Patient Account Coordinator jobs at Peachtree Orthopedics - 354 jobs
Payment Poster
Peachtree Orthopedics 4.2
Patient account coordinator job at Peachtree Orthopedics
Job DescriptionJoin Our Team at Peachtree Orthopedics and Help Others "Get Better"At Peachtree Orthopedics, we're on a mission to make a difference in healthcare, and we're looking for dedicated individuals to join our team. With nine convenient offices across Greater Atlanta, we're committed to providing top-notch care and your skills and passion can make a real impact. We're not the largest practice in Atlanta, but we take pride in delivering dedicated and compassionate care to everyone who walks through our doors. If you're ready to be part of a team that values your contribution and offers room for growth, consider joining us in our mission to help others "Get Better."Our CulturePeachtree Orthopedics has a rich history of 70 years in business and has earned recognition as a Top Workplace by the Atlanta Journal Constitution for 6 consecutive years. We take pride in our family-oriented, dedicated, passionate, and hardworking culture. When you join our team, you become a part of a community that values excellence in healthcare while working in a supportive and nurturing environment.Why Choose Peachtree Orthopedics?At Peachtree Orthopedics, we offer more than a job; we offer an opportunity to be part of something extraordinary:
Limitless Growth: Propel your career with abundant professional development opportunities within our dynamic organization.
Empathetic Culture: Immerse yourself in a supportive, lively work culture that values your well-being and celebrates your contributions.
Dedication to Excellence: Join a team of like-minded individuals who share your commitment to delivering top-notch care to our cherished patients.
Your Impactful Role
Ensures all cash is posted to the accounts receivable and balanced to cash received.
Will receive daily deposit of insurance checks, and forward to appropriate parties for information.
Will be responsible for ensuring that lockbox is opened, sorted and uploaded to EMR in a timely manner.
Prepares notice and request detail backup for any items that can't be posted.
Prepares necessary adjusting entries for reimbursement variances, ensuring appropriate records are maintained for cost reporting.
Researches any cash application problems and takes the appropriate corrective action. assuring data is accurate and submitted in accordance with processing deadlines.
Post all payments and write-offs to the appropriate accounts, maintaining the highest of quality for each transaction processed.
Contact insurance companies on questionable or missing EOB's.
Verify the payment received is paid per the specific payer contract.
Ensures the posting of payments are done in a 48 hour turnaround time.
Competencies
Analytical - Collects and researches data; uses intuition and experience to complement data.
Continuous Learning - Seeks feedback to improve performance; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others.
Job Knowledge - Competent in required job skills and knowledge; displays understanding of how job relates to others; uses resources effectively.
Use of Technology - Demonstrates required skills; adapts to new technologies; troubleshoots technological problems; uses technology to increase productivity; keeps technical skills up to date.
Design - Generates creative solutions.
Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations.
Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
Communications - Exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.
Cooperation - Establishes and maintains effective relations; exhibits tact and consideration; offers assistance and support to co-workers; works cooperatively in group situations; works actively to resolve conflicts.
Managing Customer Focus - Promotes customer focus; establishes customer service standards; provides training in customer service delivery; monitors customer satisfaction; develops new approaches to meeting customer needs.
Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions.
Teamwork - Exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests.
Written Communication - Writes clearly and informatively; presents numerical data effectively; able to read and interpret written information.
Conflict Resolution - Encourages open communications; confronts difficult situations; keeps emotions under control; uses negotiation skills to resolve conflicts.
Diversity - Shows respect and sensitivity for cultural differences.
Ethics - Treats people with respect; works with integrity and principles.
Organizational Support - Follows policies and procedures; completes administrative tasks correctly and on time; supports organization's goals and values.
Adaptability - Adapts to changes in the work environment; manages competing demands; changes approach or method to best fit the situation; able to deal with frequent change, delays, or unexpected events.
Achievement Focus - Measures self against standard of excellence; recognizes and acts on opportunities.
Personal Appearance - Dresses appropriately for position; keeps self well groomed.
Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.
Dependability - Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals.; completes tasks on time or notifies appropriate person with an alternate plan.
Initiative - Seeks increased responsibilities; asks for and offers help when needed.
Innovation - Meets challenges with resourcefulness; generates suggestions for improving work; presents ideas and information in a manner that gets others' attention.
Judgment - Displays willingness to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions; makes timely decisions.
Planning/Organizing - Uses time efficiently.
Quality - Demonstrates accuracy and thoroughness; looks for ways to improve and promote quality; applies feedback to improve performance.
Quantity - Meets productivity standards; completes work in timely manner; strives to increase productivity; works quickly.
Safety and Security - Observes safety and security procedures; reports potentially unsafe conditions; uses equipment and materials properly.
Qualifications
High school diploma or general education degree (GED).
Minimum two years in medical office setting. Prior experience in revenue posting, ERA, EFT, VCC, and ACH is a preferred.
Knowledge of ICD-10, CPT, HCPCS and the use of modifiers preferred.
Knowledge of physician billing and/or collections. Typing speed 55 wpm and the ability to use a calculator.
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; use hands to handle or feel; reach with hands and arms; and to talk or hear. The employee is occasionally required to stand, walk; and stoop, kneel, crouch, or crawl. These duties could require the ability to lift files, open file cabinets and bend or stand as necessary. The employee must occasionally lift and/or move up to 30 pounds. The employee will operate a keyboard, calculator, telephone, copy machine, computer and other office equipment as necessary. Specific vision abilities required by this job include close vision. It is necessary to view and type on computer screens for long periods of time and to work in an environment which can be very stressful.
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. The noise level in the work environment is usually moderate. Must be able to deal with aggressive, hostile and sometimes irrational behavior of patients and family members and have the ability to respond to all patients in a calm and professional manner.
Peachtree Orthopedics is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
$40k-46k yearly est. 22d ago
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Dietary- Patient Service Representative
Adventhealth 4.7
Rome, GA jobs
**Our promise to you:**
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
**All the benefits and perks you need for you and your family:**
+ Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
+ Paid Time Off from Day One
+ 403-B Retirement Plan
+ 4 Weeks 100% Paid Parental Leave
+ Career Development
+ Whole Person Well-being Resources
+ Mental Health Resources and Support
+ Pet Benefits
**Schedule:**
Full time
**Shift:**
Day (United States of America)
**Address:**
501 REDMOND RD NW
**City:**
ROME
**State:**
Georgia
**Postal Code:**
30165
**Job Description:**
**Shift** : **Monday-Friday 1-9pm, every other weekend**
+ Ensures confidentiality of employee, patient, and hospital information.
+ Collects accurate data from patients and verifies patient eligibility during pre-registration and registration.
+ Assesses authorization needs to ensure payment from payors.
+ Performs clerical duties for admitting and registering patients. Assist self-pay patients in completing financial questionnaires.
+ Other duties as assigned.
**The expertise and experiences you'll need to succeed:**
**QUALIFICATION REQUIREMENTS:**
High School Grad or Equiv (Required)
**Pay Range:**
$15.43 - $24.68
_This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._
**Category:** Patient Experience
**Organization:** AdventHealth Redmond
**Schedule:** Full time
**Shift:** Day
**Req ID:** 150658796
$15.4-24.7 hourly 5d ago
Dietary- Patient Service Representative
Adventhealth 4.7
Rome, GA jobs
**Our promise to you:**
Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
**All the benefits and perks you need for you and your family:**
+ Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
+ Paid Time Off from Day One
+ 403-B Retirement Plan
+ 4 Weeks 100% Paid Parental Leave
+ Career Development
+ Whole Person Well-being Resources
+ Mental Health Resources and Support
+ Pet Benefits
**Schedule:**
Full time
**Shift:**
Day (United States of America)
**Address:**
501 REDMOND RD NW
**City:**
ROME
**State:**
Georgia
**Postal Code:**
30165
**Job Description:**
**Work** **Schedule:** Two flexible weekdays plus every other weekend (Saturday & Sunday). Hours 6:00 a.m.-8:00 p.m. with a 2:30-3:30 p.m. break.
**Alternative:** 12:00-8:00 p.m., one weekday off, plus every other weekend.
+ Ensures confidentiality of employee, patient, and hospital information.
+ Cross-trains in admitting/emergency room for assistance as needed.
+ Assigns diagnosis codes based on physician orders for various patient types.
+ Reviews and updates assigned reports in timely manner.
+ Collects accurate data from patients and verifies patient eligibility during pre-registration and registration.
**The expertise and experiences you'll need to succeed:**
**QUALIFICATION REQUIREMENTS:**
High School Grad or Equiv (Required)
**Pay Range:**
$15.43 - $24.68
_This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._
**Category:** Patient Experience
**Organization:** AdventHealth Redmond
**Schedule:** Full time
**Shift:** Day
**Req ID:** 150661661
$15.4-24.7 hourly 5d ago
Neurosurgery Procedure Scheduler
Piedmont Healthcare Inc. 4.1
Georgia jobs
A healthcare provider in Bonair is seeking a qualified individual to manage the scheduling of procedures and surgeries. This role involves coordinating appointments and advising patients on pre-operative requirements. A minimum of 3 years of healthcare experience, including one year in a specialty office, is essential. The ideal candidate must possess a high school diploma or GED. This position plays a critical role in ensuring efficient operations within the healthcare system.
#J-18808-Ljbffr
$32k-39k yearly est. 4d ago
Neurosurgery Procedure Scheduler & Care Coordinator
Piedmont Healthcare 4.1
Georgia jobs
A healthcare provider in Georgia is seeking a Scheduling Coordinator. The role involves managing the entire process of scheduling procedures and surgeries, advising patients on pre-operative requirements, and coordinating appointments and supplies at various facilities. The ideal candidate will have at least three years of healthcare experience, including one year in a specialty office or procedure scheduling. A high school diploma or GED is required, and no licenses or certifications are necessary. Competitive benefits and growth opportunities are provided.
#J-18808-Ljbffr
$32k-37k yearly est. 21h ago
Patient Account Representative Senior
Atrium Health 4.7
Macon, GA jobs
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PatientAccount Representative Senior
Macon, GA, United States
Shift: Various
Job Type: Regular
Share: mail
$29k-66k yearly est. Auto-Apply 2d ago
Billing Specialist (Collector)
Acadia Healthcare Inc. 4.0
Valdosta, GA jobs
Responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patientaccounts. Responsible for auditing the admission packets and for the verification of benefits along with all patient demographic information in the patientaccounting system.
* Request and process all bills to third party payors and patients, maximizing re-imbursement of services provided to achieve established hospital goals.
* Responsible for accurate and timely data entry of charges, payments, adjustments and other transactions to patientaccounts as required to include both insurance and patient billing for charges incurred.
* Responsible for timely follow-up to insurance companies on billing submitted in order to allow for an effective and efficient cash flow of hospital receivables.
* Record both A/R and miscellaneous cash.
* Prepare bank deposits and post cash and adjustments to patient records as required.
* Balance A/R and maintain supporting reports as per department policy.
* Retrieve and perform electronic billing to insurance companies in a timely manner.
* Make follow up calls to insurance companies and guarantors as required.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. null
$26k-34k yearly est. 22d ago
Medicaid Biller
Union General Hospital 4.3
Blairsville, GA jobs
PREVIOUS NURSING HOME EXPERIENCE PREFERRED
Will be responsible for using established guidelines, resident data, processing charges and paperwork, reconciling resident accounts, submitting billing and researching denials and payments. Verifies claims to ensure prompt payment. Inputs correct billing information and transmits electronically. Responds to written and verbal communications from residents, personnel, caseworkers and peers.
Strong attention to detail. Makes routine decisions based on detailed guidelines with independent judgment as appropriate. Keeps Administration informed of potential problems or issues that may arise. Must possess excellent verbal and written communication skills. Must be proficient in Microsoft Office (Excel, Word, Outlook, etc.).
Minimum of three years experience with Medicaid/Insurance billing with an emphasis on account resolution. May also assist Business Office Specialist with other duties as needed.
High School diploma required with Associate's degree preferred.
$26k-35k yearly est. Auto-Apply 12d ago
Surgery and Procedure Scheduling Specialist, Surgery Scheduling
Northside Hospital 4.4
Atlanta, GA jobs
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Responsibilities
PRIMARY DUTIES AND RESPONSIBILITIES
Is cross trained to understand scheduling protocols for all operating rooms at all Northside surgical locations, labor and delivery, and GI services.
Is cross trained to understand scheduling protocols for all Northside Hospital surgical facilities pre assessment areas.
Schedules surgical/GI/L&D procedures, staff, and equipment for multiple surgical facilities. Ensures physician's request for equipment and instruments can be granted. Must possess ability to conflict check: equipment, surgeon, OR time history, Procedure appropriateness for facility and room, Ancillary staff (Radiology, Neuro diagnostics, NICU, L&D)
Schedules anesthesia coverage for ancillary areas including radiology and cardiology.
Schedules coordinated procedures with radiology scheduling and the physicians' office.
Resolves all scheduling conflicts and works directly with other ancillary departments and all Northside Hospital surgical facilities to assure easy accessibility for both patient and physician.
Faxes/phones surgeons' offices daily to confirm surgical appointments.
Cross-references surgical procedure with pre assessment appointment. Telephones patients to schedule or confirm pre assessment appointment. Provides patient with information and instructions as appropriate to procedure or appointment.
Acts as a Surgical coordinator to interface with the following areas: Admissions, ER, Patient Floors, All ancillary departments.
Acts as the direct surgical liaison for all office managers and physicians.
Works directly with medical staff office to assure physicians, contract personnel and NPP's have appropriate delineation of privileges.
Prepares, verifies, and distributes surgical and pre assessment schedules to appropriate areas.
Coordinates and verifies the scheduling of contract personnel and services.
Undergoes extensive orientation and ongoing training to stay up to date on surgeons, new procedures, and new technology.
Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Immediately reports any mechanical or electrical equipment malfunctions, unsafe conditions, or employee/patient/visitor injury‑accident to Manager.
ADDITIONAL DUTIES AND RESPONSIBILITIES
Other duties as assigned by supervision.
Qualifications
REQUIRED
Associate's degree in Information Systems, Business Administration, Nursing or related field
OR
Five (5) years previous medical related clerical experience
Demonstrates high level proficiency in the following software packages or equivalent:
Microsoft Office (Word, Excel, PowerPoint, Access)
PREFERRED
Work Hours: 8a-430p Weekend Requirements: No On-Call Requirements: No
$32k-37k yearly est. Auto-Apply 12d ago
Surgery and Procedure Scheduling Specialist, Surgery Scheduling
Northside Hospital 4.4
Sandy Springs, GA jobs
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
PRIMARY DUTIES AND RESPONSIBILITIES
* Is cross trained to understand scheduling protocols for all operating rooms at all Northside surgical locations, labor and delivery, and GI services.
* Is cross trained to understand scheduling protocols for all Northside Hospital surgical facilities pre assessment areas.
* Schedules surgical/GI/L&D procedures, staff, and equipment for multiple surgical facilities. Ensures physician's request for equipment and instruments can be granted. Must possess ability to conflict check: equipment, surgeon, OR time history, Procedure appropriateness for facility and room, Ancillary staff (Radiology, Neuro diagnostics, NICU, L&D)
* Schedules anesthesia coverage for ancillary areas including radiology and cardiology.
* Schedules coordinated procedures with radiology scheduling and the physicians' office.
* Resolves all scheduling conflicts and works directly with other ancillary departments and all Northside Hospital surgical facilities to assure easy accessibility for both patient and physician.
* Faxes/phones surgeons' offices daily to confirm surgical appointments.
* Cross-references surgical procedure with pre assessment appointment. Telephones patients to schedule or confirm pre assessment appointment. Provides patient with information and instructions as appropriate to procedure or appointment.
* Acts as a Surgical coordinator to interface with the following areas: Admissions, ER, Patient Floors, All ancillary departments.
* Acts as the direct surgical liaison for all office managers and physicians.
* Works directly with medical staff office to assure physicians, contract personnel and NPP's have appropriate delineation of privileges.
* Prepares, verifies, and distributes surgical and pre assessment schedules to appropriate areas.
* Coordinates and verifies the scheduling of contract personnel and services.
* Undergoes extensive orientation and ongoing training to stay up to date on surgeons, new procedures, and new technology.
* Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Immediately reports any mechanical or electrical equipment malfunctions, unsafe conditions, or employee/patient/visitor injury‑accident to Manager.
ADDITIONAL DUTIES AND RESPONSIBILITIES
* Other duties as assigned by supervision.
REQUIRED
* Associate's degree in Information Systems, Business Administration, Nursing or related field OR Five (5) years previous medical related clerical experience
* Demonstrates high level proficiency in the following software packages or equivalent:
Microsoft Office (Word, Excel, PowerPoint, Access)
PREFERRED
$32k-37k yearly est. 10d ago
Specialist, Surgery Scheduling
Kaiser Permanente 4.7
Atlanta, GA jobs
Under indirect supervision, schedules patients for surgery according to the type of surgery (urgent or routine) and the access standards and directive of scheduling provided. The Surgery Scheduling Coordinator ensures that the surgical encounter (outpatient vs. inpatient) is coordinated properly & is scheduled accurately and efficiently. Responsible for providing the highest quality customer service to our members, TSPMG practitioners, external practitioners, and external surgical sites through coordination of multidisciplinary facets of care, both internal and external. Responsible for the management and coordination of surgical schedules, cross-specialty schedules and availability of appropriate equipment and supplies for surgical cases. Acts as a liaison and coordinates information flow between the Specialist, PCP and Hospitalists. Responsible for data processing, diagnostic reporting, clinical information gathering, verification of coverage, QRM authorization, and completion of all other pre-operative requirements to include obtaining authorization from outside insurers for Medicaid patients using their independent authorization system. Responsible to manage incoming calls, data ques and other reporting tools to update, cancel and reschedule patients for surgery.
Essential Responsibilities:
+ Arranges for special needs as ordered by the physician on the surgery scheduling form (ex. equipment, techs, assists, etc).
+ Arranges case priority according to established guidelines for each O.R. block (example: M.D. assist cases, children and elderly, general anesthesia, and other cases.
+ Receives cancellations from patients and physicians. Cancels all preoperative appointments. Follows the cancellation procedure for notifying physicians and appropriate departments.
+ Schedules cases to fill cancellations for maximum utilization of surgery block.
+ Contacts physicians, appropriate departments and outside hospitals or surgery centers who perform surgery to obtain and provide all pertinent information regarding scheduling of operations.
+ Schedules patients for all pre-operative appointments (including Cardiology and Pulmonology clearance, pre-op education class etc.
+ Negotiates surgery date and all prescribed appointments with patients so that these are accomplished within appropriate time frames. Gives patients special dietary instructions and preparations for tests.
+ Mails and/or emails confirmation letter and instructions to patients in a timely manner.
+ Contacts patients who no show for surgery and reschedules these appointments.
+ Provides daily log of encounters worked.
+ Schedules inpatient and outpatient surgical procedures.
+ Uses judgment, experience, and insight to ensure that surgical cases are scheduled according to best practice standards, achieving the best possible outcome for the member. To achieve success in posting a case, must consider all aspects affecting the case i.e., surgeons time constraints and availability, surgical suite availability at multiple surgical sites, and coordination of ancillary services that may be indicated.
+ Reviews surgical ticket to ensure that the surgical facility and anesthesia screening requirements are met. Must remain knowledgeable with the current anesthesia screening requirements and other written guidelines as they relate to age and existing medical conditions. Communicates the patients needs to the practitioner to ensure compliance.
+ Performs pre-authorization through QRM and other systems required.
+ Coordinates surgical assistance, both TSPMG practitioners, external practitioners, & various surgical assisting groups.
+ Coordinates the availability of special equipment implants, vendor resources and instrumentation for the surgeon in the operating room suite.
+ Coordinates joint cases with various surgical services both internal & external i.e., GYN, Urology, Vascular, Plastic, etc. - Schedules Stereotactic Biopsies, Ultrasound Guided Biopsies, and breast MRIs under the guidance of the Breast Care Coordinator and Breast Center Chief.
+ Schedules sequential appointments for the member both pre and post operatively. Employs judgment and insight to ensure timeliness and coordination of the various appointments as they relate to the surgical encounter. i.e., labs, medical clearance, cardiac clearance, etc.
+ Communicates with patient and coordinates all encounters that are required during the peri-operative period i.e., pre-op office appt., PCP/HCT pre-op testing appointment (either telephone vs. actual visit. Provides procedural instructions per departmental guidelines to include diet restrictions, medication restrictions and directions to the surgery site. Schedules post- operative appointment.
+ Responsible for coordination of films availability at the procedure &/or surgery site, as dictated by the needs of the surgeon or site.
+ Schedules cosmetic surgery patients, after business office has ensured payment.
+ Responsible to ensure that correct coding is in place to achieve correct posting and billing.
+ Documents all member communications in the electronic medical record.
+ Cross trains to various clerical department functions.
+ Answers incoming calls from a que line and fields questions when appropriate to other schedulers to ensure member resolution and scheduling timely
+ Responsible to manage their voicemail daily to respond to return calls and provide appropriate feedback to members related to surgery scheduling questions
+ Receive daily cancellation list and manages cancellations timely removing them from the KP system updating the surgeon and outreaching to member for cancellation reason and reschedule when appropriate.
Basic Qualifications:
Experience
+ Minimum three (3) years of experience for appointment or surgery scheduling or related clinical experience (MA, LPN, Surgical technician).
Education
+ High School Diploma or General Education Development (GED) required.
License, Certification, Registration
+ N/A
Additional Requirements:
+ Demonstrated knowledge of Medical terminology.
+ Knowledge of ICD9/CPT coding.
+ Ability to prioritize responsibilities.
+ Ability to handle multiple tasks simultaneously.
+ Dependability with punctuality & attendance.
+ Ability to build and sustain excellent relationships with members, their families, fellow staff members.
+ Ability to develop and maintain excellent relationship with internal and external customers.
+ Customer service aptitude demonstrated through the Customer Service Assessment.
+ Customer service experience.
+ Clinical background experience.
+ Demonstrates high level of proficiency in the following software packages of equivalent: Microsft Office, OpTime, Epic Possesses.
+ Effective written and verbal communications skills; good interpersonal skills including tact courtesy, and flexibility; ability to function and effectively as a team member.
+ Ability to organize and prioritize work to meet deadlines and schedules using impendent judgment.
Preferred Qualifications:
+ Medical terminology experience preferred.
+ Graduate from formal training program as MA,LPN, or Surgical Technician preferred.
COMPANY: KAISER
TITLE: Specialist, Surgery Scheduling
LOCATION: Atlanta, Georgia
REQNUMBER: 1403629
External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
$40k-47k yearly est. 2d ago
Billing Specialist
Coffee Regional Medical C 4.2
Douglas, GA jobs
Billing Specialist (FT)
The billing specialist performs a wide variety of duties relating to review, analysis, billing, adjusting, finalizing, and filing of all third-party and private insurance company claims.
OVERVIEW
The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own performance is very important. To maximize the benefit of this process, both the manager and the employee participate in the evaluation process.
QUALIFICATIONS
Knowledge, Skills and Abilities
Excellent customer service skills.
Reads and understands the English language.
Ability to think critically and analytically with little or no supervision
Ability to work effectively in situations of high stress and conflict and communicate goals and outcomes.
Ability to process information and prioritize
Possesses exceptional verbal and written communication skills
Possesses independent work habits, is self-reliant and self-directed
Ability to learn, adapt, and change as required by the job functions
Ability to maintain absolute confidentiality of material and information accessed and reviewed
Basic computer literacy
Ability to move freely, reach, bend, and complete light lifting
Ability to use good body mechanics while performing daily job functions and ability to follow specific OSHA guidelines
Ability to maintain attendance to meet standard job practices
Education
High School Graduate or G.E.D. required
Licensure
Experience
One year of healthcare experience desired.
Requires three to six months on-the-job training to become familiar with billing practices and policies.
Interpersonal skills
Essential technical/motor skills
Essential physical requirements
Light: Exert up to 20 lb. of force occasionally and/or up to 10 lb. of force frequently - greater than 75%
Essential mental requirements
Essential sensory requirements
Other
Typing skills may be required.
Computer experience necessary.
Must be able to communicate effectively with others.
Must be able to interpret third-party coverage and institution's charges.
Preferably C.P.A.R. certified, but not required.
Equipment used
OTHER QUALIFICATIONS
Exposure to hazards (body fluid exposure level)
Level III
Age of Patient Populations Served
No patient contact
JOB SPECIFIC DUTIES AND PERFORMANCE STANDARDS
Below are those tasks, duties, and responsibilities that comprise the means of accomplishing the position's purpose and objectives. These are critical or fundamental to the performance of the position. They are the major functions for which the person in the position is held accountable. Following are the essential functions of the position, along with the corresponding performance standards.
Major Tasks, Duties and Responsibilities
Bills electronic and paper claims using the hospital computer systems.
Corrects any errors detected on claim forms prior and post claim filing.
Files adjustment claims based on review of available account detail (late credits, charges, denials, etc.).
Analyzes, computes, and requests adjustments to accounts as needed.
Attends seminars and workshops directly relating to third-party billing procedures as requested by management.
Responds to all telephone inquires to billing in accordance with established procedures.
Ensures that all potential payments are received prior to billing the patient.
Keeps coordinators and/or management updated on workload, denials, and appeals for their payor group
Reviews denied claims for rebilling and no pay claims to ensure that proper payments are received.
Performs rebilling and adjustments required by third-party and private insurance company payments in accordance with timely filing requirements.
Follows up on all unpaid accounts either by phone or mail in accordance with departmental procedure through the use of collector follow up queues and reports.
Reviews patient receivable trial balances for incorrect balances and makes necessary adjustments as provided by Coordinators or Director.
Initiates refund requests in accordance within departmental procedures.
Files secondary claims timely in accordance with payor guidelines and with proper attachments.
Requests and uses reports to work assigned accounts to ensure recovery on aged accounts in a timely manner.
Keeps up to date on payor billing requirements, state and federal regulations.
Understands UB, CPT, and ICD diagnosis codes as the codes relate to billing/claim filing.
Documents payor correspondence, actions taken and inquiries on accounts in notes for tracking/audit purposes.
Ability to produce workable ideas and techniques, willingness to attempt new approaches and perform job duties independently.
Performs duties in an independent manner with minimal direct supervision.
Can solve day to day problems within scope of practice and make decisions in a timely manner.
Offers workable ideas, concepts and techniques to improve productivity.
Willing to attempt new job duties, tasks, etc.
Maintains regulatory requirements including all state, federal and Joint Commission regulations related to Patient Financial Services and, as appropriate, to the facility.
Performs any other task as requested by Supervisor or Management in a willing and positive manner.
$25k-32k yearly est. Auto-Apply 60d+ ago
Billing Specialist
Soma Global 4.1
Decatur, GA jobs
The companies within the Public Safety Brands (Utility, SOMA Global, Kologik Software, and STRAX) are innovative technology leaders, delivering groundbreaking digital systems tailored for frontline professionals who rely on speed, accuracy, easy-to-access data, and transparency in their work. Immerse yourself in our vibrant culture. At Public Safety Brands, we don't just offer jobs; we offer a culture where you can thrive. We foster a purpose-driven environment that values ethical practices and teamwork. Our commitment to transparency and trust-building creates a supportive and inclusive atmosphere for growth and innovation. We wholeheartedly embrace diversity, promoting inclusive harmony. We value work-life balance and celebrate employees' contributions within a recognition-driven culture. Join us at Public Safety Brands for a fulfilling experience where positive impact and collaboration shape a brighter future.
Position Summary
As a Billing Specialist, you will assist in the billing processes. This role is highly collaborative, requiring you to work closely with team members across various departments and external vendors to ensure accurate, timely, and well-maintained invoice processing. Your attention to detail and proactive approach will be critical in maintaining the efficiency and accuracy of our billing operations.
Essential Duties and Responsibilities
The essential functions include, but are not limited to, the following:
Create, review, and send up to 150 invoices / month to clients in a timely manner.
Verify the accuracy of billing data and revise any errors.
Maintain up-to-date records of all invoices and financial transactions.
Perform regular reconciliation of client accounts.
Address discrepancies and resolve billing issues with clients.
Ensure all payments are accounted for and correctly posted.
Work closely with the finance and accounting teams to streamline billing processes.
Collaborate with sales and client service departments to gather necessary billing information.
Participate in team meetings and contribute to process improvement initiatives.
Respond to client inquiries regarding billing issues, payments, and balances.
Provide excellent customer service by addressing concerns promptly and professionally.
Liaise with clients to ensure payment terms and conditions are clear.
Track any pending contractual issues, billing issues, or pending invoices and work with other departments to make the necessary corrections.
Assist with manually correcting invoices and credits as needed.
Work closely with collections team to ensure accuracy of Accounts Receivable reporting.
Other duties as assigned.
Minimum Qualifications (Knowledge, Skills, and Abilities)
Associate's degree or equivalent combination of education and experience
2+ years of relevant professional-level work experience
Experience reviewing contract terms and client orders
2+ years of experience in a high volume, high-intensity environment preferred
Strong attention to details
Basic MS Office skills required (Outlook, Excel, Word, etc.)
Experience with NetSuite preferred
Ability to work in multiple accounting software systems
Ability to identify process improvement opportunities and recommendations
Effective communication and interpersonal skills.
Benefits
Competitive Salary
Paid Time Off
Medical, dental, and vision insurance
Life insurance and disability benefits
401k
Bonus Potential
Apple Equipment
Company Happy Hours
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$27k-34k yearly est. 60d+ ago
Billing Specialist I
The Hospital Authority of Miller County 4.1
Colquitt, GA jobs
This position is responsible for the billing and collection functions (a/k/a claims filing) of the institutional and professional services rendered by the Hospital Authority of Miller County (HAMC) to its patients. The Biller will work under the direction of Patient Financial Services Leadership to carry out duties pertaining to the claim's life-cycle.
GENERAL REQUIREMENTS:
Performs all job responsibilities in alignment with the mission and vision of the organization.
Performs other duties as required and completes all job functions as per departmental policies and procedures.
Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).
Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
Wears protective clothing and equipment as appropriate.
GENERAL SKILLS:
Ability to communicate in English, both verbally and in writing.
Additional languages preferred.
Strong written and verbal skills.
Basic Computer Skills
WORKING CONDITIONS:
General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
May be exposed to high noise levels and bright lights.
May be exposed to limited hazardous substances or body fluids, or infectious organisms.
May be required to change from one task to another or different nature without loss of efficiency or composure.
Periods of high stress and fluctuating workloads may occur.
May be scheduled as needed including overtime.
PHYSICAL REQUIRMENTS & DEMANDS:
Have near normal hearing: Hear alarms/telephone/normal speaking voice.
Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors.
Have good manual dexterity.
Have good eye-hand foot coordination.
Ability to perform repetitive tasks/motion.
Continuously within shift (67-100%): Standing, Walking.
Frequently within shift (34-66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry greater than 20 lbs. with assistance.
Occasionally within shift (1-33%): Sitting, Climbing, Twist at waist, Lift/Carry greater than 50 lbs. with assistance, Reaching above shoulder.
MISSION STATEMENT:
QUALITY HEALTHCARE: In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis and treatment.
JOB SPECIFIC COMPETENCIES:
Prepare, review and transmit 837 inpatient and outpatient claims using the billing software for electronic and paper claim submission
Follow-up on unpaid claims aged over 30+ days, notating status in the billing software
Coordinate with the Patient Access Representatives to verify and understand the patient's benefits and eligibility
Process account payments, adjustments, reconciliations, and refunds within the timeframe set by the insurance company
Participate in required departmental training which may include training provided by Relias, HomeTown Health, Georgia Hospital Association, Medicaid, Medicare and various other trade organizations
Demonstrate problem-solving skills in the areas of denials, appeals, and collections
Demonstrate knowledge of Medicaid, Medicare, HMOs, PPOs, CMOs and other payer's requirements
Demonstrate proper understanding of Electronic Health Record and Billing software systems, Microsoft Office Suites and other office equipment
Demonstrate ability to write appeals for denied claims at Level 1
Must possess critical thinking and problem-solving skills
Demonstrate the ability to thrive in a fast-paced work environment while giving excellent attention to detail
Complete special Revenue Cycle Management projects as required or assigned
Other responsibilities as assigned
PROFESSIONAL REQUIREMENTS:
Follows Code of Conduct policy.
Adheres to dress code; appearance is neat and clean.
Completes annual educational requirements.
Maintains regulatory requirements.
Maintains patient confidentiality at all times.
Reports to work on time and as scheduled; completes work within designated time.
Wears identification when on duty; uses computerized time clock system correctly.
Completes in-services and returns in a timely fashion.
Attends annual review and/or skills fair and department in-services, as scheduled.
Attempts to end conversations and other interactions in a positive manner; leaves others with a good impression of the Hospital Authority of Miller County and its employees.
Complies with all organizational policies regarding ethical business practices.
Communicates the mission statement of the organization.
GUEST RELATIONS STANDARDS:
(All guest relation violations are subject to disciplinary action up to and including termination):
Always treat others in a friendly, helpful manner.
Refers co-workers to proper sources when unable to provide an answer.
Interacts with others in a professional and friendly manner.
Takes interest in others and always gives full cooperation to fellow workers.
Always maintains an open line of communication with other departments.
Thoroughly familiar with the hospital and the services it offers.
OTHER:
Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state and local laws and regulations, as well as, HAMC Policies and Procedures. Every employee is help accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected.
As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position. This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable.
OTHER DUITIES:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Requirements
EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:
Experience in various areas of healthcare revenue cycle management preferred but not required
Experience and knowledge in commercial and government payer policies, regulations, and requirements preferred but not required
Proficient in understanding and reconciling EOB's preferred but not required
Experience in Cerner preferred, but not required
High school diploma or equivalent required
$28k-40k yearly est. 24d ago
Commercial Billing Clerk
Northside Hospital 4.4
Atlanta, GA jobs
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Responsibilities
Bills commercial and managed care health insurance carriers and institutional payers on patientaccounts in a timely and accurate manner.
Qualifications
REQUIRED:
1. One (1) year experience in billing, OR a. Associate's Degree in Business.
2. Good verbal communication skills and basic typing ability.
PREFERRED:
1. B.S. degree in Business or Accounting.
2. Two (2) years experience in insurance billing, or related area.
3. Prior hospital or healthcare experience.
4. Demonstrated knowledge of electronic billing systems.
Work Hours: 6:00 am-2:45 pm
$27k-33k yearly est. Auto-Apply 10d ago
Commercial Billing Clerk
Northside Hospital 4.4
Sandy Springs, GA jobs
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Bills commercial and managed care health insurance carriers and institutional payers on patientaccounts in a timely and accurate manner.
REQUIRED:
1. One (1) year experience in billing, OR a. Associate's Degree in Business.
2. Good verbal communication skills and basic typing ability.
PREFERRED:
1. B.S. degree in Business or Accounting.
2. Two (2) years experience in insurance billing, or related area.
3. Prior hospital or healthcare experience.
4. Demonstrated knowledge of electronic billing systems.
$27k-33k yearly est. 8d ago
Dental Front Office Coordinator
United Dental Corporation 4.3
Stockbridge, GA jobs
Who We Are: Eagles Landing Dentistry is modern dental practices in the heart of Stockbridge, Georiga, serving our local and surrounding communities for over 20 years. Our unwavering commitment to our patients is grounded in our shared values of resilience, commitment, curiosity and compassion - which guides all our interactions with team members, patients, partners and vendors. In our mission to provide exceptional care to our patients, we believe how we get there is as important as the final results.
Who You Are: You are an adaptable Front Office Coordinator who is dedicated to making amazing first impressions and delivering dependable customer service. You are a computer systems and scheduling wizard, a process and efficiency ninja and are a lifelong learner with an interest in making dental office management a long-term career.
Requirements
What You'll Do:
Work with the owner dentist to craft an ongoing schedule that optimized for productivity and easily manage contingency scheduling when last minute changes occur.
Manage the patient's seamless arrival by checking in patients, obtaining necessary financial and personal details and entering those directly into the patient's chart as appropriate.
Upon patient checkout, schedule the next appointment or follow-ups as necessary, provide relevant after visit summaries or other documents like treatment plans, receipts, school excuse notes or appointment reminder cards.
Partner with office management and clinical staff daily to ensure work tasks are optimized for the daily workflow, including but not limited to appointments, confirmations, amendments, cancellations, referral letters or other patient correspondence.
Optimize appointment schedule by ensuring the day is full and aligning the right treatment to appointment time.
Answer the telephone promptly and courteously, inquiring about their needs and how the office can meet those needs.
Partner with office manager to ensure clinic is fully compliant with state and federal health regulations and compliance programs.
Other duties as assigned.
What You'll Bring:
Minimum 3 years of administration experience
Experience with scheduling software systems, and Microsoft Office, clinical background and experience with dental software programs considered an asset
An Associates degree in business or office administration preferred.
Solid business acumen and effective written and verbal communication skills
Ability to identify and regulate one's emotions and understand the emotions the others to build relationships, reduce team stress, defuse conflict and improve personal job satisfaction.
A devotion to serving your patients and reliably showing up for your team.
Benefits
Full-time opportunity, Monday through Friday, 8 am to 5 pm.
Up to $20 an hour depending on experience.
401(k) and up to a 4% match.
Medical, Dental, Vision, Life Insurance and Paid Time Off, 7 paid holidays.
Employee Assistance Program - that connects team members and their families with complimentary, confidential, short-term counseling and advisory services.
Voluntary benefits like pet insurance, Life Lock and entertainment discounts.
We have ALL necessary PPE and are following CDC recommended guidelines. Our office is a safe environment.
Continuing education opportunities.
$20 hourly Auto-Apply 60d+ ago
Insurance Billing Specialist
Pruitt Health 4.2
Norcross, GA jobs
Insurance Billing Specialist - 2600789 Description JOB PURPOSE: Manage the Insurance Billing and AR collections processes for a group of Healthcare Centers through American Health Tech's Long Term Care (LTC) software program. Successful individuals are able to manage a reasonable volume of detailed work, are familiar with the rules and regulations of Insurance billing and are skilled at problem solving and account resolution. This position will work under general supervision. This position will function within a team environment. Successful individuals will be able to work well with other team members to meet or exceed financial goals set by the organization.
ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:
• Prepare and transmit Insurance claims.
• Research, correct and re-bill outstanding Insurance claims.
• Responsible for Insurance Collections and Days Sales Outstanding.
• Work with the healthcare center administrator and office personnel to manage the facility's Insurance accounts receivable.
• Respond to change productively and handle additional projects as assigned.
• Carry out all duties with a “Commitment to Caring” attitude in accordance with the company's mission, vision, and philosophy.
• Follow all company policies and procedures, state and federal laws and regulations and report violations to the appropriate supervisor.
• File and organize all appropriate paperwork related to job duties.
Qualifications LICENSURE, CERTIFICATION, EXPERIENCE AND EDUCATION REQUIREMENTS:• 1-3 years' experience with Georgia or South Carolina Insurance billing and collections.• Previous experience with LTC-Long Term Care a plus.• Excellent communication and organizational skills.• Proficient with the Microsoft Office Suite.• Experience with LTC and/or Healthcare is valuable. Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.We are eager to connect with you! Apply Now to get started at PruittHealth!As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.For Florida Job Postings Only:For more information regarding Florida's Care Provider Background Screening Clearinghouse Education and Awareness, please visit ******************************** Job: Billing Primary Location: Georgia-NORCROSS Schedule: Full-time : Shift:1st ShiftJob Posting: Jan 14, 2026, 5:40:25 PM Work Locations: PH Finance 1626 Jeurgens Court Norcross 30093
$24k-30k yearly est. Auto-Apply 1d ago
Insurance Billing Specialist
Pruitthealth 4.2
Norcross, GA jobs
**JOB PURPOSE:** Manage the Insurance Billing and AR collections processes for a group of Healthcare Centers through American Health Tech's Long Term Care (LTC) software program. Successful individuals are able to manage a reasonable volume of detailed work, are familiar with the rules and regulations of Insurance billing and are skilled at problem solving and account resolution. This position will work under general supervision. This position will function within a team environment. Successful individuals will be able to work well with other team members to meet or exceed financial goals set by the organization.
**ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:**
- Prepare and transmit Insurance claims.
- Research, correct and re-bill outstanding Insurance claims.
- Responsible for Insurance Collections and Days Sales Outstanding.
- Work with the healthcare center administrator and office personnel to manage the facility's Insurance accounts receivable.
- Respond to change productively and handle additional projects as assigned.
- Carry out all duties with a "Commitment to Caring" attitude in accordance with the company's mission, vision, and philosophy.
- Follow all company policies and procedures, state and federal laws and regulations and report violations to the appropriate supervisor.
- File and organize all appropriate paperwork related to job duties.
**LICENSURE, CERTIFICATION, EXPERIENCE AND EDUCATION REQUIREMENTS:**
- 1-3 years' experience with Georgia or South Carolina Insurance billing and collections.
- Previous experience with LTC-Long Term Care a plus.
- Excellent communication and organizational skills.
- Proficient with the Microsoft Office Suite.
- Experience with LTC and/or Healthcare is valuable.
**Family Makes Us Stronger.** Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.
We are eager to connect with you! **_Apply Now_** to get started at PruittHealth!
_As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status._
**For Florida Job Postings Only:**
For more information regarding Florida's Care Provider Background Screening Clearinghouse Education and Awareness, please visit ********************************
$24k-30k yearly est. 17d ago
Insurance Billing Specialist
Pruitthealth 4.2
Norcross, GA jobs
JOB PURPOSE: Manage the Insurance Billing and AR collections processes for a group of Healthcare Centers through American Health Tech's Long Term Care (LTC) software program. Successful individuals are able to manage a reasonable volume of detailed work, are familiar with the rules and regulations of Insurance billing and are skilled at problem solving and account resolution. This position will work under general supervision. This position will function within a team environment. Successful individuals will be able to work well with other team members to meet or exceed financial goals set by the organization.
ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:
* Prepare and transmit Insurance claims.
* Research, correct and re-bill outstanding Insurance claims.
* Responsible for Insurance Collections and Days Sales Outstanding.
* Work with the healthcare center administrator and office personnel to manage the facility's Insurance accounts receivable.
* Respond to change productively and handle additional projects as assigned.
* Carry out all duties with a "Commitment to Caring" attitude in accordance with the company's mission, vision, and philosophy.
* Follow all company policies and procedures, state and federal laws and regulations and report violations to the appropriate supervisor.
* File and organize all appropriate paperwork related to job duties.
LICENSURE, CERTIFICATION, EXPERIENCE AND EDUCATION REQUIREMENTS:
* 1-3 years' experience with Georgia or South Carolina Insurance billing and collections.
* Previous experience with LTC-Long Term Care a plus.
* Excellent communication and organizational skills.
* Proficient with the Microsoft Office Suite.
* Experience with LTC and/or Healthcare is valuable.
Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.
We are eager to connect with you! Apply Now to get started at PruittHealth!
As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.
For Florida Job Postings Only:
For more information regarding Florida's Care Provider Background Screening Clearinghouse Education and Awareness, please visit ********************************