Utilization Review Specialist
Specialist job at Odyssey House Louisiana
Job DescriptionREPORTS: Director of Utilization Review
DEPARTMENT: Clinical
MAJOR FUNCTIONS:
Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential programs. The Specialist will monitor claims and approvals, and coordinate internally and externally, to ensure uninterrupted service provision. This position is responsible for all verbal and written documentation as required by payers. Candidates must understand the various aspects of the managed care system including LOCATDR 3 criteria, behavioral health benefits, precertification, utilization review, peer reviews, discharge reviews, and appeals. Knowledge of substance use and mental health disorder treatments, including assessments, treatment planning, continuing care recommendations, DSM 5 and ICD 10 diagnostic codes, medications, and medicated assisted treatment is required.
SPECIFIC DUTIES & RESPONSIBILITIES:
Complete utilization review-based documentation and all required updates.
Complete utilization, discharge, and peer reviews.
Initiate and resolve appeals.
Ensure clinical documentation is up to date and complete.
Utilizes the Concurrent Review/LOCATDR 3 to identify and advocate for appropriate level of care placement.
Ensure that both effective utilization review management and client experience standards are maintained.
Monitor concurrent and retro-review status.
Help assess and implement systems and protocols to improve the utilization process.
Meet regularly with multi-disciplinary team members concerning consumer and program issues; assists in development or modification of procedures for improvement of services.
Stay abreast of new developments in the field of Quality Assurance/Improvement as related to substance use disorder and mental health treatment, recommend new policies and revise existing policies/procedures for compliance with all applicable laws and standards.
Assist with training on relevant topics to management team, clinical staff, and other relevant GRCR staff.
Prepare, file, and maintain department tracking systems related to authorizations and communications with clinical team as needed.
Attend regularly scheduled staff meetings and case conferences.
Attend all required in-service training seminars.
Other relevant duties as required.
REQUIREMENTS:
Master's degree in social work preferred, Counseling, Psychology, Public Health, etc. with one (1) year experience working in a social service, health care insurance or utilization review role OR at least 5 years employment with progressive responsibility in a social service, health care or utilization review role.
Qualified Health Professional (LCSW, LMSW, LMHC, LMFT preferred) CASAC-T required with ability to secure CASAC within 6 months from hire.
Knowledge of OASAS regulations preferred.
Highly organized and ability to manage multiple projects and priorities to meet deadlines and revenue goals.
Communicate effectively, both orally and in writing.
Ability to work within the context of a multi-disciplinary team, build relationships and foster partnerships.
Proficiency with computer operation (Microsoft Word, Excel, Electronic Health Records, and Outlook programs).
In addition to competitive salaries, Odyssey House offers:
A 35-hour work week (as opposed to a 40-hour work week)
Vacation Plan and Holiday Schedule
Life Insurance
Medical Insurance (Two Plans)
Dental and Vision Insurance
Additional Insurance Coverages (hospitalization, accidental, critical illness coverage)
Long-Term & Short-Term Disability
Flexible Spending Account/Health Reimbursement Account
403(b) Plan
Corporate Counseling Associates (CCA) EAP benefit
Ability Assist Counseling Services (through The Hartford)
Commuter Benefits
Educational Assistance Programs
Special shopping discounts through ADP Marketplace and PlumBenefits
RUFit?! Fitness Program
Pet Insurance
Legal Assistance
Optum Financial Service through ConnectYourCare
Benefit Advocacy Center through Gallagher
Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.
820 Billing Specialist
Specialist job at Odyssey House Louisiana
JOB TITLE: 820 Billing Assistant - Part-Time
REPORTS TO: Director of Revenue Cycle
DEPARTMENT: Finance
Our Mission:
Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all ages-and across all five boroughs-beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including: psychological, physical, social, family, educational and spiritual in order to support personal rehabilitation, renewal and family restoration.
If that sounds different than other treatment programs, you're right. Because Odyssey is where recovery gets real.
In addition to competitive salaries, Odyssey House offers:
A 35-hour work week (as opposed to a 40-hour work week)
Vacation Plan and Holiday Schedule
Life Insurance
Medical Insurance (Two Plans)
Dental and Vision Insurance
Additional Insurance Coverages (hospitalization, accidental, critical illness coverage)
Long-Term & Short-Term Disability
Flexible Spending Account/Health Reimbursement Account
403(b) Plan
Corporate Counseling Associates (CCA) EAP benefit
Ability Assist Counseling Services (through The Hartford)
Commuter Benefits
Educational Assistance Programs
Special shopping discounts through ADP Marketplace and PlumBenefits
RUFit?! Fitness Program
Legal Assistance through ARAG
Optum Financial Service through ConnectYourCare
Benefit Advocacy Center through Gallagher
MAJOR FUNCTION:
The 820 Billing Assistant is responsible for assisting billing team with collection of Managed Care Organization payments.
SPECIFIC DUTIES & RESPONSIBILITIES:
Reconcile client number of days stay between AWARDS and Census Reports
Verify accuracy of clients' health insurance in AWARDS through ePaces
Access real-time payer portals to verify accuracy in authorization ID entered in AWARDS
Verify and confirm appropriate diagnosis and procedure coding as per clinical documentation
Navigate payee websites/portals to keep track payments or denials
Works closely with co-workers to analyze and identify issues
Calling insurance companies to research the reason for denials
Post payments in AWARDS database
REQUIREMENTS:
Excellent analytical, problem solving, and interpersonal and communication skills
Proficiency in Microsoft Excel
Must be able to work independently and with a team
Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.
Auto-ApplyPatient Service Specialist Ophthalmology-Full Time
Binghamton, NY jobs
The Patient Service Specialist provides direct, daily operational front office support in a manner consistent with Guthrie Medical Group's Service Excellence Standards. The Patient Service Specialist will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills.
Education, License & Cert:
High School diploma/GED required. Graduation from a Medical Office Assistant school preferred.
Experience:
Demonstrated customer service commitment in a fast‐paced environment with a minimum of 1 year experience in a customer service related field preferred. Medical office experience and knowledge of medical terminology preferred. Must be comfortable with computers and learning new applications.
Essential Functions:
1. Responsible for greeting every patient in a courteous, professional, and timely manner every Time.
2. Responsible for answering telephones in a friendly and efficient manner in conjunction with Guthrie's Telephone Standards. Screens telephone calls, takes messages and provides information.
3. Responsible for scheduling and maintaining all patient appointments electronically. Verifies patient information at time of scheduling and assigns B# / MRN to new patients. Responsible for editing appointment schedule at the direction of practice management.
4. Registers patient. Reviews, verifies and corrects patient demographic and insurance information along with scanning current insurance cards into the patient's confidential medical record.
5. Verify eligibility for major insurance carriers including but not limited to New York and Pennsylvania Medical Assistance to ensure accurate billing. Complete various types of insurance forms, pre‐certifications and referrals.
6. Possess the ability to inform, quote, and collect copayments, insurance deductibles, deposits, or unpaid balances at the time of registration as per Guthrie Medical Group, P.C. ‘s policies and guidelines.
7. Responsible for daily cash‐out and balancing in accordance with the Patient Cash Control Policy.
8. Performs liaison duties between patients, physicians, hospital staff, organizational departments, etc., keeping the departments fully aware of all necessary information. Keeps patients informed of any delays.
9. Adheres to departmental and organizational policies and attends meetings/huddles as required.
10. Requires the ability to prioritize daily tasks simultaneously in a fast‐paced, ever changing work environment within a strong team structure.
11. Maintains strict confidentiality related to patient health information in accordance with HIPAA compliance.
12. Assists with and completes other projects or duties as assigned including participating in all quality initiatives established by the organization.
Pay ranges from $17.00-$23.49
Other Duties:
1. Other duties as assigned.
Patient Service Specialist- Family Practice- Per Diem
Ithaca, NY jobs
The Patient Service Specialist provides direct, daily operational front office support in a manner consistent with Guthrie Medical Group's Service Excellence Standards. The Patient Service Specialist will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills.
Education, License & Cert:
High School diploma/GED required. Graduation from a Medical Office Assistant school preferred.
Experience:
Demonstrated customer service commitment in a fast‐paced environment with a minimum of 1 year experience in a customer service related field preferred. Medical office experience and knowledge of medical terminology preferred. Must be comfortable with computers and learning new applications.
Essential Functions:
Responsible for greeting every patient in a courteous, professional, and timely manner every Time.
Responsible for answering telephones in a friendly and efficient manner in conjunction with Guthrie's Telephone Standards. Screens telephone calls, takes messages and provides information.
Responsible for scheduling and maintaining all patient appointments electronically. Verifies patient information at time of scheduling and assigns B# / MRN to new patients. Responsible for editing appointment schedule at the direction of practice management.
Registers patient. Reviews, verifies and corrects patient demographic and insurance information along with scanning current insurance cards into the patient's confidential medical record.
Verify eligibility for major insurance carriers including but not limited to New York and Pennsylvania Medical Assistance to ensure accurate billing. Complete various types of insurance forms, pre‐certifications and referrals.
Possess the ability to inform, quote, and collect copayments, insurance deductibles, deposits, or unpaid balances at the time of registration as per Guthrie Medical Group, P.C. ‘s policies and guidelines.
Responsible for daily cash‐out and balancing in accordance with the Patient Cash Control Policy.
Performs liaison duties between patients, physicians, hospital staff, organizational departments, etc., keeping the departments fully aware of all necessary information. Keeps patients informed of any delays.
Adheres to departmental and organizational policies and attends meetings/huddles as required.
Requires the ability to prioritize daily tasks simultaneously in a fast‐paced, ever changing work environment within a strong team structure.
Maintains strict confidentiality related to patient health information in accordance with HIPAA compliance.
Assists with and completes other projects or duties as assigned including participating in all quality initiatives established by the organization.
Other Duties:
Other duties as assigned.
The pay ranges from $17.00-$23.49
About Us
Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you'll find staff members who have committed themselves to serving the community.
The Guthrie Clinic is an Equal Opportunity Employer.
The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.
Credentialing Specialist.
Syracuse, NY jobs
The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S. and has supported over 20,000 healthcare professionals and team members with close to 1,500 health and wellness offices across 50 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Chapter Aesthetic Studio, and AZPetVet. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale.
As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as
Credentialing Specialist
.
Job Summary:
The Credentialing Specialist plays a vital role within our Insurance Operations Team. This position will be responsible for ensuring the expeditious procurement of provider licenses and credentialing documents. Successful candidates will have excellent time management and communication skills. The position will report to and maintain full support of the Credentialing Manager.
Essential Responsibilities:
Execute licensure and credentialing processes for new and existing providers including but not limited to obtaining or requesting required documentation from various third-party sources and regular communication with appropriate state board representatives and the Field Management Team
Source and maintain up-to-date information regarding all new and existing state and federal requirements as they pertain to professional licensing and credentialing requirements, processes, schedules, etc.
Report licensure and credentialing expiration dates and renewal requirements to the providers as well as the appropriate members of the Field Operations Management Team, Compliance & Risk Management, etc.
Work closely with the enrollment team to ensure proper processing of Provider credentials for enrollment in various dental plans
Perform other clerical and administrative responsibilities as assigned
Position requirements:
High School Diploma or equivalent, College Degree preferred
1-2 years years credentialing experience required
Excellent verbal & written communications & customer service skills
Excellent time management, prioritization, and organizational skills a must
Detail oriented with a strong analytical, and problem-solving skills
Proficient use of Microsoft Office Suite
Pay rate: $23 ~ $25 / hr.
Clinical Scheduling Specialist
Wheatfield, NY jobs
Elderwood at Wheatfield is searching for a seasoned Clinical Staff Scheduler to join our team. Minimum of two (2) years of related experience scheduling staff in a high volume healthcare environment is required.
The Clinical Scheduling Specialist generates, manages and updates master schedules for the nursing department while making adjustments as needed according to budgetary constraints, census fluctuations, attendance tracking, benefit accrual entries, and leaves of absence.
Responsibilities
1. Acts as the point person and lead for all matters related to scheduling staff.
2. Thoroughly understands and uses the master staffing schedule extensively.
3. Uses multiple staffing tools intricately and possesses an in-depth understanding staffing to census expectations.
4. Troubleshoots and effectively problem-solves staffing complexities with minimum supervision.
5. Displays understanding of PPD metric and how to staff accordingly.
6. Maintains regular, consistent communication with DON/ADON to ensure coordination of staffing.
7. Maintains accuracy of nursing schedule in Kronos and all required tracking.
8. Prepares daily staffing sheets with continual revisions as necessary.
9. Follows company policies for staffing as well as budgeted guidelines for assignment of staff.
10. Completes a listing of vacant nursing positions for DON weekly.
11. Schedules staff time off requests according to established guidelines and the DON/ADON's approval/direction.
12. Ensures at least one other staff member is trained on the Staffing Specialist's position in the event of vacation, sick leave, vacancy, etc.
13. Identifies critical or difficult to fill positions/shifts and takes proactive action to balance the schedule.
14. Reviews daily exception logs for payroll and assists with payroll preparation for the nursing and nursing admin department.
15. Communicates regularly with agency contacts and maintains positive, proactive business relationships.
16. Collaborates with human resources regarding policy implementation, compliance for new staff (both internal and agency) and properly communicates all staff requests (e.g. status changes).
17. Displays professionalism and ability to work in a high volume, fast-paced environment.
18. Communication expert with the ability to approach staff easily, form strong relationships and persuade staff to assist in times of need.
19. Consistently demonstrates fairness and impartiality in accordance with company scheduling/staffing practices.
20. Utilizes electronic timekeeping system as directed.
Qualifications
Minimum of Associates degree (Bachelors preferred)
Minimum of six (6) years of related experience in a high paced environment preferably in staffing/scheduling or operations
Proficiency in Microsoft Excel
Prior experience with scheduling platforms, specifically Kronos, strongly preferred
This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.
EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Auto-ApplyScheduling Specialist
Saratoga Springs, NY jobs
Scheduling Specialist Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY12866 Employment Type: Part Time Shift/Schedule: Varied Department: ED Professional Services Salary Range: $30,500-32,500/annually#based on experience and qualifications About Saratoga Hospital At Saratoga Hospital, we#ve built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach#creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people. About the Role We#re looking for a dedicated Scheduling Specialist#to join our team and help us continue delivering the level of care our patients and families deserve. In this role, you#ll be a vital part of our#team, ensuring excellent service, collaboration, and patient outcomes in a fast-paced healthcare environment. In this role, you will#provide#administrative support to the Emergency Medicine physician group with a primary focus on physician scheduling. What You#ll Do Manage, and update physician and Advanced Practice Provider (APP) schedules to ensure adequate shift coverage, including working to fill open shifts and emergency coverage. Process schedule changes, swaps, and time-off requests. Maintain accurate scheduling records and distribute updated schedules to physicians, APP#s and leadership. Serve as the primary contact for scheduling inquiries. Generate reports related to scheduling, shift assignments, and coverage metrics. #Assist with new physician onboarding related to scheduling. Provide additional administrative support as needed, including meeting coordination, document management, payroll and communication tasks. Support credentialing and compliance processes as directed. What You Bring High School Diploma or GED Bachelors or Associates Degree preferred Previous administrative or scheduling experience required Healthcare or physician group experience preferred. Why Saratoga Hospital A caring, community-focused culture rooted in teamwork and trust Supportive leadership that invests in your development and well-being Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs. Click here to view our complete benefits guide. Opportunities to grow within the Albany Med Health System Located in beautiful Saratoga Springs, known for its vibrant community, outdoor recreation, and cultural attractions Our Commitment We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you#re passionate about healthcare and community service#even if you don#t meet every qualification listed#we#d still love to hear from you. How to Apply Click the #apply# button to submit your resume and complete our online application. Applications are reviewed on a rolling basis#apply today and discover what makes Saratoga Hospital a special place to grow your career. Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.
Scheduling Specialist
Location: Saratoga Hospital, 211 Church Street, Saratoga Springs, NY12866
Employment Type: Part Time
Shift/Schedule: Varied
Department: ED Professional Services
Salary Range: $30,500-32,500/annually based on experience and qualifications
About Saratoga Hospital
At Saratoga Hospital, we've built a reputation for high-quality, compassionate care and a commitment to the health and well-being of our community. As part of the Albany Med Health System, we combine advanced technology with a deeply personal approach-creating a supportive environment for patients, staff, and providers alike. We believe that exceptional care starts with exceptional people.
About the Role
We're looking for a dedicated Scheduling Specialist to join our team and help us continue delivering the level of care our patients and families deserve. In this role, you'll be a vital part of our team, ensuring excellent service, collaboration, and patient outcomes in a fast-paced healthcare environment. In this role, you will provide administrative support to the Emergency Medicine physician group with a primary focus on physician scheduling.
What You'll Do
* Manage, and update physician and Advanced Practice Provider (APP) schedules to ensure adequate shift coverage, including working to fill open shifts and emergency coverage.
* Process schedule changes, swaps, and time-off requests.
* Maintain accurate scheduling records and distribute updated schedules to physicians, APP's and leadership.
* Serve as the primary contact for scheduling inquiries.
* Generate reports related to scheduling, shift assignments, and coverage metrics.
* Assist with new physician onboarding related to scheduling.
* Provide additional administrative support as needed, including meeting coordination, document management, payroll and communication tasks.
* Support credentialing and compliance processes as directed.
What You Bring
* High School Diploma or GED
* Bachelors or Associates Degree preferred
* Previous administrative or scheduling experience required
* Healthcare or physician group experience preferred.
Why Saratoga Hospital
* A caring, community-focused culture rooted in teamwork and trust
* Supportive leadership that invests in your development and well-being
* Comprehensive benefits, including medical, dental, retirement plans, tuition assistance, and wellness programs. Click here to view our complete benefits guide.
* Opportunities to grow within the Albany Med Health System
* Located in beautiful Saratoga Springs, known for its vibrant community, outdoor recreation, and cultural attractions
Our Commitment
We are an equal opportunity employer and strongly encourage individuals of all backgrounds and experiences to apply. If you're passionate about healthcare and community service-even if you don't meet every qualification listed-we'd still love to hear from you.
How to Apply
Click the 'apply' button to submit your resume and complete our online application. Applications are reviewed on a rolling basis-apply today and discover what makes Saratoga Hospital a special place to grow your career.
Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.
Scheduling Specialist
South Jordan, UT 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 40 hours per week, 10 AM - 6 PM.
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
Associate Specialist - Controlled Substance Compliance
Melville, NY jobs
This position is responsible to acquire/maintain/audit company licensing and product registration as needed. Research and analyze applicable legislation and Federal, State and Local regulations to ensure the company's ongoing compliance.
KEY RESPONSIBILITIES:
Research and analyze applicable laws and regulations; develop and implement the necessary policies and procedures to ensure the Company's ongoing compliance with Federal, State and local requirements.
Implement systems and processes needed to ensure compliance with the receipt, storage and distribution of controlled substances, list 1 chemicals and other regulated products; as well as tracking distribution of prescription drugs and medical devices.
Support Distribution Center management and designated staff on the actions necessary to maintain regulatory compliance.
Provide guidance to the company and subsidiaries to perform actions in order to maintain regulatory compliance for various facilities.
Provide support in the coordination and conducting routine Regulatory audits of Henry Schein facilities, affiliates and subsidiaries.
Develop appropriate awareness and training programs for TSMs consistent with regulatory compliance policies and procedures.
Participate in special projects and performs other duties as required.
SPECIFIC KNOWLEDGE & SKILLS:
Understanding of regulations applicable to HS operations.
GENERAL SKILLS & COMPETENCIES:
General proficiency with tools, systems, and procedures
Basic planning/organizational skills and techniques
Basic analysis and problem-solving skills
Basic verbal and written communication skills
MINIMUM WORK EXPERIENCE:
Typically 1 to 3 years of related professional experience.
PREFERRED EDUCATION:
Typically a Bachelor's Degree or global equivalent in related discipline.
TRAVEL / PHYSICAL DEMANDS:
Travel typically less than 10%. Office environment. No special physical demands required.
The posted range for this position is $55,382-$76,151, which is the expected starting base salary range for an employee who is new to the role to fully proficient in the role. Many factors go into determining employee pay within the posted range including prior experience, current skills, location/labor market, internal equity, etc.
Other benefits available include: Medical, Dental and Vision Coverage, 401K Plan with Company Match, PTO, Paid Parental Leave, Income Protection, Work Life Assistance Program, Flexible Spending Accounts, Educational Benefits, Worldwide Scholarship Program and Volunteer Opportunities.
Henry Schein, Inc. is an Equal Employment Opportunity Employer and does not discriminate against applicants or employees on the basis of race, color, religion, creed, national origin, ancestry, disability that can be reasonably accommodated without undue hardship, sex, sexual orientation, gender identity, age, citizenship, marital or veteran status, or any other legally protected status.
For more information about career opportunities at Henry Schein, please visit our website at: ***************************
Fraud Alert
Henry Schein has recently been made aware of multiple scams where unauthorized individuals are using Henry Schein's name and logo to solicit potential job seekers for employment.
Please be advised that Henry Schein's official U.S. website is
*******************
. Any other format is not genuine. Any jobs posted by Henry Schein or its recruiters on the internet may be accessed through Henry Schein's on-line "career opportunities" portal through this official website. Applicants who wish to seek employment with Henry Schein are advised to verify the job posting through this portal.
No money transfers, payments of any kind, or credit card numbers, will EVER be requested from applicants by Henry Schein or any recruiters on its behalf, at any point in the recruitment process.
Auto-ApplyEvaluation Specialist III
Albany, NY jobs
Applications to be submitted by December 15, 2025
Compensation Grade:
P23
Compensation Details:
Minimum: $86,019.00 - Maximum: $86,019.00 Annually
Positions with a designated work location in New York City, Nassau, Rockland, Suffolk, or Westchester Counties will receive a $4,000 annual downstate adjustment (pro-rated for part-time positions).
Department
(OHEHR) AI - AIDS Institute
Job Description:
Responsibilities
The Evaluation Specialist III will develop and implement research projects and will contribute to the evaluation of programs within the AIDS Institute. The incumbent will be responsible for all aspects and phases of the evaluation and research processes, including problem definition, planning, implementation, analysis, interpretation, and reporting of findings. The incumbent will supervise staff and perform other related duties as assigned. As such, the incumbent in this position will have many opportunities to: (1) collaborate with staff across multiple program areas within the AIDS Institute; (2) design, create, and implement new data tools; (3) analyze data and present findings at management and stakeholder meetings as well as at professional/academic conferences; and (4) publish in peer-reviewed journals.
The Evaluation Specialist III will be located in the Center for Program Development, Implementation, Research, and Evaluation at the AIDS Institute and will be responsible for the development and implementation of research and program evaluation projects in areas including but not limited to HIV/AIDS, STIs, viral hepatitis, drug-user health, and LGBTQ health.
Minimum Qualifications
Bachelor's degree in a related field and three years of experience in the evaluation and/or analysis of health, human services or related programs and/or fields; OR an Associate's degree in a related field and five years of such experience; OR seven years of such experience. A Master's degree in a related field may substitute for one year of such experience.
Preferred Qualifications
Master's degree in public health, epidemiology, public administration, public policy, a related social and behavioral sciences, or a related field. Experience in data collection and evaluation of data for review and analysis of public health program areas. Experience in data analysis using R, SAS, Stata, Python, SPSS and/or other analytical and data management tools. Experience working with large population-based data sets. Experience with survey development. Experience in project management. Experience with qualitative data analysis. Experience with quality improvement methodologies. Grant and or scientific report writing experience.
Conditions of Employment
Grant funded position. Compliance with funding requirements such as time and effort reporting, grant deliverables, and contract deliverables, is required.
Valid and unrestricted authorization to work in the U.S. is required. Visa sponsorship is not available for this position.
Travel up to 25% of the time will be required.
The selected candidate must reside within a reasonable commuting distance of the official work location specified in the job posting and must also be located in or willing to relocate to one of the following states: New York, New Jersey, Connecticut, Vermont, or Massachusetts, prior to hire. Telecommuting will be available.
HRI participates in the E-Verify Program.
Affirmative Action/Equal Opportunity Employer/Qualified Individuals with Disabilities/Qualified Protected Veterans
**********************
About Health Research, Inc.
Join us in our mission to make a difference in public health and advance scientific research! At Health Research, Inc. (HRI), your work will contribute to meaningful change and innovation in the communities we serve! At HRI, we are on a mission to transform the health and well-being of the people of New York State through innovative partnerships and cutting-edge public health initiatives. As a dynamic non-profit organization, HRI plays a crucial role in advancing the strategic goals of the New York State Department of Health (DOH), Roswell Park Comprehensive Cancer Center (RPCCC), and other health-related entities.
HRI offers a robust, comprehensive benefits package to eligible employees, including:
Health, dental and vision insurance - Several comprehensive health insurance plans to choose from;
Flexible benefit accounts - Medical, dependent care, adoption assistance, parking and transit;
Generous paid time off - Paid federal and state holidays, paid sick, vacation and personal leave;
Tuition support - Assistance is available for individuals pursuing educational or training opportunities;
Retirement Benefits - HRI is a participating employer in the New York State and Local Retirement System and offers optional enrollment in the New York State Deferred Compensation Plan. HRI provides a postretirement Health Benefits Plan for qualified retirees to use towards health insurance premiums and eligible medical expenses;
Employee Assistance Program - Provides educational and wellness programs, training, and 24/7 confidential services to assist employees, both personally and professionally;
And so much more!
Auto-ApplyReauthorization Specialist
Lafayette, LA jobs
Review and obtain necessary compliant documentation, medical records and prescriptions in order to submit for prior authorization with insurance.
Responsible for obtaining prior authorization from insurance payor for durable medical equipment.
Verifies patient demographic and health insurance information to review & work pending task daily for authorizations &/or appeals
Notify RT/Sales management teams regarding non-compliance and authorization deadlines that are not met
Establishes and maintains effective communication and good working relationships with patients/family, physicians' offices, and other internal teams for the patient's benefit.
Performs other clerical tasks as needed, such as
Answering patient/Insurance calls
Faxing and Emails
Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Revenue Cycle Manager and Supervisor
Other responsibilities and projects as assigned.
Requirements:
High School Diploma or equivalent.
Learns and maintains knowledge of current patient database and billing system
Verifying Insurance for all products
Understand Insurance benefit breakdown of deductibles and co-ins
Understand Insurance Medical and Payment Policies
Knowledge of Explanation of Benefits from insurance companies
General knowledge of government, regulatory billing and compliance regulations/policies for Medicare & Medicaid
Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
Enough knowledge of policies and procedures to accurately answer questions from internal and external customers.
Utilizes initiative while maintaining set levels of productivity with consistent accuracy.
Experience:
2-4 Years in DME or Medical Office experience preferred.
Minimum of 1 year of insurance verification or authorizations required.
Skills:
Superior organizational skills.
Proficient in Microsoft Office, including Outlook, Word, and Excel.
Attention to detail and accuracy.
Effective/professional communication skills (written and oral)
Scheduling Specialist
South Jordan, UT 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 40 hours per week, 10 AM - 6 PM.
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
Required:
* High school diploma, or equivalent
* Microsoft Office Suite experience
* Proficient with using computer systems and typing
* Able to handle multi-level phone system with a high volume of calls at one time
Preferred:
* One (1) year customer service experience
* Medical terminology and previous clinical business office experience
* Bilingual
RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.
We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.
We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all *******************************
DailyPay implementation is contingent upon initial set-up period.
Scheduling Specialist
South Jordan, UT 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.
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
Required:
* High school diploma, or equivalent
* Microsoft Office Suite experience
* Proficient with using computer systems and typing
* Able to handle multi-level phone system with a high volume of calls at one time
Preferred:
* One (1) year customer service experience
* Medical terminology and previous clinical business office experience
* Bilingual
RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.
We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.
We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all *******************************
DailyPay implementation is contingent upon initial set-up period.
Patient Experience Representative-Scheduling Specialist Ob-Gyn Clinic
Orem, UT jobs
Creates and manages provider's surgery schedules, including in office procedure schedules and equipment. Maintains any changes or cancellations of surgeries for rescheduling and/or clinical follow up. Uses provider power plans to ensure all necessary orders are proposed, signed off and sent for hospital orders. Meets with pre-op patients to explain the surgery process..
**Essential Functions**
+ Creates and manages provider's surgery/hospital procedure schedules. Maintains any changes, cancellations, rescheduling and/or clinical follow up on these schedules. Uses Provider power plans to ensure all necessary orders are proposed, signed off and sent for hospital orders.
+ Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior auth for them. Verifies eligibility and benefits. Coordinates referral for patients that will go out of network. Point of contact for surgery authorization questions. Obtain proper CPT code from provider for authorization.
+ Proposes iCentra requirements to create a pre-surgical FIN# and to create required surgical scheduling card for the Hospital scheduler to pull the case information, where applicable.
+ Coordinate with the provider to ensures all necessary surgical/procedure equipment is requested for any special item that needs to be pulled from Hospital supplies or special equipment that needs to be brought in by surgical supply Reps. Coordinates any necessary Hospital items with nursing staff at the Hospital. Calls in surgical/procedure order for Providers the Hospital surgery/procedure scheduler day before cases.
+ Meets with surgery/procedure patients to explain the process. This includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any red flag pre-operative health concerns for patient safety.
+ Scan and Document process in patient charts and relay cost estimations. Investigate billing disputes for surgery/procedure.
**Skills**
+ Medical Insurance Coding
+ Computer Literacy
+ Patient Care
+ Health Care
+ Medical Procedures
+ Medical Terminology
+ Electronic Medical Records (EMR)
+ Surgeries
+ Patient Safety
**Minimum Qualifications**
+ Two years of medical registration, billing, collection, scheduling, or insurance experience,
+ Two years of customer service experience
+ Working knowledge of word processing, spreadsheet, email, and calendaring programs.
**Preferred Qualifications**
+ Associate's Degree. Degree must be obtained through an accredited institution. Education is verified.
+ Two years at Intermountain Health as a PSR, MA or similar position
+ Two years of experience working with patient access or two years of experience in and extensive knowledge in the health insurance industry (Commercial Insurances, Medicare, and Medicaid); health claims billing or Third Party contracts.
+ EMR experience
+ Bi-lingual - Spanish speaking
+ Knowledge of medical terminology
+ Versed in CPT/ICD codes
**Physical Requirements:**
**Physical Requirements**
+ Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Location:**
Central Orem Clinic
**Work City:**
Orem
**Work State:**
Utah
**Scheduled Weekly Hours:**
36
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.85 - $30.21
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Scheduling Specialist-Cardiology
Provo, UT jobs
Creates and manages provider's surgery schedules, including in office procedure schedules and equipment. Maintains any changes or cancellations of surgeries for rescheduling and/or clinical follow up. Uses provider power plans to ensure all necessary orders are proposed, signed off and sent for hospital orders. Meets with pre-op patients to explain the surgery process..
**Schedule Monday - Friday 8:00am - 5:00pm**
**Essential Functions**
+ Creates and manages provider's surgery/hospital procedure schedules. Maintains any changes, cancellations, rescheduling and/or clinical follow up on these schedules. Uses Provider power plans to ensure all necessary orders are proposed, signed off and sent for hospital orders.
+ Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior auth for them. Verifies eligibility and benefits. Coordinates referral for patients that will go out of network. Point of contact for surgery authorization questions. Obtain proper CPT code from provider for authorization.
+ Proposes iCentra requirements to create a pre-surgical FIN# and to create required surgical scheduling card for the Hospital scheduler to pull the case information, where applicable.
+ Coordinate with the provider to ensures all necessary surgical/procedure equipment is requested for any special item that needs to be pulled from Hospital supplies or special equipment that needs to be brought in by surgical supply Reps. Coordinates any necessary Hospital items with nursing staff at the Hospital. Calls in surgical/procedure order for Providers the Hospital surgery/procedure scheduler day before cases.
+ Meets with surgery/procedure patients to explain the process. This includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any red flag pre-operative health concerns for patient safety.
+ Scan and Document process in patient charts and relay cost estimations. Investigate billing disputes for surgery/procedure.
**Skills**
+ Medical Insurance Coding
+ Computer Literacy
+ Patient Care
+ Health Care
+ Medical Procedures
+ Medical Terminology
+ Electronic Medical Records (EMR)
+ Surgeries
+ Patient Safety
**Minimum Qualifications**
+ Two years of medical registration, billing, collection, scheduling, or insurance experience,
+ Two years of customer service experience
+ Working knowledge of word processing, spreadsheet, email, and calendaring programs.
**Preferred Qualifications**
+ Associate's Degree. Degree must be obtained through an accredited institution. Education is verified.
+ Two years at Intermountain Health as a PSR, MA or similar position
+ Two years of experience working with patient access or two years of experience in and extensive knowledge in the health insurance industry (Commercial Insurances, Medicare, and Medicaid); health claims billing or Third Party contracts.
+ EMR experience
+ Bi-lingual - Spanish speaking
+ Knowledge of medical terminology
+ Versed in CPT/ICD codes
**Physical Requirements:**
**Physical Requirements**
+ Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Location:**
Utah Valley Clinic
**Work City:**
Provo
**Work State:**
Utah
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.85 - $30.21
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Collections Specialist
Metairie, LA jobs
Job Description
Collections Specialist
The Collections Specialist is responsible for managing accounts receivable and ensuring timely collection of payments from patients and insurance providers. This role involves communicating with patients regarding their accounts and negotiating payment plans as necessary.
Key Responsibilities:
Contact patients and insurance companies to collect outstanding payments.
Review accounts for discrepancies and resolve issues promptly.
Negotiate payment plans with patients when necessary.
Maintain accurate records of all collection activities.
Prepare reports on collections and accounts receivable status.
Knowledge, Skills, and Abilities (KSAs):
Understanding of collections processes and regulations.
Strong negotiation and conflict-resolution skills.
Proficiency in accounts receivable software and EHR systems.
Ability to handle sensitive information with confidentiality.
Excellent verbal and written communication skills.
Collections Specialist
Metairie, LA jobs
Job Description
The Collections Specialist is responsible for managing accounts receivable and ensuring timely collection of payments from patients and insurance providers. This role involves communicating with patients regarding their accounts and negotiating payment plans as necessary.
Key Responsibilities:
Contact patients and insurance companies to collect outstanding payments.
Review accounts for discrepancies and resolve issues promptly.
Negotiate payment plans with patients when necessary.
Maintain accurate records of all collection activities.
Prepare reports on collections and accounts receivable status.
Knowledge, Skills, and Abilities (KSAs):
Understanding of collections processes and regulations.
Strong negotiation and conflict-resolution skills.
Proficiency in accounts receivable software and EHR systems.
Ability to handle sensitive information with confidentiality.
Excellent verbal and written communication skills.
Donor Collection Specialist, Trainee
Sandy, UT jobs
Schedule: Variable Schedule (4 days per week) Sunday through Saturday (need to be available for 2 weekend days a month) Between hours of 5:00 AM - 11:00 PM
Primary Purpose:
Works with the Donor Collection Specialist Trainer until demonstrated competency is achieved with the following Job Description/Primary Purpose: works in a highly regulated manufacturing environment to collect product and/or modify blood products and components intended for transfusion. Maintains traceability and trackability for all steps in the manufacturing process. Duties include data handling and input, medical history screening and physical examination of donors and patients, collection of whole blood and apheresis products, set-up of mobile drives, manufacturing, and modification of blood products, answering the telephone, performance and documentation of quality control and equipment maintenance, and minor problem-solving.
This position requires you to work variable shifts at different locations (Research Park, Sandy Donor Center, and mobile blood drives.) In addition, you must be flexible to work holidays and weekends as needed. This position requires the ability to travel and work offsite with co-workers in a mobile office (i.e. Blood Drives).
Will be required to pass the ARUP Donor Collection Specialist Examination within 9 months of hire.
About ARUP:
ARUP Laboratories is a national clinical and anatomic pathology reference laboratory and an enterprise of the University of Utah and its Department of Pathology. Based in Salt Lake City, Utah.
ARUP proudly hires top talent to create a work environment of diversity, professional growth and continuous development. Our workforce is committed to the important service we provide to over one million patients each month. We always strive for excellence and have a strong desire to have involvement with the advances in medicine and the role laboratory services plays within each patient's life. We never forget that there is a patient behind every specimen we receive.
We are looking for individuals who want to contribute to ARUP's culture of accountability, integrity, service, and excellence. Consider joining our dynamic team.
Essential Functions:
Greets and accurately registers donors.
Obtains and evaluates donor information from allogeneic, autologous, and directed donors.
Accurately interprets donor suitability by performing medical history on donors.
Performs and evaluates limited physical examination of donors according to SOP.
Travels to mobile sites for blood drives and assist Lead Tech in physically setting up and taking down of mobile drive.
Prepares and packages whole blood units properly for shipment to processing.
Collects whole blood units according to Standard Operating Procedures. Maintains complete and accurate documentation of each procedure.
Provides complete donor care including pre and post-donation information, monitoring of donor comfort during the procedure, and donor and care following reactions. Accurately documents all donor reactions.
Provides cardiopulmonary resuscitation and requests emergency care when necessary.
Takes proper action when blood or product storage refrigerators, freezer, or platelet incubator alarms sound.
Performs and documents quality control and equipment maintenance within predetermined parameters.
Complies with safety and biohazard regulation as outlined in the Laboratory Safety Manual.
Answers telephone calls in a timely and courteous manner. Refer problems or issues to appropriate individuals.
Maintains work area. Cleans bench tops, donor chairs, and equipment after each spill, and daily at the end of the work shift. Documents as required.
Obtains supplies from storeroom insuring that oldest stock is used first and proper procedures are followed.
Attends laboratory meetings and in-services as required.
Remains current in all procedures. Completes all competency requirements within stated timeframe.
Observes principles of data security and patient confidentiality.
Maintains ethical standards in the performance of testing and in interactions with donors, patients, co-workers, and other health care professionals.
Maintains timely and effective communication with management to ensure that all potential problems or issues are identified.
Performs telephone recruiting of donors when needed.
Other duties as assigned.
Physical and Other Requirements:
Stooping: Bending body downward and forward by bending spine at the waist.
Reaching: Extending hand(s) and arm(s) in any direction.
Mobility: The person in this position needs to occasionally move between work sites and inside the office to access file cabinets, office machinery, etc.
Communicate: Frequently and effectively communicate with others.
PPE: Biohazard laboratory environment that requires use of personal protective equipment in accordance with CDC and OSHA regulations and company policies.
ARUP Policies and Procedures: To conduct self in compliance with all ARUP Policies and Procedures.
Medium Work: Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
Fine Motor Control: Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand as in handling.
Vision: Having close, far, and peripheral visual acuity to perform a variety of tasks such as make general observations of depth and distance.
Color Vision: Perception of and ability to distinguish colors
This position requires you to work variable shifts at different locations (Research Park, Sandy Donor Center, and mobile blood drives.) Due to this varied schedule, we offer a $1.50 shift differential for working hours.
Patient Experience Representative- Scheduling Specialist
Murray, UT jobs
Creates and manages provider's surgery schedules, including in office procedure schedules and equipment. Maintains any changes or cancellations of surgeries for rescheduling and/or clinical follow up. Uses provider power plans to ensure all necessary orders are proposed, signed off and sent for hospital orders. Meets with pre-op patients to explain the surgery process..
**Essential Functions**
+ Creates and manages provider's surgery/hospital procedure schedules. Maintains any changes, cancellations, rescheduling and/or clinical follow up on these schedules. Uses Provider power plans to ensure all necessary orders are proposed, signed off and sent for hospital orders.
+ Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior auth for them. Verifies eligibility and benefits. Coordinates referral for patients that will go out of network. Point of contact for surgery authorization questions. Obtain proper CPT code from provider for authorization.
+ Proposes iCentra requirements to create a pre-surgical FIN# and to create required surgical scheduling card for the Hospital scheduler to pull the case information, where applicable.
+ Coordinate with the provider to ensures all necessary surgical/procedure equipment is requested for any special item that needs to be pulled from Hospital supplies or special equipment that needs to be brought in by surgical supply Reps. Coordinates any necessary Hospital items with nursing staff at the Hospital. Calls in surgical/procedure order for Providers the Hospital surgery/procedure scheduler day before cases.
+ Meets with surgery/procedure patients to explain the process. This includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any red flag pre-operative health concerns for patient safety.
+ Scan and Document process in patient charts and relay cost estimations. Investigate billing disputes for surgery/procedure.
**Skills**
+ Medical Insurance Coding
+ Computer Literacy
+ Patient Care
+ Health Care
+ Medical Procedures
+ Medical Terminology
+ Electronic Medical Records (EMR)
+ Surgeries
+ Patient Safety
**Minimum Qualifications**
+ Two years of medical registration, billing, collection, scheduling, or insurance experience,
+ Two years of customer service experience
+ Working knowledge of word processing, spreadsheet, email, and calendaring programs.
**Preferred Qualifications**
+ Associate's Degree. Degree must be obtained through an accredited institution. Education is verified.
+ Two years at Intermountain Health as a PSR, MA or similar position
+ Two years of experience working with patient access or two years of experience in and extensive knowledge in the health insurance industry (Commercial Insurances, Medicare, and Medicaid); health claims billing or Third Party contracts.
+ EMR experience
+ Bi-lingual - Spanish speaking
+ Knowledge of medical terminology
+ Versed in CPT/ICD codes
**Physical Requirements:**
**Physical Requirements**
+ Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
+ For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Location:**
Intermountain Health Intermountain Medical Center, Intermountain Health LDS Hospital
**Work City:**
Murray
**Work State:**
Utah
**Scheduled Weekly Hours:**
20
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.85 - $30.21
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Donor Collection Specialist, Trainee
Salt Lake City, UT jobs
Schedule: Variable Schedule (5 days per week) Sunday through Saturday (need to be available for 2 weekend days a month) Between hours of 5:00 AM - 11:00 PM Primary Purpose: Works with the Donor Collection Specialist Trainer until demonstrated competency is achieved with the following Job Description/Primary Purpose: works in a highly regulated manufacturing environment to collect product and/or modify blood products and components intended for transfusion. Maintains traceability and trackability for all steps in the manufacturing process. Duties include data handling and input, medical history screening and physical examination of donors and patients, collection of whole blood and apheresis products, set-up of mobile drives, manufacturing, and modification of blood products, answering the telephone, performance and documentation of quality control and equipment maintenance, and minor problem-solving.
This position requires you to work variable shifts at different locations (Research Park, Sandy Donor Center, and mobile blood drives.) In addition, you must be flexible to work holidays and weekends as needed. This position requires the ability to travel and work offsite with co-workers in a mobile office (i.e. Blood Drives).
Will be required to pass the ARUP Donor Collection Specialist Examination within 9 months of hire.
About ARUP:
ARUP Laboratories is a national clinical and anatomic pathology reference laboratory and an enterprise of the University of Utah and its Department of Pathology. Based in Salt Lake City, Utah.
ARUP proudly hires top talent to create a work environment of diversity, professional growth and continuous development. Our workforce is committed to the important service we provide to over one million patients each month. We always strive for excellence and have a strong desire to have involvement with the advances in medicine and the role laboratory services plays within each patient's life. We never forget that there is a patient behind every specimen we receive.
We are looking for individuals who want to contribute to ARUP's culture of accountability, integrity, service, and excellence. Consider joining our dynamic team.
Essential Functions:
Greets and accurately registers donors.
Obtains and evaluates donor information from allogeneic, autologous, and directed donors.
Accurately interprets donor suitability by performing medical history on donors.
Performs and evaluates limited physical examination of donors according to SOP.
Travels to mobile sites for blood drives and assist Lead Tech in physically setting up and taking down of mobile drive.
Prepares and packages whole blood units properly for shipment to processing.
Collects whole blood units according to Standard Operating Procedures. Maintains complete and accurate documentation of each procedure.
Provides complete donor care including pre and post-donation information, monitoring of donor comfort during the procedure, and donor and care following reactions. Accurately documents all donor reactions.
Provides cardiopulmonary resuscitation and requests emergency care when necessary.
Takes proper action when blood or product storage refrigerators, freezer, or platelet incubator alarms sound.
Performs and documents quality control and equipment maintenance within predetermined parameters.
Complies with safety and biohazard regulation as outlined in the Laboratory Safety Manual.
Answers telephone calls in a timely and courteous manner. Refer problems or issues to appropriate individuals.
Maintains work area. Cleans bench tops, donor chairs, and equipment after each spill, and daily at the end of the work shift. Documents as required.
Obtains supplies from storeroom insuring that oldest stock is used first and proper procedures are followed.
Attends laboratory meetings and in-services as required.
Remains current in all procedures. Completes all competency requirements within stated timeframe.
Observes principles of data security and patient confidentiality.
Maintains ethical standards in the performance of testing and in interactions with donors, patients, co-workers, and other health care professionals.
Maintains timely and effective communication with management to ensure that all potential problems or issues are identified.
Performs telephone recruiting of donors when needed.
Other duties as assigned.
Physical and Other Requirements:
Stooping: Bending body downward and forward by bending spine at the waist.
Reaching: Extending hand(s) and arm(s) in any direction.
Mobility: The person in this position needs to occasionally move between work sites and inside the office to access file cabinets, office machinery, etc.
Communicate: Frequently and effectively communicate with others.
PPE: Biohazard laboratory environment that requires use of personal protective equipment in accordance with CDC and OSHA regulations and company policies.
ARUP Policies and Procedures: To conduct self in compliance with all ARUP Policies and Procedures.
Medium Work: Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
Fine Motor Control: Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand as in handling.
Vision: Having close, far, and peripheral visual acuity to perform a variety of tasks such as make general observations of depth and distance.
Color Vision: Perception of and ability to distinguish colors
This position requires you to work variable shifts at different locations (Research Park, Sandy Donor Center, and mobile blood drives.) Due to this varied schedule, we offer a $1.50 shift differential for working hours.