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Specialist jobs at Nationwide Children's Hospital

- 1716 jobs
  • Medical Staff Services Specialist-Medical Staff Office

    Nationwide Children's Hospital 4.6company rating

    Specialist job at Nationwide Children's Hospital

    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"
    $28k-38k yearly est. Auto-Apply 6d ago
  • Nursing Professional Development Specialist NEX

    Akron Children's Hospital 4.8company rating

    Akron, OH 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
    $43k-65k yearly est. 6d ago
  • Maternity Care Authorization Specialist (Hybrid Potential)

    Christian Healthcare Ministries 4.1company rating

    Barberton, OH jobs

    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.
    $31k-35k yearly est. 2d ago
  • Building Systems Specialist (Hiring Immediately)

    Ohio Living Swan Creek 3.8company rating

    Maumee, OH jobs

    It's fun to work in a company where people truly BELIEVE in what they're doing! Apply fast, check the full description by scrolling below to find out the full requirements for this role. Our intention is to haveemployees who are passionate about making their personal mission statement come to life each day at work! Be it through providing healing, eradicating loneliness,contributing to efficiencies, streamliningprocesses, beingdependable,sparking creativity or something else,the demonstration of HOW you do your job is just as important as WHAT you do in your job. Alongsideour valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcareorthoseembracingthe next chapter of their lives.Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, integrity, inclusion, financial stewardship, leadership and care. The Maintenance Technician provides oversight of all HVAC equipment through preventative maintenance schedules and maintenance cycles to reduce equipment failures and improve staff and resident comfort during the heating and cooling seasons and performs other day-to-day activities of the Maintenance Department in accordance with company standards and federal, state, and local standards, guidelines, and regulations governing the community to ensure that it is maintained in a clean, safe, and comfortable manner. Essential Activities and Tasks Operations Management - 80% Performs routine HVAC, electrical, mechanical, plumbing, carpentry, painting and finishing, and maintenance on facilities, equipment, grounds, parking areas, sidewalks, etc. Services HVAC equipment through preventative maintenance schedules and maintenance cycles. Troubleshoots, provides maintenance, and repairs the technical components of the community including HVAC, pumps, motors, etc. Troubleshoots, provides maintenance, and repairs electrical systems per NEC guidelines. Troubleshoots, provides maintenance, and repairs plumbing systems per local codes. Informs supervisor of supply and/or equipment needs. Performs unscheduled maintenance tasks. Completes assigned work orders within 24-48 hours. Maintains a state of readiness for survey by regulatory bodies. Ensures a clean and safe environment for the residents, staff members, and visitors in all areas of the community by escorting vendors, assisting with inventory, conducting training, and serving as a working team leader as needed. May coordinate maintenance services and activities with other departments (i.e. Nursing, Culinary and Nutritional Services, etc.). Serves as back-up to security personnel and responds accordingly performing necessary rounds and completing reports as needed. Quality, Compliance, and Risk Management - 15% Ensures that work areas are clean and that equipment, tools, supplies, etc. are in proper working order and are stored appropriately. Ensures that established quality assurance, infection control, and universal precaution practices are maintained when performing maintenance procedures. Performs duties in accordance with all safety and OSHA requirements and ensures departmental staff does the same. Maintains current and accurate records through use of computers and/or other documentation in accordance with company standards and federal, state, and local standards, guidelines, and regulations. Works with others on the development, implementation, and maintenance of emergency disaster programs (i.e. fire, severe weather, etc.). Willingly and consistently shares observations and insights of departmental operations that may improve quality and efficiencies of department. Attends all-employee and departmental meetings and in-service training as scheduled or as directed. Customer Relations and Service Delivery - 5% Listens and responds to the needs of residents and staff members. Honors resident personal and property rights when performing maintenance duties. All other duties as assigned. Qualifications Education High school diploma or equivalent required. Current certification to handle refrigerants a plus but not required. Current HVAC certification a plus but not required. Current Boiler Operator License and Steam Engineer License a plus but not required. Experience Three years experience in a maintenance position required. Strong knowledge of HVAC, boilers, compressors and generators, and various mechanical, electrical, and plumbing systems. Knowledge of building codes, safety, EPA, and OSHA regulations preferred. Experience reading and interpreting blueprints preferred. Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet preferred. Other Requirements Must be able to read, write, speak, and understand the English language. Must possess a valid driver's license and acceptable driving record. xevrcyc Must be insurable under professional liability and crime coverage policies as specified by insurance carrier underwriting standards. Working Conditions and Special Requirements Sitting- Up to 4 hours/day Standing- Up to 8 hours/day Walking- Up to 6 hours/day Lifting, transferring, pushing or pulling residents/patients or equipment/supplies- Up to 100 pounds Driving- Up to 1 hour/day Work weekends, evenings, and holidays- As needed for coverage On-call availability- 24/7 for emergencies Subject to residents/patients with various disease processes- Occasional Subject to falls, burns, odors, and cuts- Work day May be exposed to infectious waste, disease, conditions, etc. including exposure to the AIDS and Hepatitis B viruses- Work day Risk Category for Exposure to Bloodborne Diseases- II
    $52k-70k yearly est. 2d ago
  • Cancer Specialist

    Christian Healthcare Ministries 4.1company rating

    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. 2d ago
  • Client Engagement Specialist - Woodward

    Tricore Reference Laboratories 4.6company rating

    Albuquerque, NM jobs

    Schedule: Monday-Friday 8:30am-5pm and other shifts as needed Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest. ESSENTIAL FUNCTIONS: 1. After training period, show proficiency and have documented competency with various applications, websites and functions. 2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module. 3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc. 4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators. 5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore. 6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year. 7. Perform other assigned duties to meet the customer s requirements with direction of leadership. The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified. General Requirements: Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service. Be able to articulate with customers and have persuasion, negotiating and retention skills. Ability to be empathetic and exercise key listening skills. Work effectively in a team environment, contributing to the success of the call center and organization. Achieves personal metrics and goals set forth by the organization. Work on a schedule that is set in advance for all functions, lunches and breaks. Attends training as required and is expected to be punctual. Accurate and fast typing required. Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required. Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications. Will be learning laboratory terminology in Clinical and Anatomic Pathology. If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application Minimum Qualifications: MINIMUM EDUCATION: High school diploma or equivalent. OTHER REQUIREMENTS: A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes). PREFERENCES: Associate s degree in related field preferred. Completion of appropriate medical certificate training program. Knowledge of laboratory tests/medical terminology Proficient computer skills and ability to use multiple applications simultaneously. Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below: CLIENT ENGAGEMENT SPECIALIST I Meet one of the following: Six (6) months experience in a clinical laboratory or medical setting. Six (6) months customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST II Meet one of the following: One (1) year relevant experience at TriCore. Two (2) years relevant experience in a clinical laboratory or medical setting. Three (3) years customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST III Meet one of the following: Two (2) years relevant experience at TriCore Three (3) years relevant experience in a clinical laboratory or medical setting Four (4) years customer service experience or equivalent combination of education and experience TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
    $45k-66k yearly est. 60d+ ago
  • Client Engagement Specialist - Woodward

    Tricore Reference Laboratories 4.6company rating

    Albuquerque, NM jobs

    Schedule: Monday - Friday 0930-1800 with weekends, holidays, on-call, and other shifts as needed Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest. ESSENTIAL FUNCTIONS: 1. After training period, show proficiency and have documented competency with various applications, websites and functions. 2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module. 3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc. 4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators. 5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore. 6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year. 7. Perform other assigned duties to meet the customer s requirements with direction of leadership. The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified. General Requirements: Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service. Be able to articulate with customers and have persuasion, negotiating and retention skills. Ability to be empathetic and exercise key listening skills. Work effectively in a team environment, contributing to the success of the call center and organization. Achieves personal metrics and goals set forth by the organization. Work on a schedule that is set in advance for all functions, lunches and breaks. Attends training as required and is expected to be punctual. Accurate and fast typing required. Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required. Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications. Will be learning laboratory terminology in Clinical and Anatomic Pathology. If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application Minimum Qualifications: MINIMUM EDUCATION: High school diploma or equivalent. OTHER REQUIREMENTS: A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes). PREFERENCES: Associate s degree in related field preferred. Completion of appropriate medical certificate training program. Knowledge of laboratory tests/medical terminology Proficient computer skills and ability to use multiple applications simultaneously. Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below: CLIENT ENGAGEMENT SPECIALIST I Meet one of the following: Six (6) months experience in a clinical laboratory or medical setting. Six (6) months customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST II Meet one of the following: One (1) year relevant experience at TriCore. Two (2) years relevant experience in a clinical laboratory or medical setting. Three (3) years customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST III Meet one of the following: Two (2) years relevant experience at TriCore Three (3) years relevant experience in a clinical laboratory or medical setting Four (4) years customer service experience or equivalent combination of education and experience TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
    $45k-66k yearly est. 60d+ ago
  • Client Engagement Specialist - Woodward

    Tricore Reference Laboratories 4.6company rating

    Albuquerque, NM jobs

    Schedule: Monday - Friday 0830-1700 with weekends, holidays, on-call, and other shifts as needed. Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest. ESSENTIAL FUNCTIONS: 1. After training period, show proficiency and have documented competency with various applications, websites and functions. 2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module. 3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc. 4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators. 5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore. 6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year. 7. Perform other assigned duties to meet the customer s requirements with direction of leadership. The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified. General Requirements: Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service. Be able to articulate with customers and have persuasion, negotiating and retention skills. Ability to be empathetic and exercise key listening skills. Work effectively in a team environment, contributing to the success of the call center and organization. Achieves personal metrics and goals set forth by the organization. Work on a schedule that is set in advance for all functions, lunches and breaks. Attends training as required and is expected to be punctual. Accurate and fast typing required. Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required. Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications. Will be learning laboratory terminology in Clinical and Anatomic Pathology. If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application Minimum Qualifications: MINIMUM EDUCATION: High school diploma or equivalent. OTHER REQUIREMENTS: A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes). PREFERENCES: Associate s degree in related field preferred. Completion of appropriate medical certificate training program. Knowledge of laboratory tests/medical terminology Proficient computer skills and ability to use multiple applications simultaneously. Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below: CLIENT ENGAGEMENT SPECIALIST I Meet one of the following: Six (6) months experience in a clinical laboratory or medical setting. Six (6) months customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST II Meet one of the following: One (1) year relevant experience at TriCore. Two (2) years relevant experience in a clinical laboratory or medical setting. Three (3) years customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST III Meet one of the following: Two (2) years relevant experience at TriCore Three (3) years relevant experience in a clinical laboratory or medical setting Four (4) years customer service experience or equivalent combination of education and experience TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
    $45k-66k yearly est. 39d ago
  • Special Ops Client Specialist

    Convatec 4.7company rating

    Oklahoma City, OK jobs

    Collect information and medical documentation to setup new customers of 180 Medical. To provide service support, through inbound and outbound calls, for the Account Management teams for new and existing customers of 180 Medical receiving specialized supplies. Coordinate with manufacturer(s) service information to provide select items as requested by facility and/or customer. Key Responsibilities: Contact customers to set up medical supply orders and follow-up as necessary to maintain seamless service of supplies and world-class service Perform follow up phone calls to customers after an initial shipment is delivered Handle inbound and outbound phone calls from customers regarding orders & service issues Make appropriately detailed notations in Medtrack2, a proprietary database system, as well as provide necessary communication to Teams and Sales regarding customer account status Place orders, make changes or adjustments to upcoming orders in Medtrack2 as needed to support customer supply needs Request and follow-up on necessary documentation from Teams or Facilities as required by a customer's insurance through scanning, faxing or utilization of other electronic communication methods Verify customer accounts are complete and all necessary documentation is in place to ensure a 180 Medical adheres to all compliance guidelines Monitor and respond promptly to email communication with customers, sales reps, and others within the company Support Team Supervisor on special projects All other duties as assigned Qualifications/Education: Must have a high school diploma; college degree preferred, not required. Six months to one-year related customer service experience and/or training; or equivalent combination of education and experience. Typing: 35-40 wpm with 40 (adjusted) highly recommended Effective written and verbal communication skills with attention to detail Ability to reason, problem solve and think outside the box Clear reasoning on prioritizing multiple tasks and satisfactory organizational skills Flexible and adaptable to change in environment and industry Work with integrity, upholding organizational values and Code of Ethics Meet productivity standards and complete work in a timely manner Sales experience preferred Proficient in Microsoft Office programs Collaborate well with others while being relied upon to work independently with applicable direction Physical Demands Regularly required to sit, stand, walk, and occasionally bend and move about the facility when in-office. Infrequent light physical effort required. Occasional lifting up to 10 lbs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position. Working Conditions Work performed in an office environment, Special Factors This role can be performed remotely. Beware of scams online or from individuals claiming to represent Convatec A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address. If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************. Equal opportunities Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law. Notice to Agency and Search Firm Representatives Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you. Already a Convatec employee? If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!
    $26k-33k yearly est. Auto-Apply 60d+ ago
  • Client Engagement Specialist

    Phil 4.6company rating

    San Francisco, CA jobs

    Founded in 2015, PHIL is a Series D health-tech startup that is building a platform that interfaces between doctors, pharmacies, and patients to streamline the process of patients receiving prescriptions. This is a complex, archaic industry, and we've set out to change that. PHIL's B2B2C platform provides an end-to-end prescription management and delivery service. Our robust platform connects patients, prescribers, pharmacies, and manufacturers, enabling easy and affordable access to medicine. Through its digital stakeholder experiences, patient access services, market access solutions, and distribution models, pharma manufacturers can deliver affordable and timely therapy access to patients, resulting in more patients staying on their treatment plans longer. Consequently, pharma manufacturers are enabled for more innovation. The team at PHIL is a group of like-minded individuals from varying backgrounds, passionate about creating a new and innovative healthcare platform that is focused on patient experience and overall human wellbeing. Ready to join our team of mission-driven, analytical, and passionate people? Keep reading! Position Overview PHIL is seeking a Client Engagement Specialist to play a vital role in ensuring timely prescription processing and supporting positive patient and customer outcomes. In this role, you will review and resolve prescription-level issues, collaborate with cross-functional teams, and provide direct support to manufacturer partners through email, ticketing systems, and client meetings. Reporting to the Client Engagement leadership team, you will be responsible for managing tickets, building strong client relationships, and delivering exceptional service through timely communication, clear reporting, and proactive education. Responsibilities: Review and resolve script-level tickets to ensure proper processes are followed; correct and reprocess as needed. Monitor and manage the support ticket queue to ensure timely resolution of incoming issues. Serve as the first-line point of contact for manufacturer partners, providing real-time updates and proactive support via phone, email, and virtual meetings. Contact internal and external stakeholders to move scripts forward in the processing workflow. Lead and participate in client operational meetings to address escalations, share updates, and resolve challenges. Identify and escalate high-risk scripts and troubleshoot problems in collaboration with internal teams. Partner with Client Engagement leadership to evaluate processes, identify efficiencies, and drive scalable improvements. Support onboarding and training of internal stakeholders and new employees to ensure workflow consistency. Accurately document customer interactions, issues, and resolutions in CRM and ticketing systems. Collaborate with Client Engagement leadership to evaluate and improve existing processes and procedures. Identify scalable process improvements to drive efficiency and standardization. Provide feedback on recurring issues and suggest updates to support documentation, FAQs, or internal workflows. Represent the Client Engagement team in both internal and external meetings, including client discovery sessions and cross-functional initiatives, to ensure alignment, share insights, and advocate for customer needs. Support other functions to address the needs of the business and customers as needed Qualifications: Bachelor's degree or equivalent experience. Active Pharmacy Technician license required in the state of residence. Minimum 2+ years of client-facing support experience in healthcare or technology, with strong communication and problem-solving skills. Demonstrated ability to collaborate cross-functionally to resolve script-level and client-level issues efficiently. Strong analytical thinking with the ability to identify patterns and root causes in workflows. Excellent written and verbal communication skills, with a focus on clarity, empathy, and professionalism. Adaptable and proactive problem-solver with a collaborative, team-first mindset. Background in pharmacy or healthcare operations preferred. Experience with Lean, Six Sigma, or other process improvement methodologies (preferred). Prior experience as a pharmacy technician, including use of proprietary systems to process prescriptions (preferred). Benefits Ground floor opportunity with one of the fastest-growing startups in health-tech Fully remote working environment supported in these states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MD, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV Competitive compensation (commensurate with experience) Full benefits (medical, dental, vision) 401(k) contribution opportunity PHIL Inc. is an equal-opportunity employer.
    $48k-79k yearly est. Auto-Apply 60d+ ago
  • Scheduling Specialist - Remote after training

    Radiology Partners 4.3company rating

    Chesterfield, MO jobs

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position, working 11:30am to 8pm. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and staff Schedules patient examinations according to existing company policy Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately Ensures all patient data is entered into information systems completely and accurately Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction Maintains an up-to-date and accurate database on all current and potential referring physicians Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only) (10%) Insurance Pre-certifies all exams with patient's insurance company as required Verifies insurance for same day add-ons Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Completes other tasks as assigned
    $33k-39k yearly est. 2h ago
  • Scheduling Specialist Remote after training

    Radiology Partners 4.3company rating

    Chesterfield, MO jobs

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Activities Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and team members Schedules patient examinations according to existing company policy Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately Ensures all patient data is entered into information systems completely and accurately Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction Maintains an up-to-date and accurate database on all current and potential referring physicians Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only (10%) Insurance Activities Pre-certifies all exams with patient's insurance company as required Verifies insurance for same day add-ons Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Other Tasks and Projects as Assigned
    $33k-39k yearly est. 2h ago
  • Ostomy Client Specialist

    Convatec 4.7company rating

    Spring, TX jobs

    Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care. With more than 10,000 colleagues, we provide our products and services in around 90 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE:CTEC). To learn more please visit **************************** Position Overview: To provide client service support to the Account Management teams. Collect medical documentation and information to setup new clients of 180 Medical. Key Responsibilities: Contact clients to set up medical supply orders Handle incoming phone calls from clients regarding orders & customer service issues Request Medicare documentation on Medicare clients Contacts HH agencies to coordinate sending supplies Make entries as appropriate in Medtrack an internal Microsoft Access database Place orders in Medtrack Change orders in Medtrack Support Team Supervisor on miscellaneous projects Obtain verbal authorization for supplies from facilities Suspense auditor to obtain Plan of Cares and chart notes when needed Verifying insurance for existing customer insurance changes Performs follow up phone calls to clients after initial shipment Verifies that client files are complete and all necessary documentation is in place All other duties as assigned. Qualifications/Education: Must have a high school diploma, college degree preferred, not required. Six months to one year related experience and/or training; or equivalent combination of education and experience. Typing: 35-40 wpm with 40 (adjusted) highly recommended Possess medical administrative skills Good communication skills with professionals in clinics and hospitals Sales experience preferred Ability to reason, problem solve, and think outside the box Multi-task a variety of issues Good organization skills and can prioritize tasks Proficient in Microsoft Office programs Good attention to detail Reliable/dependable Flexible and adaptable to changes in environment and industry Team Player; work well with others Dimensions: Physical Demands Regularly required to sit, stand, walk, and occasionally bend and move about the facility. Infrequent light physical effort required. Occasional lifting up to 10 lbs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Working Conditions Work performed in an office environment, Special Factors This role can be performed remotely. Beware of scams online or from individuals claiming to represent Convatec A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address. If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************. Equal opportunities Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law. Notice to Agency and Search Firm Representatives Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you. Already a Convatec employee? If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!
    $35k-51k yearly est. Auto-Apply 27d ago
  • E-Commerce Support Specialist

    Medical Service Company 4.2company rating

    Cleveland, OH jobs

    At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC). MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success! Join Our Team! We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included! Apply today to become a part of our dynamic team! Competitive Pay Advancement Opportunities Medical, Dental & Vision Insurance HSA Account w/Company Contribution Pet Insurance Company provided Life and AD&D insurance Short-Term and Long-Term Disability Tuition Reimbursement Program Employee Assistance Program (EAP) Employee Referral Bonus Program Social Recognition Program Employee Engagement Opportunities CALM App 401k (with a matching program) / Roth IRA Company Discounts Payactiv/On-Demand Pay Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays The E-Commerce Support Specialist is responsible to process and fulfill e-commerce and retail orders. Work with numerous vendors to process customer orders and perform follow up to ensure they are shipped and received in a timely fashion. Perform superior customer service to convert medical equipment orders and leads obtained through digital marketing efforts. Provide enthusiastic and friendly customer service in assisting customers with placing orders. Provide customers with specific product knowledge to aid them in their purchasing decisions. Monitor leads obtained through digital marketing efforts to manage them through to converting customers. Responsibilities and Duties: Order Fulfillment: Process E-Commerce orders to ensure customers receive their products in a timely fashion. Follow up on shipments to inform customers of product status and to update order processing system with correct shipment status. Review and investigate orders for fraudulent activity. Coordinate product returns or replacements with customers and vendors. Monitor inventory levels and place stock orders with vendors as needed. Customer Service: Provide superior customer service via phone, email, and online chat to convert digital marketing leads to ordering customers. Answer in an enthusiastic and friendly fashion; incoming phone calls, emails, and online chat requests to answer customer questions and fulfill orders. Make outgoing contacts, including phone calls and emails, to customers to convert leads to sales. Educate customers on product specific information to help them make purchasing decisions. Monitor status of digital marketing (E-Commerce and Lead generation) leads and update lead management tools to keep lead status up to date Website Maintenance: Assist with digital marketing websites as needed; including product description and picture maintenance as needed. Additional Duties: Miscellaneous assignments/projects as needed Qualifications: Education: High school diploma or equivalent. College degree from an accredited college or university preferred. Experience/Knowledge/Skills/Physical Requirements: 1-2 Years' experience providing superior customer service in a call center or tele-sales environment. Digital Marketing/E-Commerce customer service experience a plus. Personal Attributes: Enthusiastic Customer Focused Conscientious Ability to multi-task Thorough Familiarity with basic knowledge and use of Microsoft Excel Work effectively in a fast-paced environment Organized and detail oriented Pay starts no less than $17/Hour
    $17 hourly 60d+ ago
  • Regional Business Specialist, Intermountain North

    Braeburn 4.3company rating

    Remote

    Reports to: Regional Director Braeburn is dedicated to delivering solutions for people living with the serious consequences of opioid use disorder. At Braeburn, we challenge the status quo and champion transformation of the management of opioid use disorder (OUD) by partnering with the community to create a world where every person with OUD gets the best possible care and opportunity to reach their full potential. Our shared commitment to innovation on behalf of patients enables us to help people with OUD begin and sustain recovery. At Braeburn, there are opportunities to contribute to our purpose every day. We value authenticity and strive to amplify all voices. Our culture empowers everyone to be successful and unleashes our full potential. Position Summary: The position is responsible for identifying, creating and implementing ideal opportunities within key accounts in the criminal justice and federal systems. Other responsibilities include engaging with customers, identifying educational opportunities, and ensuring access for appropriate patients at Federal Prisons, State Departments of Corrections, local and state jails, VISN and local Veterans Affairs, and DOD. The Regional Business Specialist will establish high work standards and work in accordance with all company policies and code of conduct. Specific Duties: Execute business development strategies and marketing plans effectively to meet or exceed business objectives. Provide Account Management, strategic planning, and analysis in assigned key accounts. Review, analyze and interpret market reports to ensure quarterly and annual objectives are met. Develop and maintain collaborative working relationships with external stakeholders, decision makers and account influencers within assigned accounts. Accountable for achieving access, contractual, and outcome goals as agreed upon and identified in account generated business plans. Develop a deep understanding of assigned geography and customers, including delivery of care, major payers and public policy and funding initiatives. Identify specific opportunities and barriers within emerging customer segments to ensure company success. Providing information and education to stakeholders (medical professionals, correctional medical/behavioral providers, administrators, drug/treatment court professionals, etc.) Responsible for developing systems of care that informs their development of successful criminal justice initiatives utilizing injectable Medication for Opioid Use Disorder (MOUD). Deliver fair, balanced, and compliant clinical presentations. Assist with development and delivery of field training in support of the strategic business development plan. Ensure compliant and effective cross-functional leadership and collaboration with all Braeburn partners, to execute on identified customer business plans and to ensure continuity of care and pull-through. Ensure reinforcement of Braeburn compliance policies and Braeburn Code of Conduct. Exercise sound judgment and ensure integrity and compliance with company policies in all activities and communications. Represent Braeburn at local and select national conferences. Manage all business development expenses and budgets. May Interact with the following stakeholders: C-Suite Executive Management Teams Corrections staff Judges/Drug court teams Executive Directors, Program Directors, Clinical Directors, Director of Nursing, and Business Development Directors Medical Directors, County Behavioral Health Directors Non-Medicaid State and County government officials Mental Health and Substance Abuse Coalitions Large Public Sector Treatment Agencies Local Mental Health Advocacy groups Skills: Strategic Vision, Accountability, Adaptability, Business Acumen, Judgement and Collaboration Strong interpersonal, written and oral communication, presentation, planning and operational skills Strategic account planning, negotiation, and contracting skills Documented collaborative team-oriented skill set and operational values Strong work ethic, ethical behavior and commitment to excellence in a compliant manner Understanding of correctional customers (federal, state and privately-run systems), their managed care organizations, pharmacy providers and the continuum of care Demonstrated passion and empathy for improving Addiction/Mental health patient care Entrepreneurial attitude and/or experience in a start-up environment Education/Experience: Bachelor's degree (BS/BA) required, Advanced Business Degree a plus 10+ years of pharmaceutical experience with at least 5+ years of sales, sales leadership and/or field market access/ reimbursement (FRM / FRS) experience in biotech/ specialty pharmaceutical / device industries 2+ years of pharmaceutical or related experience required in the Corrections / Criminal Justice System, Integrated Health Systems and Hospitals Proven sales or field market access (FRM / FRS) performance, as evidenced by market performance reports and recognition awards in specialty pharmacy markets Demonstrated experience with complex customer protocol navigation and contracting specific to integrated health systems, corrections, and other large accounts Experience within a complex distribution model, including Specialty Pharmacy Network Management and Buy & Bill acquisition, required In-depth understanding of reimbursement and insurance coverage for physician-administered treatments Proven product launch experience, leading others in a highly complicated and competitive environment Experience selling specialty products, in-particular physician administered products such as implantable or injectable medication technologies in a healthcare setting Ability to work autonomously to find new business opportunities Willing to travel both regionally & nationally as needed (Up to 70-80%) Valid driver's license and in good standing Braeburn is committed to ensuring equal employment opportunity for all qualified applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, military/veteran status, age, disability, or any other category/characteristic protected by law (collectively, "Protected Categories"). In fact, we encourage all underrepresented backgrounds to apply for any open job positions with the company. Braeburn Job Scam Warning At Braeburn, we prioritize the security of your personal information. Be aware of individuals falsely presenting themselves as Braeburn employees or representatives to gain access to your personal information or money through fictitious job offers. Braeburn will never ask for financial information or payment during the job application process. This includes but it is not limited to requests for bank account details, social security numbers, credit card numbers, or any form of payment for application fees, equipment, or software. Any claims that you will be reimbursed for such expenses are fraudulent. We also will not ask you to download third-party applications for communication regarding job opportunities. Be cautious of offers from unofficial email addresses (e.g., Yahoo, Gmail, Hotmail) or those with misspelled variations of official Braeburn email addresses. To ensure you are communicating about a legitimate job opportunity, check that the job is posted on Braeburn's official career website. If you suspect you have been contacted about a fraudulent position, please contact Braeburn directly through our official channels at *******************. Braeburn is not liable for losses resulting from job recruiting scams. If you believe you are a victim of fraud, contact the FBI through the Internet Crime Complaint Center at ******************* or your local authorities. Braeburn does not accept unsolicited assistance from search firms for employment opportunities. Resumes submitted without a valid written search agreement will be considered Braeburn's sole property, and no fee will be paid.
    $45k-86k yearly est. Auto-Apply 60d+ ago
  • Scheduling Specialist - Ophthalmology - Torrey Pines

    Scripps Health 4.3company rating

    San Diego, CA jobs

    Caring for San Diegans since 1924, Scripps Clinic is San Diego's first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record. This is a non-benefitted Casual/Per-Diem position with a varied day shift, located at our Scripps Clinic in Torrey Pines. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Clinic - Torrey Pines as a Scheduling Specialist in the Ophthalmology department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: * 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. * Responding to customer billing and payment inquires as needed. * Mentoring and training staff on departmental procedures. * 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 documenting 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 displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns. Required Qualifications: * 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 Qualifications: * 2 or more years of experience in a customer service or healthcare/medical office environment. * Previous scheduling experience. * Experience with Epic. 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
    $27.2-35.9 hourly 3d ago
  • Scheduling Specialist - OB/GYN - Oceanside

    Scripps Health 4.3company rating

    Oceanside, CA jobs

    Scripps Coastal Medical Center makes it easy and convenient for our community to receive exceptional health care in San Diego. Our primary care physicians and their teams provide annual exams, preventive health screenings, wellness information and diagnostic services for you and your family. With offices throughout San Diego County, our doctors specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology. Some locations also provide rheumatology and orthopedics care. When further specialty care is needed, you have access to an extensive network of medical experts throughout the region. Scripps also provides health education resources, including weight management programs, nutrition and fitness classes, and programs for chronic conditions, such as diabetes. This is a Full Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM schedule, located at our Scripps 78/Jefferson clinic in Oceanside. Once training is complete, this position has a hybrid work schedule, with some days at home and some in-office. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps 78/Jefferson Clinic as a Scheduling Specialist in the OB/GYN department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: * 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. * Responding to customer billing and payment inquires as needed. * Mentoring and training staff on departmental procedures. * 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 documenting 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 displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns. Required Qualifications: * 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 Qualifications: * 2 or more years of experience in a customer service or healthcare/medical office environment. * Previous scheduling experience. * Experience with Epic. 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
    $27.2-35.9 hourly 5d ago
  • Scheduling Specialist - OB/GYN - Oceanside

    Scripps Health 4.3company rating

    Oceanside, CA jobs

    This is a Full Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM schedule, located at our Scripps 78/Jefferson clinic in Oceanside. Once training is complete, this position has a hybrid work schedule, with some days at home and some in-office. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps 78/Jefferson Clinic as a Scheduling Specialist in the OB/GYN department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: 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. Responding to customer billing and payment inquires as needed. Mentoring and training staff on departmental procedures. 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 documenting 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 displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns. Required Qualifications: 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 Qualifications: 2 or more years of experience in a customer service or healthcare/medical office environment. Previous scheduling experience. Experience with Epic.
    $41k-50k yearly est. Auto-Apply 4d ago
  • Business Resiliency Specialist I (IT Disaster Recovery Planning)

    Caresource Management Services 4.9company rating

    Dayton, OH jobs

    The Business Resiliency Specialist I assists in the development, implementation, and maintenance of our IT Disaster Recovery Plan focusing on ensuring the resilience of our IT systems and services in the event of disruptions. Essential Functions: Assist in developing and maintaining the IT Disaster Recovery Plan to align with company objectives. Coordinate and implement disaster recovery processes for servers, databases, networks, and operating systems across hybrid environments (SaaS, IaaS, PaaS). Participate in Business Impact Analyses to identify critical systems and recovery strategy dependencies. Collaborate with IT teams to ensure Recovery Time Objectives (RTO) and Recovery Point Objectives (RPO) meet business continuity needs. Participate in organizing and facilitate disaster recovery exercises, documenting results and identifying areas for improvement. Help maintain accurate documentation of disaster recovery processes and exercise outcomes, addressing gaps. Work closely with IT teams and departments to support seamless integration of disaster recovery strategies into overall IT operations. Support assessments of the disaster recovery program's overall state and ensure third-party compliance with contractual obligations. Contribute to enhancing disaster recovery processes based on lessons learned and best practices. Assist in audits as required. Perform additional job-related tasks as requested. Education and Experience: Bachelor's Degree in Computer Science/MIS or related field or equivalent years of relevant work experience is required Competencies, Knowledge and Skills: Basic understanding of IT concepts, disaster recovery, and business continuity principles. Strong analytical and problem-solving skills. Excellent communication and teamwork abilities. Critical listening and thinking skills Familiarity with ITSM frameworks or tools (such as ITIL) is a plus but not required. Ability to work independently and within a team environment Effective organization and prioritization skills Customer service oriented Advanced decision making, trouble shooting and problem-solving skills Licensure and Certification: DRII or BCI Certification preferred Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $53,400.00 - $85,600.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Create an Inclusive Environment Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.#LI-GB1
    $53.4k-85.6k yearly Auto-Apply 60d+ ago
  • Community Dental Registration Specialist- School Health Services

    Nationwide Children's Hospital 4.6company rating

    Specialist job at Nationwide Children's Hospital

    This position will work 4 days a week during the school year August-May and will be off over summer breaks. Valid Ohio driver's license and proof of auto insurance is required by hospital policy. Must pass a motor vehicle background inspection, insurance eligibility, driving qualifications and training set forth by Nationwide Children's Hospital and must maintain qualification of insurance guidelines. Summary: The Patient Access Representative is responsible for greeting and registering patients, answering telephone calls, scheduling appointments, and pulling and filing medical charts when indicated. Job Description: Essential Functions: Provides excellent customer service to patients and families by applying best practices and standard operating procedures. Interviews and registers patients in registration areas that report up through Patient Access. Obtains accurate demographic, insurance, and physician information on registrations. Screens customer data to ensure patient is eligible for insurance indicated. Communicates differences to the customer. Screens registrations to ensure insurance pre-certification and physician referral requirements are met. Instructs customer on requirements. Assists in identifying self-pay patients and referring them to financial assistance when applicable. Instructs customer on requirements. Establishes and maintains open communication with the all departments that Patient Access interacts with and clinical staff in those areas. Assists in the shadowing/precepting of new employees. Education Requirement: High School Diploma or equivalent, required. Associate's Degree, preferred. Licensure Requirement: (not specified) Certifications: CPR certification (based on position and as determined by manager). Skills: Demonstrated computer skills required with the ability to navigate most current technology systems. Strong administrative skills. Excellent customer service and organizational skills. Experience: One year of health care experience, preferred. Physical Requirements: OCCASIONALLY: Blood and/or Bodily Fluids, Driving motor vehicles (work required) *additional testing may be required, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Loud Noises, Pushing / Pulling: 26-40 lbs, Pushing / Pulling: 41-60 lbs, Reaching above shoulder, Squat/kneel FREQUENTLY: Bend/twist, Patient Equipment CONTINUOUSLY: Audible speech, Chemicals/Medications, Color vision, Communicable Diseases and/or Pathogens, Computer skills, Decision Making, Depth perception, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Pushing / Pulling: 0-25 lbs, Repetitive hand/arm use, Seeing - Far/near, Sitting, Standing, Walking Additional Physical Requirements performed but not listed above: Ability to multi-task within a stressful environment. "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"
    $27k-30k yearly est. Auto-Apply 55d ago

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