Medical records clerk jobs in Palm Beach Gardens, FL - 146 jobs

Founded in 2003, Kanner & Pintaluga is a NLJ500 and Mid-Market Pro 50 law firm that has recovered over $1 billion for property damage and personal injury clients nationwide. With nearly 100 lawyers and more than 30 offices throughout the Central and Southeastern United States, our primary goal is to achieve the most favorable outcome for our clients, who have the absolute right to receive the maximum compensation for their damages. POSITION SUMMARY: The Medical Records Specialist is responsible for requesting and gathering medical and billing records, and managing clients' health records. They must possess excellent verbal and written communication skills, and be proficient with Microsoft Office. In addition, the Medical Records Specialist has strong attention to detail and can accurately scan and index medical records to the appropriate client's file. ESSENTIAL JOB FUNCTIONS: Submit HIPPA requests to providers via fax, email, mail, or designated portals. Safeguard patient records and ensure that everyone complies with HIPAA standards. Retrieve medical records and billing from designated portals. File information and documents to the client's file. Review medical records/bills and ensure there are no discrepancies. Review and file invoices. Handle incoming calls and other communication interactions with clients and providers. Follow up with providers and notate the file. Prepare Demand packets. Request additional medical records as needed. Perform other related duties as assigned. EXPERIENCE/REQUIREMENTS: Full-time, 8:00 am to 5:00 pm, M-F. High school/GED diploma required. Strong customer service skills. Proficient with Microsoft Office programs (Word, Excel, and Outlook). Ability to manage a heavy workload in a fast-paced environment. Ability to communicate with clients and co-workers effectively and efficiently. Possess excellent organizational skills and the ability to multitask and prioritize workload. FIRM BENEFITS The Firm offers a competitive benefits package for our full-time employees and their families. Here is a summary of our benefits (the list is not all-inclusive): Competitive Wage Paid Time Off, Holiday, Bereavement, and Sick Time 401K Retirement Savings Plan with Firm match Group Medical/Dental/Vision Plans Employer-Covered Supplemental Benefits Voluntary Supplemental Benefits Annual Performance Reviews Equal Opportunity Statement Kanner & Pintaluga is an Equal Opportunity Employer. Kanner & Pintaluga retains the right to change, assign, or reassign duties and responsibilities to this position at any time - in its sole discretion. Employment is at will. E-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form.

Medical Records Specialist Under general supervision, performs medical/psychiatric clerical office support and records maintenance assignments for assigned Mental Health counseling and treatment programs; schedules patients and maintains appointment information for medical staff; de-escalates difficult phone and clinic client interactions; prepare, scan and maintains a variety of medical records and correspondence into the electronic health record; maintains records of patient care; and performs related duties as required. DISTINGUISHING CHARACTERISTICS Incumbents perform a broad range of specialized and complex medical/psychiatric clerical office support and records maintenance assignments with considerable independence and initiative. They are expected to be thoroughly familiar with the policies and procedures of the Department and/or program where assigned. EXAMPLES OF DUTIES: · Performs a variety of clerical duties with minimum guidance and supervision involving the maintenance of permanent, legal and accurate records of patients medical care; · Interprets, applies and ensures that the laws, rules, and regulations concerning record maintenance are upheld; · updates and maintains client medical records and information; · Provides administrative assistance to professional staff in the preparation of medical/psychiatric records, reports and correspondence, assuring that all intake/assessment/clinic notes are complete and signed by appropriate professional staff; · Performs technical data entry of medical information into electronic health record; · audits provider's schedule to ensure accuracy of service plan, medication, and clients' personal information; · Takes and delivers messages, serves as receptionist, greets and directs visitors and calls; · schedules patients for medical staff and maintains appointment schedules; · Assists patients in the financial application process of qualifying for services; · Performs routine clerical duties in the data collection of financial records, receives, processes and files various financial and clinical documents, may handle money transactions, performs specialized assignments, coding client files in accordance with established protocols and record systems procedures; · Completes statistical and other information required to open and close cases; · Obtains and records required monthly statistics; · Works with other health care providers and agencies concerning patient care records and information; · Within established guidelines, releases information to authorized persons; · Responds to inquiries by providing information and referring calls; · Determines the urgency of the calls; · Performs related duties and special projects as required. MINIMUM QUALIFICATIONS Knowledge of: Policies and procedures of the department and unit where assigned; knowledge of operations, services and activities of a medical office setting; principles and practices of medical record maintenance, filing and scanning; functions and procedures of a medical provider records system, including coding and related requirements; modern office practices, methods, and procedures; operation and use of office equipment including computers and assigned software; proper English usage, spelling, grammar, and punctuation; principles and practices of customer service; basic mathematics; telephone techniques including assessments of emergency status of calls; rules and regulations regarding medical records maintenance and information releases; basic medical and psychiatric terminology; and applicable state guidelines and regulations. Ability to: Perform a variety of complex office assistance and medical records maintenance assignments; interpret and apply policies, procedures, and regulations regarding the maintenance of medical records; schedule and maintain patient appointments; ability to translate information from medical reports and correspondence. Develop and maintain confidence and cooperation of patients and their families; prepare clear, relevant and accurate reports; handle and diffuse difficult and escalated situations; operate a variety of office equipment including computers and assigned software; effectively represent the Mental Health Departments in contacts with clients, the public, and other agencies; communicate effectively both orally and in writing; understand and follow oral and written directions; and establish and maintain effective working relationships with those contacted in the course of work. Education and Experience: High School diploma or equivalent. Any combination of education and experience that would likely provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be: Preferred 2 years of clerical experience, performing a variety of office support duties, one year of which includes work in a position requiring familiarity with medical terminology and recordkeeping systems. OTHER REQUIREMENTS This description lists the major duties and requirements of the job and is not all-inclusive. Not all duties are necessarily performed by each incumbent. Incumbents may be expected to perform job-related duties other than those contained in the documents and may be required to have specific job-related knowledge and skills. Exact Billing Solutions Culture Exact Billing Solutions is a supercharged environment propelled by collaboration through our philosophy: “Empowering Your Ambition.” The expectation for each team member is to provide a highly supportive high-performance work environment. Exact Billing Solutions team members are charged with: Identifying challenges and collaborating with team members to devise creative solutions and measurable outcomes Motivating team members to be their best while holding them accountable to maintain the company's excellent service standards Establishing and maintaining open and honest communication, always sharing information Continual learning, teaching and development Leading and driving initiatives to completion HIPAA Team members are required to adhere to policies and procedures implementing HIPAA requirements for the privacy and security of protected health information. Team members are permitted to use and/or disclose only minimum amount of Protected Health Information necessary to complete assigned tasks. Reports all suspected violation of company's HIPAA policies or procedures to Human Resources. Environmental Stewardship and Safety Team members are expected to adhere to facility safety requirements, report unsafe practices or equipment, and, if applicable, use the appropriate protective equipment as needed. Depending on role, and during the daily course of duties, team members may have to lift, twist, pull or push. Team members must be able to manage these activities up to 60 lbs. Any accident or incident must be reported immediately to a member of management for proper recording. Candidates must meet the company's hiring criteria to include a pre-employment background investigation and drug test. We are an Equal Opportunity Employer and a drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We offer a competitive compensation and benefits package including a base salary with performance-based incentives, medical, deal, vision, short/long-term disability, life insurance and 401(k). Team Members excluded from Federal Healthcare Programs. Exact Billing Solutions operates facilities that receive federal funding and may not employ or contract with an individual or entity that has been excluded from health care programs (for example, Medicare or Medicaid). Accordingly, if a team member or agent has been excluded from or is under investigation and may be excluded, they must notify a member of management immediately.

JOB RESPONSIBILITIES Route clients/patients to the appropriate areas within the agency. Answer phones, check and return voice messages in a timely basis. Update patient demographics in agency data system as appropriate. Referrals/Authorization: Verify patient insurance carrier/coverage to ensure proper processing of referrals. Respond to all correspondence and task (via letter, email, faxes) in a timely manner. Record and maintain patient health records in agency's database and other data systems. Process referrals for patient specialist visits including in house specialist and outside providers (via insurance portals, phone calls, etc.) Coordinate appointments for patients with specialists. Ensure updates are made in EHR regarding appointments made for specialist, patient attendance and/or comments, etc. Process additional information requested by insurance companies for authorizations (medical records, documentation from providers, etc.). Assist in authorization denials and appeals on behalf of the patient and document outcomes in record system. Identify alternative solutions, as determined necessary by providers, for denied authorizations. Ensure external 3rd party documentation (i.e. labs, consultation reports, etc.) is collected and entered in the patient's electronic health records (EHR). Ensure proper and timely closing of tasks as it relates to referrals and open orders via EHR. Medical Records: Receive and document medical records requests from outside agencies (Social Security Administration, legal offices, outside providers or patient request) Prepare invoices for payments of medical records request. Prepare medical records as requested by printing from EHR and prepping for faxing or mailing. Ensure documentation for new patients is collected and recorded in patient's electronic health records (EHR). Ensure patient documentation is fully completed and recorded in agency's database. Ensure appropriate assignment to the provider upon receiving records and closure of task by the provider, once the records are obtained. Quality Assurance/Compliance: Assist in ensuring that the medical office (front desk and waiting area) is kept clean and tidy at all times. Ensure online training is current as required (My LearningPointe and other trainings). Ensure that medical operations fully comply with agency and HIPAA requirements. Safety: Ensure proper hand washing according to the Centers for Disease Control and Prevention guidelines. Understands and appropriately acts upon assigned role in Emergency Code System. Understands and performs assigned role in agency's Continuity of Operations Plan (COOP). Culture of Service: 3 C's Compassion Greet internal or external customers (i.e. patient, client, staff, vendor) with courtesy, making eye contact, responding with a proper tone, and nonverbal language. Listen to the internal or external customer (i.e. patient, client, staff, vendor) attentively, reassuring, and understanding of the request and providing appropriate options or resolutions. Competency Provide services required by following established protocols and when needed, procure additional help to answer questions to ensure appropriate services are delivered Commitment Take initiative and anticipate internal or external customer needs by engaging them in the process and following up as needed Prioritize internal or external customer (i.e. patient, client, staff, vendor) requests to ensure the prompt and effective response is provided Safety Ensure proper handwashing according to the Centers for Disease Control and Prevention guidelines. Understands and appropriately acts upon the assigned role in Emergency Code System. Understands and performs assigned roles in the organization's Continuity of Operations Plan (COOP). Contact Responsibility The responsibility for external contacts is constant and critical. Physical Requirements This work requires the following physical and sensory activities: constant sitting, hearing/ visual acuity, talking in person, and on the phone. Frequent, walking, standing, sitting, and bending. Work is performed in-office setting. Other Participates in health center developmental activities as requested. Other duties as assigned. Job Knowledge and Skills: Bilingual (English Spanish) is preferred. Computer knowledge should include Microsoft Outlook, Word, and Excel. Excellent problem solving, communication, organizational and teamwork skills are required. The ability to work with a multicultural and diverse population is required.

Full-time Description The Medical Records Clerk is accountable for responding to medical records requests from patients, other providers, and insurance companies, following established guidelines and legal requirements. Facilitates and assists with records requests via telephone, in person, and by fax. Supports process for patient forms requests (ie disability, FMLA). In addition, the position is responsible for filing into patient's EHR chart, maintaining the accuracy and integrity of patient's records. Identifies a wide variety of medical reports and documents, which must be electronically converted and imported to specified e-files and drives. This is a full-time position, Monday thru Friday 8:00am to 5:00pm in our Tradition office. South Florida Orthopaedics & Sports Medicine is a thriving private multi-specialty medical group practice serving patients all along the Treasure Coast. Our focus is on patient/customer service, as a professional, friendly office. We offer competitive compensation, as well as a comprehensive benefit package including medical, dental, vision, 401K, and more! Please visit our website at ********************* to learn more about our practice. Salary ranges shown on independent job search websites do not reflect information specific to South Florida Orthopaedics. Candidates are encouraged to discuss their compensation questions with Human Resources. Requirements Background/Experience: · Minimum one (1) year experience in Medical Records in a healthcare environment. · Sound knowledge of legal requirements of release of information, and Privacy rules and regulations. · Friendly and professional, organized and customer-focused. · Solid computer skills in EHR/PM system and Microsoft/Adobe/Nuance required. Physical Demands: · Primarily sedentary position, sitting. · Periodic requirements for walking, reaching, pushing, lifting, carrying less than 25 lbs. · Use of general office equipment - keyboard, telephone, scanner, copier.

Medical Records Coordinator Schedule: Mon-Fri from 8am - 5pm Pay: $16-$17/HR (Commensurate on experience) Benefits: Health, Dental, Vision, PTO, Paid Holidays, Life insurance, profit sharing, bonuses, and more Bilingual preferred, but not required If interested in this position please apply immediately and someone will be in touch with you within 24-48 hours.

About Us: Since 1991, Lifeskills Behavioral Health has offered customized treatment programs for all genders, ages 18 and over, suffering from mental health conditions and substance use disorders. We provide clinically excellent, evidence-based, and collaborative treatment programs that are tailored based on each client's unique needs to address a variety of mental health disorders as well as substance use disorders. Through our residential treatment program (RTC), partial hospitalization program (PHP), intensive outpatient program (IOP), and transitional living we ensure our clients can successfully transition back into their home life, family life, and careers with newfound self-esteem, direction, and control. Why You Will Love Working With Us! At Lifeskills Behavioral Health, we are a dynamic, dedicated, and growing team of professionals deeply passionate about providing evidence-based and personalized clinical care for mental health disorders and behavioral health conditions. Since everyone has different experiences with mental health disorders, mental health therapies must be equally unique to address those diverse needs. Working with qualified doctoral level clinicians at Lifeskills gives individuals the opportunity to develop personalized mental health treatment plans that address their needs and help them take the next step in their recovery. Our team's foundation is client centered care and clinical excellence through our 5-star service commitment - Respect, Accountability, Integrity, Flexibility, Service, and Collaboration. We are committed to our team, and our team is committed to our clients! What we offer Collaborative environment dedicated to clinical excellence Multiple Career Development Pathways Company Supported Continuing Education and Certification Multiple Health Plan Design Options Available Flexible Dental and Vision Plan Options 100% Company Paid EAP Emotional Well-Being Support 100% Company Paid Critical Illness (with health enrollment plan) 100% Company Paid Life and ADD 401K with Company Match Company-Sponsored HSA, FSA, and DSA Tax Savings Accounts Generous Team Member Referral Program Parental Leave Position Summary The Medical Records Clerk Appeals Specialist oversees the managing of patient health files in a facility. Their duties include filing records, assisting in audits, and collecting information. Clerks ensure medical records are maintained in a manner compliance with ethical, legal and regulatory requirements of the medical services system. Additionally, the medical records clerk supplies the nursing department with the appropriate documents and forms. The Medical Records Clerk and Appeals Specialist is responsible for safeguarding, organizing, and releasing client health records in accordance with all federal, state, and accreditation standards. This role serves as the primary point of contact for all record requests and ensures the accurate, timely, and confidential handling of clinical documentation for clients, families, referents, legal entities, payers, and regulatory agencies. Additionally, the position supports the Utilization Review team by preparing and tracking written insurance appeals. Relationships and Contacts Within the organization: Maintains frequent and close working relationships with Clinical staff and facility team members throughout the organization. Outside the organization : Initiates and maintains strong professional relationships with clients and families, clinical providers, referral partners and vendors, as needed. Essential Responsibilities Gather patient demographic and personal information. Issue medical files to persons and agencies according to laws and regulations. Ensure patient charts, paperwork, and reports are completed in an accurate and timely manner. Make sure all medical records are protected and kept confidential. Serve as the official custodian of client health records, ensuring proper maintenance, security, and release of information in compliance with HIPAA, AHCA, DCF, and CARF standards. Receive, log, and process all requests for clinical documentation, including those from clients, family members, referents, insurance payers, attorneys, auditors, and internal departments. Verify appropriate authorization for release of information (ROI) prior to disclosure and ensure all releases are documented in the client record. Pull, compile, and redact clinical documentation as needed, ensuring accuracy, completeness, and adherence to confidentiality policies. Track and respond to record requests within required timeframes, maintaining detailed logs of all outgoing disclosures. Coordinate with clinical and administrative staff to retrieve or clarify missing or incomplete documentation. Maintain and update record retention, storage, and destruction logs per policy and legal standards. Appeals and Clinical Support Work closely with Utilization Review staff to assemble documentation for written insurance appeals related to denials, level-of-care determinations, or medical necessity disputes. Submit and track written appeals, maintaining a centralized appeals log that includes dates, payer, level of care, reason for denial, and final determination. Ensure all appeal packets are complete, professionally formatted, and compliant with payer and regulatory requirements. Compliance and Quality Support Maintain strict confidentiality of all health information and ensure all recordkeeping activities meet federal and state privacy regulations. Stay informed of current AHCA, DCF, CARF, and payer documentation standards. Report any suspected privacy or data breaches immediately to the Compliance Officer. Qualifications Minimum Requirements Education and Experience High School Diploma or GED required, Associate's or bachelor's degree in health information management, Healthcare Administration, or related field preferred. Minimum of 2 years in medical records, health information management within a behavioral health or healthcare setting. Experience with payer appeals and electronic health record systems preferred. Additional Requirements Valid Florida Driver's License. Current CPR and First Aid Certification, or willingness to complete within the first 30 days of employment. Clearance of TB test. Physical Requirements While performing the duties of this job, the employee will be required to communicate with peers/general public, clients and/or vendors Tolerant to various noise levels: noise level in the work environment varies - may be very quiet to moderate Job performance will require the ability to move throughout the building as well as sit or remain stationary for extended periods of time While performing the duties of this job, the employee may be required to talk or hear, sit, stand, walk, reach, climb or balance, stoop, kneel, crouch or crawl. Ability to move up to 25 pounds Skill Competencies Strong knowledge of HIPAA and confidentiality regulations. Familiarity with AHCA, DCF, and CARF standards. Ability to manage high volumes of requests while maintaining accuracy and timeliness. Excellent attention to detail and organizational skills. Proficiency in EHR platforms (e.g., BestNotes) and Microsoft Office Suite. Strong written and verbal communication skills. Professional discretion and ability to maintain confidentiality in all matters. Understands and maintains professional boundaries. Demonstrates an understanding of rules/limits of patient confidentiality and maintains appropriate levels of client confidentiality/privacy. Demonstrates consideration of and respect for values and cultural beliefs. Lifeskills Behavioral Health provides equal employment opportunities without regard to race, color, creed, ancestry, national origin, ethnicity, sex, gender, sexual orientation, marital status, religion, age, disability, gender identity, genetic information, service in the military, or any other characteristic protected under applicable federal, state, or local law. Equal employment opportunity applies to all terms and conditions of employment. Lifeskills Behavioral Health reserves the rights to modify, interpret, or apply this in any way the organization desires. This in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. Reasonable accommodations may be made to reasonably accommodate qualified individuals with disabilities. This job description is not an employment contract, implied or otherwise. The employment relationship remains “At-Will.”

Job Description Responsibilities Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Radiology Forward . With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a Bi-Lingual Scheduler, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. The Bi-Lingual Scheduler is responsible for scheduling, rescheduling and canceling exams for patients. This person performs pre-registration, faxes and scans documents, handles customer service-related requests, communicates preparations, handles call backs, and performs various other clerical tasks for individuals who speak English or a secondary language for which you have been identified as being fluent. You Will: Displays excellent communication skills and telephone etiquette. Places outgoing calls to schedule patient exams when receiving scripts and electronic orders. Answers incoming and places outgoing calls in a courteous and professional manner-identifies self and company. Places calls to referring physicians for patients expressing difficulty with scheduling. Maintains self-control when dealing with difficult patients and or situations. Shows care and compassion for all callers. Maintains good rapport with referring physicians, secretaries and clinical site staff. Enters accurate information in RIS for appointment scheduling, rescheduling, cancellation and comment entry. Updates account information at the point of scheduling. Properly schedules all procedures. You Are: Knowledge of medical insurance plans. Ability to pre-register and schedule patients rapidly and accurately. General knowledge of computers and Microsoft Office software. Provides clear written and verbal communication in both languages. To Ensure Success In This Role, You Must Have: Proficiency in using a personal computer and Microsoft Office. Effective organizational skills and attention to detail. Demonstrate a high-level of integrity, confidentiality and business ethics Must be able to type fluently in English while speaking with callers in either language. Knowledge of medical terminology in both languages. #NCEC We Offer: Comprehensive Medical, Dental and Vision coverages. Health Savings Accounts with employer funding. Wellness dollars 401(k) Employer Match Free services at any of our imaging centers for you and your immediate family.

Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud Investigative Unit Manager with potential fraud, waste or abuse investigations requiring medical coding expertise, participating in external audit requests, and special projects as needed. Coordinates, conducts, and documents audits as needed for investigative purposes. Prepares written reports or trending data related to findings and facilitates timely turnaround of audit results. Prepares written summaries of audit results for purposes of reporting potential fraud, waste, abuse and/or overpayment. Retrieves and compiles data across multiple information systems and provides needed information for internal and external customers in a timely manner. Identifies potential provider fraud through review of claims data, complaint referrals, and application of rules, healthcare coding practices, and fraud detection software. Reviews provider billing practices to investigate claims data and compliance with State and Federal laws. Analyzes provider data and identifies erroneous or questionable billing practices. Interprets state and federal policies, Florida Medicaid, Children's Health Insurance Program, and contract requirements. Determines and calculates overpayment/underpayment, appropriately documents and participates in steps to remediate. Determines priorities and method of completing daily workload to ensure that all responsibilities are carried out in a timely manner. Performs all other duties as assigned. This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) must have. Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. Knowledge of auditing, investigation, and research. Knowledge of word processing software, spreadsheet software, and internet software. Manage time efficiently and follow through on duties to completion. Skills and Abilities: Written and verbal communication skills. Ability to organize and prioritize work with minimum supervision. Detail oriented. Ability to perform math calculations. Analytical and critical thinking skills. Ability to operate personal computer and general office equipment as necessary to complete essential functions, including using spreadsheets, word processing, database, email, internet, and other computer programs. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions. Work Schedule: Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs. 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. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion. Background Screening Notice: In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse. The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants. Additional information is available at: ???? h********************************

Job Description << PHARMACY TECHNICIAN/MEDICAL PROCESSOR NEEDED FOR MEDICAL PRACTICE >> We are searching for TOP TALENT! NuLife Institute is Miami's premier medical facility for Functional, Integrative Medicine and Age Management. It is the only facility of its kind to provide personalized non-surgical age reversing treatment plans custom-tailored to your body, using your very own Internal Blueprint™. We are searching for a driven and customer service oriented Medical Processor/Pharmacy Technician to process medication treatment programs to help drive our patient retention and practice operations success. This person plays a critical role in ensuring that patients receive the correct medications safely and efficiently, making their skills and attention to detail indispensable to any team. This role will may become a hybrid role in the future with working from locations and home once candidate is able to work autonomous. Daily Responsibilities and Required Skills Daily Responsibilities: Reviewing incoming Patient Program Orders: Reviewing and crossing checking doctor's orders line up with medication to be sold and dispensed. Reviewing and taking payment. Medication Preparation and Dispensing: Accurately measure, count, and label medications as prescribed in compliance with state and federal regulations. Prescription Processing: Receive and verify prescriptions from patients within patient programs and/or our healthcare provider notes. Input prescription information into the pharmacy system. Pharmacy Interaction: Review Invoices Direct connection with pharmacies for orders, pricing and ongoing issues. Inventory Management: Maintain stock levels and organize inventory. Check for expired medications and dispose of them appropriately. Compliance and Record-Keeping: Ensure all prescriptions meet regulatory standards. Ensure compliance with State and Federal regulations and company policies and procedures that ensure the safety, security and privacy of the staff and its customers. Individual provides support and guidance to staff in processing medical programs efficiently and effectively. Requirements Required Skills: Math Skills: Proficiency in basic arithmetic for measuring, weighing, and calculating dosages. Ability to interpret and calculate proportions for compounding medications. Attention to Detail: Double-checking prescriptions to prevent errors. Ensuring labels, dosages, and patient information are accurate. Organization: Keeping the workspace tidy and medications properly sorted. Managing multiple tasks efficiently in a fast-paced environment. Communication: Effectively interacting with staff and healthcare providers. Promoting excellent customer service to ensure patient satisfaction from team members, including troubleshooting challenges, and if necessary, developing processes to circumvent possible recurrences. Explaining instructions clearly and professionally. Technical Proficiency: Ability to adapt to new online systems. Problem-Solving: Resolving issues or prescription discrepancies quickly. Addressing customer inquiries and concerns empathetically. Compliance Awareness: Understanding of federal and state regulations regarding controlled substances and prescription medications. Adherence to HIPAA and patient privacy laws. QUALIFICATIONS/REQUIREMENTS General Computer knowledge and Experience (Word, Excel) Prior Experience with Electronic Medical Records (EMR) or CRM System (ie. Salesforce) Strong organizational skills are imperative Ability to be self-directed and a self-starter Highly strategic, creative and process oriented thinker Proven ability to resolve conflicts and discrepancies Excellent customer service and communication skills. Experience working with prescriptions, healthcare, or customer-facing roles (preferred) Proficient in understanding and mastering workflow and system processes Knowledge of HIPAA OSHA, and other federal, state, and local regulations Knowledge of maintaining medical supply inventory for medical office Ability to communicate professionally with Medical Team, Administrative Team, distributors/supplies, Pharmacy Representatives, patients and guests Benefits Retirement Plan 401(k) [Matching] Health Insurance Medical Dental Vision (PTO) Paid Time Off

Job Description About the Role: The Healthcare Logistics Scheduler plays a critical role in ensuring smooth coordination between patients, field technicians, and equipment availability. This individual will manage daily scheduling operations, balancing technician availability, geographic efficiency, and patient needs to maximize equipment utilization and provide timely care. This position is responsible for managing complex scheduling needs, balancing patient preferences with provider availability to optimize clinic operations. The Medical Scheduler acts as a key point of contact for patients, providing clear communication and support to facilitate timely access to medical services. By maintaining accurate and up-to-date scheduling records, this role contributes to the overall patient experience and supports clinical staff in delivering high-quality care. The successful candidate will demonstrate exceptional organizational skills and attention to detail to handle a dynamic and fast-paced healthcare environment. Minimum Qualifications: High school diploma or equivalent required; associate degree preferred. Previous experience in medical scheduling, healthcare logistics, or field tech scheduling. Familiarity with electronic health record (EHR) systems and appointment scheduling software. Strong communication skills, both verbal and written. Ability to handle sensitive patient information with confidentiality and professionalism. Preferred Qualifications: Experience working healthcare preferred. Proficiency in multiple scheduling platforms and Microsoft Office Suite. Bilingual abilities to support diverse patient populations preferred. Responsibilities: Coordinate and schedule patient appointments across multiple field territories and providers, ensuring optimal utilization of resources. Communicate effectively with patients to confirm appointments, provide necessary instructions, and address scheduling inquiries or changes. Collaborate with clinical and administrative staff to manage appointment availability and resolve scheduling conflicts promptly. Maintain accurate and confidential patient scheduling records in compliance with healthcare regulations and organizational policies. Utilize electronic health record (EHR) systems and scheduling software to track appointments and generate reports as needed. Skills: The Medical Scheduler uses strong organizational and multitasking skills daily to manage a high volume of patient appointments efficiently. Effective communication skills are essential for interacting with patients and providers to clarify scheduling details and resolve conflicts. Proficiency with EHR systems and scheduling software enables accurate data entry and retrieval, ensuring seamless appointment coordination. Attention to detail is critical to maintain up-to-date records and comply with privacy regulations. Additionally, problem-solving skills help the scheduler adapt to last-minute changes and optimize scheduling workflows to support clinical operations.

NOW HIRING PATIENT SERVICE COORDINATOR - DENTAL OFFICE FRONT DESK ABOUT US Blue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery for pediatric and special needs patients delivered under general anesthesia. We are a mission-driven company with an emphasis on providing safe, quality, and accessible care, at reduced costs to families and payors. As our network of ASCs continues to grow, we are actively recruiting a new Patient Service Coordinator to join our talented and passionate care teams. Our ASC based model provides an excellent working environment with a close-knit clinical team of Dentists, Anesthesiologists, Registered Nurses, Registered Dental Assistants and more. We'd love to discuss these opportunities in greater detail, and how Blue Cloud can become your new home! OUR VISION & VALUES At Blue Cloud, it's our vision to be the leader in safety and quality for pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision. * We cheerfully work hard * We are individually empathetic * We keep our commitments ABOUT YOU You have an exceptional work ethic, positive attitude, and strong commitment to providing excellent care to our patients. You enjoy working in a fast-paced, dynamic environment, and you desire to contribute to a strong culture where the entire team works together for the good of each patient. YOU WILL * Greet and register patients and family members * Manage appointments and daily schedule * Manage and provide patients and their families with appropriate forms and informational documents * Provide Customer service * Escalate any issues, questions, or calls to the appropriate parties YOU HAVE Requirements + Qualifications * High School Diploma or equivalent * 2 to 3 years of customer service experience in high-volume dental or medical office setting. * Strong critical thinking and analytical skills along with the ability to communicate clearly and effectively. * Computer skills to include word processing and spreadsheet. Preferred * Strong background in patient care environment BENEFITS * We offer medical, vision and dental insurance, Flexible Spending and Health Savings Accounts, PTO (paid time off), short and long-term disability and 401K. * No on call, no holidays, no weekends * Bonus eligible Blue Cloud is an equal opportunity employer. Consistent with applicable law, all qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, read more about requesting accommodations. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

The Surgery Center of Ft. Lauderdale: Is seeking for a Pre Admission Clerk . Under the direction of the Business Office Manager, this position is responsible for daily maintenance of the patient registration, patient check in, collections of financial responsibility and all aspects of the patient access process. This includes strategizing and problem solving and ensuring high levels of customer service with scheduling coordinators from all doctors' offices and scheduling staff. The Registration Coordinator interfaces with patients and families, physicians and staff; admit patients and process their paperwork, update patient demographics/information in the PAS system, collect monies due and document in the PAS billing system. Answers main switch board of all incoming calls and transfers calls to correct department and/or staff member. Successful candidate will possess outstanding leadership, communication, multi-tasking abilities and outstanding customer service skills as well as the ability to diffuse conflicts efficiently with strategy. The successful candidate should be able to demonstrate previous successful/positive customer service encounters or programs. Required Skills: * High School Diploma or equivalent required * Minimum 2-4 years of hospital or medical office experience required * Must be able to communicate verbally and non-verbally in a professional way * Ability to use time wisely in preparing work area to meet high-paced demand * Show a genuine desire to work and improve the hospital as a whole * Professional appearance * Strong medical terminology * Must demonstrate excellent phone etiquette and exceptional customer service skills #LI-SC1

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. Position Highlights: Full-Time: Monday-Friday 8:00AM-4:30 PM EST Location: This role will be performed at one location (Sunrise, FL 33351) Comfortable working in a high-volume production environment. Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status. 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. May schedules pick-ups. Assist with training associates in the HIS I position. Generates reports for manager or facility as directed. Must exceed level 1 productivity expectations as outlined at specific site. Participates in project teams and committees to advance operational strategies and initiatives as needed. Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training. Other duties as assigned. What you will bring to the table: High School Diploma or GED. Must be 18 years of age or older. Able to travel local/regionally 75% or more of the time. Ability to commute between locations as needed. Able to work overtime during peak seasons when required. 1-year Health Information related experience Meets and/or exceeds Company's Productivity Standards 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: 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. 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 .

My Health Onsite operates onsite and near-site health and wellness centers. We deliver advanced personalized work-site healthcare solutions to employers that enhance patient engagement while proactively improving health outcomes. Our medical team takes time to build strong relationships. No one is rushed in and out, and no one is a "number." Patients may access a range of medical services including x-ray, an onsite pharmacy, wellness services, treatment for acute illnesses and chronic conditions. Our programs go beyond caring for the sick and injured - we make prevention our number one goal. Schedule: Monday: 8am-6pm, Tuesday: 7am-5pm, Wednesday: 8am-4pm, Thursday: 10am-7pm, Friday: 8am-4pm Essential Responsibilities: Cheerfully greet and check in patients Maintain patient confidence and ensure confidentiality of patient care information Coordination and tracking release and request for patient medical records Coordination and tracking of patient referrals to outside imaging and medical providers Review daily and weekly patient schedules for accurate appointment times and providers Prepare correspondence between medical providers and patients Provide information and assistance to patients Perform general office duties such as scheduling appointments, answering phone, scanning and faxing Minimum Qualifications: High School Diploma Prior experience in medical setting and with an EMR Working knowledge of medical terminology Excellent customer service skills Strong knowledge of computer systems including Microsoft Outlook, Word and Excel Ability to effectively communicate with staff and patients using excellent written and verbal skills Friendly personality and ability to work well as a team member Benefits: Medical, Dental & Vision Insurance 401k with Company Match Generous Paid Time Off & Holidays My Health Onsite is an equal opportunity employer and a drug free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.

RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Patient Service Representative to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Patient Service Representative, you will be responsible for executing the day-to-day activities of patient-facing service ensuring quality assurance and customer service satisfaction while facilitating and coordinating communication between patients, family members and staff. This role provides optimal patient-centered services supporting the imaging center front office, medical records, technologists with patients through a rotation through front desk, medical records and technologist assistant roles. This is a full-time position working 40 hours per week; shifts are Monday through Friday, 9:30am - 6:00pm. Essential Duties and Responsibilities: (60%) Front Desk Serve as initial point of contact for patients and visitors, creating and providing positive legendary Patient Service Experience(s) Timely registration of patient(s) arrival by validating accurate demographic information and professional collection of out-of-pocket payments prior to services being rendered. Inform patients about delays and wait times; when necessary, follow up with patients to ensure their inquiry or complaint has been satisfactorily resolved. Answering, investigating, and/or directing patient inquiries or complaints to the supervisor or manager. Obtaining and validating photo identifications and insurance cards, scanning relevant documents into patients' chart electronically and categorizing appropriately. Provides Consent, Financial, and HIPAA compliance related documents, must be able to thoroughly explained to the patient(s) if necessary. Proficient utilization and application of EHR software, hardware, and programs. Scrutinizing prescriptions and referrals for accuracy to ensure patients are receiving the appropriate and necessary exams. Effectively coordinate with interdepartmental professionals to ensure patient satisfaction as it relates to appointment scheduling and admission/encounter. Verifying and dispensing oral contrast and preparation instructions to patients who are scheduled for upcoming appointments. Participates in medical office emergency routine when required. Summons ambulance or EMS and/or assists other staff members as needed. Managing outgoing and incoming faxes through both electronic and manual fax machines. Maintaining appropriate levels of administrative office supplies, (i.e., RAYUS brochures, cards, sign-in sheets). Contacting referring Physician offices to verify information and/or request information that is still pending and necessary for the patient's exam. Organize and prioritize tasks to meet deadlines while ensuring and maintaining efficient patient flow. Proper use of phone and written etiquette when handling correspondence. Maintaining reception and patient waiting area(s) such as cleanliness, sanitation, literature organization and beverage supply. Alignment of company mission and embodiment of core values of RAYUS. Adherence and compliance to company policies, procedures, operational objectives, and goals. Maintain strict confidentiality of PHI in adherence and compliance to HIPAA regulations. (20%) Medical Records Ensure quality assurance health records by verifying their completeness, accuracy and proper entry into computer systems. Serves as point of contact on Medical Records for patients and visitors, creating and providing positive legendary Patient Services Experiences. Retrieval and release of health information data/medical records in adherence and compliance with HIPAA and company policies and procedures. Interacts and works cooperatively with patients and team members of different diversities and ensures inclusion. Work as a liaison between the healthcare providers and offices in a timely manner. Proficient utilization and application of EHR software, hardware, and programs. Organize and prioritize tasks to meet deadlines while ensuring and maintaining efficient patient flow. Taking appropriate action when deemed with sound judgment. Clear and friendly patient education of diagnostic examinations and delivering instructions in adherence to company policy and procedures. Professionally holds Stat/Urgent cases pending communication from referring healthcare provider instructions after services have been rendered for patient. Proper use of phone and written etiquette when handling correspondence. Alignment of company mission and embodiment of core values of RAYUS. Adherence and compliance to company policies, procedures, operational objectives, and goals. Maintain strict confidentiality of PHI in adherence and compliance to HIPAA regulations. Maintain and reception and patient waiting area(s) such as cleanliness, sanitation, literature organization and refreshment supply. (15%) Technologist Support Monitors all modality schedules. Greets and escorts patients to changing room; briefly explains procedure. Prep/changing room turnaround performing proper sanitizing techniques. Helps the technologist stay on time by having the next patient ready before the current patient is ready to get off the table. Ensures that all patient areas are stocked and organized in a neat and tidy manner. Cleans and stocks patient prep room and patient restroom. Stocks linen and empties laundry at the end of the shift. Checks with technologists, center supervisor, or center manager for additional duties as needed. (5%) Other Duties as Assigned

JOB RESPONSIBILITIES Route clients/patients to the appropriate areas within the agency. Answer phones, check and return voice messages in a timely basis. Update patient demographics in agency data system as appropriate. Referrals/Authorization: Verify patient insurance carrier/coverage to ensure proper processing of referrals. Respond to all correspondence and task (via letter, email, faxes) in a timely manner. Record and maintain patient health records in agency's database and other data systems. Process referrals for patient specialist visits including in house specialist and outside providers (via insurance portals, phone calls, etc.) Coordinate appointments for patients with specialists. Ensure updates are made in EHR regarding appointments made for specialist, patient attendance and/or comments, etc. Process additional information requested by insurance companies for authorizations (medical records, documentation from providers, etc.). Assist in authorization denials and appeals on behalf of the patient and document outcomes in record system. Identify alternative solutions, as determined necessary by providers, for denied authorizations. Ensure external 3rd party documentation (i.e. labs, consultation reports, etc.) is collected and entered in the patient's electronic health records (EHR). Ensure proper and timely closing of tasks as it relates to referrals and open orders via EHR. Medical Records: Receive and document medical records requests from outside agencies (Social Security Administration, legal offices, outside providers or patient request) Prepare invoices for payments of medical records request. Prepare medical records as requested by printing from EHR and prepping for faxing or mailing. Ensure documentation for new patients is collected and recorded in patient's electronic health records (EHR). Ensure patient documentation is fully completed and recorded in agency's database. Ensure appropriate assignment to the provider upon receiving records and closure of task by the provider, once the records are obtained. Quality Assurance/Compliance: Assist in ensuring that the medical office (front desk and waiting area) is kept clean and tidy at all times. Ensure online training is current as required (My LearningPointe and other trainings). Ensure that medical operations fully comply with agency and HIPAA requirements. Safety: Ensure proper hand washing according to the Centers for Disease Control and Prevention guidelines. Understands and appropriately acts upon assigned role in Emergency Code System. Understands and performs assigned role in agency's Continuity of Operations Plan (COOP). Culture of Service: 3 C's Compassion Greet internal or external customers (i.e. patient, client, staff, vendor) with courtesy, making eye contact, responding with a proper tone, and nonverbal language. Listen to the internal or external customer (i.e. patient, client, staff, vendor) attentively, reassuring, and understanding of the request and providing appropriate options or resolutions. Competency Provide services required by following established protocols and when needed, procure additional help to answer questions to ensure appropriate services are delivered Commitment Take initiative and anticipate internal or external customer needs by engaging them in the process and following up as needed Prioritize internal or external customer (i.e. patient, client, staff, vendor) requests to ensure the prompt and effective response is provided Safety Ensure proper handwashing according to the Centers for Disease Control and Prevention guidelines. Understands and appropriately acts upon the assigned role in Emergency Code System. Understands and performs assigned roles in the organization's Continuity of Operations Plan (COOP). Contact Responsibility The responsibility for external contacts is constant and critical. Physical Requirements This work requires the following physical and sensory activities: constant sitting, hearing/ visual acuity, talking in person, and on the phone. Frequent, walking, standing, sitting, and bending. Work is performed in-office setting. Other Participates in health center developmental activities as requested. Other duties as assigned. Job Knowledge and Skills: Bilingual (English Spanish) is preferred. Computer knowledge should include Microsoft Outlook, Word, and Excel. Excellent problem solving, communication, organizational and teamwork skills are required. The ability to work with a multicultural and diverse population is required.

Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review, the Medical Coding Auditor ensures appropriate coding on claims paid and maintains compliance documentation of any fraud, waste or abuse identified based on coding guidelines and regulatory and contract requirements. Essential Duties and Responsibilities: Performs post payment medical record review audits of claims payments to identify potential fraud, waste, abuse and/or overpayment. Completes and maintains detailed documentation of audits including but not limited to coding guidelines reviewed, medical necessity documentation, decision methodology, and monetary discrepancies identified. Coordinates overpayment recoveries with the Fraud Investigative Unit Manager. Responsible for assisting the Fraud Investigative Unit Manager with potential fraud, waste or abuse investigations requiring medical coding expertise, participating in external audit requests, and special projects as needed. Coordinates, conducts, and documents audits as needed for investigative purposes. Prepares written reports or trending data related to findings and facilitates timely turnaround of audit results. Prepares written summaries of audit results for purposes of reporting potential fraud, waste, abuse and/or overpayment. Retrieves and compiles data across multiple information systems and provides needed information for internal and external customers in a timely manner. Identifies potential provider fraud through review of claims data, complaint referrals, and application of rules, healthcare coding practices, and fraud detection software. Reviews provider billing practices to investigate claims data and compliance with State and Federal laws. Analyzes provider data and identifies erroneous or questionable billing practices. Interprets state and federal policies, Florida Medicaid, Children's Health Insurance Program, and contract requirements. Determines and calculates overpayment/underpayment, appropriately documents and participates in steps to remediate. Determines priorities and method of completing daily workload to ensure that all responsibilities are carried out in a timely manner. Performs all other duties as assigned. This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. Qualifications: Medical Coder certification from accredited source (e.g. American Health Information Management Association, American Academy of Professional Coders or Practice Management Institute) must have. Candidates with relevant work experience may be eligible for company-sponsored certification or licensure. Prior experience in Medicaid claims role and/or post payment medical coding auditor role preferred. Knowledge of Medicaid rules, claims processing, medical terminology and coding principles and practices. Knowledge of auditing, investigation, and research. Knowledge of word processing software, spreadsheet software, and internet software. Manage time efficiently and follow through on duties to completion. Skills and Abilities: Written and verbal communication skills. Ability to organize and prioritize work with minimum supervision. Detail oriented. Ability to perform math calculations. Analytical and critical thinking skills. Ability to operate personal computer and general office equipment as necessary to complete essential functions, including using spreadsheets, word processing, database, email, internet, and other computer programs. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions. Work Schedule: Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs. 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. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion. Background Screening Notice: In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse. The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants. 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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. Position Highlights: Full-Time: Monday-Friday 8:00AM-4:30 PM EST Location: This role will be performed at one location (Deerfield Beach, FL 33064) Comfortable working in a high-volume production environment. Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status. 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. 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 .

NOW HIRING PATIENT SERVICE COORDINATOR - DENTAL OFFICE FRONT DESK - PRN ABOUT US Blue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery for pediatric and special needs patients delivered under general anesthesia. We are a mission-driven company with an emphasis on providing safe, quality, and accessible care, at reduced costs to families and payors. As our network of ASCs continues to grow, we are actively recruiting a new Patient Service Coordinator to join our talented and passionate care teams. Our ASC based model provides an excellent working environment with a close-knit clinical team of Dentists, Anesthesiologists, Registered Nurses, Registered Dental Assistants and more. We'd love to discuss these opportunities in greater detail, and how Blue Cloud can become your new home! OUR VISION & VALUES At Blue Cloud, it's our vision to be the leader in safety and quality for pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision. * We cheerfully work hard * We are individually empathetic * We keep our commitments ABOUT YOU You have an exceptional work ethic, positive attitude, and strong commitment to providing excellent care to our patients. You enjoy working in a fast-paced, dynamic environment, and you desire to contribute to a strong culture where the entire team works together for the good of each patient. YOU WILL * Greet and register patients and family members * Manage appointments and daily schedule * Manage and provide patients and their families with appropriate forms and informational documents * Provide Customer service * Escalate any issues, questions, or calls to the appropriate parties YOU HAVE Requirements + Qualifications * High School Diploma or equivalent * 2 to 3 years of customer service experience in high-volume dental or medical office setting. * Strong critical thinking and analytical skills along with the ability to communicate clearly and effectively. * Computer skills to include word processing and spreadsheet. Preferred * Strong background in patient care environment BENEFITS * We offer medical, vision and dental insurance, Flexible Spending and Health Savings Accounts, PTO (paid time off), short and long-term disability and 401K. * No on call, no holidays, no weekends * Bonus eligible Blue Cloud is an equal opportunity employer. Consistent with applicable law, all qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, read more about requesting accommodations. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.