The ECMO Specialist is enrolled and actively participating in the department's ECMO Training Program. This role is responsible for developing and maintaining the skills necessary to proficiently and safely establish, manage, and control extracorporeal membrane oxygenation (ECMO) technology and assist with associated procedures in acutely ill patients of all ages in critical care settings. The specialist will learn to troubleshoot devices and associated equipment under the supervision of experienced ECMO personnel, provide ongoing care through surveillance of clinical and physiologic parameters, adjust ECLS devices as needed, administer and document blood products and medications in accordance with hospital standards, provide airway and ventilator management, and perform the full scope of practice of a Respiratory Therapist II.
Schedule: 36 hours per week, rotating day/night shifts, every third weekend.
**This position is eligible for full time benefits $20,000 sign-on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 2 years)
Key Responsibilities:
Assemble, prepare, and maintain extracorporeal circuits and associated equipment with assistance.
Assist in priming extracorporeal circuits and preparing systems for clinical application.
Assist with cannulation procedures.
Assist in establishing extracorporeal support; monitor patient response, provide routine assessments, circuit evaluations, patient monitoring, and anticoagulation management.
Assist with ECMO circuit interventions, weaning procedures, and transports.
Administer blood products per hospital standards.
Interact and communicate with caregivers, nursing, surgical and medical teams, patients, and family members.
Maintain relevant clinical documentation in the patient's electronic health record.
Participate in professional development, simulation, and continuing education.
Attend ECMO Team meetings and M&M conferences on a regular basis.
Minimum Qualifications
Education:
Required: Associate's Degree in Respiratory Therapy
Preferred: Bachelor's Degree
Experience:
Required: A minimum of one year of experience as a BCH Respiratory Therapist with eligibility for promotion to RT II,
or
one year of external ECMO experience
Preferred: None specified
Licensure / Certifications:
Required: Current Massachusetts license as a Respiratory Therapist
Required: Current credential by the National Board of Respiratory Care as a Registered Respiratory Therapist (RRT); Neonatal Pediatric Specialist (NPS) credential must be obtained within 6 months of entry into the role
Preferred: None specified
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
$67k-93k yearly est. 4d ago
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Polysomnographic Specialist - PRN
Saint Luke's Hospital of Kansas City 4.6
Kansas City, MO jobs
Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further!
Day
8-10 hours per week preferred
RPSGT or RRT required
BLS preferred
The Opportunity:
The Polysomnographic Specialist performs all aspects of care as outlined in national and departmental clinical standard of practice policy and procedure manual and in accordance with written verbal orders or approved protocol flow charts. This position will assist with MSLT and home sleep study set-ups. Clinical practice activities include but are not limited to the performance of diagnostic polysomnographic testing, assessment based therapeutic interventions and the analysis and scoring of polysomnographic records. The Polysomnographic Specialistaccountabilities include the assessment and evaluation of histories and physicals, diagnostic, clinical and sleep related data pursuant to the development and monitoring of planned interventions in collaboration with the medical staff. The Polysomnographic Specialist supports and participates as appropriate in staff meetings, study quality, adherence to departmental protocols, continuing education, and professional growth development activities and performs other duties as assigned.
Why Saint Luke's?
We believe in work/life balance.
We are dedicated to innovation and always looking for ways to improve.
We believe in creating a collaborative environment where all voices are heard.
We are here for you and will support you in achieving your goals.
#LI-CK2
Job Requirements
Applicable Experience:
Less than 1 year
Basic Life Support - American Heart Association or Red Cross, Polysomnographic Technologist - Board of Registered Polysomnographic Technologists
Job Details
PRN
Day (United States of America)
The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
$34k-54k yearly est. Auto-Apply 1d ago
Polysomnographic Specialist
Saint Luke's Hospital of Kansas City 4.6
Overland Park, KS jobs
Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further!
Nights
3-12 hours per week (0645-1915 Wed-Thurs-Friday OR Sun-Monday-Tuesday)
RPSGT or RRT required
BLS preferred
The Opportunity:
The Polysomnographic Specialist performs all aspects of care as outlined in national and departmental clinical standard of practice policy and procedure manual and in accordance with written verbal orders or approved protocol flow charts. This position will assist with MSLT and home sleep study set-ups. Clinical practice activities include but are not limited to the performance of diagnostic polysomnographic testing, assessment based therapeutic interventions and the analysis and scoring of polysomnographic records. The Polysomnographic Specialistaccountabilities include the assessment and evaluation of histories and physicals, diagnostic, clinical and sleep related data pursuant to the development and monitoring of planned interventions in collaboration with the medical staff. The Polysomnographic Specialist supports and participates as appropriate in staff meetings, study quality, adherence to departmental protocols, continuing education, and professional growth development activities and performs other duties as assigned.
Why Saint Luke's?
We believe in work/life balance.
We are dedicated to innovation and always looking for ways to improve.
We believe in creating a collaborative environment where all voices are heard.
We are here for you and will support you in achieving your goals.
Job Requirements
Applicable Experience:
Less than 1 year
Basic Life Support - American Heart Association or Red Cross, Polysomnographic Technologist - Board of Registered Polysomnographic Technologists
Associate Degree
Job Details
Full Time
Night (United States of America)
The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
$33k-53k yearly est. Auto-Apply 1d ago
Supervisor Patient Care
Akron Children's Hospital 4.8
Akron, OH jobs
Full Time 36 hours/week 7pm-7am
onsite
The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander
Responsibilities:
1.Understands the business, financials industry trends, patient needs, and organizational strategy.
2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards.
3. Assist in monitoring the department budget and helps maintain expenditure controls.
4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts.
5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers.
6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital.
7. Assist in decision-making processes and notifies the Administrator on call when necessary.
8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively.
9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures.
10. Other duties as assigned.
Other information:
Technical Expertise
1. Experience in clinical pediatrics is required.
2. Experience working with all levels within an organization is required.
3. Experience in healthcare is preferred.
4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience
1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required.
2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required.
3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred.
4. Years of relevant experience: Minimum 3 years of nursing experience required.
5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred.
Full Time
FTE: 0.900000
Status: Onsite
$52k-69k yearly est. 3d ago
Phlebotomist Specialist-Client Office
Labcorp 4.5
Cumming, GA jobs
At LabCorp we have a passion in helping people live happy and healthy lives. Every day we provide vital information that helps our clients and patients understand their health. If you are passionate about helping people and have a drive for service, then LabCorp could be a great next career step!
We are currently seeking a Phlebotomist to work in a client office. In this role you will provide exceptional customer service, perform skilled specimen collections and be the face of the company. In addition, you will be provided opportunities for continuous growth within the organization.
* QUARTERLY INCENTIVE BONUS PROGRAM
PST's may be eligible for participation in the PST Incentive Plan, which pays a quarterly bonus based on performance metrics.
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here.
All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
Work Schedule:
Monday-Friday 7:30am-4:30pm with 1-hour lunch break
The hours/location may change/vary based on business need and/or the request(s) of your supervisor or management.
Work Location: Cumming, GA
This position does not requires you to be fully vaccinated against COVID-19.
Job Responsibilities:
Perform blood collections by venipuncture and capillary techniques for all age groups.
Collect specimens for drug screens, paternity tests, alcohol tests etc.
Perform data entry of patient information in an accurate and timely manner.
Process billing information and collect payments when required.
Prepare all collected specimens for testing and analysis.
Maintain patient and specimen information logs.
Provide superior customer service to all patients.
Administrative and clerical duties as necessary
Assembling equipment such as: tourniquet, needles, disposable containers for needles, blood collection devices, gauze, cotton, and alcohol on work tray, according to requirements for specified tests or procedures,
Performing other responsibilities as required, Work with and draw from a wide range patient cases in a confident manner,
Maintaining safe, secure, and healthy work environment by following standards and procedures and complying with legal regulations,
Verifying or recording identity of patient or donor and converses with patient or donor.
Maintaining Refrigerator and Freezer temperatures.
Maintain a safe, secure, and healthy work environment,
Comply with legal Phlebotomy regulations, Handle urine analysis, blood testing, Perform a variety of routine blood drawing procedures.
Travel to additional sites when needed.
Job Requirements:
High school diploma or equivalent
Phlebotomy certification or completed training program from an accredited agency or previous experience as a phlebotomist is required
Proven track record in providing exceptional customer service
Strong communication skills; both written and verbal
Ability to work independently or in a team environment
Comfortable working under minimal supervision
Reliable transportation required
Flexibility to work overtime as needed
Able to pass a standardized color blindness test
If you're looking for a career that offers opportunities for growth, continual development, professional challenge and the chance to make a real difference, apply today!
Labcorp is proud to be an Equal Opportunity Employer:
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
$34k-51k yearly est. 6d ago
Patient Account Specialist
Christus Health 4.6
Lake Charles, LA jobs
Patient AccountSpecialist Senior- ONSITE Medical Collections & Account Resolution; 3-5 years of experience in a Customer Service call center environment with a focus on healthcare billing/collections or collection agency environment required.
$38k-49k yearly est. 1d ago
Account Service Representative -Field Sales
New Health Partners 4.1
Doral, FL jobs
The Account Service Representative is responsible for delivering exceptional service to brokers, agencies, and employer groups. This role supports the full lifecycle of group accounts-renewals, enrollments, changes, claims support, quoting follow-ups, and carrier communication. The ASR works closely with the sales and operations team to ensure accuracy, timeliness, and high customer satisfaction
What you'll be doing:
Broker & Agency Support:
Serve as the primary point of contact for agencies regarding group insurance questions, documentation, renewals, and service needs.
Assist brokers with quoting requests, benefit summaries, enrollment materials, and onboarding documentation.
Provide clear guidance on medical, dental, vision, GAP, and ancillary benefits.
Group Account Management:
Support new group onboarding, including application review, census validation, and carrier submissions.
Assist with open enrollment meetings, renewal reviews, and plan comparison tools.
Maintain accurate group records, policy details, and service notes.
Track renewals, missing documents, billing issues, and enrollment updates.
Carrier & Vendor Coordination:
Communicate with carriers regarding applications, eligibility, billing discrepancies, and service issues.
Facilitate resolution of escalated member and employer concerns.
Ensure compliance with carrier guidelines and timelines.
Administrative & Operational Tasks:
Prepare service emails, renewal notices, spreadsheets, and standardized documents for agencies and employers.
Maintain CRM activity logs, follow-up tasks, and documentation.
Assist the Group Sales Director in tracking KPI metrics and service SLAs
Requirements:
Must know all carriers. Traditional group insurance
Must have knowledge of working with a census
Customer service experience
215 License required
Reliable transportation
Qualifications:
Salesforce knowledge helpful
Ichra knowledge helpful
Business development experience
5-10 years of experience in health insurance, group benefits, or employee benefits
administration (preferred).
Knowledge of medical, dental, vision, GAP, and ancillary products.
Strong communication skills-professional, clear, and customer focused.
Ability to manage multiple priorities with attention to detail and deadlines.
Proficient in Microsoft Office (Excel, Word, PowerPoint); CRM experience is a plus.
Bilingual (English/Spanish)
Salary range: $55-$75k + Commission
Schedule: 9-5 with occasional weekend events. Hybrid/remote possible after 90 days.
January start date
$21k-28k yearly est. 4d ago
Billing Specialist
Spooner Medical Administrators, Inc. 2.7
Westlake, OH jobs
Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker.
The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices.
Essential Functions
Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information.
Perform fee bill audits according to established procedures and guidelines.
Data enter fee fills accurately for electronic transmission.
Adhere to established billing performance requirements.
Review electronic response to transmitted bills and make modifications accordingly.
Respond to telephone inquiries from customers regarding bill payment status.
Participate in continuous improvement activities and other duties as assigned.
Supervision Received
Reports to the Billing Supervisor
Experience and Education Required
Medical billing certification or at least 2 years of experience working in the medical billing field
Data entry experience
Additional Skills Needed
Effective written and verbal communication
Detail oriented
Strong organizational ability
Basic computer literacy skills
Working Environment
The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.
$28k-33k yearly est. 3d ago
RCM OPEX Specialist
Femwell Group Health 4.1
Miami, FL jobs
The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes.
Essential Job Functions
Manage internal and external customer communications to maximize collections and reimbursements.
Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes.
Maintain fee schedule uploads in financial and practice operating systems.
Review and resolve escalations on denied and unpaid claims.
Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted.
Monitor accounts receivable and expedite the recovery of outstanding payments.
Prepare regular reports on refunds, under/over payments.
Stay updated on changes in healthcare regulations and coding guidelines.
*NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position.
Other Essential Tasks/Responsibilities/Abilities
Must be consistent with Femwell's core values.
Excellent verbal and written communication skills.
Professional and tactful interpersonal skills with the ability to interact with a variety of personalities.
Excellent organizational skills and attention to detail.
Excellent time management skills with proven ability to meet deadlines and work under pressure.
Ability to manage and prioritize multiple projects and tasks efficiently.
Must demonstrate commitment to high professional ethical standards and a diverse workplace.
Must have excellent listening skills.
Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures.
Must maintain compliance with all personnel policies and procedures.
Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members.
Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position.
Education, Experience, Skills, and Requirements
Bachelor's degree preferred.
Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management.
Strong knowledge of healthcare regulations and insurance processes.
Knowledgeable in change control.
Proficiency with healthcare billing software and electronic health records (EHR).
Knowledge of HIPAA Security preferred.
Hybrid rotation schedule and/or onsite as needed.
Medical coding (ICD-10, CPT, HCPCS)
Claims management (X12)
Revenue cycle management
Denials management
Insurance verification
Data analysis
Compliance knowledge
Comprehensive understanding of provider reimbursement methodologies
Billing software proficiency
$34k-49k yearly est. 5d ago
Mitigation & Resilience Specialist for High-Value Homes
Stand 3.8
San Francisco, CA jobs
We are a team of technologist and insurance industry veterans from companies like SpaceX, Boeing, Metromile, Policygenius, HotelTonight, WePay, Chubb, Pure, and AIG Private Client.
FINANCE
$70m+ in Funding
From Inspired VC, Lowercarbon Capital, Equal Ventures, and more.
TEAM
Offices in San Francisco and Seattle
We have a small, strong team in great locations.
SOCIAL PROOF
Over $2b in TIV Capacity
Reinsured by Arch, RenRe, Nephila, Hiscox and others.
BENEFITS
Competitive Salary and Equity
We pay well and offer all the usual benefits.
Open Positions
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Other Partners
Partner with Us in Mitigation and Home Resiliency for High-Net-Worth Clients
Are you a professional vendor specializing in mitigation and home resiliency services with a strong track record of supporting high-net-worth clients? We're seeking trusted partners who share our commitment to exceptional quality, service, and attention to detail.
As part of our network, you'll work with clients who value expertise in areas like fire prevention, structural resilience, and other risk mitigation strategies tailored to protect high-value properties. If you're dedicated to delivering outstanding service and understand the unique requirements of these clients, we'd love to hear from you.
Contact us today to learn more about our vetting process and explore how we can work together to elevate home resiliency and risk mitigation for our clients. Let's build a safer, more resilient future together.
We strive to provide you with the most tailored and highest quality insurance products and customer service so you can live life knowing you have the right insurance for your assets.
548 Market St. PMB 70879, San Francisco, California 94104
Claims: *************** or *******************
Stand Protect, Inc. (d/b/a Stand Insurance Solutions) is a licensed insurance producer in California (License #6014213) and partners with an A-rated or better carrier and reinsurers.
#J-18808-Ljbffr
$40k-48k yearly est. 2d ago
Physician Account Representative
Simonmed Imaging 4.5
Bolingbrook, IL jobs
We are an equal opportunity employer and 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. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record.
Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment. Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists. We can't wait to meet you!
As a Physician Account Representative, you will be responsible for building relationships with physicians and office staff, while providing education and customer resources to increase revenue. You will also focus on expanding business potential within the territory and meet & exceed established goals. Call points include neurology, orthopedic, pain, primary care, Ob/Gyn, pediatric, and hospital groups to aggressively grow market share within assigned territory.
Essential Functions
Self-starter who is able to work within a team environment
Career oriented individual, searching for unlimited opportunities
Ability to work independently, handle multiple concurrent projects, manage time effectively, and meet deadlines.
Prospecting, cold calling, setting appointments.
Proven sales record with documentation of consistent sales success
Meets and exceeds projected sales goals
Develops new business and expands existing business
Keeps up to date on the managed health care environment
Excellent interpersonal, written, and verbal communication skills
Ability to develop and implement new sales strategies and promotions with physicians
Addresses client concerns/issue management and call activity in physician practices.
Educates customers through presentations, in-services and literature
Ambitious, strong work ethic, and open to new ideas
Clean driving record and must live within a 30-mile radius of the territory
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time or without notice.
Benefits
Your health, happiness and future matters! At SimonMed Imaging, we offer medical, vision and dental insurance, 401(k) eligibility, paid holidays plus PTO, Sick Time, opportunity for growth, and much more!
Experience
2+ years of sales experience (medical sales experience a strong plus)
Education
Bachelor's degree required
Physical Demands
This position may require duties including lifting and carrying up to 40 pounds, sitting for prolonged periods of time, with frequent standing and walking. Good visual and auditory acuity as well as good manual dexterity and the ability to be readily understood are essential. Must be able to work in an environment with multiple deadlines and priorities.
Dress Attire
Business Casual; Polo with SimonMed Logo; Scrubs as needed
$30k-36k yearly est. 4d ago
Ambulatory Service Representative - Behavioral Health
Christus Health 4.6
San Antonio, TX jobs
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits.
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED required
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$31k-35k yearly est. 1d ago
Cancer Specialist
Christian Healthcare Ministries 4.1
Barberton, OH jobs
As an Advantage Care Cancer Specialist, you'll be the initial point of contact for members diagnosed with cancer. Your role involves providing emotional support, actively listening, and offering prayers as they process this difficult news. You'll walk alongside members and their families throughout their cancer journey. Additionally, you'll collaborate with various CHM departments and work closely with our nurse navigator to connect members with high-quality treatment providers at cost-effective rates.
What We Offer
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
Role and Responsibilities
Obtain necessary treatment details.
Assess membership level, CHM Plus, offer pertinent programs based on the membership details and the type of cancer diagnosis.
Acquire necessary documentation for a sharing determination.
Effectively communicate with the members, supervisors, team members, the nurse navigator, and various departments.
Multitask and maintain strong attention to detail.
Interact with members to understand their needs, provide information, and help throughout the sharing determination process.
Respond to member inquiries, issues, and concerns in a timely and professional manner through various communication channels, including communication with the nurse navigator, phone and/or email.
Maintain accurate and organized records of members interactions, inquiries, orders, and other relevant information in CHM's database
Collaborate with various internal teams to ensure effective communication, smooth transitions, and a seamless member experience.
Seek opportunities for process improvement, suggest enhancements to processes, and provide feedback to member experience and overall effectiveness.
Set up negotiating agreements with providers.
Bill processing of cancer related Single Case Agreements and Memorandum of Understandings.
Guide members to financial assistance program options specific to diagnosis.
Assist members to help optimize their lifetime maximum amount when limitations exist.
Qualifications
High school diploma or successful completion of a high school equivalency
Must possess excellent verbal and written communication skills to effectively interact with CHM members and team members across various channels.
Proficient PC operating routine office equipment (e.g., faxes, copy machines, printers, multi-line telephones, etc.)
Experience with medical bills preferred.
Strong analytical and problem-solving skills.
Demonstrated history of effective phone communication skills.
Obtain knowledge of CHM guidelines.
Ability to handle stressful and sensitive situations.
Knowledge of cancer related benefit programs is helpful but not required.
Note: The qualifications and responsibilities outlined above are subject to change as the needs of the organization evolve.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
$27k-35k yearly est. 1d ago
CMM Specialist 2nd shift
Quest Global 4.4
Windsor Locks, CT jobs
Who We Are:
Quest Global delivers world-class end-to-end engineering solutions by leveraging our deep industry knowledge and digital expertise. By bringing together technologies and industries, alongside the contributions of diverse individuals and their areas of expertise, we are able to solve problems better, faster. This multi-dimensional approach enables us to solve the most critical and large-scale challenges across the aerospace & defense, automotive, energy, hi-tech, healthcare, medical devices, rail and semiconductor industries.
We are looking for humble geniuses, who believe that engineering has the potential to make the impossible possible; innovators, who are not only inspired by technology and innovation, but also perpetually driven to design, develop, and test as a trusted partner for Fortune 500 customers. As a team of remarkably diverse engineers, we recognize that what we are really engineering is a brighter future for us all. If you want to contribute to meaningful work and be part of an organization that truly believes when you win, we all win, and when you fail, we all learn, then we're eager to hear from you.
The achievers and courageous challenge-crushers we seek, have the following characteristics and skills:
What You Will Do:
Analyze the current state of CMM programs
Write CMM programs to support operations
Develop CMM inspection strategies for high-precision aerospace components to ensure compliance with engineering requirements
Create new and modify existing CMM programs using off-line systems. Preferably utilizing PC-DMIS, open to multiple programming language
Output new and edit existing code to run articulated automatic CMM machines
Organize and plan work effectively to produce output according to budget and schedule constraints
Troubleshoot programming result errors and work holding issues with production personnel to optimize automated inspection results
Employment is contingent on passing a customer administered certification course on CMM programming and GD&T
What You Will Bring:
2-7 years' experience in CMM setup, inspection, and programming techniques
Competency using CMM software. PC-DMIS software preferred
Competency with machines and tools required to fabricate and manufacture sheet metal
Understanding of Manufacturing Engineering core processes (e.g. process planning, inspection planning, tooling, creation of operator instructions)
Ability to characterize various tools, gages, and fixtures
Knowledge of GD&T and can integrate it within a production process. A keen understanding of blueprint interpretation is desired as well
Solid background in manufacturing
Knowledge of Siemens NX solids and NX CMM or other CAD/ CAM, DEMIS, and MODUS tools
Proficient in reading and interpreting blueprints
Understanding of GD&T
Excellent communication and teamwork skills
Must be able to communicate effectively with manufacturing engineering, precision inspection personnel, and shop floor employees
Must be able to pass a customer administered certification course on CMM programming and GD&T.
Pay Range: $90,000-$110,000 a year
Compensation decisions are made based on factors including experience, skills, education, and other job-related factors, in accordance with our internal pay structure. We also offer a comprehensive benefits package, including health insurance, paid time off, and retirement plan.
Work Requirements: This role is considered an on-site position located in Windsor Locks, CT.
You must be able to commute to and from the location with your own transportation arrangements to meet the required working hours.
Shop floor environment, which may include but not limited to extensive walking, and ability to lift up to 40 lbs.
Typical 8-hour days plus lunch / 40-hour weeks / hours are 3 PM to 11:30 PM for 2nd Shift
Travel Requirements: Due to the nature of the work, no travel is required
Citizenship Requirement: Due to the nature of the work, U.S. citizenship is required.
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Referral program
Vision insurance
Short/Long Term Disability
$90k-110k yearly 4d ago
Polysomnographic Specialist - PRN
Saint Luke's Health Systems 4.3
Kansas City, MO jobs
Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further!
Day
8-10 hours per week preferred
RPSGT or RRT required
BLS preferred
The Opportunity:
The Polysomnographic Specialist performs all aspects of care as outlined in national and departmental clinical standard of practice policy and procedure manual and in accordance with written verbal orders or approved protocol flow charts. This position will assist with MSLT and home sleep study set-ups. Clinical practice activities include but are not limited to the performance of diagnostic polysomnographic testing, assessment based therapeutic interventions and the analysis and scoring of polysomnographic records. The Polysomnographic Specialistaccountabilities include the assessment and evaluation of histories and physicals, diagnostic, clinical and sleep related data pursuant to the development and monitoring of planned interventions in collaboration with the medical staff. The Polysomnographic Specialist supports and participates as appropriate in staff meetings, study quality, adherence to departmental protocols, continuing education, and professional growth development activities and performs other duties as assigned.
Why Saint Luke's?
We believe in work/life balance.
We are dedicated to innovation and always looking for ways to improve.
We believe in creating a collaborative environment where all voices are heard.
We are here for you and will support you in achieving your goals.
#LI-CK2
Job Requirements
Applicable Experience:
Less than 1 year
Basic Life Support - American Heart Association or Red Cross, Polysomnographic Technologist - Board of Registered Polysomnographic Technologists
Job Details
PRN
Day (United States of America)
The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
$37k-47k yearly est. 6d ago
MRI Specialist
Texas Childrens Hospital 4.7
Houston, TX jobs
We are searching for an MRI Specialist-- someone who works well in a fast-paced setting. In this position, you will perform quality routine and specialized radiographic procedures at the request licensed independent practitioner for interpretation by radiologists. As members of the health care team, they must participate in quality improvement processes and continually assess their professional performance. Maintains a safe and hazard free environment. They are responsible for patient care, appropriate documentation, quality control, and quality improvement, and they provide training, education and mentoring to students, technologists, nursing, residents, fellows, staff and others.
Think you have what it takes?
Responsibilities:
• Broad knowledge of MRI physics and procedures; understanding of MRI principles that are developmentally appropriate for ages 0 - adulthood
• Operation of all required equipment including troubleshooting, when necessary, of the equipment, including automated processors, copying/digitizing film equipment, R.I.S., and PACS
• Basic Life support and medical terminology understanding is required.
• Successful demonstration of the professional fundamental competencies
• Must be articulate, courteous and supportive in dealing with patients, parents, nursing, faculty, administrative and departmental personnel so that excellent customer service and positive guest relations are achieved
• Must honor confidentiality
• Must independently scan patients by following the established protocols
• Must demonstrate excellent verbal and written skills
• Must utilize basic office equipment
• Preferable if able to demonstrate bilingual skills
• The MRI Specialist will be responsible for multiple duties including:
• integrates scientific knowledge; technical skills, patient interaction and compassionate care resulting in diagnostic information, and recognizes patient conditions essential for successful completion of the procedure.
• possess, utilize, maintain, and enhance knowledge of MRI safety and protection for self, patients, and others.
• demonstrate a detailed understanding of human anatomy, physiology, pathology and medical terminology.
• liaison between patients, radiologist and other members of the support team.
• maintain a high degree of accuracy in positioning and exposure technique.
• prepares, administers and documents activities related to mediations in accordance with state regulations and institution policy.
Skills and Requirements:
• 3yrs Radiology experience
• Graduate of a formal diagnostic Radiology program required
• MR-ARRT certification from the American Registry of Radiologic Technologists required
• R-AART preferred
• CMRT from the Texas Medical Board preferred
• BLS certification from the American Heart Association preferred
ABOUT US
Since 1954, Texas Children's has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children's hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city's Best Places to Work for ten consecutive years.
Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
$34k-65k yearly est. 17h ago
Homecare Billing Coordinator
Your Home Assistant LLC 3.4
Elk Grove, CA jobs
Job DescriptionBenefits:
401(k) matching
Bonus based on performance
Dental insurance
Health insurance
Paid time off
Training & development
Vision insurance
JOB OVERVIEW:
We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue.
RESPONSIBILITIES:
Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues.
Accurately enter patient/customer billing data and charge accordingly
Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures.
Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing.
Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing.
Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements.
Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times.
Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes
Meet or exceed delivery of Company Service Standards in a consistent fashion.
Interact with all staff in a positive and motivational fashion supporting the Companys mission.
Conduct all business activities in a professional and ethical manner.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description.
QUALIFICATIONS
Minimum age requirement of 18.
High School graduate or GED required.
Two years experience in healthcare data entry, preferably in homecare
Cal-Aim, Tri-west, Long Term Care Insurance experience preferred
Two-year degree in accounting or equivalent insurance/bookkeeping preferred
Strong computer skills, including Word, Excel, and PowerPoint.
Strong analytical skills, organized work habits and proven attention to detail.
Excellent communication skills, ability to work independently and in a team environment.
Good customer relation skills.
Ability, flexibility and willingness to learn and grow as the company expands and changes.
Demonstrated leadership ability to initiate duties as required.
Plan, organize, evaluate, and manage PC files and Microsoft Office.
Compliance with accepted professional standards and practices.
Ability to work within an interdisciplinary setting.
Satisfactory references from employers and/or professional peers.
Satisfactory criminal background check.
Self-directed with the ability to work with little supervision.
Flexible and cooperative in fulfilling all obligations.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to Relocate:
Elk Grove, CA 95758: Relocate before starting work (Required)
Work Location: In person
$42k-61k yearly est. 9d ago
Billing Coordinator - Stop Area Six
Healthright 360 4.5
San Diego, CA jobs
.
The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources.
The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing.
Key Responsibilities
Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered.
Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.).
Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks.
And, other duties as assigned.
Education and Knowledge, Skills and Abilities
Education and Experience Required:
High School Diploma or equivalent.
Previous work experience working with spreadsheets.
Previous work experience performing data entry.
Type 45 wpm.
Strong math skills.
Desired:
Bilingual.
AA Degree; Experience may substitute for this on a year-by-year basis.
We will consider for employment qualified applicants with arrest and conviction records.
In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.
Tag: IND100.
$45k-55k yearly est. Auto-Apply 60d+ ago
Billing Coordinator
Nextcare, Inc. 4.5
Tempe, AZ jobs
What we are looking for NextCare Urgent Care is looking for a Billing Coordinator to be a part of our Urgent Care Team. Responsibilities The Billing Coordinator will be responsible for the daily billing of claims for all carriers. This position will monitor and distribute the APN reports from the clearinghouse and insurance carriers and communicate this information back to the Billing Supervisor. This position will also assist in the posting of contractual, courtesy adjustments, as well as monitoring contractual analysis reports. This position will be assist with the table maintenance of the electronic billing system and clearinghouse information flow. They will be responsible for communicating billing trends to the manager as well as patient statement processing.
How you will make an impact
The Billing Coordinator supports the organization with the following:
* Responsible for the daily billing of claims to insurance carriers based on contract requirements.
* Help train new employees with NextGen, contracts, and business office Policies and Procedures.
* Monitor and distribute the APN reports generated by the clearinghouse and insurance carriers.
* Help post contractual adjustments and transfer deductibles to patient accounts.
* Assist with claim resubmission projects when necessary.
* Assist in maintaining Navicure with Waystar.
* Assist with reviewing accounts that have partial or under payments.
* Clean out daily the clearinghouse rejections and claims with errors held in the system.
* Post adjustments to accounts based on contractual rates and deductibles.
* Review accounts to determine if billed correctly.
* Assist other members of the team as needed.
Essential Education, Experience and Skills:
Minimum Education: High School diploma or equivalent.
Experience:
* Must have two years' experience billing, collections, payment posting, and electronic and paper claims.
* Experience with Managed Care contracts, Medicare and AHCCCS.
* Basic insurance knowledge, reading patient eligibility and benefit coverage details.
* Experience with revenue cycle and reimbursement in a healthcare facility.
* Microsoft Programs, Windows, Excel, Word, and Teams.
* Internet browser knowledge (basics) for Edge or Chrome.
Valued But Not Required Education, Experience and Skills:
Experience: Medical collections experience; NextGen software experience: Previous supervision experience in the healthcare field is helpful, Waystar Clearinghouse, Payer Provider Portals, and Basic Terminology of Medical Billing Practices.
$46k-62k yearly est. 5d ago
Billing & Eligibility Coordinator
Haymarket Center 4.0
Chicago, IL jobs
Job DescriptionDescription:
The Billing and Eligibility Coordinator plays a key role in supporting the accuracy, timeliness, and efficiency of billing and authorization processes across all Haymarket Center service lines. This position bridges the work of the Client Benefits Navigators and the Revenue Cycle team to ensure client eligibility, authorizations, and billing data are complete and aligned prior to claim submission.
The Coordinator ensures billing operations run smoothly across behavioral health, residential, and FQHC programs, while maintaining compliance with payer and regulatory requirements. This position requires strong attention to detail, coordination across departments, and a proactive approach to identifying and resolving billing or eligibility issues.
Requirements:
Education, Work Experience and Skills Required;
· Associate's degree required, Bachelor's degree in Healthcare Administration, Accounting, or related field preferred.
· Minimum 2 years of experience in healthcare billing, revenue cycle, or insurance verification.
· Experience in behavioral health, FQHC, or Medicaid/MCO billing highly preferred.
· Working knowledge of healthcare billing, insurance verification, and revenue cycle operations (Medicaid and MCO experience preferred).
· Familiarity with electronic health record systems (NextGen preferred) and billing/clearinghouse platforms.
· Understanding of payer authorization and eligibility requirements for behavioral health and primary care services.
· Strong attention to detail, organizational skills, and ability to manage multiple tasks and deadlines.
· Effective communication and collaboration skills across departments.
· Ability to maintain confidentiality and exercise discretion with sensitive information.
· Proficiency in Microsoft Excel and basic data tracking or reporting.