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  • Homecare Homebase Support Representative

    Ambercare 4.1company rating

    Frisco, TX jobs

    The HCHB Support Representative is responsible for handling software support calls and tickets initiated by Addus Home Health, Hospice, and Private Duty, and Personal Care branches. The role will also assist in training during acquisition integration projects as well as testing hot fixes and system upgrades HCHB releases. Must have recent Homecare Homebase Software experience. Schedule: Remote Role / Monday - Friday 8am to 5pm. >> We offer our team the best Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Life Insurance Employee discounts Essential Duties: Managing a service desk (ServiceNow) ticket queue which includes triaging incoming requests, managing escalations to Addus team members, building out new worker login profiles, device buildout, user errors, and assisting branches in clearing claims or preventing ineligible claims. Consult with HCHB's Customer Experience team as needed to provide solutions to HCHB errors. Submit and follow up on HCHB Support Tickets. Assist in project tasks related to new agency acquisitions. Communicate with branches via phone, email, and live chat in a timely fashion to identify and resolve reported issues. Identifying trending issues and providing thorough research and documentation of findings. Effectively provide consultation and education on the appropriate use of all products within the HCHB Suite. Ability to take assigned projects to successful completion. The role may also include training staff during HCHB rollouts, assisting in HCHB quarterly release testing, assist in audit reviews, and develop and conduct training programs to support team members on HCHB applications. Position Requirements & Competencies: High school diploma or GED equivalent, some college preferred. No less than 2 years of recent HCHB software experience. Excellent written and oral communication skills. Excellent customer service skills. Computer proficiency required: including intermediate level knowledge in Microsoft Suite. Ability to analyze and interpret situations to complete tasks or duties assigned. Detail oriented, strong organizational skills. Team players who are passionate about their work and will actively contribute to a positive and collaborative environment. Quick learners with strong problem solving and creative thinking abilities. Driven individuals who remain engaged in their own professional growth. Ability to Travel: Heavy travel (varies and may exceed 50%) is required during acquisition phases. Some travel may be required on weekends or evenings. Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. To apply via text, text 9930 to ************ #ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR We may text you during the hiring process. By proceeding, you give us permission to text you at the mobile number provided. Message and data rates may apply. Message frequency varies. Reply 'Opt Out' at any time if you no longer wish to receive text messages regarding our opportunities. Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index.
    $28k-33k yearly est. 2d ago
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  • Director, Global Issues & Public Affairs - Hybrid

    Texas Children's Hospital 4.7company rating

    Houston, TX jobs

    A leading children's healthcare institution is seeking a Director of Issues Management in hybrid format. This role focuses on shaping and protecting the organization's reputation through strategic leadership across various issues management and external communications. The ideal candidate will have significant experience in navigating high-impact issues and driving public affairs strategies effectively. Candidates should possess a relevant bachelor's degree and at least 12 years in public affairs or related fields. #J-18808-Ljbffr
    $157k-252k yearly est. 3d ago
  • Remote CAD Drafting Supervisor: Substations & Power

    Leidos 4.7company rating

    Houston, TX jobs

    A leading technology company is seeking a CAD Drafting Supervisor in Bethesda, Maryland. The role involves supervising a team of CAD technicians and ensuring the production of accurate drawing packages for utility power delivery projects. Candidates should have experience in AutoCAD and MicroStation, strong leadership abilities, and at least 5 years of relevant experience. Competitive salary and opportunities for professional growth are provided. #J-18808-Ljbffr
    $78k-108k yearly est. 1d ago
  • Senior Communications Consultant

    Health Care Service Corporation 4.1company rating

    Richardson, TX jobs

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** BASIC FUNCTION This position is responsible for developing and executing a variety of communications to meet the needs of multiple audiences through interaction with clients and management at all levels of the corporations. This includes writing, editing, proofing and supervising the production of communications (print, web, email, etc.) for various audiences supporting town halls, other forums and developing targeted enterprise messaging and driving other communications deliverables. NOTE: this role is hybrid/flex and requires in-office visibility three days per week, working from home the other two days. Relocation will not be offered; sponsorship either now or in the future will not be extended. **REQUIRED JOB QUALIFICATIONS** **:** + Bachelor's Degree in Journalism, Public Relations or communications-related field and 7 years of experience in copy development or editing OR 11 years of communications experience. + Leadership skills to mentor staff, handle escalated issues and assist management. + Project management experience and skills to lead projects and handle multiple projects with shifting deadlines simultaneously. + Ability to work well under pressure with short deadlines. + Verbal and written communications skills to interact with clients with confidence, develop an array of communications to various audiences, and influence the decision-making process. + Verbal communications skills to handle sensitive, confidential information and issues with appropriateness and sensitivity while influencing positive outcomes. + Ability to initiate and complete tasks independently. + Strong knowledge of Microsoft Office and Adobe Acrobat. **PREFERRED JOB QUALIFICATIONS** **:** + Bachelor degree in Journalism, Public Relations, Marketing or Communications. + Expert with AP Style journalistic writing guidelines. + On-camera experience. + Experience navigating large organizations NOTE: this role is hybrid/flex and requires in-office visibility three days per week, working from home the other two days. Relocation will not be offered; sponsorship either now or in the future will not be extended. \#LI-TP1 \#LI-hybrid **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $70,600.00 - $149,600.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $70.6k-149.6k yearly 5d ago
  • In Vivo Research Assistant I

    Start Center for Cancer Research 3.4company rating

    San Antonio, TX jobs

    Job Description The START Center for Cancer Research (“START”) is the world's largest early phase site network, fully dedicated to oncology clinical research. Throughout our history, START has provided hope to cancer patients in global community practices by offering access to cutting edge trials throughout the US and Europe. Today, with over 1,300 studies completed, and with research facilities in the United States and in Spain, Portugal, and Ireland, START's mission is to accelerate the development of new anticancer drugs that will improve the quality of life and survival for patients with cancer and lead to its eventual cure. To date, over 43 therapies conducted at START locations have obtained FDA/EMA approval. Incredibly, while Academic Medical Centers (AMCs) conduct 80% of cancer trials, such trials reach only 20% of the patient population - leaving the majority of patients who are treated in community practices and hospitals without access to a clinical trial when their care journey calls for one. START serves the many - by bringing cancer trials to physicians and their patients in community hospitals and practices when hope is needed most. START represents the world's largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. As an example, in San Antonio, where START was founded, START treated the first patient ever with Keytruda - the most effective cancer drug in medical history. We are hiring a motivated In Vivo Research Assistant I. Under direct supervision of the supervisor, this position involves collection of data obtained from industry sponsored and investigator-initiated studies. In addition, this position entails all procedures involved with small animal handling, husbandry, surgery, drug preparation and dosing and other related duties for the START Preclinical Group. Essential Responsibilities Collect internally generated data including small animal body weights and tumor dimensions using mechanical and electronic devices and stores on internal server. Perform day-to-day procedures including but not limited to small animal handling, husbandry, surgery, anesthesia, cell culture, blood and tissue collection and processing, tumor implantation, cell injection, euthanasia, sample processing including cryopreservation, cryofreezing and fixation, sterilization, maintenance and cleaning. These operations may involve multi-tasking, lifting of greater than forty pounds, standing or sitting for long periods of time and repetitive procedures. Prepare, aliquot and properly store vehicles, drugs, media and other laboratory solutions. Administer agents by various routes on various dosing schedules. Attend regular meetings and briefings regarding preclinical studies as required. Assist in animal and laboratory activities as needed. Assist in data preparation and administrative log management as needed. Follow all Standard Operating Procedures (SOPs). Education & Experience High school diploma/GED. Minimum of 1 year of similar experience. Must be familiar with Microsoft Office applications. Attention to detail. Ability to work in a fast-paced team environment. Preferred Education and Experience: Bachelor's degree. Knowledge and training in animal handling and research. Physical and Travel Requirements: Ability to stand for extended periods of time. Ability to perform daily tasks requiring fine motor skills. Ability to utilize full range of motion (reaching, bending, etc.). Ability to lift 40 pounds. Ability to handle understand safety procedures associated with biological, investigational, or hazardous materials, not to exceed BSL2. Ability to work with and understand safety procedures associated with sharps including but not limited to needles, scalpel blades, lancets, etc. Ability to don full Personal Protective Equipment (PPE) on shift, including but not limited to lab coat, gloves, mask, and bouffant. Best-in-Class Benefits and Perks We value our employees' time and efforts. Our commitment to your success is enhanced by a competitive compensation, depending on experience, and an extensive benefits package including: Comprehensive health coverage: Medical, dental, and vision insurance provided Robust retirement planning: 401(k) plan available with employer matching Financial security: Life and disability insurance for added protection Flexible financial options: Health savings and flexible spending accounts offered Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture. More about The START Center for Cancer Research Deeply rooted in community oncology centers globally, The START Center for Cancer Research provides access to specialized preclinical and early-phase clinical trials of novel anti-cancer agents. START clinical trial sites have conducted more than a thousand early-phase clinical trials, including for 43 therapies that were approved by the FDA. START represents the world's largest roster of Principal Investigators (PIs) across its eight clinical trial sites. Committed to accelerating passage from trials to treatments, START delivers hope to patients, families, and physicians around the world. Learn more at STARTresearch.com. Ready to be part of a team changing the future of cancer treatment? Join us in our mission to conquer cancer, one clinical trial at a time. Your expertise and dedication can help us bring hope and healing to patients worldwide. Please submit your application online. We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
    $24k-31k yearly est. 27d ago
  • Patient Access Quality Assurance Coordinator

    Ensemble Health Partners 4.0company rating

    Tyler, TX jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: ***This position is an onsite role, and candidates must be able to work on-site at the hospital.**** The Opportunity: With little supervision, the Patient Access Quality Assurance Specialist will work directly with all levels of Patient Access leadership and the individual Patient Access Specialists and Sr. Patient Access Specialists. They will be responsible for auditing Patient Access calls, accounts, and work queues to ensure compliance and consistency to policy and procedure. They will be responsible for identifying trends and provide reporting for training/coaching purposes to both leadership and associates. In addition to auditing accounts, the auditor will ensure monthly quality scorecards are completed accurately and adhere to department standards and established metrics for quality. This position pays between $17.00 - $18.15/hr based on experience Job Responsibilities: The QA specialist will be responsible for auditing Patient Access calls, accounts, and work queues to ensure compliance and consistency to policy and procedure. They will monitor the quality audit tool and process and ensures accurate record keeping and audit scoring and system documentation. They will be responsible for identifying trends and recommend quality and training needs of the department. The auditor will partner with the leadership team to monitor, record and provide individual performance reporting for training/coaching purposes. They will ensure monthly quality scorecards are completed accurately and adhere to department standards and established metrics for quality. They will be responsible to collaborate with Patient Access leadership to remain updated on any new policy and procedure changes to make necessary changes on all associate scorecards. Continuous research, development and implementation of new quality procedures and programs to ensure cutting edge ideas and efficiencies. They will be expected to provide routine calibrations with the associates to further explain the score. They will be expected to provide ad hoc audits requested by Patient Access leadership, in addition to normal account edits. Experience We Love: • 1 - 3 years of customer service experience Required Qualifications: • High School Diploma/GED Required • CRCR Required within 9 months of hire Other Preferred Knowledge, Skills and Abilities Other 4 year/ Bachelors Degree Minimum Years and Type of Experience: 2 years of Patient Access operations experience Other Knowledge, Skills and Abilities Required: Knowledgeable in Patient Access Services and Patient Access technology, applications, systems, processes. Knowledgeable in all Microsoft Office products, with an emphasis in Excel. Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $17-18.2 hourly Auto-Apply 15d ago
  • Sr Business Consultant (Remote and Temporary)

    Maximus 4.3company rating

    Fort Smith, AR jobs

    Description & Requirements Maximus is looking to fill a Sr Business Analyst position. The Sr Business Consultant position supports CDC initiatives by conducting data-driven evaluations of management and organizational structures to improve operational efficiency, customer experience (CX), and overall service quality. Assists in mapping and optimizing the customer journey using quantitative and qualitative insights to identify pain points and opportunities for improvement. Collects, verifies, and analyzes performance and survey data to uncover trends, measure customer satisfaction, and recommend actionable improvements that enhance service delivery and streamline processes. - Position is remote and temporary through August 31, 2026 - Must be available to work the occasional weekend or holiday depending on business needs - Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST -You will need to provide your own computer equipment during training. Maximus will provide computer equipment once training is completed. Please Note: This position requires a personal computer or laptop during training period(Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3 Essential Duties and Responsibilities: - Apply business process improvement practices to re-engineer methodologies/principles and business process modernization projects. - Assist in the application of activity and data modeling, transaction flow analysis, internal control and risk analysis, modern business methods, and performance measurement techniques. - Assist in establishing standards for information systems procedures. - Develop solutions to a variety of complex problems. - Develop and apply organization-wide information models for use in designing and building integrated shared software and database management systems and data warehouses. - Follow Information Management guiding principles, cost savings, and open system architecture objectives. Responsibilities: - Data Analysis & Insights: Collects and validates operational, performance, and customer satisfaction survey data; performs trend analysis and develops metrics to measure efficiency and CX outcomes. - Customer Journey & CX Optimization: Maps end-to-end customer interactions; identifies friction points and designs solutions to improve engagement and satisfaction. - Survey Analysis: Analyzes customer feedback and survey results to identify drivers of satisfaction and areas for improvement; translates insights into actionable strategies. - Process Improvement: Applies data-driven methodologies (e.g., Lean, Six Sigma principles) to redesign workflows, reduce bottlenecks, and improve turnaround times. - Reporting & Visualization: Develops dashboards, models, and reports to communicate findings; prepares presentations for leadership and stakeholders. - Facilitation & Collaboration: Leads working groups and stakeholder sessions to align on improvement strategies; ensures recommendations are actionable and measurable. - Continuous Improvement: Monitors implemented changes for impact; iterates based on performance data, survey feedback, and evolving CDC objectives. This position requires the use of your own personal computer or laptop during the training period (tablets, iPads, and Chromebooks are not permitted). Once training is complete, the program will provide the required equipment. Maximus will provide computer equipment once training is completed. Home Office Requirements: - Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to ****************** - Minimum 5mpbs upload speed - Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router - Personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3) - Private and secure work area and adequate power source - Must currently and permanently reside in the Continental US Minimum Requirements - Bachelor's degree in related field. - 5-7 years of relevant professional experience required. - Equivalent combination of education and experience considered in lieu of degree. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 120,000.00 Maximum Salary $ 130,000.00
    $69k-89k yearly est. Easy Apply 6d ago
  • Locum to Perm - Associate Medical Director - OB/GYN Dallas, TX

    Viemed Healthcare Staffing 3.8company rating

    Dallas, TX jobs

    Associate Medical Director (Locum to Perm) - OB/GYN We are seeking a highly qualified and dedicated Associate Medical Director with expertise in Obstetrics and Gynecology to join our team in a leadership capacity. This role offers the opportunity to transition from a locum position to a permanent leadership role within our organization, contributing to the delivery of comprehensive, patient-centered care. Key Responsibilities: Provide clinical oversight for OB/GYN services, including review and approval of prior authorizations, appeals, hospital stays, procedures, and medications to ensure medical necessity and appropriate care. Conduct peer-to-peer consultations to support utilization management decisions. Lead and support utilization management, disease management, and quality improvement initiatives, collaborating closely with senior leadership and participating in the development of evidence-based medical policies, guidelines, and clinical standards. Analyze provider performance through data review, including provider credentialing, site reviews, and medical record audits, to ensure adherence to managed care standards. Collaborate with Pharmacy and other clinical departments to oversee care coordination, especially in managing pharmacy benefits and medication adherence. Support oversight of fraud, waste, and abuse programs from a clinical perspective. Assist in the development, implementation, and monitoring of organizational goals aligned with our mission. Contribute to educational initiatives for members and providers, evaluating and enhancing health promotion programs. Represent the organization in clinical matters with regulatory and professional bodies, including the Texas Department of Insurance, Texas Health and Human Services Commission, and related associations. Participate in process improvement activities, workflow optimizations, and clinical programs to enhance efficiency and quality. Serve on or chair clinical and managed care committees, fostering collaborative efforts across the organization and the community. Qualifications: Board Certification in Obstetrics and Gynecology (certification must be current; re-certification required if lapsed). Valid medical license with a clean malpractice history. Extensive experience in OB/GYN clinical practice, ideally with prior leadership roles. Demonstrated knowledge of managed care principles, Medicaid regulations, and healthcare compliance. Strong leadership, organizational, and communication skills, capable of working effectively with diverse teams and stakeholders. Proficiency in data analysis, quality improvement techniques, and clinical standards development. Experience with pharmacy benefits, behavioral health integration, and population health management is preferred. Ability to interpret and apply federal and state healthcare regulations accurately. Computer literacy and familiarity with healthcare management software. Commitment to patient-centered care and ethical practice. Work Environment & Career Growth: This role is initially fully remote during the locum period, with a transition to a hybrid model upon permanent appointment. Candidates will have ongoing opportunities for professional development, participation in strategic initiatives, and the potential for leadership advancement within our organization. Additional Information: This position is not open to 1099 or visa candidates. Candidates must have active, unrestricted medical licenses and board certification. Commitment to ethical standards and professional integrity is required. To Apply: If you meet the qualifications and are interested in a leadership role focused on quality patient care and organizational excellence, we invite you to submit your application. Note: This position involves significant leadership responsibilities and requires a commitment to advancing healthcare delivery standards within our organization and community.
    $155k-232k yearly est. 49d ago
  • Technical Account Manager

    Cardinal Health 4.4company rating

    Little Rock, AR jobs

    Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Job Description** As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used. **Position Summary** Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients. **Role contribution and responsibilities:** + Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs + Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes. + Monitors performance and recommends scope, schedule, cost or resource adjustments + Connects short-term demands to long-term implications, in alignment with the supporting business case. + Prioritizes multiple tasks while meeting deadlines + Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion. + Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success. + Connects project objectives to broader organizational goals. + Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility. + Negotiates with stakeholders to obtain the resources necessary for successful project execution. + Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making. + High level of client contact in an Account Management portfolio approach. **What is expected of you and others at this level** + Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects + Participates in the development of policies and procedures to achieve specific goals + Recommends new practices, processes, metrics, or models + Works on or may lead complex projects of large scope + Projects may have significant and long-term impact + Provides solutions which may set precedent + Independently determines method for completion of new projects + Receives guidance on overall project objectives + Acts as a mentor to less experienced colleagues + Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships **Accountabilities in this role** + Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services + Acts as single technical liaison for the client + Daily interactions with client to assess and advise client needs and requests + Analyze client program, needs and propose solutions and options that provide value to client + Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements. + Manage client deliverables, timelines, and artifacts + Monitor team backlog and prioritize activities to deliver on time, on budget, on scope + Anticipate client needs and proactively make program recommendations to enhance service value + Perform necessary project administration, project status, and risk, issue management _Qualifications_ + Master's Degree preferred + 3-5 years' experience of client relationship management experience at the account management level preferred + Prior experience working in a Specialty Pharmaceutical HUB environment, preferred + 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred + Proficiency in Microsoft Office products preferred + Strong oral and written communication skills, with executive facing presentation experience + Strong project management skills + Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects + Travel requirement up to 10% TRAINING AND WORK SCHEDULES: + Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. + This position is full-time (40 hours/week). + Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. REMOTE DETAILS: + You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. + We will provide you with the computer, technology and equipment needed to successfully perform your job. + You will be responsible for providing high-speed internet. + Internet requirements include the following: + Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated salary range:** $105,100-$150,100 **Bonus eligible:** Yes **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 03/15/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $105.1k-150.1k yearly 5d ago
  • Analyst - Corporate Strategy

    Fresenius Medical Care 3.2company rating

    Dallas, TX jobs

    PURPOSE AND SCOPE: The Analyst, Corporate Strategy will focus on complex problem solving and growth opportunities in the core and adjacent markets. The role requires, excellent problem solving skills, knowledge of Strategy discipline, good business acumen, and the ability to lead cross-functional teams in a matrixed organization. Specifically, key responsibilities will include: conducting strategic analyses and developing business plans for various product and service lines, facilitating integration of these plans into strategic planning process and leading cross functional teams in problem solving of complex and high-impact issues. PRINCIPAL DUTIES AND RESPONSIBILITIES: * As a highly skilled specialist, contributes to the development of concepts and techniques. * Completes complex tasks in creative and effective ways. * Consistently works on complex assignments requiring independent action and a high degree of initiative to resolve issues. * Makes recommendations for new procedures. * Involved with planning, preparation and final execution of communications. * Often acts as a facilitator and team leader. * Research industry trends and conduct strategic analyses. * Lead nimble cross-functional teams to explore, evaluate, and analyze ideas. * Translate ideas into opportunities worthy of investment. * Develop business/strategic plans in partnership with executive team. * Present business plans to Sr. Executives. * Facilitate the process for prioritization and selection of new opportunities for investment. * Source ideas from a variety of internal (i.e. employees) and external (i.e. industry analysts, market scans) sources. * Assist with developing longer term transformational strategy to pursue new opportunities and address changes in healthcare market. * Raise the level of strategy skills across the organization by advising leaders and sharing appropriate best practices, tools and frameworks. * Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations. * Assist with various projects as assigned by direct supervisor. * Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: * The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functio EDUCATION: Bachelor's Degree required EXPERIENCE AND REQUIRED SKILLS: * 5 - 8 years' related experience; or a Master's degree with 3 years' experience; or a PhD without experience; or equivalent directly related work experience. * Experience in Management Consulting, Investment Banking, or Private Equity industries. * Quantitative skillset in market analysis & scenario modeling, development of business plans. * 6+ years' Healthcare industry experience is strongly preferred. * Experience and track record of success in identifying opportunities that have quantifiable and measurable success in business value creation within a mature market. * Strong inductive thinking ability - the ability "connect the dots" and to identify and recognize growth opportunities that are beyond the surface. * Structured deductive thinking- the ability to frame an ambiguous problem/opportunity in a logical and well-structured way. * The ability to identify the most important and consequential component of a problem and where there is value on important issues. * Related to the above, the right candidate will have a strong intuition and appreciation of what it takes to practically implement an opportunity given a set of organizational constraints. * Demonstrated ability to structure and lead projects with cross-functional teams, leveraging cross-functional expertise while exercising influence without formal power. * Ability to communicate to Execs with presence, passion and credibility. If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (smartsheet.com) EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws. Position location: You will be able to work remotely from your home location in the United States
    $56k-91k yearly est. 9d ago
  • Medical Invoicing Specialist

    Principle Health Systems 3.7company rating

    Houston, TX jobs

    Job Title: Invoicing Specialist Job Type: Full-Time, Hybrid Schedule Reports To: A/R Manager Pay: $19.00 - $20.00 per hour. Benefits: Full-time employees are eligible for competitive benefits, including health/vision/dental, 3 weeks PTO, 9 paid holidays, and a matching 401k plan. Schedule: Monday - Friday, 8:00 AM to 5:00 PM. Ability to WFH Mondays and Fridays after 90-day probationary period. Job Summary: Principle Health Systems is on the hunt for a detail-savvy, invoice-wrangling guru to join our team as an invoicing specialist. Your mission (should you choose to accept it): Tame the data monster: Navigate through mountains of data like a pro, organizing, analyzing, and mastering data sets. Invoice with Flair: Ensure every invoice is accurate, timed to perfection, and compliant, because precision + speed = 💰 efficiency! Champion the AR Cycle: You'll play a vital role in making sure payments flow smoothly, keeping cash flow fabulous for everyone. Detail Detective: You catch tiny inconsistencies before anyone else sees them (your eagle eye keeps us on point). A “BIG picture” visionary: You're someone who steps back to see how invoicing fits into the greater business narrative: anticipating trends, suggesting smarter workflows, and always thinking about the “why” beyond line items. Why you will love it here: We are a mission-driven company where we put people over profits. Patients are 100% our purpose! Love spreadsheets? You'll get a front row seat to organized chaos (your everyday playground). Your work fuels our business! Each clean invoice helps the company thrive, so your impact will be felt everywhere. Every day is a new challenge, every entry a new clue. You're the Sherlock Holmes of Skilled Nursing Facility (AKA: SNF) invoicing. You will work alongside a small team that appreciates your expertise and celebrates your victories. Who you basically are: A detail-obsessed spreadsheet nerd (in the best way). A finance-savvy individual with SNF or healthcare invoicing experience. A cross-checking marvel who knows how to catch, reflect, and correct. A master of efficiency (your organizational skills are next level). Feeling called to transform SNF billing into a smooth, well-oiled machine? If organizing data and crafting precision perfect invoices lights you up, we can't wait to meet you! Key Responsibilities: Census retrieval and some interpretation. Ad hoc reporting from LIMS (Laboratory Information Management System) to retrieve raw data and build reports. Prepare and upload CSV and Standard Driver sheets into LIMS and RCM software. Prepare and submit invoices for diagnostic services to skilled nursing facilities (SNF) and other contracted clients according to contract terms. Collaborate with internal team members and SNF administrators, admissions teams, and finance staff to resolve billing discrepancies. Assist in month-end closing activities, including invoice reconciliation and AR reporting. Identify and implement process improvements for invoicing efficiency and accuracy. Manage shared email inbox. Other duties as assigned by management. Qualifications: Proficiency in Microsoft Excel (intermediate to advanced) and Outlook. Excellent attention to detail and problem-solving skills. Ability to meet deadlines, demonstrate urgency, prioritize tasks, and work both independently and collaboratively. Strong verbal and written communication skills. Preferred Qualifications: Knowledge of HIPAA and healthcare compliance standards. Experience working with multi-facility organizations or third-party billing companies. 2+ years billing/invoicing experience, preferably in a Skilled Nursing Facility, long-term care, or healthcare setting. 1+ years working in a LIS or LIMS. (Laboratory Information System) Familiarity with applicable Skilled nursing facility (SNF) billing systems (e.g., PointClickCare, MatrixCare, Netsmart, or similar). Bachelor's degree. We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact ***********************. Monday-Friday 8:00am-5:00pm; 1 Sunday a month for month-end support Ability to work from home after 90 days on Monday & Friday Works within the company's corporate office
    $19-20 hourly Auto-Apply 8d ago
  • Manager, Document Control (Hybrid Opportunity)

    Quest Diagnostics Incorporated 4.4company rating

    Lewisville, TX jobs

    The Manager, Document Control will report to the quality management organization, and lead the development, management, and execution of document control programs in support of the QA/RA function. This position is responsible for managing and maintaining Quest's documents and document control system, including document creation, revision control, approval, publication, retrieval, distribution, and archive of all documents within Quest's quality management system. This is a hybrid position and requires 3 days on site at a major Quest Diagnostics sites. Sites include Lewisville, TX, Marlborough, MA, Clifton, NJ, Lenexa, KS, Houston, TX, Pittsburgh, PA, Tampa, FL, and Wood Dale, IL. Responsibilities: Document Management * Maintain and oversee all quality documents and records to ensure accuracy, completeness, and compliance with applicable regulatory/standard requirements and established company procedures/policies/systems. * Receive policy/process changes from multiple sources (e.g. Regulatory, Quality, Product, R&D, etc.) and apply appropriate update actions * Manage and maintain the full lifecycle of all controlled documents in the quality management system (QMS) and electronic quality management system (eQMS). * Oversee the creation of new documents, ensure proper formatting, version control, and approval processes are followed. * Create, maintain, and revise document templates. Document Distribution, Retrieval, and Compliance * Distribute documents to relevant stakeholders and manage requests for document retrieval. * Ensure all documents are compliant with company policy, regulation requirements, and standards. * Maintain hard copy records in accordance with Quest's retention policy. Training and Support * Provide training to employees on document control procedures and best practices. * Partner with cross-functional areas to support timely periodic review, gather document requirements, facilitate document updates, assignment of training documents, and resolve document-related issues. * Maintain and implement improvements to the document control and record retention program. * Drive execution change control activities related to document and training. * Drive generation of documents, quality records in support of internal and external audits activities. * Drive generation and preparation of documentation, records, and other artifacts in support of regulatory submissions. Qualifications: Required Work Experience: * 5+ years of experience in document control in the medical device and/or IVD industry. * Previous experience with implementing, maintaining, and/or managing electronic quality management systems (e.g., SmartSolve, MediaLab, Veeva, etc.) in a regulated environment. * Experience applying Medical device regulations (e.g. FDA 21 CFR Part 803, 21 CFR Part 806, 21 CFR Part 820, ISO 13485, ISO 14971, ISO 15189, IVDR, CAP, and CLIA). Preferred Work Experience: * Technical writing * ASQ or medical device related certification Physical and Mental Requirements: * Strong attention to detail for thorough documentation to ensure consistency in documentation. * Excellent problem-solving skills to identify and address quality issues effectively. * Ability to work under pressure and meet deadlines, while maintaining accuracy. Knowledge: * Broad-based technical knowledge and skills in diverse areas of business such as quality engineering, quality assurance, quality systems, regulatory affairs, laboratory operations, GCP, and GMP operations. * Strong working knowledge of applicable regulations, such as but not limited to, the medical device regulations: FDA 21 CFR Part 820 Quality Systems Regulations/new Quality Management System Regulation and ISO 13485 standards. Preferred: ISO 14971, ISO 15189, IVDR, CAP, CLIA, and NYSDOH requirements. Skills: * Ability to manage large volumes of documents systematically and efficiently. * Demonstrated strong analytical thinking skills and attention-to-detail. * Strong communication and effective interpersonal skills to collaborate with various departments and stakeholders. * Ability to clearly communicate, both verbal and written, with all levels of organization. * Must be able to work/support multiple projects simultaneously and demonstrate organizational, prioritization, and time management proficiencies. * Proficient technical writing and document management tools (e.g., Microsoft Word, Microsoft Visio, Microsoft Excel, and Adobe) and with quality systems. * Ability to work independently and collaboratively with cross-functional departments in a fast-paced environment with minimal supervision. * Proficient in document management systems. 42078 Quest Diagnostics honors our service members and encourages veterans to apply. While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.
    $74k-103k yearly est. 14d ago
  • District Manager

    Biote Corp 4.4company rating

    Little Rock, AR jobs

    Biote Medical is the world leader in hormone optimization and we are adding to our team! We partner with providers to take a complete approach to healthier aging through patient-specific bioidentical hormone replacement therapy and the only nutraceutical line created specifically to support hormone health. This position will help support our Little Rock territory. We're looking for someone with a passion for changing healthcare who wants to be in a hands-on and engaged position working within a dynamic and collaborative sales team. You must be located in the Little Rock area to be considered. Position and Scope: We are looking for a driven candidate with the desire to recruit qualified physicians and practitioners into a partnership relationship with Biote; in order to provide cutting edge technology for bioidentical hormone replacement therapy (BHRT) and healthy aging options to their own patients and to the public at large. The ideal candidate is responsible for relationship development, practice development and sales of the Biote Method to practitioners. Sales activity includes prospecting, cold calling, practice development, tradeshows, sales events, and other methods for creating leads and closing sales for Biote within the approved price matrix. In addition, the Liaison provides technical, educational, and Provider Partner support. This is a field-based remote position. As a District Manager, your daily responsibilities will include: * Acquiring and retaining extensive knowledge of hormone replacement therapy through materials provided by Biote, as well as outside sources. * Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time. * Ability to read and understand medical and scientific studies. * Researching and evaluating physicians in assigned areas based on Biote's criteria for appropriateness and suitability. * Effectively presenting Biote's training and business program to physicians, Nurse Practitioners, Physician Assistants, office managers and office staff. * Recruiting suitable physicians and other practitioners through professional and effective prospecting, appointment setting and presentation skills. * Cultivating and maintaining mutually productive partnerships with practitioners to grow new and current practices and maintain patient retention levels of 60% or better. * Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time. * Securing all required contracts, paperwork and documentation as well as payments and fees as needed for attendees to participate in regular training and certification classes. * Conducting and facilitating patient educational seminars as needed for trained practitioners on a monthly basis. * Contributing to the development of the practice by assisting the Office Manager/Marketing position with email marketing, social media, referral cards and website information cards. * Prospecting for new leads and identifying quality sales prospects from active leads. * Attending marketing and sales events for prospects and current customers. * Working with customers for sales referrals with new prospects. * Updating all relevant sales activities in the Company's CRM system. * Closing sales accurately and effectively each month to meet or exceed targets. * Responding to all emails received from the customer and Biote employees and related vendors in a timely manner. * Performing other related duties as required or requested. As a District Manager, your background should include: * Bachelor's degree * Strong teamwork, communication (written and oral), client management, and interpersonal skills. * Minimum of 3-5 years of sales experience in a business-to-business model, preferably medical device, diagnostics, and/or biotech. * Strong work ethic and time management skills * Ability to make effective and persuasive communications and technical presentations to physicians, management and/or large groups. Ability to thoroughly understand and communicate the attributes and qualities of Company products using professional selling and closing skills. * Proficient in Microsoft Office suite and customer relationship management software. * Ability to travel in order to do business, approximately 20% of the month. * Scheduled hours are 40 to 50 hours per week Monday through Friday but may be extended as required to execute the tasks assigned. * Valid driver's license issued by the state/province in which the individual resides and a good driving record is required. * Home office capability is required with reliable high-speed internet access Company Perks: * Medical, Dental & Vision Insurance, Virtual Visits/Telemedicine * Company Paid Life and AD&D Insurance * 15 days of Paid Time Off and Company Holidays * 401k with a 3% employer contribution * Motus mileage program * Other excellent health and wellness benefits in line with our business If you're interested in this awesome opportunity, please apply today!
    $53k-98k yearly est. Auto-Apply 60d+ ago
  • Senior Coding Quality Educator - Onsite

    Providence Health & Services 4.2company rating

    Tye, TX jobs

    Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._ Providence is calling a Senior Coding Quality Educator who will: + Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team + Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable + Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams + Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters We welcome 100% remote work for residents in the United States with the exception of the following States: + Colorado + Hawaii + Massachusetts + New York + Ohio + Pennsylvania Essential Functions: + Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams + Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters + Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise + Serve as a resource and subject matter expert for all coding matters + Provide coding support to regional coding teams as needed + Maintain relevant documentation and data as required + Review and update coding guidance annually or as necessary + Maintain document control + Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes + Facilitates education to support Medicare Risk requirements & organization goals + Review relevant patient details from the medical record based on coding and documentation guidelines + Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details + Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff + Assists management in identifying and creating standardized workflows + Reviews EMR templates and identifies areas of improvement for provider documentation + Attends and presents at regional meetings as needed Required qualifications for this position include: + High School Diploma or GED Equivalency + National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire. + 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work + 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding + Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment Preferred qualifications for this position include: + Associate Degree in Health Information Technology or another related field of study + Bachelor's Degree in Health Information Technology or another related field of study + 5+ years of experience in coding for multispecialty practice + 2+ years of experience in professional fee billing methodologies + Experience with IDX, Allscripts, Advanced Web, Meditech + Experience with project management Salary Range by Location: AK: Anchorage: Min: $40.11, Max: $62.27 AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91 California: Humboldt: Min: $40.98, Max: $64.88 California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82 California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91 California: Bakersfield: Min: $40.11, Max: $62.27 Idaho: Min: $35.69, Max: $55.41 Montana: Except Great Falls: Min: $32.29, Max: $50.13 Montana: Great Falls: Min: $30.59, Max: $47.49 New Mexico: Min: $32.29, Max: $50.13 Nevada: Min: $41.81, Max: $64.91 Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05 Oregon: Portland Service Area: Min: $40.11, Max: $62.27 Texas: Min: $30.59, Max: $47.49 Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91 Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27 Washington: Tukwila: Min: $41.81, Max: $64.91 Washington: Eastern: Min: $35.69, Max: $55.41 Washington: South Eastern: Min: $37.39, Max: $58.05 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 411100 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4010 SS PE OPTIM Address: TX Lubbock 3615 19th St Work Location: Covenant Medical Center Workplace Type: On-site Pay Range: $See posting - $See posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
    $40.1 hourly Auto-Apply 5d ago
  • Senior Public Benefit Specialist

    Ensemble Health Partners 4.0company rating

    Tyler, TX jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $20.45 - $22.50/hr. based on experience **This position is located On-Site at Ardent - UT Health Tyler in Tyler, TX** Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program. Assists with application processes to facilitate accurate and appropriate submissions. Follows-up on submitted applications to insure timely billing or adjustment processing. Essential Job Functions: Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions Effectively communicating with the patient to obtain documents that must accompany the application Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting Documenting all relevant actions and communication steps in assigned patient accounting systems Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates. Other job duties as assigned. Employment Qualifications: Minimum years and type of experience: 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues. Other knowledge, skills, and abilities preferred: Understanding of Revenue Cycle including admission, billing, payments and denials. Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification. Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes. Patient Access experience with managed care/insurance and Call Center experience highly preferred. Minimum Education : High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree. Certifications: CRCR within 9 months of hire (Company Paid) Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $20.5-22.5 hourly Auto-Apply 7d ago
  • Collector 2 - Remote

    Baylor Scott & White Health 4.5company rating

    Dallas, TX jobs

    The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. 100% remote position **_The pay range for this position is $16.12/hour (entry level qualifications) - $24.17/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._** **ESSENTIAL FUNCTIONS OF THE ROLE** Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - 2 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $16.1-24.2 hourly 60d+ ago
  • Revenue Integrity Director- Remote

    Conifer Health Solutions 4.7company rating

    Frisco, TX jobs

    The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master (“CDM”) and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel. Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance. Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives. Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc. Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements. Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates. Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions Demonstrated critical-thinking skills with proven ability to make sound decisions Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely Ability to manage multiple projects/initiatives simultaneously, including resourcing Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels Ability to effectively and professionally motivate team members and peers to meet goals Advanced knowledge of external and internal drivers affecting the entire revenue cycle Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree Minimum of five years healthcare-related experience required Extensive experience as Revenue Integrity manager Extensive knowledge of laws and regulations pertaining to healthcare industry required Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear. Must frequently lift and/or move up to 25 pounds Specific vision abilities required by this job include close vision Some travel required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Normal corporate office environment TRAVEL Approximately 10 - 25% Compensation and Benefit Information Compensation Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, life, and business travel insurance Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked. 401k with up to 6% employer match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program, Employee discount program Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
    $104.6k-157k yearly Auto-Apply 60d+ ago
  • IACUC Compliance Specialist - Research, Regulatory, and Compliance - Galveston

    UTMB Health 4.4company rating

    Galveston, TX jobs

    **Galveston, Texas, United States** Research Academic & Clinical UTMB Health Requisition # 2507040 **Minimum Qualifications:** . + Three years of related experience in animal research and/or regulatory compliance. **LICENSES, REGISTRATIONS OR CERTIFICATIONS** Preferred: Certified Professional in IACUC Administration (CPIA) certification. **Preferred Qualifications:** + Master's degree in a field relevant to the position. + Three years of direct experience working in an IACUC office. + Proficiency in computer applications and experience with web-based compliance systems, including familiarity with software (e.g., InfoEd, Microsoft Office Suite). **Job Summary:** Under the general supervision of the Animal Welfare Office (AWO) Director, the IACUC Compliance Specialist works independently with limited supervision to provide comprehensive support to the Institutional Animal Care and Use Committee (IACUC) by coordinating and supporting the review, approval, and ongoing oversight of animal research protocols and related activities. This position ensures that all animal care and use activities related to research and/or teaching conform to UTMB and regulatory requirements. The incumbent serves as a key liaison among investigators, the AWO, the IACUC, and other institutional compliance units to promote humane animal research practices, regulatory compliance, and continuous program improvement. **Job Duties:** + Manages administrative operations of the IACUC and provides direct support to committee members and the Animal Welfare Office (AWO). + Coordinates and prepares IACUC meeting agendas, materials, and correspondence; records discussions, decisions, and prepares detailed minutes and decision letters. + Reviews protocol submissions for completeness and compliance, verifying required training and occupational health and safety enrollment for all research personnel. + Provides guidance and technical assistance to investigators and staff in preparing, submitting, and amending animal use protocols. + Tracks and follows up on pending action items, ensuring timely resolution of IACUC and AWO compliance requirements. + Coordinates semiannual facility inspections, including scheduling, inspection team assignments, report compilation, and follow-up on corrective actions. + Assists with the Post-Approval Monitoring (PAM) program and participates in follow-up reviews to verify completion of corrective actions. + Develops and delivers IACUC-related training and educational materials for faculty, staff, and research personnel. + Collaborates with other institutional compliance units (e.g., Biosafety, EHS, Radiation Safety, Employee Health, Sponsored Programs) to ensure consistent regulatory oversight. + Supports the AWO Director in operational and administrative activities and performs other related duties as assigned. + Marginal or Periodic Functions: (Note: The two items listed below are the most common functions/duties seen in this section.) + Adheres to internal controls and reporting structure. + Performs related duties as required. + Provides backup support for other Animal Welfare Office staff during peak workload periods or absences. **KNOWLEDGE/SKILLS/ABILITIES** + Knowledge of federal regulations and guidelines governing the care and use of animals in research, teaching, and testing (e.g., Animal Welfare Act Regulations, PHS Policy, The Guide). + Ability to work effectively both independently and as part of a team. + Ability to collaborate with individuals at all levels of the organization in a respectful and professional manner. + Strong organizational and time-management skills, with the ability to set priorities and manage multiple tasks effectively. + Excellent verbal and written communication skills. + Exceptional interpersonal skills and attention to details. **WORKING ENVIRONMENT/EQUIPMENT** + Standard office, hospital, clinical, and laboratory environments. + Occasional entry into animal housing and high-containment research facilities. + Use of appropriate personal protective equipment (PPE), as needed. + Must not be allergic to animal dander and must not have immunodeficiency conditions. + Pregnancy may present personnel safety considerations in certain animal research environments. + Potential exposure to radiation, chemicals, and biological agents. + Occasional out-of-town travel to animal welfare-related conferences or other university sites. + This position operates in a hybrid work environment, combining on-site and remote work as appropriate to operational needs. *Official regulatory statement for health care job descriptions: May be exposed to such occupational hazards as communicable diseases, bloodborne pathogens, ionizing and non-ionizing radiation, hazardous medications and disoriented or combative patients or others. **Salary Range:** Actual salary commensurate with experience or range if discussed and approved by hiring authority. **EQUAL EMPLOYMENT OPPORTUNITY:** UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation
    $56k-82k yearly est. 36d ago
  • Consumer Services Representative

    Ocean Dental 3.3company rating

    Edmond, OK jobs

    We are seeking a customer-focused and detail-oriented Consumer Services Representative to join our team in a fully remote capacity. The ideal candidate will be responsible for assisting customers with inquiries, resolving issues, providing product or service information, and ensuring a positive customer experience across multiple communication channels. Key Responsibilities Respond to customer inquiries via phone, email, chat, or messaging platform. Provide accurate information about products, services, policies, and procedures. Resolve customer issues efficiently while maintaining professionalism and empathy. Document all customer interactions in the CRM system. Process orders, returns, refunds, and account updates as needed. Escalate complex issues to the appropriate department or supervisor. Meet performance metrics such as response time, customer satisfaction, and quality standards. Stay informed about product updates, feature changes, and company policies. Contribute to a positive team environment and suggest process improvements. Qualifications High school diploma or equivalent (Associates or Bachelors degree a plus). Prior customer service experience preferred (call center, retail, hospitality, or similar). Strong written and verbal communication skills. Ability to work independently in a remote environment with minimal supervision. Comfortable using customer support software, CRM systems, and communication tools. Strong problem-solving and multitasking abilities. Reliable high-speed internet and a quiet workspace. Key Skills Customer service & communication Active listening Conflict resolution Multitasking & time management Tech-savviness Attention to detail Empathy & patience Work Environment 100% remote position Flexible or set schedule depending on role Requires consistent internet connection and adequate home office setup Benefits (Optional Section) Health, dental, and vision insurance Paid time off & holidays Retirement savings plan Performance bonuses Remote work stipend Preferred qualifications: Legally authorized to work in the United States 18 years or older
    $24k-28k yearly est. 43d ago
  • (Non-Remote) Revenue Cycle Manager

    Asian American Health Coalition 4.0company rating

    Houston, TX jobs

    Full-time Description Revenue Cycle Manager REPORTS TO: Chief Financial Officer EDUCATION: Bachelor's degree from four-year college or university, and/ or 5-7 years of experience in lieu of WORK EXPERIENCE: One to two years supervisor experience and/or training; and FQHC experience a plus! SALARY RANGE: DOE FLSA STATUS: Exempt POSITION TYPE: Full-Time LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is preferred HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. **This is not a fully remote position** JOB SUMMARY: As the Revenue Cycle Manager for HOPE Clinic, you focus on partnering with our patients to clearly understand their institutional goals, challenges, organizational structure, and key business drivers. The role of the Revenue Cycle Manager oversees the Billing and Insurance Verification team's daily activities and follows up with teams to drive the overall performance and daily management of multiple assigned providers' schedules. The Revenue Cycle Manager serves as a liaison between the Billing and Insurance Verification team and other HOPE Clinic departments and the patients. MAJOR DUTIES & RESPONSIBILITIES: Manage overall medical billing operations such as ensuring effective flow of demographic changes and payment information, claims accuracy and timely submission, and account reconciliations; Oversee aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements; Track fee schedules and insurance denials to ensure fully allowed reimbursements; Identify and implement strategies to improve internal and patient billing processes; Incorporate and execute quality assurance processes related to ensuring accurate patient billing activities; Review and analyze patient accounts, identify trends and issues, and recommend solutions; Collaborate with other team members to improve/maintain an overall positive work environment for the team; Provide a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues; Collaborate with the front desk, call center, and other departments as needed to resolve any billing/payor issues; Research, compile the necessary documentation, and complete appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary; Prepare, review, and transmit claims using billing software to include electronic and paper claim processing both primary claims and secondary claims; Follow up on unpaid claims within the standard billing cycle timeframe; Collaborate with the billing team when necessary to make coding changes to submit corrected claims or appeals; Stay current with payer trends as to how to submit corrected claims and the payer-specific appeal processes; Analyze root causes of denials; trends and issues: propose solutions and work with the management team to determine the appropriate action to resolve; Identify areas of concern regarding the various areas of the revenue cycle; Share trending and feedback to reduce denials to the CFO and/or Credentialing Coordinator; Hospital billing - identify charges that are billed for hospital visits, update spreadsheets and reports for documentation, and create claims to be billed; Apply insurance and patient payments to the Practice Management system, utilizing ERAs and manual application; Reconcile payments applied to the system to cash received; Answer patient's estimate of benefits or statements, telephone inquiries verifying insurance and benefits within the practice management system; Attend on-site/off-site community engagement activities, clinic events, and/or training as needed; Perform other duties as assigned to support HOPE Clinic's Mission, Vision, and Values. Requirements QUALIFICATION REQUIREMENTS: 5-7 years of experience with revenue cycles, medical billing, collections, and payment posting; Understand regulatory and compliance requirements associated with submitting claims to payers; Experience with Electronic Medical Records (EMR); Strong communication and interpersonal skills; Expertise with medical and billing terminology; Excellent organization and time management skills; Proficiency in computers, particularly Word and Excel. EDUCATION and/or EXPERIENCE: Bachelor's degree from four-year college or university (desired); Or 5-7 years related experience and/or training; or equivalent combination of education and experience; 1-2 years of supervisory experience; Knowledge of medical billing, front-office, physician practice management, and healthcare business processes; Strong understanding of medical billing/coding, with an understanding of various insurance carriers, including Medicare, private HMOs, and PPOs; Previous FQHC (Federally Qualified Health Center) RCM experience. OTHER SKILLS and ABILITIES: Bilingual (Vietnamese, Chinese, Arabic, and/or Spanish with English) is preferred. Above average skills in language ability as well as public speaking and writing. Must have good transportation and a valid Texas Driver's license. Salary Description DOE
    $72k-101k yearly est. 60d+ ago

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