Nova Medical Centers Remote jobs - 20 jobs

Responsibilities: Dosimetrist, FT, Piedmont Columbus John B. Amos Cancer Center, "Hybrid " RESPONSIBLE FOR: Measuring and generating radiation dose distributions and calculations under the direction of the Radiation Physicist and Radiation Oncologist. Qualifications - External Qualifications: MINIMUM EDUCATION REQUIRED: Bachelors Degree in any discipline. If hired prior to January 2025, will only require certification by the Medical Dosimetry Certification Board (MDCB). MINIMUM EXPERIENCE REQUIRED: Three years of clinical experience in a radiation therapy department as a radiation therapist or medical dosimetrist MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Board Eligible by the MDCB (Medical Dosimetrist Certification Board) Obtains Dosimetrist certification within 13 months of hire date. Participation in the learning plan activities as required by MDCB (Medical Dosimetrist Certification Board). Business Unit : Company Name: Piedmont Columbus Midtown

Responsibilities RESPONSIBLE FOR: Serves as front line support for the Patient Connection Center within Piedmont Healthcare. Reviews orders for complex outpatient services and specialized procedures (i.e., surgeries) to ensure completeness prior to scheduling. Prepares for the patient visit by verifying patient insurance, confirming benefits, determining authorization requirements, reviewing medical necessity, and creating patient liability estimates. **REMOTE/WORK FROM HOME** Qualifications MINIMUM EDUCATION REQUIRED: High school diploma or GED MINIMUM EXPERIENCE REQUIRED: Two (2) years exp in Revenue Cycle or related exp in clerical accounting/finance, with one of those years working specifically within Healthcare Revenue Cycle. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: None ADDITIONAL QUALIFICATIONS: Four (4) years of related healthcare Revenue Cycle experience preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred. Prior Epic experience preferred. Business Unit : Company Name Piedmont Healthcare Corporate

Responsible for serving as front-line support for the Patient Connection Center within Piedmont Healthcare. The Patient Connection Associate Float Pool is responsible for pre-registering and scheduling physician visits and moderately complex hospital services, as well as coordinating multiple resources for patient services. The PCA Float Pool will be required to be available in order to be scheduled any weekday to staff various service lines in order to provide coverage for paid time off, leave of absence and unanticipated staffing gaps. **WORK FROM HOME/CALL CENTER** Responsibilities Responsible for serving as front-line support for the Patient Connection Center within Piedmont Healthcare. The Patient Connection Associate Float Pool is responsible for pre-registering and scheduling physician visits and moderately complex hospital services, as well as coordinating multiple resources for patient services. The PCA Float Pool will be required to be available in order to be scheduled any weekday to staff various service lines in order to provide coverage for paid time off, leave of absence and unanticipated staffing gaps. Qualifications MINIMUM EDUCATION REQUIRED: High school diploma or equivalent required. MINIMUM EXPERIENCE REQUIRED: Two (2) years of related customer service experience. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: None. ADDITIONAL QUALIFICATIONS: At least one (1) year of experience demonstrating proficiency in scheduling OR preregistering patients Business Unit : Company Name Piedmont Healthcare Corporate

Full-time Description will be fully remote after training. **Texas residents only*** Job purpose The Appeals Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling correspondence letters and writing appeals to correct payment amount and/or non-payment. Duties and responsibilities Reviews and appeal unpaid and denied claims Attaches appropriate documents to appeal letters Researches and evaluates insurance payments and correspondence for accuracy Logs appeals and grievances, and tracks progress of claims Keeps up-to-date reports and notates any trends pertaining to insurance denials Calls insurance companies to inquire about claims, refund requests and payments Manages Accounts Receivable reports for the Billing Department Utilizes EMR system to submit and correct claims Posts patient and insurance payments Sends paper claims to insurance carriers Answers patient billing questions Coordinates medical and billing records payments with patients and/or third-party payers Handles collections on unpaid accounts Identifies and resolves patient billing complaints Answers phone calls to the Billing Department in a timely and professional manner Processes credit card payments over the phone and in person Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements Enhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments Operates standard office equipment (e.g. copier, personal computer, fax, etc.). Has regular and predictable attendance Adheres to Advanced Pain Care's Policies and procedures Performs other duties as assigned Requirements Qualifications Education: Requires a high school diploma or GED Experience: Three or more years related work experience with medical billing/ claims Previous use of Athena required Knowledge, Skills and Abilities: Clear and precise communication Ability to pay close attention to detail Effectively manages day by organizing and prioritizing Possesses excellent phone and customer service skills and abilities Protects patient information and maintains confidentiality Knowledge of general medical terminology, CPT, ICD-9 and ICD-10 coding Familiarity with analyzing electronic remittance advice and electronic fund transfers Experience interpreting zero pays and insurance denials Competence in answering patient questions and concerns about billing statements Organizational skills and ability to identify, analyze and solve problems Works well independently as well as with a team Strong written and verbal communication skills Interpersonal/human relations skills Working conditions Environmental Conditions: Medical Office environment Physical Conditions: Must be able to work as scheduled - typically from 8:00 - 5:00 M-F Must be able to sit and/or stand for prolonged periods of time Must be able to bend, stoop and stretch Must be able to lift and move boxes and other items weighing up to 30 pounds. Requires eye-hand coordination and manual dexterity sufficient to operate office equipment, etc. Salary Description $20.00 - $25.00/ hour

Are you looking for a career that transcends the ordinary? At Concentra, we offer opportunities beyond patient care. As a valued member of our team, you'll be part of our efforts to provide exceptional service to our employer clients and exceptional care to their employees. Our values define our path forward - always working to ensure welcoming, respectful, and skillful care. Join Concentra, and see what makes us different and better. The Lead Development Representative (LDR) will focus on implementing Concentra's outbound sales strategy, specifically by prospecting and filling the field sales funnel with qualified opportunities. This position's primary responsibility will be to vet leads, make phone calls to prospective customers and schedule appointments. The LDR will work various lead types to identify opportunities that meet a minimum qualification criterion to hand off to field sales. This position will initially report to the Senior Director of Sales Effectiveness where the focus will be on training and special projects until a defined LDR territory becomes available. Responsibilities * Initiate a high volume of prospecting/calling * Effectively use CRM (Microsoft Dynamics) to accurately track activity and account information of all prospects * Work various lead types defined by the sales organization to qualify or disqualify based on specific criteria * Build rapport with prospects by offering resources (webinar invitations, white papers, relevant blog articles, etc.) and understanding based on where the prospect is in the buying process * When a lead is identified the LDR utilizes tools such as CRM, Google and LinkedIn to determine organizational structure, decision makers, and key influencers in the prospect organization * Gather key information during conversations with the decision makers by asking pertinent discovery and follow up questions to determine current needs and challenges * Execute a precise contact cadence (phone calls, emails, social media) in efforts to schedule appointments with qualified prospects * Consistently meet and exceed daily activity metrics in areas of leads worked, completed calls, and appointments scheduled * Compliment quantity of work with quality and effectiveness of work performed * Nurture a lead effectively until they are Sales Ready * Learn and demonstrate a fundamental understanding of Concentra services and state regulations to clearly articulate capabilities and advantages to prospective customers to successfully manage and overcome prospect objections This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Education Level: High School Diploma or GED Job-Related Experience * Customarily has at least one year of sales experience * Telephonic sales experience a plus * Remote work environment experience a plus * Experience in occupational health care or workers' compensation industry is a bonus Job-Related Skills/Competencies * Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility * Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions * Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism * The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies * Display a self-discipline/self-starter attitude and focus to effectively manage and prioritize in an intense and high-volume business * Strategic thinking skills: critical thinking is a must when identifying customer concerns, revenue maximization opportunities, and customer next steps * Team player who possesses a desire and ability to work in a fast paced, goal oriented, high growth sales environment * Demonstrated success in prospecting * Strong organizational and time management skills * Exceptional verbal communication skills coupled with excellent listening skills through telephonic conversation * Excellent written communication skills with the ability to write a relevant message to the buyer * Flexibility in moving between diverse job tasks * Possesses an outstandingly warm, positive, energetic and professional demeanor * Solid work ethic and integrity with a desire to work with a high level of energy and be a Concentra brand advocate * Comfortable and familiar with technology * Ability to leverage sales automation and tools to streamline efforts Additional Data Employee Benefits * 401(k) Retirement Plan with Employer Match * Medical, Vision, Prescription, Telehealth, & Dental Plans * Life & Disability Insurance * Paid Time Off & Extended Illness Days Offered * Colleague Referral Bonus Program * Tuition Reimbursement * Commuter Benefits * Dependent Care Spending Account * Employee Discounts This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Concentra is an equal opportunity employer, including disability/veterans Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.

Come and work side by side with our team of professionals. At Advanced Pain Care, we take an interdisciplinary approach to managing pain. The Radiologist is responsible for interpreting results of tests preformed by technicians and consults with the primary physician to determine a treatment plan for patients. Work Parameters: Part-Time W-2 or 1099 contract 100% remote Full equipment setup provided Call: No hospital call. Hours: Monday through Friday Requirements: Texas Medical License Required

Full-time Description will be fully remote after training. **Texas residents only*** Job purpose The Appeals/Workers' Compensation Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling correspondence letters and writing appeals to correct payment amount and/or non-payment. Duties and responsibilities · Reviews and appeal unpaid and denied worker's compensation claims · Attaches appropriate documents to appeal letters · Obtains pre-authorization for worker's compensation office visits and procedures · Researches and evaluates insurance payments and correspondence for accuracy · Logs appeals and grievances, and tracks progress of claims · Keeps up-to-date reports and notates any trends pertaining to insurance denials · Calls insurance companies to inquire about claims, refund requests and payments · Utilizes EMR system to submit and correct claims · Posts patient and insurance payments · Sends paper claims to insurance carriers · Answers patient billing questions · Coordinates medical and billing records payments with patients and/or third party payers · Handles collections on unpaid accounts · Identifies and resolves patient billing complaints · Answers phone calls to the Billing Department in a timely and professional manner · Processes credit card payments over the phone and in person · Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements · Enhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments · Operates standard office equipment (e.g. copier, personal computer, fax, etc.). · Has regular and predictable attendance · Adheres to Advanced Pain Care's Policies and procedures · Performs other duties as assigned Requirements Education: Requires a high school diploma or GED; workers' compensation adjuster license desired Experience: Three or more years related work experience of training; previous job experience in worker's compensation Knowledge, Skills and Abilities: · Clear and precise communication · Ability to pay close attention to detail · Effectively manages day by organizing and prioritizing · Possesses excellent phone and customer service skills and abilities · Protects patient information and maintains confidentiality · Knowledge of general medical terminology, CPT, ICD-9 and ICD-10 coding · Familiarity with analyzing electronic remittance advice and electronic fund transfers · Experience interpreting zero pays and insurance denials · Competence in answering patient questions and concerns about billing statements · Organizational skills and ability to identify, analyze and solve problems · Works well independently as well as with a team · Strong written and verbal communication skills · Interpersonal/human relations skills Working conditions Environmental Conditions: Medical Office environment Physical Conditions: · Must be able to work as scheduled - typically from 8:00 - 5:00 M-F · Must be able to sit and/or stand for prolonged periods of time · Must be able to bend, stoop and stretch · Must be able to lift and move boxes and other items weighing up to 30 pounds. · Requires eye-hand coordination and manual dexterity sufficient to operate office equipment, etc. Salary Description $20.00 - $25.00/ hour

Responsibilities RESPONSIBLE FOR: Reviews, analyzes, and codes documentation for hospital inpatient medical records to select and sequence the appropriate ICD-9-CM diagnosis, ICD-9-CM procedure codes, ICD-10-CM and ICD-10-PCS as applicable to the transition to ICD-10. Primary coding responsibility is Inpatient Coding. REMOTE/WORK FROM HOME SCHEDULE: MONDAY-FRIDAY, FLEXIBLE HOURS Qualifications MINIMUM EDUCATION REQUIRED: High school diploma or equivalent required. MINIMUM EXPERIENCE REQUIRED: One (1) year of coding experience required. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: None. ADDITIONAL QUALIFICATIONS: One or more certifications required - RHIA, RHIT, CCS, CCA, CCS-P, CPC, CPC-A, CPC-H. Coding Certificate program (AHIMA accredited) preferred. Experience in coding at a multi-facility organization and remote coding experience is a plus. LI-POST #GD Business Unit : Company Name Piedmont Healthcare Corporate

Responsibilities: RESPONSIBLE FOR: Providing leadership and oversight for Third Party A/R Follow-up function within Patient Financial Services. Functions under the responsibility of A/R Follow-up include contacting third party payors to collect on unpaid claims in a timely and accurate manner, and others as assigned. The Third Party A/R Follow-up Supervisor reports to the Third Party A/R Manager. REMOTE/WORK FROM HOME Qualifications: MINIMUM EDUCATION REQUIRED: High School diploma or GED equivalent. MINIMUM EXPERIENCE REQUIRED: Three (3) years of revenue cycle experience required. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: N/A ADDITIONAL QUALIFICATIONS: Bachelor's (or Associate's) preferred. Five (5) years of related Revenue Cycle experience, preferably within Third Party A/R Follow-up. Three (3) years of supervisory experience preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative. Previous Epic experience. LI-POST #GD Business Unit : Company Name: Piedmont Healthcare

Are you an accomplished Board Certified Physical Medicine & Rehabilitation physician? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a CA license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: * Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: * Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information. Additional Data Concentra is an Equal Opportunity Employer, including disability/veterans

Responsibilities: JOB PURPOSE: Completing collection and A/R Follow-up activities for third party payors and maintaining quality andproductivity requirements as outlined in the position performance expectations. This representativereports to the Manager/Supervisor of A/R Follow-up. REMOTE/WORK FROM HOME Qualifications: MINIMUM EDUCATION REQUIRED: High school diploma or equivalent required. MINIMUM EXPERIENCE REQUIRED: One (1) year of experience in one of the following: 1. Healthcare 2. Revenue Cycle (any industry) 3. Relevant clerical, accounting, finance, retail work MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: None. Business Unit : Company Name: Piedmont Healthcare Corporate

Are you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a TX license. * General Surgery * Neurologist * Orthopedic Surgery with hand or spine specialty * Physical Medicine & Rehabilitation * Plastic Surgery * Podiatrist Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: * Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: * Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information. Additional Data This position is an independent contractor role for Concentra. Concentra is an Equal Opportunity Employer, including disability/veterans

Are you an accomplished Board Certified Surgeon? Preferred candidates will have a TX license. Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: * Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: * Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information. Additional Data This position is an independent contractor role for Concentra. Concentra is an Equal Opportunity Employer, including disability/veterans

Responsibilities RESPONSIBLE FOR: Providing leadership and oversight for Third Party A/R Follow-up function within Patient Financial Services. Functions under the responsibility of A/R Follow-up include contacting third party payors to collect on unpaid claims in a timely and accurate manner, and others as assigned. The Third Party A/R Follow-up Supervisor reports to the Third Party A/R Manager. **REMOTE/WORK FROM HOME** Qualifications MINIMUM EDUCATION REQUIRED: High School diploma or GED equivalent. MINIMUM EXPERIENCE REQUIRED: Three (3) years of revenue cycle experience required. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: N/A ADDITIONAL QUALIFICATIONS: Bachelor's (or Associate's) preferred. Five (5) years of related Revenue Cycle experience, preferably within Third Party A/R Follow-up. Three (3) years of supervisory experience preferred. Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative. Previous Epic experience. LI-POST #GD Business Unit : Company Name Piedmont Healthcare Corporate

Are you an accomplished Board Certified Orthopedic Surgeon physician? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a CA license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: * Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: * Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information. Additional Data Concentra is an Equal Opportunity Employer, including disability/veterans

Responsibilities Dosimetrist, FT, Piedmont Columbus John B. Amos Cancer Center, "Hybrid " RESPONSIBLE FOR: Measuring and generating radiation dose distributions and calculations under the direction of the Radiation Physicist and Radiation Oncologist. Qualifications - External Qualifications MINIMUM EDUCATION REQUIRED: Bachelor's Degree in any discipline. If hired prior to January 2025, will only require certification by the Medical Dosimetry Certification Board (MDCB). MINIMUM EXPERIENCE REQUIRED: Three years of clinical experience in a radiation therapy department as a radiation therapist or medical dosimetrist MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: Board Eligible by the MDCB (Medical Dosimetrist Certification Board) Obtains Dosimetrist certification within 13 months of hire date. Participation in the learning plan activities as required by MDCB (Medical Dosimetrist Certification Board). Business Unit : Company Name Piedmont Columbus Midtown

Job DescriptionDescription: will be fully remote after training. **Texas residents only*** Job purpose The Appeals/Workers' Compensation Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling correspondence letters and writing appeals to correct payment amount and/or non-payment. Duties and responsibilities · Reviews and appeal unpaid and denied worker's compensation claims · Attaches appropriate documents to appeal letters · Obtains pre-authorization for worker's compensation office visits and procedures · Researches and evaluates insurance payments and correspondence for accuracy · Logs appeals and grievances, and tracks progress of claims · Keeps up-to-date reports and notates any trends pertaining to insurance denials · Calls insurance companies to inquire about claims, refund requests and payments · Utilizes EMR system to submit and correct claims · Posts patient and insurance payments · Sends paper claims to insurance carriers · Answers patient billing questions · Coordinates medical and billing records payments with patients and/or third party payers · Handles collections on unpaid accounts · Identifies and resolves patient billing complaints · Answers phone calls to the Billing Department in a timely and professional manner · Processes credit card payments over the phone and in person · Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements · Enhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments · Operates standard office equipment (e.g. copier, personal computer, fax, etc.). · Has regular and predictable attendance · Adheres to Advanced Pain Care's Policies and procedures · Performs other duties as assigned Requirements: Education: Requires a high school diploma or GED; workers' compensation adjuster license desired Experience: Three or more years related work experience of training; previous job experience in worker's compensation Knowledge, Skills and Abilities: · Clear and precise communication · Ability to pay close attention to detail · Effectively manages day by organizing and prioritizing · Possesses excellent phone and customer service skills and abilities · Protects patient information and maintains confidentiality · Knowledge of general medical terminology, CPT, ICD-9 and ICD-10 coding · Familiarity with analyzing electronic remittance advice and electronic fund transfers · Experience interpreting zero pays and insurance denials · Competence in answering patient questions and concerns about billing statements · Organizational skills and ability to identify, analyze and solve problems · Works well independently as well as with a team · Strong written and verbal communication skills · Interpersonal/human relations skills Working conditions Environmental Conditions: Medical Office environment Physical Conditions: · Must be able to work as scheduled - typically from 8:00 - 5:00 M-F · Must be able to sit and/or stand for prolonged periods of time · Must be able to bend, stoop and stretch · Must be able to lift and move boxes and other items weighing up to 30 pounds. · Requires eye-hand coordination and manual dexterity sufficient to operate office equipment, etc.

Are you an accomplished Board Certified Spine Surgeon or Board Certified Neurosurgeon? Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor. Candidates must have a NJ license. JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations. Responsibilities MAJOR DUTIES AND RESPONSIBILITIES: * Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers' compensation claims. • Meets (when required) with Concentra Physician Review Medical Director to discuss quality of care and credentialing and state licensure issues.• Maintain proper credentialing and state licenses and any special certifications or requirements necessary to perform the job.• Returns cases in a timely manner with clear concise and complete rationales and documented criteria. • Telephonically contacts providers and interacts with other health professionals in a professional manner. Discusses the appropriate disclaimers and appeal process with the providers.• Attends orientation and training• Performs other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits.• Identifies, critiques, and utilizes current criteria and resources such as national, state, and professional association guidelines and peer reviewed literature that support sound and objective decision making and rationales in reviews.• Provides copies of any criteria utilized in a review to a requesting provider in a timely manner Qualifications EDUCATION/CREDENTIALS: * Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services. -Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board); -Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer. -Must be in active medical practice to perform appeals JOB-RELATED EXPERIENCE:Post-graduate experience in direct patient care JOB-RELATED SKILLS/COMPETENCIES: -Demonstrated computer skills, telephonic skills-Demonstrated ability to perform review services.-Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals. -Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest -Must present evidence of current error and omissions liability coverage for job duties and activities performed-Managed care orientation-Knowledge of current practice standards in specialty-Good negotiation and communication skills WORKING CONDITIONS/PHYSICAL DEMANDS: -Phone accessability -Access to a computer to complete reviews-Ability to complete cases accompanied by a typed report in specified time frames-Telephonic conferences This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management. Concentra is an Equal Opportunity Employer M/F/Disability/Veteran Concentra's Data Protection Commitment* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.* Every Concentra colleague has the responsibility to adhere to data protection principles.* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information. Additional Data This position is an independent contractor role for Concentra. Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.

Come and work side by side with our team of professionals. At Advanced Pain Care, we take an interdisciplinary approach to managing pain. The Radiologist is responsible for interpreting results of tests preformed by technicians and consults with the primary physician to determine a treatment plan for patients. Work Parameters: Part-Time W-2 or 1099 contract 100% remote Full equipment setup provided Call: No hospital call. Hours: Monday through Friday Requirements Texas Medical License Required