. Not lowers them, it ELIMINATES THE FEES.
WE PAY COMMISSION DAILY! $300 avg commission per deal on average.
Stop asking for statements. Stop doing proposals. Stop doing the same pitch that business owners are tired of.
Now we can walk in get rid of MOST of the traditional processing fees. Did we mention the residuals are 5X more than tiered pricing and you can earn $300 on average upfront per deal.
IF YOU'RE WILLING TO WORK HARD , WE'RE SET UP FOR YOUR SUCCESS WITH
Huge Commissions
Huge Residuals
Direct Support
Remote Job can be done all over the USA
SALES EXPERIENCE NOT REQUIRED BUT WE SEE A LOT OF PEOPLE SUCCEED FROM THESE INDUSTRIES: car sales, insurance sales, door to door, business to business, B2B, home improvement sales, sales management, SEO, marketing specialist, social media experts, google listings experts, and all service orientated people
This is a remote position.
Compensation: $60,000.00 - $450,000.00 per year
We believe in doing the job right. And part of the job is creating a company worth working for. So when you put on that Aire Serv uniform, you become part of a place that will take care of you the way our franchise owners take care of their own family and friends. Grounded in honesty, integrity, and no surprises. Excellent customer service can't happen without happy, motivated, and committed employees. Which is where you come in. People like you make what the Aire Serv franchise owners do possible and creating a team that shares and exemplifies our values is as important as providing quality service for heating and cooling systems.
*All independently owned and operated franchised businesses operate under the service brands' marks, trademarks, trade names, logos, emblems, slogans, or other indicia of origin in connection with the Aire Serv franchise system within a specified geographical area. Only the independently owned and operated franchised business shall have any interaction with or authority for its business and make all employment related decisions related to its franchised business.
$78k-125k yearly est. Auto-Apply 60d+ ago
Manager, Learning and Development Non-Clinical
The Aspen Group 4.0
Remote
The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and wellness offices across 50 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and AZPetVet. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.
As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team at Aspen Dental as a Manager, Learning & Development Non - Clinical.
Job Summary
The Manager is an important part of the Learning and Development team and has accountability for execution of development strategies and programs for the Field. This role will partner closely with the Sr Manager, Non-Clinical, and key business partners to create and implement learning solutions that support the successful onboarding and continued growth of Field team members.
The Manager, L&D Non-Clinical is an individual who can effectively collaborate with Learning & Development and business team leaders. This individual contributor is a performance consultant who can develop and execute learning solutions to build foundational through advanced capabilities and confidence. The Manager, L&D Non-Clinical will possess excellent cross-functional collaboration and communication skills and must have the ability to work effectively within all levels of the organization.
Essential Responsibilities:
Partner with Field team subject matter experts and the broader L&D team to understand specific developments needs for team members.
Manage end-to-end analysis, design, development, implementation, facilitation and evaluation of programs.
Design and deliver a suite of effective learning solutions, programs, tools, and resources. Solutions may include formal learning programs, experiential learning assignments, coaching, etc.
Identify innovative and cost-effective solutions for team member development.
Manage appropriate external vendors.
Understand the specific needs of learners so you can advocate and adapt to their needs and preferences.
Evaluate existing programs/content for impact and alignment with organizational needs.
Use data to measure success: learn, iterate, and improve; analyze trends and develop proactive actions to continuously improve learning experiences.
Facilitate learning sessions and serve as a coach to other facilitators in programs for the purpose of elevating the learner's performance, including conducting Train the Trainers.
Continuously research and stay abreast of industry trends to integrate innovative methodologies and best practices.
Demonstrate a commitment to professional and personal growth by initiating dialogue with team members, attending learning events, engaging in self-directed learning, and focusing on professional development goals.
Plan, organize, and execute tasks and activities with urgency.
Other duties as assigned.
Requirements/Qualifications:
Education level: Bachelor's degree or equivalent work experience.
3-5 years of relevant learning and development experience, ideally in a fast-paced organization with a distributed workforce.
Understanding adult learning theory and principles.
Well versed in digital learning, just-in-time, and blended learning strategies.
Demonstrated skill in instructional design and implementing development programs for all audiences.
Excellent communication and influencing skills at all levels in the organization.
Flexibility and agility to be proactive in a fast-paced, ever-changing environment.
Excellent facilitation skills. Experience in small and large group facilitation in multiple modalities.
Experience in developing, implementing, and monitoring programs/processes
Very detail-oriented and organized.
Highly proficient in Microsoft Office Suite (i.e., multiple Outlook accounts, Word, Excel, PowerPoint, SharePoint, etc.) and zoom.
Ability to travel as needed.
Starting at $93,500+ DOE with a 10% bonus
A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match
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$93.5k yearly Auto-Apply 27d ago
Service Professional Technician
Aire Serv of Lorton 4.2
Lorton, VA jobs
With more than 200 locations throughout the United States and Canada, Aire Serv is a trusted name in the field of heating and air conditioning installation, maintenance, and repair. We are proud of our reputation for putting clients first and getting the job done right the first time, every time. We are a team of qualified experts dedicated to living our code of values of Respect, Integrity, and Customer Focus while having fun in the process!
As Service Professional Technician, you are a key member of our team responsible for the quality and efficient installation, service, maintenance of heating and air conditioning systems. You will also develop new customers by identifying opportunities to sell additional work. Exemplifying our code of values by showing respect and courtesy to all customers and employees.
Ideally you have prior experience in the HVAC industry and have proven communication skills with supervisors, employees, and customers. You are self-motivated, thrive in fast moving environments, and able to manage time to effectively meet deadlines.
Specific Responsibilities:
Installation, maintenance, repair of refrigeration, heating and air conditioning systems
Insure the efficient use of materials and maintain adequate stock of necessary equipment
Collect payment and/or payment information from customers for work performed
Keep company vehicle and equipment properly serviced, clean, and in good working order and condition
Complete invoices, daily route sheets, and weekly reports as required
Perform other duties as needed which may include cross-training in related positions
Job Requirements:
Experienced Residential HVAC & Refrigeration knowledge
CFC Certification
Valid State Driver's License & clean driving record
Able to lift up to 60 lbs.
Excellent communication skills
Professional appearance and personality
We are actively interviewing for this position - Apply today and our hiring manager will follow up!
This is a remote position.
We believe in doing the job right. And part of the job is creating a company worth working for. So when you put on that Aire Serv uniform, you become part of a place that will take care of you the way our franchise owners take care of their own family and friends. Grounded in honesty, integrity, and no surprises. Excellent customer service can't happen without happy, motivated, and committed employees. Which is where you come in. People like you make what the Aire Serv franchise owners do possible and creating a team that shares and exemplifies our values is as important as providing quality service for heating and cooling systems.
*All independently owned and operated franchised businesses operate under the service brands' marks, trademarks, trade names, logos, emblems, slogans, or other indicia of origin in connection with the Aire Serv franchise system within a specified geographical area. Only the independently owned and operated franchised business shall have any interaction with or authority for its business and make all employment related decisions related to its franchised business.
$66k-87k yearly est. Auto-Apply 60d+ ago
Patient Account Supervisor- Remote
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
The Supervisor is responsible for the supervision and leadership of the Patient Account Representatives, both on-site and telecommuters. Directly responsible for the interviewing, hiring, training, scheduling, and monitoring of staff as well as all aspects of A/R Management and Performance Management. Attend meetings and respond timely to all requests, including completion of accounts referred to the Supervisory Desk. Identify performance deficiencies and opportunities and implement action plans as appropriate. Effectively maintain a work environment which promotes communication to stimulate the morale, engagement, and growth of subordinates.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
* Responsible for all aspects of the day-to-day supervision and leadership of Patient Account Representatives, including but not limited to the Performance Management metrics of collections, productivity, quality and aging. Interview candidates and make hiring recommendations and decisions. Complete monthly quality evaluations. Monitor staff scheduling and adherence to time and attendance protocol. Responsible for all aspects of A/R Management, including but not limited to maintaining workload balance, ensuring maximum efficiency, eliminating rework, and reducing cost. Promptly identify issues and develop action plans to mitigate or resolve.
* Train, develop, motivate and assist subordinates in reaching new levels of skills, knowledge and attitude. Effectively maintain a work environment which stimulates and motivates the morale, engagement and growth of subordinates. Identify performance deficiencies and opportunities and implement action plans as needed.
* Review and respond timely to requests, including emails, telephone calls, issues, account research and resolution as needed by staff, management and clients. Timely completion of accounts referred to the Supervisory Desk by staff or management.
* Effectively communicate and interact with subordinates, management and clients. Conduct, attend and participate in meetings, conference calls and training sessions, including Management Meetings, Team Meetings, as well as one-on-one monthly meetings with subordinates to provide consistent performance feedback. Complete the mid-year and year end Performance Management review.
SUPERVISORY RESPONSIBILITIES
If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
No. Direct Reports (incl. titles) Patient Acct Reps, Sr Patient Acct Reps, Lead Patient Acct Reps
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Very good written and verbal communication skills
* Strong interpersonal skills
* Strong technical skills, including PC and MS Office Suite knowledge
* Proficient in building a strong team to meet performance goals
* Effectively manages multiple tasks
* Displays sound judgment and reasoning abilities
* Creative and innovate thinking
* Achieves results with accuracy and precision
* Advanced knowledge of healthcare A/R
* Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA)
* Proficient in Microsoft Office (Word and Excel)
* Advanced writing skills
* Ability to provide advanced customer service
* Ability to train and coach staff
* Ability to multi-task
* Strong leadership and organizational skills
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* High School diploma and/or equivalent education
* 4-7 years experience preferred
* Advanced knowledge of UB-04, EOB interpretation, CPT and ICD-9 codes.
* Supervisory experience or demonstrated leadership.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to sit and work at a computer terminal for extended periods of time
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office/Teamwork Environment
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $51,626 - $77,438 annually. Compensation depends on location, qualifications, and experience.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$51.6k-77.4k yearly 3d ago
Charge Audit Specialist - Remote
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
This job is responsible for ensuring that all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements. Plans, conducts and evaluates reviews and audits of clinical documentation and billing practices for conformity with applicable regulatory requirements. Identifies proactive opportunities to strengthen charge capture processes, enhance regulatory compliance and facilitate appropriate revenue capture. Responds to third-party audits as well as charge recovery vendor solution audits. Provide training and education to clinical/charging staff & management on appropriate documentation and charge capture processes.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Conducts reviews/audits to identify potential charging & billing issues including lost revenue opportunities; prepares reports based on findings, and provides summary of findings to impacted departments.
* Works with clinical departments and other impacted departments to ensure audit findings are addressed and to assist in implementing best charging practice moving forward.
* Identifies, researches and analyzes billing errors and/or omissions, working with appropriate staff/team members; ensures that revisions/corrections forwarded and incorporated in processing systems in timely manner.
* Provides training to staff engaged in billing data entry and related charge-capture/reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented.
* Stays current with CMS, AHA & state coding/charging & reimbursement guidelines.
* Other duties as assigned to meet client expectations that would include root cause analysis, research of complex charging issues, implementation of corrective actions & provide subject matter expertise during system upgrades & implementations.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Knowledge of audit principles and guidelines.
* Knowledge of the accepted principles, practices and tools relating to general healthcare billing, cost accounting and reimbursement.
* Knowledge of policies, standards and methodologies pertaining to charge capture and reconciliation, reporting, documentation and general compliance.
* Knowledge of CPT/HCPCS codes.
* Knowledge of the content and application of published health information management coding conventions, e.g., as referenced in 'Coding Clinics' and/or other nationally recognized coding guidelines.
* Ability to recognize, research and correct charging/documentation discrepancies.
* Knowledge of the standards and regulatory requirements applicable to matters within designated scope of authority, including medical/legal issues.
* Working knowledge of medical terminology and abbreviations, and health care nomenclature and systems.
* Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.
* Ability to establish and maintain effective working relationships as required by the duties of the position.
* Strong communication skills.
* Strong Excel/Powerpoint/Outlook Skills
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* Five years recent directly related work experience in a healthcare environment with significant exposure to healthcare coding/billing/reimbursement or completion of a recognized course of study for health information practitioners or coding specialists and three years coding experience in an acute hospital health information management department
* Applicable clinical or professional certifications and licenses such as LVN/LPN and RN highly desirable
* Hospital charge audit experience highly desirable
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Must be able to work in sitting position, use computer and answer telephone
* Ability to travel
* Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office Work Environment
* Hospital Work Environment
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $30.85 - $46.28 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********
$30.9-46.3 hourly 22d ago
Radiology Tech
Tenet Healthcare 4.5
Remote
Under minimal supervision, performs basic to complex diagnostic radiographic procedures, as requested by a licensed physician. Exercises professional judgment in providing health care services, applying x-ray energy, to assist in diagnosis or treatment of patients in all age groups from newborn to elderly. Completes established competencies for the position within designated introductory period. Other related duties as assigned.
Education
Required: Graduate of accredited Imaging Program
Preferred: Associate degree
Experience
Preferred: 1-3 years
Certifications
Required: ARRT or registry eligible; must have ARRT within one year post graduation; BLS, state license if required
#LI-RF1
Produces high quality diagnostic radiographs, rotates through advanced areas of diagnostic radiology to include OR, Urography, open reductions, myelography, arthrography, placements, and trauma; assists practitioner with fluoroscopy, arthrography, OR procedures and trauma.
$54k-78k yearly est. Auto-Apply 5d ago
Inside Sales Representative
Wayne's Pest Control Services 4.2
Matthews, NC jobs
Inside Sales Representatives are the primary sale force for our residential recurring services and comprise our Inside Sales Team. In addition, they will support the Customer Service Representatives with call backs, scheduling, and develop leads and promote our suite of services.
Responsibilities
Prospects, qualifies, and generates sales within the company's established service area.
Calls prospects to identify appropriate contacts, qualify and drive leads through the sales pipeline.
Respond daily to phone and email requests from new potential customers and current existing customers.
Place outbound phone calls to previous and current customers to generate leads and new business as well as outbound cold calls.
Respond promptly to customer needs. Solicit customer feedback to improve service. Respond to requests for service and assistance.
Complete sales quotas on recurring services and one-time jobs.
Properly utilize our lead management system.
Update our CRM (currently PestPac) with the customer and service information.
Complete follow-up calls and record the activity in the lead management system.
Identifies revenue opportunities within customers' communities through communications, programs, and other activities as needed.
Provide excellent level of customer service to new and current customers.
Communicate with customers, call center staff, company supervisors, and technicians to service the client effectively.
Support the Marketing Department during special events.
Assist the Accounting Department with collections and ensuring customer payment methods are up to date as needed.
Perform Ride-Alongs as needed with service technicians.
Contribute to building a positive team environment with strong morale among team members
Other duties as assigned.
Qualifications
High School Diploma or equivalent, Bachelor's degree in business preferred.
1 year of sales or sales support role.
Experience with direct consumer sales, phone sales, and pest management preferred.
Experience maintaining information in a CRM is required; PestPac experience preferred
Previous experience working in a database and Windows-based computer environment.
Speaks clearly on the phone and writes routine reports and correspondence.
Creative problem solver.
Ability to learn and retain a high level of pest control industry knowledge through online, field, and classroom training.
Minimal travel required. Regional travel 1-2 times.
Must be able to work extended hours if necessary to complete all daily tasks and sales goals, including Weekends.
This is a telecommuting role. The employee is expected to work professionally in a work-from-home environment.
$42k-71k yearly est. Auto-Apply 60d+ ago
Regional Operations Manager
The Aspen Group 4.0
Remote
The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to1,500 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and Lovet (formerly AZPetVet). Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.
As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated Lovet team, as a Regional Operations Manager. We are a scaling family of animal hospitals with locations in Arizona and IL, with big plans! In 1984, the first practice (Arrow Animal Hospital) opened in the Glendale area. Today, that practice has grown to a family of 24 collaborative hospitals built upon the principle of outstanding patient care and client service.
The Regional Operations Manager is responsible for the day-to-day operational oversight of multiple hospital locations. The Operations Manager works closely with local hospital leadership, doctors, and administrative departments across the enterprise in order to meet and exceed financial, operational, and cultural goals.
Supervisory Responsibilities:
This position directly supervises hospital managers and hospital supervisor staff. The Operations Manager serves as a business partner, coach and mentor for our DVM owners, medical directors, associate veterinarians, and hospital management.
Duties/Responsibilities:
Acts as a brand ambassador, always exhibiting the AZPV core values. Continuously coaches and pushes hospital leadership to raise the cultural bar to foster a strong workplace culture that drives productivity and retention at the hospital level.
In collaboration with the HRBP (HR business partner), works with hospital leadership to manage staff and veterinarian performance. Partners with enterprise leaders to develop, enhance, and implement performance management programs to meet and exceed performance goals.
Manages daily activities of hospitals using key performance metrics to ensure optimal clinical care is delivered and operating results are achieved.
Ensures client satisfaction goals are met and exceeded through superior client service initiatives.
Provides ongoing training on client education best practices and cost confidence.
Analyzes operational KPIs, including but not limited to financial and budgetary data, people and culture data, and client satisfaction data to make informed decisions.
Manages hospital operations within the region, improves profitability, cash flow and quality of patient/client services, and executes growth initiatives.
Works with hospital leadership to ensure workforce planning and scheduling needs are met.
Under the VP of Operations, directs the implementation of short-term and long-range plans and budgets based upon organization goals and objectives and reports all outcomes accordingly.
With the facilities and compliance team(s), ensures all hospitals meet local, state, and federal regulatory safety and operating standards.
Works with onsite management to optimize expense and product selection as well as inventory management.
Evaluates general and specific business conditions as they relate to operational issues, and keeps key stakeholders fully advised on these matters.
Participates in local marketing efforts as needed.
In collaboration with the HRBP, identifies training opportunities onsite for team, management, and/or leadership and provides appropriate resources for implementation.
Works with the HRBP to foster strong interpersonal relationships between leadership team, staff, and business office.
Works with IT department to oversee the maintenance of technology equipment and infrastructure at hospitals within the region, as well as the implementation of technology training, and management of IT vendor relationships.
Under the VP of Operations, develops, reviews and revises operational policies and procedures.
Provides advice and counsel to department heads, leadership, and staff on updating and interpreting operational programs and policies.
Performs other related duties as assigned.
Required Skills/Abilities:
Excellent verbal and written communication skills.
Considerable knowledge of principles and practices of healthcare operations.
Working knowledge of state and federal labor laws and regulations.
Ability to compose and present comprehensive reports.
Ability to plan, organize and present training activities to diverse employee groups.
Excellent organizational skills and attention to detail.
Excellent time management skills with a proven ability to meet deadlines.
Strong analytical and problem-solving skills.
Proficient with Microsoft Office Suite or related software.
Education and Experience:
Bachelor's degree in Business Administration or a related is preferred.
Must have experience in Veterinary Medicine.
5+ years of progressive healthcare operations management experience; multi-site experience highly preferred.
Base Pay Range: $125,000-150,000 annually with monthly bonus (Actual pay may vary based on experience, performance, and qualifications.)
A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.
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$125k-150k yearly Auto-Apply 40d ago
USPI Utilization Review/Appeals RN
Tenet Healthcare 4.5
Remote
The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination across United Surgical Partners International (USPI) Hospitals. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity. This position manages medical necessity process for accurate and timely payment for services which may require negotiation with a payer on a case-by-case basis. This position integrates national standards for case management scope of services including:
Utilization Management services supporting medical necessity and denial prevention
Coordination with payers to authorize appropriate level of care and length of stay for medically necessary services required for the patient
Compliance with state and federal regulatory requirements, TJC accreditation standards and USPI policy
Education provided to payers, physicians, hospital/office staff and ancillary departments related to covered services and administration of benefits
Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review
Preparing and documenting appeal letters based on industry accepted criteria.
REQUIREMENTS
Required: 5 years of acute hospital or behavioral health patient care experience with at least 2 years utilization review in an acute hospital, surgical hospital, or commercial/managed care payer setting. Must be currently licensed, certified or registered to practice profession as required by law or regulation in state of practice or policy. Active RN license for state(s) covered. Experience in writing appeals.
Preferred:
Accredited Case Manager (ACM). Previous classroom led instruction on InterQual products (Acute Adult, Peds, Outpatient and Procedures).
Patient Accounting experience a plus. Managed care payor experience a plus either in Utilization Review, Case Management or Appeals.
Interaction with facility Case Management, Physician Advisor, and Revenue Cycle Team is a requirement.
May require travel up to 25% travel across USPI hospitals. The selected candidate will be required to pass a Motor Vehicle Records check.
Compensation
Pay: $70,096-$112,112 annually. Compensation depends on location, qualifications, and experience.
Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
The following benefits are available, subject to employment status:
Medical, dental, vision, disability, life, AD&D, and business travel insurance
Paid time off (vacation & sick leave)
Discretionary 401k match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
RESPONSIBILITIES
Clinical Denials/Appeals
Performs retrospective (post -discharge/ post-service) medical necessity reviews to determine appellate potential of clinical disputes/denials or those eligible for clinical review.
Constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate module of InterQual criteria (Acute, Procedures, etc.). If clinical review does not meet IQ criteria, other pertinent clinical facts are utilized to support the appeal. Pertinent clinical facts include, but are not limited to, documentation preventing a safe transfer/discharge or documentation of medical necessary services denied for no authorization.
Demonstrates ability to critically think, problem solve and make independent decisions supporting the clinical appellate process.
Demonstrates proficiency in use of medical necessity criteria sets, currently InterQual , as evidenced by Inter-rater reliability studies and other QA audits.
Demonstrates basic patient accounting knowledge i.e. UB92/UB04 and EOB components, adjustments, credits, debits, balance due, patient liability, etc.
Utilization Management
Balances clinical and financial requirements and resources in advocating for patient needs with judicious resource management
Promotes prudent utilization of all resources (fiscal, human, environmental, equipment and services) by evaluating resources available to the patient and balancing cost and quality to assure optimal clinical and financial outcomes
Completes and sends admission and concurrent reviews for payers with an authorization process identifies and documents Avoidable Days using the data to address opportunities for improvement
Coordinates clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay and discharge) compared to evidence-based practice, internal and external requirements.
Payer Authorization
Assures the patient is in the appropriate status and level of care based on Medical Necessity and submits case for Secondary Physician review per USPI policy
Ensures timely communication and documentation of clinical data to payers to support admission, level of care, length of stay and authorization
Advocates for the patient and hospital with payers to secure appropriate payment for services rendered
Prevents denials and disputes by communicating with payers and documenting relevant information
Manages payer dispute processes utilizing secondary review, peer to peer and payer type changes
Education
Ensures and provides education to physicians and the healthcare team relevant to the:
Effective progression of care,
Appropriate level of care, and
Safe and timely patient transition
Provides healthcare team education regarding resources and benefits available to the patient along with the economic impact of care options
Compliance
Ensures compliance with federal, state, and local regulations and accreditation requirements impacting case management scope of services
Adheres to department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and USPI policies
Operates within the RN scope of practice as defined by state licensing regulations
Remains current with USPI Case Management practices
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to lift 15-20lbs
Ability to travel approximately 25% of the time; either to facility sites, headquarters or other designated sites
Ability to sit and work at a computer for a prolonged period conducting medical necessity reviews and appeal letters
$70.1k-112.1k yearly Auto-Apply 1d ago
Remote- AR Denials Specialist
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary,
* Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations.
* Follow specific payer guidelines for appeals submission
* Escalate exhausted appeal efforts for resolution
* Work payer projects as directed
* Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled Managed Care System (IMaCS) adjudication issues, and referral to refund unit on overpayments.
* Perform research and makes determination of corrective actions and takes appropriate steps to code the DCM system and route account appropriately.
* Escalate denial or payment variance trends to NIC leadership team for payor escalation.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Intermediate understanding of Explanation of Benefits form (EOB), Managed Care Contracts, Contract Language and Federal and State Requirements
* Intermediate knowledge of hospital billing form requirements (UB-04)
* Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology
* Intermediate Microsoft Office (Word, Excel) skills
* Advanced business letter writing skills to include correct use of grammar and punctuation.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
* High School Diploma or equivalent, some college coursework preferred
* 3 - 5 years experience in a hospital business environment performing billing and/or 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 may be made to enable individuals with disabilities to perform the essential functions.
* Ability to sit and work at a computer terminal for extended periods of time
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Call Center environment with multiple workstations in close proximity
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $18.60 - $28.00 per hour. Compensation depends on location, qualifications, and experience.
* Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
* Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
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The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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