Medical records clerk jobs in Durham, NC - 166 jobs

Job Description What is PACE? At Piedmont Health Senior Care, we are dedicated to enhancing the lives of seniors in our community through our Program of All-inclusive Care for the Elderly (PACE). We help seniors maintain their independence and continue living at home for as long as possible. We achieve this by offering comprehensive, personalized healthcare and related services, all tailored to the unique needs and aspirations of each senior we serve. Our approach is unlike any other healthcare plan! PACE emphasizes a participant-centered strategy, focusing on providing the right care and services that best support each participant's unique needs and goals. We integrate and coordinate all aspects of care, leveraging a team of dedicated doctors, nurses, therapists, dieticians, and other specialized professionals who work together as a care team to manage and address the complete health needs of each. Job Title - Medical Records and Referral Coordinator Department - PACE Reports to - Site Director Benefits - Medical, Dental, Vision, Life Insurance (Short & Long Term Disability) 403(b) Plan Paid Holidays CME (Continuing Medical Education) About Position: The Medical Records and Referral Coordinator is responsible for maintaining an accurate and complete medical record per PHSC policy and procedure and for coordination of authorized participant appointments per PHSC policy and procedure. Work Location: 1214 Vaughn Road Burlington, NC 27217 & 163 Chatham Business Dr, Pittsboro, NC 27312 Schedule: Monday through Friday, 8:00am - 5:00pm This position will work 3 days per week at PACE Burlington on Monday/Wednesday/Friday and at PACE Pittsboro on Tuesday/Thursday. Duties/ Responsibilities - Complete referral documents in the electronic medical record. Schedule appointments for referrals, contact families and participants with referral times to include mailing an appointment reminder card as well as a courtesy reminder call prior to the scheduled appointment; coordinate referral times with the participant's family first - if family is unavailable, arrange via PHSC Transportation Manager. Match consultation documents with referral orders and close referrals out via the appointment database. Work closely with Medical Records Coordinator to ensure consultation documents are processed efficiently and relevant goals are being met. Schedule and coordinate outside appointments for participants based on days of attendance/time/availability of transportation services to include the coordination with clinical staff when an aide/family escort is needed. Work with the Medical Providers to reschedule appointments as needed per our PHSC appointment guideline as well as based on transportation services availability. Document appointments within Centricity and appointment database. Notify Nurse Care Manager of any scheduled procedures and give forms to be filled out; need to go over with participant prior to the scheduled appointment. Make weekly schedule for authorized appointments and distribute. Complete appointment paperwork (chart note/rationale for visit/etc.) Consistently follows authorization and referral policies and procedures to include maximum number of appointments that can be approved and arranged per day. Audit medical records for being up-to-date and complete. Ensure referrals are completed according to determined goals, and referrals reports for open, held, and closed appointments are reviewed on at least a weekly basis with supervisor, providers, and Site Director. Provides administrative support to the PACE Center as needed. Ensures that Piedmont Health SeniorCare maintains an accurate and complete medical record as well as ensures the safety of participant confidential information, security of the facility and all data according to Federal and State Regulations. Contacts outside offices for medical records, notes, images, follow-up and cancellations. Ensures medical notes from specialty appointments, hospitalizations, etc are received and uploaded to the chart on a timely basis (no later than a week after appointment. Close out the medical record of deceased and/or disenrolled participants. Establishes and maintains medical records for each participant, including: requesting, scanning, uploading records, notes, images, follow-up and cancellations from external sources to include, labeling information once scanned into computer system as well as closes out referrals. Achieves quality goals for medical records of a complete and accurate current medical record for every participant. Abides by all established SeniorCare policies, rules and regulations, including patient, staff and SeniorCare information. Perform all other duties as assigned. Qualifications - Education: Associates Degree in relevant field required or 2-3 years of relevant experience, education, or certification. Required: Must be able to work effectively in a team environment. Strong oral and written communication skills. Must meet a standardized set of competencies established by Piedmont Health SeniorCare and approved by CMS before working independently. Preferred: One year of work experience with the frail or elderly preferred. Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment. Pay Range : $17.66/Hourly - $23.74/Hourly ( commensurate with years of experience) EEO Statement Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. 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As a Healthcare Revenue Cycle / HIM Manager, your responsibilities will include: 1. Supporting a remote team for daily operations of the healthcare revenue cycle / healthcare coding department. 2. Identifying and implementing strategies to accelerate the revenue cycle by reducing accounts receivable days, improving cash flow, and enhancing profitability. 3. Managing account reconciliation, pre-collection, and post-collection activities to ensure accuracy and timeliness. 4. Identifying and resolving issues that affect revenue cycle performance using analytical and problem-solving skills. 5. Collaborating with cross-functional teams, including billing, coding, and clinical operations, to ensure the effectiveness of the revenue cycle process. 6. Training and mentoring staff on revenue cycle processes and best practices. 7. Staying abreast with the latest trends and regulations in the healthcare industry to ensure compliance and operational efficiency. 8. Developing and implementing policies and procedures to enhance operational efficiency and improve revenue cycle performance. 9. Providing regular reports and updates to senior management about the status and performance of the revenue cycle. 10. This individual will manage routine client meetings to obtain updates on initiatives and address any issues. Qualifications: The ideal candidate for the Healthcare Revenue Cycle / HIM Manager will have the following qualifications: 1. A minimum of 7 years of experience in healthcare revenue cycle management, including account reconciliation, pre-collection, and post-collection. 3. Strong knowledge of healthcare financial management and medical billing processes. 4. Exceptional analytical and problem-solving skills with a strong attention to detail. 5. Proficient in using healthcare billing software and revenue cycle management tools, with a strong background in Oracle Health (Cerner) software. 6. Strong leadership skills with the ability to manage and motivate a team. 7. Excellent communication and interpersonal skills with the ability to interact effectively with all levels of the organization. 8. Strong knowledge of federal, state, and payer-specific regulations and policies. 9. Ability to work in a fast-paced environment and manage multiple priorities. **Responsibilities** Analyzes business needs to help ensure Oracle's solution meets the customer's objectives by combining industry best practices and product knowledge. Effectively applies Oracle's methodologies and policies while adhering to contractual obligations, thereby minimizing Oracle's risk and exposure. Exercises judgment and business acumen in selecting methods and techniques for effective project delivery on small to medium engagements. Provides direction and mentoring to project team. Effectively influences decisions at the management level of customer organizations. Ensures deliverables are acceptable and works closely with the customer to understand and manage project expectations. Supports business development efforts by pursuing new opportunities and extensions. Collaborates with the consulting sales team by providing domain credibility. Manages the scope of medium sized projects including the recovery of remedial projects. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $87,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.

Southpoint Surgery Center (SPSC), an affiliate of North Carolina Specialty Hospital, is a new Ambulatory Surgery Center located between Raleigh and Durham in the Durham-Southpoint area. SPSC will provide a differentiated outpatient delivery model focused on providing high-quality, cost-effective solutions for surgical and related ancillary care for patients. SPSC is a multi-specialty 22,298 sq. ft. facility accommodating the following: Ortho, Spine, Ophthalmology, ENT, GYN, General, Urology, Plastics, Podiatry, Vascular, and Pain. At SPSC you will find highly motivated team-players and a welcoming team-oriented staff. Why join North Carolina Specialty Hospital? * Award Winning Hospital for Special Surgery * 5 Star CMS rated facility for patient experience * Positive Work culture * Career growth opportunities * Comprehensive Medical, Dental, Vision Insurance, Life and Disability Insurance * Paid Time Off * 401k Employer Match * Tuition Assistance Essential Job Functions: * Greets patients/ families promptly and courteously as the patient arrives at the hospital. * Answers the telephone, provides requested information or takes messages, and directs caller to the appropriate personnel. * Provides interpretation of forms to be signed upon admission including patient rights and living will questions. * Reviews all patient forms for completeness, accuracy, and appropriate signatures. * Collects deposits and/or co-pays according to established guidelines. * Practices caution and uses good judgment in relaying messages and giving information to patients, families, and visitors. * Directs any patient, family, or visitor complaints to the appropriate person for prompt resolution. * Utilize concepts of age/ developmental stages in interactions with patients and families. * Adheres to all Hospital Policies and Procedures, specifically Guidelines for Appropriate Conduct, Corporate Compliance, Diversity, and Confidentiality. * Predictable and reliable attendance is an essential function of this position * Identifies potential risks to patients: identifies risks to patients in order to reduce incidence of injury; identifies actions to eliminate, minimize or report risks; identifies procedures to follow in the event of an incident; reports processes for common problems, failures and user errors. * Demonstrates the spirit of the philosophy, mission, and values of the hospital through words and actions and implements them into departmental processes, programs, and the working environment. * Applies the principles and values of customer service and continuous quality improvement while performing day-to-day activities of the position. * Maintains and protects confidentiality regarding all aspects of patient care, personnel and strategic issues. * Adheres to Confidentiality Policy. * Maintains positive working relationships and fosters cooperative work environment. * Adheres to the hospital's "Guidelines for Appropriate Conduct" in the HR Manual. * Displays honesty and mutual respect when communicating with peers and other departments. * Follows through on problems that may compromise effective job performance by using appropriate chain of command. * Complies with National Patient Safety Goals. * Universal precautions and infection control guidelines, including hand washing guidelines followed at all times. * Performs other duties as required or assigned, which are reasonably within the scope of duties in this job classification * Demonstrates respect for diverse backgrounds of all patients, families and co-workers. Job Requirements * High School Diploma or G.E.D. * One (1) to two (2) years minimum experience as an admissions clerk or in Health Information Services in a hospital setting. * Effective communication skills; both orally and written. * Computer skills needed. * Ability to work with others within a team to ensure quality patient care. * Strong critical thinking skills. Our employees are critical to our success, and we value their contributions. Southpoint Surgery Center offers a competitive compensation and benefits package and an opportunity to grow and develop your career in an environment that values employee ideas and diversity. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled. We maintain a drug-free workplace and require pre-employment drug screening and background check.

Exciting Career Opportunity with Avance Care! Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC. Avance Care is dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independent primary care practices, we offer comprehensive services to support the physical, mental, and emotional health of our patients. As a Coding Specialist, you'll support and maintain coding compliance and patient assessments by applying Certified Professional Coding (CPC) principles to claim documentation process, reducing institutional, legal and financial risk. This is a full-time role involving 8 hours weekday shifts with no weekends schedule. We operate in a busy, fast-paced environment, and we seek a candidate who thrives under such conditions. We offer a comprehensive benefits package available on the first of the month following 30 days of employment. Selected Responsibilities: Actively abstract and code daily patient encounters through chart documentation, billing for all services, and appropriate assignment of E&M coding related to chart documentation, time, and medical decision making Thorough understanding of clinic coding (E/M) documentation requirements and HCC concepts impacting population Health Risk Adjustment reimbursement initiatives Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC guidelines Maintains knowledge regarding policies and procedures with Medicare/Medicaid Carriers and third-party payers, including HCC and RAF guidelines Effectively work with and support providers through structured communication as it related to chart documentation and coding practices Understand and apply Correct Coding Initiative (CCI) edits and modifiers, as sometimes specifically required by 3 rd party payers or Medicare Assign missing procedure CPT, or HCPCS from the Current Procedure Manual and Common Procedure Coding System Manual when necessary Candidates should preferably have one of the following certifications: Certified Professional Coder (CPC) required, Certified Professional Coder (CPC-A) preferred, or Certified Risk Adjustment Coder (CRC) highly preferred along with at least one year of E&M Coding experience. Other Priorities: Strong verbal and written communication Knowledge of insurance practices Knowledge of CPT, HCPCs, and ICD-10 coding Time management and workload prioritization skills If you are excited to join a growing organization focused on changing the way healthcare is delivered to patients in North Carolina, please submit your resume. All offers of employment are contingent upon the successful completion of a background check and drug screen. Avance Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, gender identification, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.

Join Us: Finding a better way. At CHA, we believe in the power of clean water, resilient energy, safer roads, and structures that harmoniously blend with their surroundings. We create solutions. We help People. We improve our world. At CHA, we embed ourselves in our communities - and take pride in improving things where we live. At the foundation is a commitment to inclusion and diversity and choosing to treat everyone with dignity and respect. We also take accountability for making decisions that promote sustainability in our business and our designs. We are on a mission to reduce our environmental footprint and bring greener solutions to our clients. We are responsibly creating a more sustainable future in ways that we can all see and touch. Together. Every day. CHA Consulting, Inc. is currently seeking an EMR Analyst to join our Power & Manufacturing - Asset Management Team at our Raleigh, NC office. What You'll Do: The CHA team is always innovating by asking ourselves if there's a better way. Our goal is to leverage technology platforms across the spectrum of new advances to deliver scalable and user-friendly solutions that efficiently manage and interpret critical data - elevating workflow efficiency while boosting user productivity. Our technology solutions span markets and sectors, delivering information and energizing design and management teams - sparking the imagination and optimizing results. Working independently, the EMR Analyst will lead field walkdowns of client assets in order to produce detailed equipment hierarchy and instrumentation. The professional in this role will extract and maintain data from various cloud-based applications to conduct this data analysis. This includes maintaining Master Asset Listings (MAL) and detailed metrics in support of client projects, as well as attending project team meetings to facilitate the population and entry of asset information into computerized maintenance management systems (CMMS). The EMR Analyst will provide and facilitate required training for personnel in support of client projects, onboarding and annual trainings, CCMS, compliance reporting, and capital projects. Additionally, this individual will provide guidance and mentorship to junior team members including reviewing technical documentation and spreadsheet updates to ensure accuracy. At CHA, you can build a career and find your passion across our diverse business lines and project teams. Being part of CHA means being part of a team of talented professionals, where you'll find support for your career growth and the opportunity to impact our industry and our communities. Find your “why” at CHA! What You Bring: High school diploma or equivalent is required; Bachelor's degree preferred Minimum of 7 years of related experience required Valid driver's license required Excellent written and verbal communication skills with a positive and collaborative attitude Demonstrates a positive and collaborative attitude Proficiency with CMMS softwares such as SAP, BlueMountain, Maximo required Proficient in Microsoft Office 365 and cloud-based tools Proficient in Microsoft Excel with the ability to manipulate spreadsheets, formulas, etc. Proficiency in SharePoint and file management with excellent organizational skills Demonstrates a strong willingness to learn and train junior team members Knowledge of metrology data management preferred Ability to work on multiple projects and detail oriented Ability to adhere to client site-specific requirements Ability to travel locally as needed Salary Range: $33.65 - 42.30 Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. Culture/EEO Statement: At CHA, we work every day to create solutions, help people, and improve our world, committed to creating and fostering excellence in our diverse and highly talented teams. Our teams continually strive to find better ways - always searching, never settling - to achieve extraordinary results. Our values around hiring, training, and community engagement reflect a company culture that is inclusive and forward leaning, always pushing the limits of what is possible. We as an organization celebrate the values of inclusion and equality, and advocate for the full participation of all people in an environment free of discrimination. To support these values, we invite all qualified applicants to be considered for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, age, disability, protected veteran status, or any other characteristic protected by law.

Benefits/Perks Great small business work environment Flexible scheduling Company OverviewAmerican Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability.AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Job SummaryTo accurately check patients in and out by verifying insurance, collecting payments, and maintaining patient records and accounts. Maintain patient flow. Provide positive patient relations. Responsibilities Prepare the clinic for opening each day by reviewing the facility, opening all systems applications, and preparing new patient registration packets and required documents Greet patients, provide patients with initial paperwork and obtain copies of insurance and identification cards Register patients, update patient records, verify insurance accurately and timely, and check patients out Determine, collect, and process patient payments and address collection and billing issues Respond promptly to customer needs, provide excellent customer service, assist patients with follow-up appointments, and fulfill medical documentation requests Balance daily patient charges (cash, check, credit cards) against system reports Complete closing procedures by preparing closing documentation and submitting required reports Complete cash control procedures and secure financial assets Maintain complete and accurate documentation Other duties and responsibilities as assigned QualificationsHigh School graduate or equivalent. Previous medical clerical experience preferred. Basic computer knowledge, e.g., Microsoft Office. Accuracy and detail orientation. Positive customer service skills. Well-groomed appearance. Clear and articulate phone mannerisms. Compensation: $17.00 - $19.00 per hour PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

**Become a part of our caring community and help us put health first** The Medical Receptionist is responsible for the front desk operations of a healthcare facility. This role involves greeting patients, scheduling appointments, handling inquiries, and maintaining patient records. The Medical Receptionist ensures smooth and welcoming experience for patients and supports the medical team with various administrative tasks. Typically works on routine and patterned The Medical Receptionist is responsible for welcoming patients and offering administrative support within a physician practice or center. This may include the following responsibilities: - Greeting Patients: Welcome patients and visitors professionally, both in person and over the phone. - Scheduling Appointments: Manage appointment calendars, schedule patient visits, and coordinate with medical staff to optimize schedules. - Patient Records: Maintain and update patient records, ensuring accuracy and confidentiality. Works in Electronic Medical Record (EMR) and Customer Relationship Management (CRM) systems. - Billing and Payments: Ensure patient accounts are updated correctly. May include collecting copay at time of visit. - Inquiries and Communication: Answer incoming calls, respond to patient inquiries, and provide general information. - Office Management: Ensure the reception area is tidy, sanitized, and well-stocked with necessary materials. - Administrative Support: Assist with other administrative tasks as needed, such as ordering supplies, managing office inventory, and sending courier packages. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation. **Use your skills to make an impact** **Required Qualifications** - 1 year or more of experience working in a Healthcare setting preferred, but will consider candidates with a strong Customer Service background in Retail Hospitality, Call Centers, etc. - Must be passionate about contributing to an organization focused on continuously improving patient experiences and care - Excellent customer service and phone etiquette - Team player with a positive attitude - Ability to multitask in a fast-paced environment - Attention to detail and highly organized - Knowledge of MS Office (Word, Excel, Outlook, Access) **Preferred Qualifications:** - Value-based care model experience - Knowledge of Medical Terminology - Experience with EMR Systems (Electronic Medical Records) - Bilingual in English and Spanish **Additional Information:** This role is considered patient-facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $38,000 - $45,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About Us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Job DescriptionJoin Triangle Visions as a Patient Service Representative in Durham, NC! Are you a great communicator with a passion for healthcare? Triangle Visions invites you to join our team as a Patient Service Representative. Why Work With Us? - Work-Life Balance: Enjoy a supportive Monday - Friday schedule. - Competitive Compensation: Monthly bonus plan and comprehensive benefits package. - Health Benefits: Medical, dental (100% of preventative care covered), and free vision coverage. - Generous Time Off: Paid time off (PTO) and holiday pay. - Professional Development: Access $5K+ annually for tuition and continuing education reimbursement. - Family Support: Adoption assistance program. - Employee Perks: Free eyewear and discounts for friends and family. Your Role: - Maintain a professional and friendly attitude while greeting office guests and speaking with patients about their insurance coverage and appointments. - Handle record-keeping, invoicing, database maintenance, and customer issues. Join Us Today! Ready to make a difference in patients' lives and advance your career? Apply now for the Patient Service Representative position in Durham, NC, and become part of the Triangle Visions team!ResponsibilitiesPatient Service Representative Job Responsibilities Greets patients without delay. Promptly answers the telephone in a friendly and courteous manner. Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by phone. Keeps patient appointments on schedule by notifying doctor/provider of patient's arrival, reviewing service delivery compared to schedule, and reminding providers of service delays. Facilitates reminder calls to patients for appointment confirmation and order pickup notification. Records and updates financial information, collects patient charges, and files, collects, and expedites third-party claims. Maintains business office inventory and equipment by checking stock to determine inventory level, anticipating needed supplies, partners with Practice Manager to order office supplies, and verifies receipt of supplies. Protects patients' rights by maintaining confidentiality of medical, personal, and financial information in accordance with HIPAA. Determines both medical and vision insurance eligibility in accordance with patient's current plan coverage. Ensures all office systems are maintained. Maintains a safe working environment for all team members and patients. Performs other administrative responsibilities as assigned by Practice Manager or as business needs. Required SkillsPatient Service Representative Job Qualifications High School graduate or equivalent 2+ years of office experience in a healthcare setting Basic knowledge of services, products, vision insurance plans/coverage and office operations preferred, but not required. Strong customer service skills Strong communicator and listener Problem solving ability Organization skills

Perform dictionary coding in accordance with study specific coding conventions using MedDRA and WHO Drug within various coding systems. Manage end-to-end delivery of clinical data management coding responsibilities concurrently for single/multiple projects ensuring quality and timeliness. Provide leadership and mentorship to Medical Coding Specialists as needed. Create, review, and maintain guidance and training documentation for coding guidelines an accordance with ICH guidance, official coding guidelines and dictionary definitions Responsibilities: Perform coding in accordance with study specific coding conventions as outlined in the Data Management Plan (DMP) Perform coding using MedDRA and WHO Drug of (eCRF) verbatim terms using various coding systems Provide independent review of coded data by ensuring consistent code assignment within a project by reviewing coding and re-assignment Responsible for medical coding review, synonym dictionaries review, therapeutically aligned coding conventions Create, review, and maintain guidance and training documentation for coding guidelines an accordance with ICH guidance, official coding guidelines and dictionary definitions Provide support to other departments concerning dictionary use and code assignment Ensure compliance with industry quality standards, regulations, guidelines and procedures Management of query assignment within eCRF systems for questionable verbatim terms Preparation of specific study coding reports for accuracy and consistency as well as client requirements Interaction with clients regarding specific coding requests and coding timelines Participate in system upgrades, including User Acceptance Testing (UAT) to maintain a validated coding environment Perform coding related study close activities ensuring all coding is accurate and proper documentation is complete Liaise with Clinical Data Managers and Programmers for purposes of project requirements Communicate issues that require decisions, including proposal for a solution CTCAE coding and review Experience: 5+ years in Pharmaceutical/Biotechnology industry or CRO environment Thorough knowledge and experience with WHODrug AND MedDRA dictionaries Knowledge of ICH/GCP guidelines, 21 CFR Part 11 and clinical trial methodology Excellent verbal and written communication skills Detail oriented, ability to multitask with strong prioritization, planning and organization skills Excellent team player Proficiency in Microsoft Office Applications Working knowledge of MedDRA and WHODrug best practice documents Good understanding of Clinical Data Management processes and the applicable regulatory requirements Good overview of all systems lined to the coding process, and understanding of their interactions and dependencies Education: Bachelor of Science degree in biology or health-related field preferred Language Skills Required: Speaking: English (Required) Writing/Reading: English (Required)

A confidential healthcare organization in Raleigh is seeking a motivated Entry -Level Medical Coder / Billing Assistant to join their administrative team. This position offers a great pathway into the healthcare field for individuals interested in medical billing and coding. Key Responsibilities Code medical procedures accurately for billing and insurance claims. Prepare financial reports and submit claims to insurance companies or patients. Enter and maintain patient data in administrative and billing systems. Track outstanding claims and follow up on unpaid accounts. Communicate with patients to discuss balances and develop payment plans. Maintain confidentiality and comply with HIPAA and all healthcare regulations. Qualifications High school diploma or equivalent required; healthcare coursework a plus. MediClear or equivalent compliance credential required. Strong communication, organization, and time -management skills. Ability to remain professional and calm while working with patients and insurance representatives. Basic computer proficiency and familiarity with billing software or EMR systems preferred. Why Join Us Excellent opportunity for those starting a career in healthcare administration. Supportive, team -oriented work environment. Comprehensive benefits and advancement potential within a growing healthcare organization.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. Position Highlights: Full-Time: Monday-Friday 8:00AM-4:30 PM EST Location: This role will be performed at one location in Chapel Hill, NC Comfortable working in a high-volume production environment. Documenting information in multiple platforms using two computer monitors. Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance You will: Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. Maintain confidentiality and security with all privileged information. Maintain working knowledge of Company and facility software. Adhere to the Company's and Customer facilities Code of Conduct and policies. Inform manager of work, site difficulties, and/or fluctuating volumes. Assist with additional work duties or responsibilities as evident or required. Consistent application of medical privacy regulations to guard against unauthorized disclosure. Responsible for managing patient health records. Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. Ensures medical records are assembled in standard order and are accurate and complete. Creates digital images of paperwork to be stored in the electronic medical record. Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. Answering of inbound/outbound calls. May assist with patient walk-ins. May assist with administrative duties such as handling faxes, opening mail, and data entry. Must meet productivity expectations as outlined at specific site. May schedules pick-ups. Other duties as assigned. What you will bring to the table: High School Diploma or GED. Ability to commute between locations as needed. Able to work overtime during peak seasons when required. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. Professional verbal and written communication skills in the English language. Detail and quality oriented as it relates to accurate and compliant information for medical records. Strong data entry skills. Must be able to work with minimum supervision responding to changing priorities and role needs. Ability to organize and manage multiple tasks. Able to respond to requests in a fast-paced environment. Bonus points if: Experience in a healthcare environment. Previous production/metric-based work experience. In-person customer service experience. Ability to build relationships with on-site clients and customers. Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices. To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our .

Cary, NC is passionate about putting the needs of our citizens first and our nationally accredited Police Department has helped ensure we stay one of the safest places to live in the nation. Now you can join our team to help us continue meeting the needs of our citizens, serving with excellence and finding innovative ways to create the local government that doesn't exist. Cary Police Department is recruiting an assistant to help perform responsible and specialized clerical work in maintaining records and performing a variety of tasks within the Police Records division. Join our team as a Records Assistant, where you'll play a vital role in supporting public safety and ensuring compliance with North Carolina Public Records Laws. This is a part-time, non-benefited, year-round position, up to 20 hours a week, with a maximum of 999 hours per year and weekday availability will be necessary. Work is performed under the general supervision of the Police Records Supervisor. * Customer Service: Provide professional assistance to the public by supplying copies of police reports in compliance with North Carolina Public Records Laws, running criminal background checks, issuing permits, and offering notary services. * Fingerprinting: Perform electronic fingerprinting services for applicants and maintain accurate records of all fingerprinting activities in accordance with department procedures. * Data Entry and Report Handling: Enter, modify, and process police reports, citations, accidents, and supplements into the records management system with high accuracy while maintaining organized paper and electronic files. * Audio Redaction: Review and redact audio recordings to ensure compliance with privacy laws and regulations, protecting sensitive information while fulfilling public records requests. General knowledge of police procedures and record keeping requirements; general knowledge of standard office practices, procedures, equipment, and clerical techniques; some knowledge of business English, spelling, and arithmetic; ability to type accurately and at a reasonable rate of speed; ability to file and retrieve critical information; ability to exercise sound judgment and provide accurate information; ability to establish and maintain effective working relationships with other employees and the general public; ability to understand and follow oral and written instructions. Physical Requirements Work is generally light. An employee must be able to hear and talk in order to communicate with other employees and the public. Visual acuity is necessary to update files, process reports, read and write handwritten and typewritten materials, operate equipment, and view a computer screen. Any combination of education and experience equivalent to graduation from high school, including or supplemented by coursework in typing and secretarial subjects and some clerical and typing experience, preferably in police work. Preference will be given to candidates with prior experience working for a police department and/or with police records. Conditions of Employment Requires drug testing and background check (which may include criminal history check, SBI finger-printing, motor vehicle records check, education verification and credit history review) and satisfactory reference checks prior to employment.

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at ******************* Job Function: Customer Management Job Sub Function: Customer Service Operations Job Category: Business Enablement/Support All Job Posting Locations: Orlando, Florida, United States of America, Phoenix, Arizona, United States, Pittsburgh, Pennsylvania, United States of America, Raleigh, North Carolina, United States Job Description: Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at *******************/innovative-medicine We are searching for the best talent for a Reimbursement Specialist to be in Pittsburgh, PA, Raleigh, NC, Phoenix, AZ, or Orlando, FL. Purpose: The Reimbursement Specialist (RS) is a professional role that handles payer inquiries, manages benefit investigations to determine patient eligibility and coverage, and addresses coverage challenges. This role serves as the main contact for payers and collaborates cross-functionally to support the patient service program. Responsibilities: * Assess and analyze patient benefits in coordination with internal program operations, insurance providers, and specialty pharmacy liaisons. * Work independently to complete assigned work in accordance with Standard Operating Procedures and defined service levels to review benefit verification process, resolve coverage challenges, and answer inquiries. * Use high-level problem-solving skills to research cases and resolve independently using creativity, innovation, and professional judgement to make sound decisions. * Maintain frequent phone contact with payers to gather all necessary information related to case/patient information, insurance coverage, prior authorization (PA) and appeals processing. * Efficiently process patient and prescriber requests to accelerate access to therapy. * Serve as expert on payer trends, product access, and reporting reimbursement insights and/or delays, i.e., denials or delays. * Frequently communicate with program management on new insurance requirements and trends. * Collaborate with internal & external stakeholders by providing reimbursement information as needed * Maintain accurate, compliant documentation and communication to support program goals. * Uphold patient privacy laws and foster collaborative team relationships. * Other duties as assigned. Required Qualifications: * High school diploma or equivalent. * Minimum of 2 years of experience in case management or insurance roles preferably within a pharmacy, HUB, or healthcare setting. * Experience using an outbound calling platform to make external calls * Ability to independently manage case load, prioritize work, and use time management skills to meet service level agreements * Ability to efficiently navigate multiple screens and systems to perform work. * Ability to work assigned 8 hr shift between program operating hours of 8am-8pm EST. * Proven ability to manage a case load, prioritize tasks, and build relationships. * Apply company policies and procedures to resolve challenges * Ability to proficiently use Microsoft programs. * Ability to thrive in a regulated, remote, high-volume environment Preferred Qualifications: * Undergraduate Degree * Understanding of plan types - Government, Commercial, Medicaid, VA, Fed * Knowledge of insurance structure (ex PBM's, major medical plans, co-pay assistance /cards) * Working Knowledge of Third-Party and other Foundation programs * Basic understanding of Co-Pay Assistance * Understanding of HUB patient journey, workflow, and triage is a plus. * Possess a strong understanding of biologic/specialty pharma market and patient access challenges #Li-Remote Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, external applicants please contact us via *******************/contact-us/careers, internal employees contact AskGS to be directed to your accommodation resource. Required Skills: Preferred Skills: Accountability, Communication, Customer Analytics, Customer Centricity, Customer Service Philosophy, Customer Support Operations, Customer Support Platforms, Customer Support Policies and Procedures, Customer Support Trends, Detail-Oriented, Inquiry Handling, Issue Escalation, Order Processing, Process Oriented, Service Excellence, Service Request Management

Full-time Description Job Title: Medical Billing/Coding Specialist Type: Full Time (eligible for Benefits Package), Hourly/Non-Exempt Job Overview: We are seeking a certified, detail-oriented and experienced Medical Billing and Coding Specialist to join our healthcare team. The successful candidate will be responsible for accurately translating medical procedures and diagnoses into standardized codes for billing and insurance purposes. This role requires a strong understanding of medical terminology, coding systems, and compliance with relevant regulations. Requirements Responsibilities: Review and accurately assign medical codes to diagnoses, procedures, and services using ICD-10, CPT, and HCPCS systems. Submit clean claims to insurance companies electronically or via paper when necessary. Collaborate with healthcare providers to obtain necessary documentation for coding. Verify patient information and ensure accuracy in coding processes. Resolve billing discrepancies and collaborate with clinical staff for documentation clarification. Follow up on unpaid or denied claims; resubmit or appeal as appropriate. Maintain patient confidentiality and comply with all relevant healthcare privacy laws Communicate effectively with patients, providers, and insurance representatives. Stay current with coding updates, payer guidelines, and industry regulations. Assist with special projects and additional tasks on an as needed basis Qualifications: Required Certification in medical billing and coding (e.g., CPC, CCS, CCA, or equivalent). High school diploma or equivalent required; associate degree in healthcare administration or related field preferred. 2+ years of experience in medical billing and coding in a healthcare setting. Proficient in using electronic health records (EHR) and billing software. In-depth knowledge of medical terminology, coding systems, and insurance claim processes. Familiarity with Medicare, Medicaid, and commercial payer requirements preferred. Strong attention to detail and analytical skills. Excellent communication and organizational skills. Ability to work independently and collaboratively in a team environment. Working Conditions: Office-based environment with regular business hours (Monday through Friday, 8am to 5pm). May require occasional overtime during peak periods. If you meet the qualifications and are passionate about accurate medical coding, we invite you to apply for this rewarding position in our healthcare team.

Commercial Lines Insurance Clerk needs 5 years Certificate Of Insurance SME Commercial Lines Insurance Clerk requires: Experienced Certificate of Insurance Subject Matter Expert Background in the commercial property and casualty insurance industry, with a focus on Certificate of Insurance coverage requirements per statute CMMS Experience (Preferably Service Channel/Fixxbook) 3 years vendor on-boarding experience Commercial Lines Insurance Clerk duties: Provide expert knowledge of P&C insurance processes as it pertains to our coverage requirements Act as a liaison when reviewing and approving COIs submitted by insurance agents on behalf of potential service providers, or renewal review of expired COIs. Translate complex insurance concepts into clear actionable documentation of requirements Ie: Sample COIs Assist in the development and refinement of our current Certificate of Insurance Standards to match the industry standard on required coverages Experience working in CMMS programs such as Service Channel to review compliance related documents submitted (COI) for on-boarding approvals or rejections. Assist with additional operational tasks surrounding on-boarding service providers and ensuring their compliance

Job DescriptionDescription: The Patient Service Representative I is responsible for providing customer service and ensuring the patient experience, either by phone or in person, is exemplary. The Patient Service Representative I will coordinate clerical tasks such as answering the phones, greeting patients and visitors, and scheduling appointments in a professional and timely manner. They are responsible for moving the patients through the intake and checkout process including patient registration, scanning and filing medical records, collecting co-payments, deductibles, and any outstanding balances. The Patient Service Representative I must ensure that all procedures, from identifying correct patient files to verifying insurance information, are closely followed to create a seamless patient experience between clerical and clinical staff. ESSENTIAL JOB FUNCTION/COMPETENCIES Responsibilities include but are not limited to: Welcomes and greets all patients and visitors, in person or over the phone. Is responsible for keeping the front desk area clean and organized. Registers new patients and updates existing patient demographics by collecting detailed patient information including personal and financial information (ex. co-payments and insurance cards). Collects outstanding patient balances. Obtains referrals and authorizations when required. Scans incoming faxes, consents, reports, and all other patient information into patient chart. Generates batch transmittal reports for each day. Facilitates the patient flow by notifying the provider or other medical staff of the patients' arrival, being aware of delays, and communicating with patients and clinical staff. Schedules follow up services and office visits for patients. Responds to inquiries by patients, prospective patients, and visitors in a courteous manner. Keeps medical office supplies adequately stocked by anticipating inventory needs, placing orders, and monitoring office equipment. Protects patient confidentiality, making sure protected health information (PHI) is secured by not leaving PHI in plain sight and logging off the computer before leaving it unattended. Ensures proper hand off of responsibilities once their task is completed. Meets established attendance criteria and starts work promptly. Punctual and dependent for assigned/confirmed shifts. Respects and acknowledges the organizations commitment to cultural diversity, which is expressed through behavior, language and actions. Consistently demonstrates good use of time and resources. Ensuring that all medical records are accurate and complete. Performs other position related duties as assigned. CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS N/A KNOWLEDGE | SKILLS | ABILITIES Skill in using computer programs and applications including Microsoft Office. Knowledge in healthcare systems operations and experience in navigating EMRs. Ability to answer multiple incoming telephone calls. Demonstrate excellent organizational skills, multi-tasked abilities, and the ability to perform well in stressful situations. Customer-oriented with ability to remain calm in difficult situations. Ability to work independently and manage multiple deadlines. Ability to comprehend established office routines and policies. Ability to keep financial records and perform mathematical tasks. Knowledge of Medical Terminology. Excellent verbal and written communication skills. Proficient interpersonal relations skills. Basic knowledge of health insurance products (HMO, PPO, HSA, Commercial, Medicare etc.). Ability to navigate online health insurance portals to verify benefits. Regularly adheres and supports compliance and accreditation efforts as assigned including, but not limited to OSHA, HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse. Complies with HR confidentiality standards. Requirements: EDUCATION REQUIREMENTS High School Diploma or equivalent required. Some college work preferred. EXPERIENCE REQUIREMENTS Minimum of 1-3 years' customer service experience required. Experience in a medical office; specifically, urology, preferred. Basic knowledge and understanding of CPT procedure coding and ICD-10 diagnostic coding preferred. REQUIRED TRAVEL N/A PHYSICAL DEMANDS Carrying Weight Frequency 1-25 lbs. Frequent from 34% to 66% 26-50 lbs. Occasionally from 2% to 33% Pushing/Pulling Frequency 1-25 lbs. Seldom, up to 2% 100 + lbs. Seldom, up to 2% Lifting - Height, Weight Frequency Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33% Floor to Chest, 26-50 lbs. Seldom: up to 2% Floor to Waist, 1-25 lbs. Occasional: from 2% to 33% Floor to Waist, 26-50 lbs. Seldom: up to 2%

Job Description Patient Services Representative _ PSR JD.pdf NC Pediatric Dentistry aims to provide excellent dental treatment by going beyond the basics to ensure visits are safe, relaxed, informative, and fun for children! We are currently seeking a motivated Patient Service Representative (PSR) to join our growing team within our dental office in our Dunn Pediatric Dentistry office! Job Summary: The Patient Services Representatives (PSR's) provides vital office support that maximizes the flow of the front desk operations. Ownership of this position delivers the high standard of customer service necessary to maintain the overall Patient Experience while adhering to our Mission and Core Values. Essential Functions, Duties, and Responsibilities: • Collaborate with Patient Services Supervisor (PSS) in all aspects of training, staffing and functionality while providing substantial and valuable feedback. • Satisfy all mandatory training requirements as assigned and provided by the Patient Services Supervisor (PSS) via various training tools. • Sustain the execution and flow of the patient schedule to provide the best Patient Experience while fostering a team environment. • Substitutes the management of front operations in the absence of Patient Services Supervisor PSS. • Performs a variety of detail-oriented administrative tasks that anticipate the needs of the team and patients alike. The above cited duties and responsibilities describe the general nature and level of work performed by the people assigned to this job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Education and Experience Requirements: • Must have at least 3 years of experience in dental front desk operations • At least 1 year of pediatric dental experience preferred • Currently certified in OSHA, HIPAA and CPR Knowledge, Skills, and Abilities: • Ability to teach and direct others with positivity and encouragement • Strong analytical, critical thinking, and problem-solving skills • Ability to quickly learn and adapt to new technologies, processes, and ideas • Excellent interpersonal, organizational, verbal and written communication skills What's in it for you! NC Pediatric Dentistry is proud to offer medical, dental and vision insurance, 401(k) retirement plan, paid time off, paid holidays, growth opportunities, and a positive work environment in a stable growing company

[NM1] The Patient Services Coordinator (PSC) Float serves as the main administrative contact for both patients and clinicians at their assigned center to ensure that the center runs smoothly daily. The PSC will provide excellent clinician and patient support in a pleasant working environment that embodies our core values: ICARE-Integrity, Community, Accountability, Results, Enthusiasm. A detailed description of role responsibilities is outlined below. Administrative Responsibilities: Telephone management: Answer incoming phone calls, assist caller with all requests, connect with other departments when necessary, retrieve and process voice mails, relay all messages to appropriate individuals [LF2] within 1 business day Learn, become proficient, and utilize all MPCC systems (AMD, MEND, PETAL, Five9, Company Portal) Maintain the center environment to ensure clinician, patient, and shared spaces are used appropriately and kept clean Adhere to the Missed Visit Report SOP responsibilities as outlined Adhere to the Medical Records Policies and Procedures responsibilities as outlined Coordinate lunches with pharmaceutical representatives and Center Directors on the center calendar Order center and clinical supplies [NM3] [LF4] [NM5] Maintain current stock of clinician appointment cards Check email and respond to received emails and Teams messages Attend all meetings and training as assigned Responsibilities to Clinicians: Task clinician messages that need their attention (non-medication patient questions) using the SBAR communication format[LF6] Forward all-important patient or referring clinician correspondence to the clinician in a timely manner Task MST messages that need their attention (medication-related questions) [BC7] Process and send out pharmacogenetic testing [BC8] [NM9] [BC10] Process and send out drug screens Administer computerized testing for patients and upload results (CNS-VS and Qb) Confirm that Center calendar is current with team member time off requests Patient Responsibilities: Greet patients professionally and respectfully upon entering [LF11] by adhering to the MPCC Service Excellence Standards Check-in patients and ensure clinician is notified of patient's arrival Obtain all new patient paperwork, a copy of a photo ID and insurance card (front and back) < OR> Confirm each patient's demographic information at each visit (insurance, address, phone number, email) Collect the patient's payment for DOS, existing balance and any other payment required. Upload patient notes, information, etc. into the patient's charts in AMD Notify Prior Authorization department of any requests and follow up as needed Prepare, scan, transmit letters and/or documentation as needed Manage waitlist for patients requesting a sooner appointment Schedule and reschedule appointments as necessary Requirements for Position: Travel to different locations and act as additional coverage as needed Excellent communication skills, both verbal and written Organized with an ability to multi-task Ability to maintain a calm and professional demeanor in potentially stressful situations. Ability to problem solve At least 1 - 2 years working in an office setting (preferably medical) Proficient computer and software skills