Specialist jobs at Nationwide Children's Hospital - 1437 jobs

Covering Pain Center, Sedation, and Radiology Part Time 20 hours/week Dayshift onsite NPD coverage of procedural areas: Pain Center, Sedation and Radiology (including Vascular Access and Interventional Radiology) The Nursing Professional Development (NPD) Specialist is responsible for enhancing the professional growth and development of nursing staff through educational programs, training sessions, and continuous learning opportunities. The NPD Specialist will collaborate with nursing leadership to identify educational needs, develop curricula, and implement strategies to improve nursing practice and patient care outcomes. Responsibilities: • The NPD specialist advances the profession by contributing to the professional development of others, supporting collaborative relationships and supporting life-long learning. • Uses the educational design process to bridge the knowledge, skills and practice gaps identified through needs assessment. • Influences the inter-professional practice and learning environments, the NPD specialty, and the profession of nursing and healthcare through collaboration with leadership in planning and decision making to achieve desired results. • Actively works to transform processes at all levels through inspiration, initiation, adoption and sustainment of and adaptation to change using project management and improvement processes. • Promotes the generation and dissemination of new knowledge and the use of evidence to advance NPD practice, guide clinical practice and improve patient care. • Actively supports, promotes, and demonstrates nursing professional development as a nursing practice specialty through promotion of research, EBP, and QI. • Supports the transitions of nurses and other healthcare team members across learning and practice environments, roles and professional stages. • Other duties as required. Other information: Technical Expertise Experience in project management with interdisciplinary team is preferred. Experience in data analysis and presentations is preferred. Experience working with all levels within an organization is required. Experience in healthcare is required. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience Education: Master's degree in nursing or related field or BSN and in process of attaining master's degree in nursing or related field. Completion of Nurse Education track of MSN program is preferred. Certification: Registered Nurse licensure is required; BLS certification is required; PALS certification may be required by area of service. Professional Nursing certification preferred. Years of relevant experience: Minimum 3 years required. Years of experience supervising: None. Part Time FTE: 0.500000 Status: Onsite

Full Time Days Variable shifts Experience caring for burn patients is required. Caring for all ages is preferred. provides inpatient and outpatient NPD support as well as community outreach The Senior Nursing Professional Development (NPD) Specialist is a highly experienced educator responsible for advancing nursing practice through leadership in education, professional development, evidence-based practice, and strategic initiatives. This role mentors other professional development staff and plays a critical role in developing and implementing system-wide educational strategies. The Senior NPD Specialist supports the onboarding, orientation, and ongoing competency of nursing staff while cultivating a culture of continuous learning and excellence in practice. Responsibilities: The Senior NPD specialist advances the profession by contributing to the professional development of others, supporting collaborative relationships and supporting life-long learning. Uses the educational design process to bridge the knowledge, skills and practice gaps identified through needs assessment. Influences the inter-professional practice and learning environments, the NPD specialty, and the profession of nursing and healthcare through collaboration with leadership in planning and decision making to achieve desired results. Actively works to transform processes at all levels through inspiration, initiation, adoption and sustainment of and adaptation to change using project management and improvement processes. Promotes the generation and dissemination of new knowledge and the use of evidence to advance NPD practice, guide clinical practice and improve patient care. Actively supports, promotes, and demonstrates nursing professional development as a nursing practice specialty through promotion of research, EBP, and QI. Supports the transitions of nurses and other healthcare team members across learning and practice environments, roles and professional stages. Other duties as required. Other information: Technical Expertise Experience in project management with interdisciplinary team is required. Experience in data analysis and presentations is required. Experience working with all levels within an organization is required. Experience in healthcare is preferred. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience Education: BSN required. Master's degree in nursing or related field required. Certification: Registered Nurse licensure is required; BLS certification is required; PALS certification may be required by area of service. Professional nursing certification required. Years of relevant experience: Minimum 4 years required. Years of experience supervising: None. Full Time FTE: 1.000000 Status: Onsite

A leading technology company in San Francisco is seeking a TechOps Analyst who will provide essential support for IT operations. The ideal candidate should have 4-6+ years of experience and a strong passion for technology and problem-solving. They will assist employees with technical issues, manage onboarding processes, and contribute to improving internal efficiencies. This role offers a hybrid work model, with benefits including medical and wellness offerings. #J-18808-Ljbffr

Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast. is 100% remote. Highlights of this role include: Ability to verify benefits information for assigned facility. 1 weekend day shift Friday, Saturday, Sunday Experience monitoring and processing patient referrals (may include fax referrals). Respond to inquiries about facilities within policy timeframes. Support Acadia Healthcare admissions departments throughout the country. As one of the nation's leaders in treating individuals with acute co-occurring mood, addiction, and trauma, Acadia Healthcare places a strong emphasis on our admissions & intake functions to allow us to help every possible person in need. This person will be supporting Acadia Acute Admissions departments around the country in a remote capacity. ESSENTIAL FUNCTIONS: Manage Referral Management Portals Monitor all faxed referrals Monitor all webforms and call center handoffs/rollover referrals Utilize facility admissions/exclusionary criteria to process incoming types of referrals Respond to inquiries about the facility within facility policy timeframes. Document calls inside of Salesforce and follow-up as needed Complete Prior Authorization Pre-Admit the patients in billing system Coordinate with local admissions department regarding bed availability Facilitate intake, admissions, and utilization review process for incoming patients. Perform insurance benefit verifications, disseminating the information to appropriate internal staff. Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals. Coordinate admission and transfer between levels of care within the facility. Communicate projected admissions to designated internal representative in a timely manner. Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission. STANDARD EXPECTATIONS: * Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality. * Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Bachelor's or Master's degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN Knowledge of admission/referral processes, techniques, and tools Familiarity with behavioral health issues and services Solid understanding of financial principles and insurance reimbursement practices Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates. SUPERVISORY REQUIREMENTS: This position is an Individual Contributor We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. AHCORP LA

Home Health Links is a tech forward company that serves as a liaison between healthcare providers and leading home health agencies. We ensure patients receive timely, high-quality care by managing referrals, coordinating staffing, and fostering strong relationships across the healthcare continuum. Job Description As a Home Health Intake Specialist, you'll serve as the key liaison between healthcare providers and home health agencies within your assigned territory. This role blends relationship management, operational coordination, and business development - perfect for someone who enjoys both structured office time and time in the field. You'll split your time between working on-site and traveling (approximately 25%) to visit local providers and partner agencies. Responsibilities: Build and maintain relationships with referral sources to drive home health referrals. Educate providers about Home Health Links' services and coordinate ongoing communication. Collaborate with licensed clinicians (PT, OT, ST, RN) to ensure timely staffing and visit compliance. Supervise and support Provider Support staff. Assist with interviewing, onboarding, and managing field clinicians in your territory. Track referral trends and operational performance; report progress to management. Why Join Us: Flexible on-site location: Choose from our LA-area offices in Cerritos, Long Beach, Huntington Park, or Covina. Mileage reimbursement in accordance with California Labor Code 2802. Impactful work: Make a difference in patient care without direct clinical duties. Career growth: Opportunities for advancement within a fast-growing, mission-driven company. Tech-driven environment: Work with a modern, innovative healthcare organization. Collaborative culture: Partner with clinicians and healthcare leaders across the continuum of care. Qualifications 3+ years of experience in home health/staffing agency is required Excellent communication, relationship-building, and organizational skills. Knowledge of home health operations and compliance standards. Tech-savvy and comfortable using CRMs, scheduling systems, and digital tools. Valid driver's license and reliable personal vehicle (travel up to 25%). Compensation is commensurate with experience, with an annual salary range of $50,000-$55,000, plus a bonus of up to 15% of annual compensation based on achievement of key performance indicators (KPIs). Additional Information Travel required: Approximately up to 25% of the time, with mileage reimbursement in accordance with California Labor Code 2802. All your information will be kept confidential according to EEO guidelines. All Care Therapies is an equal opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

We create communities where employees thrive in their work, helping our residents thrive in their homes. Atria Senior Living's family of brands has openings for individuals looking for a career with outstanding benefits, including: Paid holidays and PTO Employees may receive annual anniversary rewards dependent on classification, starting at $500 for Full Time employees Employees may be eligible to receive an Annual Scores Reward of $500 (Full Time) or $250 (Part Time) based on community survey results Benefits package also includes Health, Dental, Vision, and Life Insurance Retirement Savings Plan / 401(k) employer match Tuition reimbursement (U.S Based Communities) *Enrollment in benefits varies by employee classification; anniversary reward amounts vary by location As a valued team member at Atria, you'll work in a supportive environment that provides advancement opportunities and promotes a healthy work-life balance. Apply now! High school diploma or general education degree (GED); or one to two years prior experience with an adult population developing and implementing activities and/or training; or an equivalent combination of education and experience. Must have a working knowledge of the methods of recreational therapy or activity programming and their application to activity and leisure needs of residents with Alzheimer's/Dementia. Required certification(s) based on current state regulations. Able to work various schedules and shifts as needed. Leads assigned Life Guidance programs and develops service plans. Offers adequate and diversified recreational activities to residents with sufficient supervision for each activity. Proactively involves all Life Guidance staff in the planning and implementation of the daily program which includes all activities of daily living. Plans individual birthday celebrations for each resident. Develops programs for residents including, if applicable, programs designed for residents confined to their rooms. Engages and motivates residents resulting in program participation. Greets new residents making a special effort to include and engage them in activities and introduce them to others in the community with similar interests and backgrounds. Assists in planning parties and activities as well as decorating the community according to the season and/or holiday throughout the years as well as planning monthly birthday parties to honor residents. Supports and actively participates in the community's census building initiatives. Maintains records of all activities, resident participation levels and acceptance of each activity by residents as required by state law. Assists Life Guidance Director in enlisting the services of volunteers to aid the activities program. May perform other duties as assigned. The wage range for this position is $22.00/hr - $26.40/hr, dependent on prior work history and experience

We create communities where employees thrive in their work, helping our residents thrive in their homes. Atria Senior Living's family of brands has openings for individuals looking for a career with outstanding benefits, including: Paid holidays and PTO Employees may receive annual anniversary rewards dependent on classification, starting at $500 for Full Time employees Employees may be eligible to receive an Annual Scores Reward of $500 (Full Time) or $250 (Part Time) based on community survey results Benefits package also includes Health, Dental, Vision, and Life Insurance Retirement Savings Plan / 401(k) employer match Tuition reimbursement (U.S Based Communities) *Enrollment in benefits varies by employee classification; anniversary reward amounts vary by location As a valued team member at Atria, you'll work in a supportive environment that provides advancement opportunities and promotes a healthy work-life balance. Apply now! High school diploma or general education degree (GED); or one to two years prior experience with an adult population developing and implementing activities and/or training; or an equivalent combination of education and experience. Must have a working knowledge of the methods of recreational therapy or activity programming and their application to activity and leisure needs of residents with Alzheimer's/Dementia. Required certification(s) based on current state regulations. Able to work various schedules and shifts as needed. Leads assigned Life Guidance programs and develops service plans. Offers adequate and diversified recreational activities to residents with sufficient supervision for each activity. Proactively involves all Life Guidance staff in the planning and implementation of the daily program which includes all activities of daily living. Plans individual birthday celebrations for each resident. Develops programs for residents including, if applicable, programs designed for residents confined to their rooms. Engages and motivates residents resulting in program participation. Greets new residents making a special effort to include and engage them in activities and introduce them to others in the community with similar interests and backgrounds. Assists in planning parties and activities as well as decorating the community according to the season and/or holiday throughout the years as well as planning monthly birthday parties to honor residents. Supports and actively participates in the community's census building initiatives. Maintains records of all activities, resident participation levels and acceptance of each activity by residents as required by state law. Assists Life Guidance Director in enlisting the services of volunteers to aid the activities program. May perform other duties as assigned. The wage range for this position is $18.00/hr - $21.60/hr, dependent on prior work history and experience

This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity. 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 ESSENTIAL JOB FUNCTIONS Compile, verify, and organize information according to priorities to prepare data for entry Check for duplicate records before processing Accurately enter medical billing information into the company's software system Research and correct documents submitted with incomplete or inaccurate details Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills Review data for accuracy and completeness Uphold the values and culture of the organization Follow company policies, procedures, and guidelines Verify eligibility in accordance with established policies and definitions Identify and escalate concerns to leadership as appropriate Maintain daily productivity standards Demonstrate eagerness and initiative to learn and take on a variety of tasks Support the overall mission and culture of the organization Perform other duties as assigned by management SKILLS & COMPETENCIES Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management. Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care. EXPERIENCE REQUIREMENTS Required: High school diploma or passage of a high school equivalency exam Medical background preferred but not required. Capacity to maintain confidentiality. Ability to recognize, research and maintain accuracy. Excellent communication skills both written and verbal. Able to operate a PC, including working with information systems/applications. Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access) Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.) 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.

Benefits and Salary: The salary is $40,000 per year At Bellefaire, we prioritize our employees and their wellbeing. We provide competitive benefit options to our employees and their families, including domestic partners and pets. Our offerings include: Our offerings include: Comprehensive health and Rx plans, including a zero-cost option. Wellness program including free preventative care Generous paid time off and holidays 100% paid parental leave for childbirth, adoption, and foster care 50% tuition reduction at Case Western Reserve University for the MNO and MSW programs Defined benefit pension plan 403(b) retirement plan Pet insurance Employer paid life insurance and long-term disability Employee Assistance Program Support for continuing education and credential renewal Ancillary benefits including: dental, vision, voluntary life, short term disability, hospital indemnity, accident, critical illness Flexible Spending Account for Health and Dependent Care Qualifications: A Bachelor's or Master's degree in social work, psychology, nursing, or related human services field. LSW licensure preferred. Experience working with children, adolescents, and their families. Sensitivity in relating to persons of varying backgrounds and demonstrate ability to work with diverse groups of people possessing various strengths, aptitudes, and abilities. Must have and maintain a valid driver's license and driving record that meets the underwriting criteria of the Agency's insurance company. Agency Summary: Bellefaire JCB is among the nation's largest, most experienced child service agencies providing a variety of mental health, substance abuse, education, and prevention services. Bellefaire JCB helps more than 43,000 youth and their families yearly achieve resiliency, dignity and self-sufficiency through its more than 25 programs. Check out on Vimeo! Position Summary: The Therapeutic Behavioral Service (TBS) Specialist, under the administrative/clinical supervision of the Clinical Director of Clinical Services, provides Therapeutic Behavioral Services to clients, their families, and/or significant others as needed. He or she works with clients in residential and community settings, and works to provide support - including education and consultation - for parents and/or caregivers, case coordination, and symptom management and monitoring. The TBS Specialist is expected to meet the program's productivity target for billable service each week. Services take place in the office, the home, and the community. Responsibilities Include: Accept assignment of cases from the supervisor to provide Therapeutic Behavioral Services for clients, their families, and/or significant others as needed Accept case assignments - stepping down from a higher level of care - from the clinical supervisor and jointly develop tasks and interventions that implement treatment goals. Provide services to each client in accordance with medical necessity and as outlined in the client's treatment plan. Recognize the significance of the parent and/or caregiver in the client's life and demonstrate the skills to engage the client, primary family, and other supportive adults in the treatment planning process. Contribute to the development and maintenance of the clinical record through the timely completion of assigned documentation in accordance with applicable licensing and accreditation regulations and standards. Bellefaire JCB is an equal opportunity employer, and hires its employees without consideration to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability or any other status protected by federal, state or local law. Bellefaire JCB is a partner agency of the Wingspan Care Group, a non-profit administrative service organization providing a united, community-based network of services so member agencies can focus on mission-related goals and operate in a more cost-effective and efficient manner. Powered by JazzHR

Pay Range: $20 - $23 per hour Behavior Frontiers is an industry leader in ABA (Applied Behavior Analysis) treatment for autism and other special needs. We are on a continuous journey to explore, assess, and develop only the highest quality ABA treatments and solutions delivered by best-in-class clinical professionals. We are rapidly expanding and seeking enthusiastic individuals who are ready to embark on a meaningful journey in one of the fastest growing fields in healthcare. Our Intake Specialist plays a critical role in our company and we need an individual who has excellent written and verbal communication skills, proficient in customer service, practice management software, healthcare documentation, benefits verification, and community resources. How will you help create a World Without Limits: Handles incoming phone calls on the intake line and assists callers with intake inquiries Efficiently gathers all pertinent information from the first point of contact with potential client families and offers excellent customer service experience while doing so Represents Behavior Frontiers positively to families interested in ABA services for their child(ren) Creates Salesforce profiles for incoming referrals and maintains database, updating profiles timely Responds to emailed referrals Maintains positive communications with all funding sources, clients, and coworkers Maintains complete confidentiality in matters of company operations, personnel, and clients Meets individual weekly and monthly targets Supports team in meeting departmental weekly and monthly targets Interfaces effectively with other departments and builds strong working relationships with peers in adjacent departments, such as Recruitment and Client Service Departments Requirements: Ability to work in a high paced, competitive, performance-based environment Ability to provide excellent customer service Proficient in or motivated to learn health practice management software, healthcare documentation, benefits verification, and community resources Excellent verbal and written communication skills in English Excellent reading comprehension and analysis skills Initiative and team building skills in order to develop internal, and external relationships Sense of urgency and ability to convey why Behavior Frontiers is the best choice in seeking care Ability to multi-task with urgency in order to meet all agreed upon deadlines Effective planning, organizational skills, time management and prioritization; attention to detail Unwavering commitment to confidentiality of client PHI High School Diploma or GED Provide negative TB test results Able to clear FBI & DOJ fingerprinting Valid Government ID Preferred but not required: Bilingual in Spanish or other language Bachelor's Degree Knowledge of Salesforce Knowledge of Applied Behavior Analysis therapy Preferences will be overlooked for the right candidate Responsibilities: Effectively manage incoming phone calls on the intake line and assists callers with intake inquiries Efficiently obtains any and all pertinent information to guide potential clients through the intake process until they are connected to care Represents Behavior Frontiers positively to families interested in ABA services for their child(ren) Creates Salesforce profiles for incoming referrals and maintains database, updating profiles in a timely Maintain and nurture positive communicative relationships with all funding sources, clients, and coworkers Maintains complete confidentiality in matters of company operations, personnel, and clients Ensure you continue to meet Key Performance Indicators (KPI) for weekly and monthly goals Conducting improvement/planning meetings with manager when KPIs are not being met Supports team in meeting departmental weekly and monthly targets Why Behavior Frontiers is perfect for you: Competitive pay with optional On-demand paychecks thru DailyPay - get paid on your own schedule! 401K Plan with company match after 6 months of employment Paid Personal Time Off Paid Holidays Paid Sick Leave Medical, Dental and Vision insurance Opportunities for career advancement Performance and promotion raises Paid mileage & drive time Free Telehealth: Free access to a doctor via telehealth for you and your dependents with no limits and no co-pays Free Telehealth Mental Health: Free access to a mental health counselor via telehealth for you and your dependents (over age 13) with no limits or co-pays Employee Assistance Program: Free access to some support services (financial, legal, counseling, etc.) Fitness: Discounted monthly gym membership to 12,000 gym locations nationwide, as well as free access to workout videos Deals: Exclusive discounts and savings to 500+ companies and more! Travel: Discounts on travel essentials including hotels, rental cars, flights, excursions, and more! Lab Testing Discounts: 10-80% off costs of routine lab work New Benefits Rx: Discounts on prescription medications from 10-80% at 60,000+ locations nationwide Why work for Behavior Frontiers? Visit our benefits & perks page to learn more! Behavior Frontiers is an Equal Opportunity Employer and will consider for employment all qualified applicants in a manner consistent with the requirements of the applicable federal, state, and local laws.

Under the direction of the Enrollment & Eligibility Manager, and in accordance with HRSA contract requirements, the Enrollment Specialist I assists clients, either directly or through referral, with enrollment/re-enrollment in Covered CA, Medi-Cal, Medicare, and MHLA, as well as with the process of accessing Public Benefits. ESSENTIAL DUTIES AND RESPONSIBILITIES: Screen clients using PointCare for eligibility in and assist with enrollment/re-enrollment in Covered CA, Medi-Cal, Medicare, MHLA, commercial products, Ryan White, ADAP, and PrEP-AP as well as with the process of accessing Public Benefits. Serve as the APLA Health & Wellness point of contact for addressing issues related to health plans that are part of independent physicians associations (IPAs) that APLAHW contracts with, including, but not limited to Health Care LA IPA and Regal Medical Group. Documents contacts and maintains files, utilizing Point Care for enrollment allowing them to accurately qualify and enroll patients into coverage, faster. Stays current with APLA Health programs. Follow up to verify the status of enrollment applications and assist clients who are experiencing problems. Complete a comprehensive benefits and qualified health insurance assessment for each client. Maintain and update all client records via eClinicalWorks electronic health record system and reviews to verify and ensure data entered are accurate. Answer and respond to incoming telephone calls and emails regarding eligibility in qualified health plans and Public Benefits according to agency policy. Describe what a summary of benefits document is and where to locate a summary of benefits. Explain where to find information about provider networks. Collaborate with other programs at APLA Health & Wellness and other service organizations to facilitate the provision of services. Maintain an extensive awareness of client resources, both agency-wide and Federally Qualified community based healthcare organization (FQHC). Prepare reports and client records as required to meet APLA Health & Wellness, city, state, and federal program requirements. Follow agency policies and maintain agency standards with regards to client confidentiality and HIPAA compliance. Effectively communicate with clients/patients in English and Spanish as required per aforementioned job duties. OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS. REQUIREMENTS: Training and Experience: A high school diploma and 1 year experience in benefits enrollment. Must be trained as a Medi-Cal Enroller, Covered CA Certified Enrollment Counselor (CEC) and ADAP/OA HIPP/PrEP-AP Enroller or acquire these certifications within six (6) months of hire. A proficiency in writing, proofreading and grammar skills is important, as well as interpersonal customer service skills. Bilingual Spanish/English required. Knowledge of: Interviewing and assessment techniques; vocational rehabilitation and/or related occupational fields, knowledge of word processing and eClinicalWorks electronic health records data entry; HIV disease and related chronic illness and disability issues; comprehensive understanding of public benefits programs and policies; qualified health plans, including, but not limited to Covered CA, Medi-Cal, Medicare, My Health LA, and Ryan White. Must have knowledge of the healthcare field. Ability to: Work under minimal supervision; assess psychosocial and occupational/vocational needs; utilize agency and community resources; communicate effectively (orally and in writing) in both one-on-one and public settings; respond with empathy to the needs of clients, staff and volunteers; participate as a member of a team operating in a diverse, multi-cultural environment. Bilingual required - English/Spanish. WORKING CONDITIONS/PHYSICAL REQUIREMENTS: Work under minimal supervision; assess psychosocial and occupational/vocational needs; utilize agency and community resources; communicate effectively (orally and in writing) in both one-on-one and public settings; respond with empathy to the needs of clients, staff and volunteers; participate as a member of a team operating in a diverse, multi-cultural environment. SPECIAL REQUIREMENTS: Must possess a valid California driver's license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes. COVID 19 vaccination and Booster or Medical/Religious exemption required. APLA Health is an EEO Employer

Under the direct supervision of the Billing Manager, the Financial Screener & Cashier are responsible for financially screening and enrolling patients to determine what program offered by Arroyo Vista the patient qualifies for and to review each patient encounter for charge completeness and accuracy of charges. DUTIES AND RESPONSIBILITIES: Responsible to assist patients regarding billing & payment concerns with accounts. Responsible in calling Insurance companies to verify Insurance eligibility. Responsible in collecting payments on bad debt patient accounts and setting up patient payment financial arrangements Responsible in posting payments, charges and adjustments. Responsible to balance all payment collection batches at the end of day, count petty cash each morning, lunch, and evening Responsible in generating reports each morning to post unbilled charges from the previous work day. Responsible to report any incidents or patient complaints to Billing Manager and Billing Lead. Commutes from different clinic locations as requested to cover other Billing staff or attend meetings and in-service trainings. Scheduled to work every other Saturday as a Financial Screener/Cashier (8 hour shift and some Holidays). REQUIREMENTS: Bilingual (English/Spanish). Three (1-2) years billing experience in a medical setting. Ability to work well with others in a team oriented professional manner. Ability to maintain confidentiality and comply with HIPAA regulations. Ability to interact with patients in a professional manner and maintain patient confidentiality. Effective verbal and written communication and interpersonal skills. Knowledge of ICD-10 and CPT and HCPC codes. High School Diploma/GED equivalency.

Under direct supervision of the Billing Manager, the Billing Clerk II is responsible for maintaining the clinic billing of all patients, including Medi-cal, Medicare, and third-party billing; and for maintaining an open line of communication with all insurance carriers including follow-up, denials, and appeals; and for maintaining a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff. Duties and Responsibilities Calls insurance companies to verify insurance eligibility coverage. Performs basic mathematical computations. Works with insurance denials and follows up on claims status. Assists patients with problems concerning their accounts. Covers cashier and Financial Screener stations, when needed. Reviews & Analyzes the A/R Aging Report on a regular basis. Reports any incidents or patient complaints to Billing Manager. Performs special billing projects. Commutes from different clinic locations as requested to cover other Billing staff or attend meetings and in-service trainings. Scheduled to work every other Saturday as a Financial Screener/Cashier (8 hour shift and some Holidays). Responsible for following all Agency safety and health standards, regulations, procedures, policies, and practices. Performs other duties as assigned. Requirements Bilingual (English and Spanish). Medical Billing/Coding Certification Two (2) years billing experience in a medical setting. Have the ability to prioritize, organize, trouble shoot and problem solve. Effective verbal and written communication skills. Knowledge in current ICD 9, ICD 10, CPT Codes & HCPCS. Knowledge in Insurance verification & eligibility. Must have reliable transportation

The primary purpose of the Staffing Specialist is to perform assigned duties in an efficient manner, in accordance with established procedures to assure that staffing and scheduling are maintained to improve workflow, maintain positive patient outcomes, and reduce operational costs. In this position, the Staffing Specialists primary focus is to maintain adequate staffing, scheduling and support staff within Aultman Deuble Heart & Vascular Hospital (ADHVH). This position will also handle a variety of clerical, administrative and resourcing duties. The Staffing Specialist must provide professional, efficient, quality customer service always. The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the position. QUALIFICATIONS: High school Diploma required. Experience interacting with computers. Uses various office production equipment including multi-line phone, copiers, fax machines, computers, and printers to complete tasks. Able to cope with the mental and emotional stress of the position and deadlines. Maintain a safe and high reliability working environment by using your HRO Tools & Tones when interacting with each other and other members of the interprofessional team. Attention to detail in completing work tasks. Must function independently with adaptableness, flexibility, integrity, and the ability to work effectively and efficiently with all levels of personnel. Must be able to multi-task and prioritize work in accordance with organizational position and necessity. Must be able to prepare a variety of administrative reports, statements, and correspondence. Gathers data and other necessary information. Consistently demonstrates cooperative attitude, respect, and ability to follow instructions Displays professional manner and appearance. WORKING CONDITIONS: Variable shifts including weekends and holidays. Subject to changes in workflow and working shifts. Lunch periods and breaks must always be coordinated with other staff members to maintain adequate coverage. Works in well lighted, ventilated areas. Sits for most of the working day, although standing and occasional walking throughout the building and to adjoining buildings may be necessary. Subject to frequent interruptions in completion of assignments. Must be able to remain calm in stressful situations Involved with personnel under various conditions and circumstances. Subject to frequent changes in priority of duties throughout the day. Works with highly confidential data and situations. Works under pressure to meet deadlines. PHYSICAL REQUIREMENTS: 80% sitting, 20% standing and walking. Lifting sometimes, up to 20 lbs. Some bending, twisting, pushing, pulling, reaching over the head, kneeling, and climbing stairs. HAZARDOUS EXPOSURE CATEGORY: Category III - tasks that involve no exposure to blood, body fluids, or tissues

The primary purpose of the Staffing Specialist is to perform assigned duties in an efficient manner, in accordance with established procedures to assure that staffing and scheduling are maintained to improve workflow, maintain positive patient outcomes, and reduce operational costs. In this position, the Staffing Specialists primary focus is to maintain adequate staffing, scheduling and support staff within Aultman Deuble Heart & Vascular Hospital (ADHVH). This position will also handle a variety of clerical, administrative and resourcing duties. The Staffing Specialist must provide professional, efficient, quality customer service always. The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the position. QUALIFICATIONS: High school Diploma required. Experience interacting with computers. Uses various office production equipment including multi-line phone, copiers, fax machines, computers, and printers to complete tasks. Able to cope with the mental and emotional stress of the position and deadlines. Maintain a safe and high reliability working environment by using your HRO Tools & Tones when interacting with each other and other members of the interprofessional team. Attention to detail in completing work tasks. Must function independently with adaptableness, flexibility, integrity, and the ability to work effectively and efficiently with all levels of personnel. Must be able to multi-task and prioritize work in accordance with organizational position and necessity. Must be able to prepare a variety of administrative reports, statements, and correspondence. Gathers data and other necessary information. Consistently demonstrates cooperative attitude, respect, and ability to follow instructions Displays professional manner and appearance. WORKING CONDITIONS: Variable shifts including weekends and holidays. Subject to changes in workflow and working shifts. Lunch periods and breaks must always be coordinated with other staff members to maintain adequate coverage. Works in well lighted, ventilated areas. Sits for most of the working day, although standing and occasional walking throughout the building and to adjoining buildings may be necessary. Subject to frequent interruptions in completion of assignments. Must be able to remain calm in stressful situations Involved with personnel under various conditions and circumstances. Subject to frequent changes in priority of duties throughout the day. Works with highly confidential data and situations. Works under pressure to meet deadlines. PHYSICAL REQUIREMENTS: 80% sitting, 20% standing and walking. Lifting sometimes, up to 20 lbs. Some bending, twisting, pushing, pulling, reaching over the head, kneeling, and climbing stairs. HAZARDOUS EXPOSURE CATEGORY: Category III - tasks that involve no exposure to blood, body fluids, or tissues

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.

Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers. This position is exclusively available to Vascular Program staff transitioning to Scripps Health. Applications from individuals outside this group will not be considered. Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Responds to customer billing and payment inquires as needed. Mentors and trains staff on departmental procedures. Responsible for accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. Accurately documents patient to provider communication, assessing urgency and escalating as appropriate. May manage the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Regularly displays a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns. Experience/Specialized Skills: Must possess excellent mathematical skills and ability to handle monies. Excellent communication and customer service skills. Strong organizational and analytical skills; innovative with ability to identify and solve problems. Able to adapt, prioritize and meet deadlines. Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required.: Preferred Education/Experience/Specialized Skills/Certification: 2 year experience customer service or healthcare/medical office environment. At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $27.24-$35.88/hour

This position is exclusively available to Vascular Program staff transitioning to Scripps Health. Applications from individuals outside this group will not be considered. Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Responds to customer billing and payment inquires as needed. Mentors and trains staff on departmental procedures. Responsible for accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. Accurately documents patient to provider communication, assessing urgency and escalating as appropriate. May manage the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Regularly displays a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns. Experience/Specialized Skills: Must possess excellent mathematical skills and ability to handle monies. Excellent communication and customer service skills. Strong organizational and analytical skills; innovative with ability to identify and solve problems. Able to adapt, prioritize and meet deadlines. Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required.\: Preferred Education/Experience/Specialized Skills/Certification: 2 year experience customer service or healthcare/medical office environment.

Essential Functions: Maintains accurate records of medical staff members' credentials and licensure information. Assists with the preparation and submission of medical staff initial applications and reappointments. Identifies adverse information during the process and determines the need for further investigation. Monitors compliance in accordance to medical staff bylaws, policies, rules, and regulations. Responds to inquiries from medical staff members and hospital staff regarding medical staff policies and procedures. Reviews primary source verification of all necessary documents to complete credential files. Coordinates quality improvement activities files and reports. Education Requirement: High School Diploma or equivalent, required, Licensure Requirement: (not specified) Certifications: Certified Provider Credentialing Specialist (CPCS), preferred. Skills: Ability to perform in a fast-paced work environment and meet project deadlines. Strong customer service and data entry skills. Accuracy and attention to detail with the ability to manage multiple priorities. Experience: Experience communicating with physicians and other healthcare professionals, required. Experience with verifying information and analyzing documentation, required. Physical Requirements: OCCASIONALLY: Bend/twist, Decision Making, Problem solving FREQUENTLY: Interpreting Data CONTINUOUSLY: Computer skills, Hand use: grasping, gripping, turning, Reaching above shoulder, Repetitive hand/arm use, Seeing - Far/near, Sitting Additional Physical Requirements performed but not listed above: Talking on phone/in person: Frequently "The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"