NeuroHospitalist Hybrid - Wellstar Columbia County Hospital (Opening Fall 2026)
Grovetown, GA jobs
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift
Various (United States of America)
Wellstar Health System, a nationally recognized and physician-led healthcare organization, is seeking a Board-Certified or Board-Eligible Neurologist to join our team at the brand-new Wellstar Columbia County Hospital, opening Fall 2026 in Grovetown, Georgia.
This is an exciting opportunity to be part of a new hospital and neurology service line, with the chance to influence care delivery, shape workflows, and practice in a brand-new, state-of-the-art facility.
Position Overview
Full-time, hospital-employed hybrid neurology position
Provide consultative neurological care for hospitalized patients
Collaborate with hospitalists, intensivists, and emergency department physicians
Support acute stroke alerts and participate in stroke care protocols
Opportunity to assist in development of neurology service lines and tele-neurology partnership.
Qualifications
MD/DO from an accredited institution
Board Certified/Board Eligible in Neurology
Eligibility for medical licensure in Georgia
Stroke experience or vascular neurology training is a plus
Excellent communication skills and a collaborative team mindset
Why Wellstar Columbia County?
Located just outside Augusta, Grovetown is one of the fastest-growing cities in Georgia, offering a family-friendly environment, top-rated schools, low cost of living, and access to urban and outdoor recreation. The new Wellstar Columbia County Hospital will be a cornerstone of healthcare innovation in the region.
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
Care Coordinator PRN
Seguin, TX jobs
/RESPONSIBILITIES
Perform expert leadership skills in the management of staff and coordination of patient care activities. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g., CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years of recent, full-time hospital or clinic experience are required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. External applicants must have at least two (2) years in an equivalent management capacity.
LICENSURE/CERTIFICATION
A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
NeuroHospitalist Hybrid - Wellstar Columbia County Hospital (Opening Fall 2026)
Grovetown, GA jobs
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Take the next step in your career now, scroll down to read the full role description and make your application.
Work Shift
Various (United States of America)
Wellstar Health System, a nationally recognized and physician-led healthcare organization, is seeking a Board-Certified or Board-Eligible Neurologist to join our team at the brand-new Wellstar Columbia County Hospital, opening Fall 2026 in Grovetown, Georgia.
This is an exciting opportunity to be part of a new hospital and neurology service line, with the chance to influence care delivery, shape workflows, and practice in a brand-new, state-of-the-art facility.
Position Overview
Full-time, hospital-employed hybrid neurology position
Provide consultative neurological care for hospitalized patients
Collaborate with hospitalists, intensivists, and emergency department physicians
Support acute stroke alerts and participate in stroke care protocols
Opportunity to assist in development of neurology service lines and tele-neurology partnership.
Qualifications
MD/DO from an accredited institution
Board Certified/Board Eligible in Neurology
Eligibility for medical licensure in Georgia
Stroke experience or vascular neurology training is a plus
Excellent communication skills and a collaborative team mindset
Why Wellstar Columbia County?
Located just outside Augusta, Grovetown is one of the fastest-growing cities in Georgia, offering a family-friendly environment, top-rated schools, low cost of living, and access to urban and outdoor recreation. The new Wellstar Columbia County Hospital will be a cornerstone of healthcare innovation in the region.
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. xevrcyc
Remote working/work at home options are available for this role.
Maternity Care Authorization Specialist (Hybrid Potential)
Barberton, OH jobs
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Insurance Eligibility Coordinator
Somerset, NJ jobs
The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage, ensuring accurate benefit information, and supporting efficient revenue cycle operations. This role works closely with patients, insurance carriers, clinical staff, and billing teams to confirm eligibility, resolve coverage discrepancies, and help prevent claims denials.
Essential Functions:
Verify patient insurance eligibility and benefits using electronic systems, payer portals, and direct insurance carrier communication.
Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and submit claims in a timely and accurate manner.
Obtain Authorizations as required.
Identify and correct rejected claims for prompt resubmission
Submit and follow up on authorization requests.
Follow up on denied or unpaid claims and work to resolve discrepancies.
Post payments and adjustments to patient accounts in a timely manner.
Communicate with insurance companies and internal staff regarding billing inquiries or issues.
Maintain up-to-date knowledge of payer rules, policy changes, and medical coverage guidelines.
Protect patient privacy and maintain compliance with HIPAA and organizational standards.
Support revenue cycle improvement initiatives related to eligibility and insurance workflows.
Participate in team meetings and contribute to quality improvement initiatives.
Adhere to practice policies, procedures, and protocols including confidentiality.
Other tasks as assigned.
Travel: 100% Remote
Supervisory Responsibilities:
N/A
Qualities & Skills:
Strong understanding of insurance plans, terminology, HMOs, PPOs, Medicare/Medicaid and commercial payer policies in NJ, NY, & PA.
Excellent communication, customer service, and problem-solving skills.
Proficiency with medical practice management software, EHR systems, and payer portals.
Ability to multitask and work in a fast-paced environment.
Strong Knowledge of Microsoft Office Suite.
Comfortable working independently and collaboratively.
Outstanding problem solver and analytical thinking skills.
Attention to detail and ability to prioritize.
Ability to maintain confidentiality.
Experience in Behavioral health is preferred.
Education & Experience:
High School diploma or equivalent required.
1-2 years of experience in medical insurance verification, medical billing, or related roles
Compensation details: 20-24 Hourly Wage
PI6304f96008f5-37***********4
CENTRAL SCHEDULER
Las Vegas, NV jobs
Responsibilities
ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE
Las Vegas is known internationally as a major resort city often known for its gambling, shopping, entertainment, and nightlife. Although Las Vegas identifies as "The Entertainment Capital of the World" and is famous for The Strip and its mega casino-hotels, there is so much more to life in the Valley. From the lovely Summerlin area adjacent to Red Rock Canyon, to the beautifully developed Green Valley area set away from the hustle and bustle of The Strip, there are many wonderful communities of people and families who call Las Vegas home. Backing the communities across our region is an ever-growing and ever-strengthening healthcare system.
Position Summary:
The Central Scheduler performs the duties required to schedule patients for surgery and other procedures. The scheduler communicates any preparations needed to the patient and communicates the information to all areas within Scheduling Department. Schedulers are required to gather information from physicians and their offices regarding specials supply requests and also gather and report statistical data as requested. Demonstrates Service Excellence at all times. Other duties as assigned.
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
Benefit Highlights
A Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match
Career development opportunities within UHS and its 300+ Subsidiaries!
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. ***********
Qualifications
Required Knowledge, Skills, Licensure, Training & Travel Requirements (if applicable):
Education:
Knowledge:
Minimum of one year of medical experience preferred
Job requires being reliable, responsible, dependable, and fulfilling obligations
Job requires being careful about detail and thorough in completing work tasks
Knowledge of administrative and clerical procedures and systems, and other office procedures and terminology
Knowledge of electronic equipment, computer hardware and software, including applications and programming
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction
Education
Trauma Registrar - ECC Trauma - Full Time
Texarkana, TX jobs
Any additional information you require for this job can be found in the below text Make sure to read thoroughly, then apply.
The Trauma Registrar will provide data entry support for the Trauma Registry. The Trauma Registrar will be responsible for assistance in maintaining the CHRISTUS Health Care System's Trauma Registry in compliance with all requirements of the Department of State Health Services, as outlined in the State Trauma Rules. The Trauma Registry is critical to the development and maintenance of an effective performance improvement program for trauma. The Trauma Registry also provides data needed for research and epidemiological studies.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Provides clerical, statistical, and informational support to the Trauma Service.
Maintains a database to allow for easy retrieval of trauma statistics.
Accurately identifying trauma patients, abstracting requisite data, and entering them into the trauma registry based on trauma inclusion criteria.
The ability to perform ICD-10 and Abbreviated Injury Scaling (AIS) coding.
Updates and maintains all trauma registry records including essential elements as defined by trauma center leadership, State Designating Department, National Trauma Data Standards, and Trauma Quality Improvement Program (TQIP), as indicated based on trauma center level of designation.
Demonstrates proficiency in capturing and entering data that contributes to accurate calculations of ISS, Trauma Score, TRISS, Probability of Survival Score; GCS, ICD/AIS coding, among others.
Completes record abstraction, entry, and validation, in compliance with American College of Surgeons (ACS), State Designating Department, and the current policies and practices of the Trauma Program.
Completes data uploads to regional, state, and national registries as required by State Designating Department and the ACS.
Maintains confidentiality of written and verbal communication, autopsy reports, mortality and morbidity data, performance improvement activities and peer review data.
Participates in trauma-related activities within their Regional Advisory Council, as requested.
Participates in ongoing education regarding TQIP, if applicable, and other trauma related topics.
Consistently promotes a professional image in demeanor, appearance, attitude, and behaviors.
Supports Trauma Program initiatives such as injury prevention, outreach, and education as directed. xevrcyc
Responsible for other duties assigned.
Job Requirements:
Education/Skills
High school diploma or equivalent years of experience required
Trauma Registry software training is required within 90 days of employment
Must accrue 24 hours of trauma-related continuing education during the designation/verification period (3 years)
The following courses are required within 12 months of hire
Abbreviated Injury Scale course by the Association for the Advancement of Automotive Medicine (AAAM)
ICD-10 course in trauma; needs to be renewed every 5 years
A Trauma registrar course by the American Trauma Society (ATS)
Experience
1 to 2 years of experience preferred
Licenses, Registrations, or Certifications
Certified Abbreviated Injury Scale Specialist (CAISS) certification preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Patient Services Representative
Wakefield-Peacedale, RI jobs
Koch Eye Associates is proud to have served the residents of Rhode Island with field-leading eye care for almost 40 years. We began our practice in 1981 out of a small office in Warwick, and now we have eight locations spanning Warwick, Cranston, North Kingstown, Wakefield, and Woonsocket. Our dedicated team of ophthalmologists and optometrists is devoted to providing top-notch, stress-free care to our patients.
Description
The Lead Patient Service Representative is the point person for the Patient Service Representative Team. The team is tasked with coordinating communication, managing patient inquiries, and ensuring positive and efficient patient experience while adhering to patient confidentiality and privacy regulations.
Duties And Responsibilities
Patient registration, scheduling, data entry and processing.
Educates patients regarding benefits and collects patient payments, at point of service.
Complete and accurate management of patient data in practice management system.
Verify health insurances and obtain referrals.
Organize and maintain medical records.
Miscellaneous administrative tasks including, but not limited to scheduling, transportation, filing, faxing, etc.
Must have a clear understanding of company policies including the company manual.
Requirements
Knowledge, Skills, and Abilities:
Exceptional Customer Experience - Understands and anticipates customer needs, takes action to meet customer's needs and strives to exceed their expectations.
Proactive- Keep others informed. Ask for help when needed, brings service challenges to supervisor.
Drive for Results - Strives for improving the delivery of services with a commitment to continuous improvement.
Focus on Efficiency - Utilizes technology, innovation, and process improvements to continuously improve efficiency and effectiveness.
Teamwork- Participates as a team member and establishes strong working relationships with teammates and across the organization.
Celebrates Change- Receptive to new ideas and responds to changes with flexibility and optimism.
Continues Learning and Improvement- Acknowledges own strengths and development needs and works to strengthen capabilities.
Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making.
Education
High School Diploma or equivalent preferred
Typical Physical Demands
Sitting, Standing, Bending, Reaching, Stooping, Walking and Lifting
Ability to see, hear, and speak with sufficient capability to perform assigned tasks
Driving independently to other facilities
Our Full-time Employment Package Offers
Medical, dental, and vision insurance begins first day of the month following date of hire
FSA and HSA
Paid long-term disability (LTD)
Paid LIFE and AD&D insurance
Paid Time Off (PTO) and holidays
401k Plan
Competitive salary
Career growth and leadership development
We are committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of our clinical groups will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation, and gender identity and/or expression, other dimensions of diversity or common human decency. We value diversity in thought and culture and welcome highly skilled, capable, competent, collegial members to our team.
CENTRAL SCHEDULER
Henderson, NV jobs
Responsibilities
ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE
Las Vegas is known internationally as a major resort city often known for its gambling, shopping, entertainment, and nightlife. Although Las Vegas identifies as "The Entertainment Capital of the World" and is famous for The Strip and its mega casino-hotels, there is so much more to life in the Valley. From the lovely Summerlin area adjacent to Red Rock Canyon, to the beautifully developed Green Valley area set away from the hustle and bustle of The Strip, there are many wonderful communities of people and families who call Las Vegas home. Backing the communities across our region is an ever-growing and ever-strengthening healthcare system.
Position Summary:
The Central Scheduler performs the duties required to schedule patients for surgery and other procedures. The scheduler communicates any preparations needed to the patient and communicates the information to all areas within Scheduling Department. Schedulers are required to gather information from physicians and their offices regarding specials supply requests and also gather and report statistical data as requested. Demonstrates Service Excellence at all times. Other duties as assigned.
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
Benefit Highlights
A Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match
Career development opportunities within UHS and its 300+ Subsidiaries!
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. ***********
Trauma Registrar Senior - Quality Management - Part Time
Longview, TX jobs
All the relevant skills, qualifications and experience that a successful applicant will need are listed in the following description.
The Trauma Registrar Senior will provide data entry support for the Trauma Registry. The Trauma Registrar Senior will be responsible for assistance in maintaining the CHRISTUS Health Care System's Trauma Registry in compliance with all requirements of the Department of State Health Services, as outlined in the State Trauma Rules. The Trauma Registry is critical to the development and maintenance of an effective performance improvement program for trauma. The Trauma Registry also provides data needed for research and epidemiological studies.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Provides clerical, statistical and informational support to the Trauma Service.
Maintains a database to allow for easy retrieval of trauma statistics.
Accurately identifying trauma patients, abstracting requisite data, and entering them into the trauma registry based on trauma inclusion criteria.
The ability to perform ICD-10 and Abbreviated Injury Scaling (AIS) coding.
Updates and maintains all trauma registry records including essential elements as defined by trauma center leadership, State Designating Department, National Trauma Data Standards, and Trauma Quality Improvement Program (TQIP) as indicated based on trauma center level of designation.
Demonstrates proficiency in capturing and entering data that contributes to accurate calculations of ISS, Trauma Score, TRISS, Probability of Survival Score; GCS, ICD/AIS coding, among others.
Completes record abstraction, entry, and validation, in compliance with American College of Surgeons (ACS), State Designating Department, and the current policies and practices of the Trauma Program.
Completes data uploads to regional, state, and national registries as required by State Designating Department and the ACS.
Performs queries and reports from the Trauma Registry as requested.
Responsible for Trauma Registry Data base management and promptly communicates data base related issues to the Trauma Program leadership.
Analyses trauma registry data for epidemiological and reporting purposes. Communicates trends that may impact Trauma Program performance, injury prevention initiatives, or staffing to the Trauma Program leadership.
Maintains confidentiality of written and verbal communication. Maintains confidentiality of autopsy reports, mortality and morbidity data, performance improvement activities and peer review data.
Prepares, distributes, and files reports, correspondence, and documents in the correct format including referral feedback letters to EMS and referring hospitals, per trauma center protocols.
Responsible for precepting new registry staff.
Participates in trauma-related activities within their Regional Advisory Council, as requested.
Participates in ongoing education regarding TQIP, if applicable, and other trauma related topics.
Consistently promotes a professional image in demeanor, appearance, attitude, and behaviors.
Supports Trauma Program initiatives such as injury prevention, outreach, and education as directed. xevrcyc
Responsible for other duties assigned.
Job Requirements:
Education/Skills
High school diploma or equivalent years of experience required
Trauma Registry software training is required within 90 days of employment
Must accrue 24 hours of trauma-related continuing education during the designation/verification period (3 years)
The following courses are required upon hire
Abbreviated Injury Scale course by the Association for the Advancement of Automotive Medicine (AAAM)
ICD-10 course in trauma; needs to be renewed every 5 years
Experience
2 - 4 years ICD-10 coding, and AIS coding preferred
Licenses, Registrations, or Certifications
Certified Abbreviated Injury Scale Specialist (CAISS) certification required
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Part Time
Centralized Scheduler - Central Scheduling - Full Time
Sayre, PA jobs
The Guthrie Clinic works with the communities we serve to help each person attain optimal, life‐long health and well‐being. The Centralized Scheduler will provide the highest quality patient care consistent with Guthrie's Vision of Improving Health through Clinical Excellence and Compassion; Every Patient. Every time. As a first point of contact for most patients, the Centralized Scheduler provides direct, daily operational support in a manner consistent with The Guthrie Clinic's Service Excellence Standards. The Centralized Scheduler will continually demonstrate Patient Centeredness, Teamwork, and Excellence in the daily performance of their duties. This position requires the ability to be self‐motivated, flexible, punctual, detail oriented, have good time management skills and have excellent communication skills. Performing all centralized scheduling services and procedures (as assigned), including scheduling, pre‐registration, cancellation and insurance and benefits verification. Maintaining and applying detailed knowledge of Patient Access workflows and the centralized scheduling and registration system in order to address patient inquiries about scheduling, pre‐registration, cancellation, insurance and benefits verification/billing/payments, and any self‐pay/personal financial liabilities.
Education, License & Cert:
High school graduate or GED required.
Experience:
Prior healthcare customer service, scheduling, insurance billing and payment knowledge. Two years previous healthcare experience. Previous experience using or implementing Epic. Ability to use Windows programs such as MS Word and other software packages with knowledge of medical terminology. Excellent written, verbal communication and interpersonal skills. Strong typing skills and proper phone etiquette. Ability to make independent judgment decisions about the data being gathered
Essential Functions:
1. Perform scheduling, pre‐registration, cancellation, and insurance and benefits verification and patient payment collection and all other centralized scheduling duties in compliance with customer service standards.
2. Strong customer service skills to ensure quality phone calls with the patients.
3. Execute front‐end centralized collection of all patient insurance benefits information to ensure accurate payment of services as well as educate patients on copays and previous balances. Schedule patients with financial counselors for assistance when appropriate or get patient to a customer representative to learn more about their balance.
4. Develop strong working relationships with physician offices, non‐centralized scheduling and registration areas, ancillary coding, and other areas as needed to ensure appropriate and effective communication and coordination of service delivery.
5. Assist patients with enrollment of my chart or any issues related to my chart and educate on the capabilities.
6. Adhere to all relevant policies and procedure as outlined by direct report.
7. Meet productivity, quality requirements and service goals as outlined in the performance expectations.
8. Function as a team member to assist other centralized schedulers with tasks as needed including assisting in training of all employees as assigned.
9. Communicate to direct report all centralized scheduling obstacles, concerns and system deficiencies impacting the team and provide support in dealing with complex issues.
10. Complete special projects, make outbound calls to schedule from referrals/orders, enter in orders and referrals, assist with conversational messaging with patient or work queues as assigned.
11. Operate and utilize the Epic System while staying current and learning new skills as needed to perform all aspects of the position.
Other Duties:
1. Assist and participate in departmental meetings when needed.
2. Support the Guthrie Clinic's system‐wide vision and goals of central scheduling.
3. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position
The pay ranges from #17.06-26.61
Rev. 2-2-2024
Care Coordinator PRN
San Antonio, TX jobs
/RESPONSIBILITIES Apply fast, check the full description by scrolling below to find out the full requirements for this role. Perform expert leadership skills in the management of staff and coordination of patient care activities. Work collaboratively with all healthcare providers and non-health care providers. Serves as a mentor and role model for all staff. Reports to a Nursing Director or Executive Director.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing with current RN licensure in the State of Texas. BSN is required. National certification (e.g., CCRN, RNC, CEN, CNOR, OCN, ANCC, CAN, CPAN, CFRN, etc.) in related fields is required. Three (3) years of recent, full-time hospital or clinic experience are required. Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required. External applicants must have at least two (2) years in an equivalent management capacity.
LICENSURE/CERTIFICATION
A current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. xevrcyc Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
Insurance Eligibility Coordinator
Philadelphia, PA jobs
The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage, ensuring accurate benefit information, and supporting efficient revenue cycle operations. This role works closely with patients, insurance carriers, clinical staff, and billing teams to confirm eligibility, resolve coverage discrepancies, and help prevent claims denials.
Essential Functions:
Verify patient insurance eligibility and benefits using electronic systems, payer portals, and direct insurance carrier communication.
Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and submit claims in a timely and accurate manner.
Obtain Authorizations as required.
Identify and correct rejected claims for prompt resubmission
Submit and follow up on authorization requests.
Follow up on denied or unpaid claims and work to resolve discrepancies.
Post payments and adjustments to patient accounts in a timely manner.
Communicate with insurance companies and internal staff regarding billing inquiries or issues.
Maintain up-to-date knowledge of payer rules, policy changes, and medical coverage guidelines.
Protect patient privacy and maintain compliance with HIPAA and organizational standards.
Support revenue cycle improvement initiatives related to eligibility and insurance workflows.
Participate in team meetings and contribute to quality improvement initiatives.
Adhere to practice policies, procedures, and protocols including confidentiality.
Other tasks as assigned.
Travel: 100% Remote
Supervisory Responsibilities:
N/A
Qualities & Skills:
Strong understanding of insurance plans, terminology, HMOs, PPOs, Medicare/Medicaid and commercial payer policies in NJ, NY, & PA.
Excellent communication, customer service, and problem-solving skills.
Proficiency with medical practice management software, EHR systems, and payer portals.
Ability to multitask and work in a fast-paced environment.
Strong Knowledge of Microsoft Office Suite.
Comfortable working independently and collaboratively.
Outstanding problem solver and analytical thinking skills.
Attention to detail and ability to prioritize.
Ability to maintain confidentiality.
Experience in Behavioral health is preferred.
Education & Experience:
High School diploma or equivalent required.
1-2 years of experience in medical insurance verification, medical billing, or related roles
Compensation details: 20-24 Hourly Wage
PI14fd58b23719-37***********3
Trauma Registrar - ECC Trauma - Part Time
Atlanta, TX jobs
To be considered for an interview, please make sure your application is full in line with the job specs as found below. The Trauma Registrar will provide data entry support for the Trauma Registry. The Trauma Registrar will be responsible for assistance in maintaining the CHRISTUS Health Care System's Trauma Registry in compliance with all requirements of the Department of State Health Services, as outlined in the State Trauma Rules. The Trauma Registry is critical to the development and maintenance of an effective performance improvement program for trauma. The Trauma Registry also provides data needed for research and epidemiological studies.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Provides clerical, statistical, and informational support to the Trauma Service.
Maintains a database to allow for easy retrieval of trauma statistics.
Accurately identifying trauma patients, abstracting requisite data, and entering them into the trauma registry based on trauma inclusion criteria.
The ability to perform ICD-10 and Abbreviated Injury Scaling (AIS) coding.
Updates and maintains all trauma registry records including essential elements as defined by trauma center leadership, State Designating Department, National Trauma Data Standards, and Trauma Quality Improvement Program (TQIP), as indicated based on trauma center level of designation.
Demonstrates proficiency in capturing and entering data that contributes to accurate calculations of ISS, Trauma Score, TRISS, Probability of Survival Score; GCS, ICD/AIS coding, among others.
Completes record abstraction, entry, and validation, in compliance with American College of Surgeons (ACS), State Designating Department, and the current policies and practices of the Trauma Program.
Completes data uploads to regional, state, and national registries as required by State Designating Department and the ACS.
Maintains confidentiality of written and verbal communication, autopsy reports, mortality and morbidity data, performance improvement activities and peer review data.
Participates in trauma-related activities within their Regional Advisory Council, as requested.
Participates in ongoing education regarding TQIP, if applicable, and other trauma related topics.
Consistently promotes a professional image in demeanor, appearance, attitude, and behaviors.
Supports Trauma Program initiatives such as injury prevention, outreach, and education as directed. xevrcyc
Responsible for other duties assigned.
Job Requirements:
Education/Skills
High school diploma or equivalent years of experience required
Trauma Registry software training is required within 90 days of employment
Must accrue 24 hours of trauma-related continuing education during the designation/verification period (3 years)
The following courses are required within 12 months of hire Abbreviated Injury Scale course by the Association for the Advancement of Automotive Medicine (AAAM)
ICD-10 course in trauma; needs to be renewed every 5 years
A Trauma registrar course by the American Trauma Society (ATS)
Experience
1 to 2 years of experience preferred
Licenses, Registrations, or Certifications
Certified Abbreviated Injury Scale Specialist (CAISS) certification preferred
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Part Time
MEDICAL OFFICE SPECIALIST
Henderson, NV jobs
Responsibilities
ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE
Las Vegas is known internationally as a major resort city often known for its gambling, shopping, entertainment, and nightlife. Although Las Vegas identifies as "The Entertainment Capital of the World" and is famous for The Strip and its mega casino-hotels, there is so much more to life in the Valley. From the lovely Summerlin area adjacent to Red Rock Canyon, to the beautifully developed Green Valley area set away from the hustle and bustle of The Strip, there are many wonderful communities of people and families who call Las Vegas home. Backing the communities across our region is an ever-growing and ever-strengthening healthcare system.
Website: ***********************************
Medical Office Specialists are health care professionals that will work in the front desk or office area of a healthcare provider's clinic to manage communications with patients, insurers, and medical staff. Medical Office Specialists must have the ability to communicate and interact well with the patients, providers and co-workers. Our Medical Office Specialist are key members of the team that will ensure that delivery of high-quality and cost-effective health care is consistent with the mission, vision and values of Universal Health Services.
Position Summary:
Fulfills patient care responsibilities as assigned which may include: checking schedules and organizing patient flow; accompanying patients to exam/procedure room; assisting patients as needed with walking, transfers, dressing, collecting specimens, preparing for exam, etc.; collecting patient history; performing screenings per provider guidelines; assisting physicians/nurses with various procedures, charting; relaying instructions to patients/families; answering calls and providing pertinent information.
Fulfills clerical responsibilities as assigned which may include: sending/receiving patient medical records; obtaining lab/x-ray reports, hospital notes, referral information, etc; completing forms/requisitions as needed; scheduling appointments; verifying insurance coverage and patient demographics; managing charts to ensure information is completed and accurate.
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
Benefit Highlights
A Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match
Career development opportunities within UHS and
LEAD MEDICAL OFFICE SPECIALIST
Henderson, NV jobs
Responsibilities
ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE
Las Vegas is known internationally as a major resort city often known for its gambling, shopping, entertainment, and nightlife. Although Las Vegas identifies as "The Entertainment Capital of the World" and is famous for The Strip and its mega casino-hotels, there is so much more to life in the Valley. From the lovely Summerlin area adjacent to Red Rock Canyon, to the beautifully developed Green Valley area set away from the hustle and bustle of The Strip, there are many wonderful communities of people and families who call Las Vegas home. Backing the communities across our region is an ever-growing and ever-strengthening healthcare system.
Website: ***********************************
The Lead Medical Office Specialist is responsible for overseeing the overall functions of the medical office, which includes patient scheduling, patient check in and check out process, including properly documenting registration, communication with patients and providers, answering phones, insurance authorizations, collecting co-pays and cash payments from patients, entering charges, payments, and balancing the day, medical records, and supply management. Responsibilities may also include interviewing and training employees, planning, assigning, and directing work, addressing complaints, and resolving problems. Exhibits values of integrity and compassion. This position requires the ability to multi-task and perform in a fast-paced environment.
Position Summary:
Leads the overall functions of the medical office, including patient scheduling, patient check in and check out process including properly documenting registration, communication with patients and providers, answering phones, insurance authorizations, collecting co-pays and cash payments from patients, entering charges, payments, and balancing the day, medical records and supply management.
Leads clerical responsibilities as assigned which may include sending/receiving patient medical records; obtaining lab/x-ray reports, hospital notes, referral information, etc.; completing forms/requisitions as needed; scheduling appointments; verifying insurance coverage and patient demographics; managing charts to ensure information is complete and accurate.
Leads organizational responsibilities that may include; respecting/promoting patient rights; responding appropriately to emergency codes; sharing problems relating to patients and/or staff with immediate supervisors quickly.
Leads other Medical Office Specialist staff by overseeing, maintaining and updating current information on physician's schedules ensuring that patients are scheduled properly and appointments are confirmed; answers telephone, screens calls, takes messages, and provides information; answers questions regarding patient appointments and testing; assembles new patient charts for next day visit; updates profile on all patients; fulfills organizational responsibilities as assigned which may include; respecting/promoting patient rights; responding appropriately to emergency codes; sharing problems relating to patients and/or staff with immediate supervisors quickly; educates patients before and after procedures; maintains schedule; performs appointment follow ups; acts as receptionist as necessary; and travels between facilities as requested.
Assists with coordinating patient appointments; relays necessary messages to staff; greets and registers patients in a prompt, pleasant, and helpful manner; provides necessary instructions/directions. Informs appropriate department/person of patient's arrival; verifies necessary information and documents in the medical record; uses computer system to generate information necessary for billing; and, updates patient information, collects co-pays, provides any necessary forms needing completion, obtains signatures as necessary.
Scheduling Coordinator
Indianapolis, IN jobs
At Tendercare Home Health, the Scheduling Coordinator plays a vital role as the voice of our patients and employee experience. In this key position for our company, you will ensure that our patients receive the best possible staffing support tailored to their needs while fostering an exceptional experience for both patients and employees. This role is key to our mission of delivering top-quality care, placing you at the forefront of supporting families through challenging situations and coordinating the services they need. Through effective communication via text, email, and phone, you will facilitate seamless care coordination, ensuring clients are appropriately staffed for their care needs. This position is on-site at our Tendercare office in Indianapolis.
Essential Duties:
Communicate clearly, kindly, and effectively as a primary representative of Tendercare Home Health.
Acts as the main point of contact for patients and employees regarding schedules which can include hospitalizations, call-offs, etc.
Build patient schedules that align with the patient's health insurance benefits (will be provided).
Clear alerts in Tendercare's electronic medical records system, CellTrak.
Collaborate with other departments to provide top quality, kind, and compassionate support to Tendercare patients, families, and employees.
Must strictly adhere to the Health Insurance Portability and Accountability Act (HIPAA) requirements regarding privacy and security of health information of clients of Tendercare.
Participate in a rotating Sunday on call schedule (8 a.m. Sunday to 8 a.m. Monday). Schedulers will also take turns covering on-call shifts on holidays. One scheduler should not do more than 2 holidays per year.
Performs other duties as assigned.
Required Qualifications:
Excellent verbal and written communication skills.
Must be a strong multitasker with exceptional follow-up skills.
Exceptional interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
Associate degree or equivalent experience preferred.
Strong attention to detail within multiple platforms.
Proficient with Microsoft Office Suite or related software.
Experience with medical records systems or similar software is preferred.
Ability to sit at a desk and work on a computer for extended periods (up to 8 hours per day).
Ability to communicate clearly in person and over the phone.
Tendercare Home Health Services has been a family-owned and operated business for the past 30 years. We believe in doing what's right for our patients and we do all we can to take care of our nurses. We're a top workplace and believe that a happy nurse equals a happy patient. We're looking for quality candidates to join our fast-growing company.
Medical Receptionist
Glendale, CA jobs
We are seeking a professional and personable Medical Front Desk Receptionist to be the first point of contact for our patients. This role is essential in creating a welcoming environment while ensuring smooth daily operations of the front office. The ideal candidate will have strong communication skills, attention to detail, the ability to multitask in a fast-paced medical setting and a passion for patient-centered care.
Responsibilities:
· Greet patients and visitors in a warm, professional manner.
· Answer, screen, and route incoming phone calls.
· Schedule, confirm, and update patient appointments.
· Check patients in and out, ensuring all necessary forms and information are collected.
· Verify and update patient demographics.
· Obtain or verify proper insurance and patient information, collect signatures and ensure accuracy and completion of necessary documentation.
· Collect co-pays, payments, and provide receipts.
· Coordinate with the back office staff for timely and effective patient care.
· Maintain the front desk area in a clean and organized manner.
· Assist with patient inquiries regarding office procedures, policies, and services.
· Communicate effectively with medical staff to ensure smooth patient flow.
· Handle sensitive patient information in compliance with HIPAA regulations.
· Perform general office duties including scanning, faxing, filing, and data entry.
· Maintain a clean, stocked, and safe clinical environment
· Other tasks as assigned
Qualifications:
· High school diploma or equivalent (required)
· Bachelor's degree (preferred)
· Minimum of 1 year experience in a clinical setting (preferred)
· Bilingual proficiency in English and Armenian or Spanish (preferred)
· Strong interpersonal, communication, and organizational skills
· Proficient typing and basic computer application skills
Compensation:
· Competitive hourly pay based on experience and skills.
· $21-$25/hr
Medical Office Admin - Temp
Plano, TX jobs
United Surgical Partners International , the country's largest ASC platform is currently seeking a Regional Surgery Center Administrator for Texas Endoscopy East and Texas Endoscopy West. Texas Endoscopy East and Texas Endoscopy West are both in Plano, TX. Our facilities are separately accredited by the Accreditation Association for Ambulatory Health Care. Texas Endoscopy East and Texas Endoscopy West are both facilities in which physicians have an ownership or investment interest. Texas Endoscopy East has 3 OR's and 1 PR, and Texas Endoscopy West has 2 PR's. Our state-of-the-art equipment allows surgeons to perform procedures in the specialty area of GI.
The ideal candidate for this role will either have Ambulatory Surgery Center (ASC) leadership experience or hospital surgical leadership experience with ASC exposure.
Job Summary
Responsible for a minimum of 2 facilities and directing, coordinating, and controlling all aspects of the operating functions, processes, and staff of the facilities while demonstrating the primary goal of efficiently providing surgical services that exceed customer expectations and improve clinical and financial operations.
Responsibilities and Expectations
The daily operation of the facility.
Serving, along with any committee appointed for the purpose, as a liaison between the Governing Board, the Medical Staff, and all departments of the facility.
Reporting the pertinent activities concerning the facility to the Governing Board at regular intervals.
Appointing a person responsible for the facility in the absence of the Administrator.
Planning for the services provided by the facility and the operation of the facility.
Overall management of the Partnership as outlined in the Operating or Limited Partnership Agreement as applicable.
Lead discussion/presentation during Monthly Operations Review call with USPI's Home Office team.
Business Operations
Deploy, monitor, and ensure that USPI's EDGETM is the foundation of the facility's operational processes and appropriately integrated within the facility's QPI program.
Ensure compliance with USPI's policies and procedures as related to internal controls.
Develop, monitor, and control the staffing needs, operations budget, and capital budget.
Develop, monitor, and control the purchasing plan to stay within the proposed budget and maintain compliance with group purchasing initiatives.
Ensure compliance with government regulatory agencies and accrediting bodies.
Negotiate and control all external contracts, such as those with physicians, ancillary services, plant maintenance, and purchasing agreements.
Establish pricing for procedures based on cost analysis and local market standards.
Foster positive work relationships among all departments of the facility and act as liaison between UPSI's Home Office and all staff at the facility.
Develop and ensure compliance with appropriate departmental policy and procedure manuals for use by the staff.
Closely monitor variations in the financial performance of the facility to avoid cash flow problems.
Personnel Administration
Hold monthly staff meetings outlining goals and priorities of the facility.
Manage exempt and non-exempt employees in accordance with the facility policies utilizing sound principles of practice and fairness.
Review employee performance as evaluated by their respective managers, ensuring that reviews occur as scheduled or at least annually for each employee.
Review and approve the disciplinary action and/or discharge of employees.
Evaluate management performance and other staff as designated.
Approve the addition or deletion of positions as well as approve applicants for employment in new or vacant positions.
Develop employee productivity analysis, utilizing USPI's Staff Tracker, and assure efficiency of staff levels through increases or reductions in the work force as necessitated by changes in surgical case volume.
Implements a program of job-based orientation, training, and ongoing evaluation for all employees.
Manage all employee files and records.
Provide educational opportunities for professional staff development. Promote the implementation of positive customer relations by the employees and physicians.
Clinical Services
Ensure that the surgical programs and clinical services are in compliance with the respective components of regulatory body and accrediting body standards. Work in conjunction with the Medical Director and Medical Executive Committee in the evaluation and development of existing and new surgical services at the facility.
Manage the clinical departments of nursing, central supply, medical records, and housekeeping, and supervise the contracted services of laboratory, radiology, pharmaceuticals, laundry, and biomedical engineering.
Monitor the adequate function of surgical equipment and patient care equipment through contracted services and follow-up on repairs.
Develop and implement a sales/marketing plan and lead the facility's sales team in accordance with USPI's Sales Plan and the business plan for the facility.
Identify and develop new services defined as appropriate for ambulatory surgery centers.
Foster positive public relations, marketing, and planning.
Quality Improvement
Develop, evaluate, and promote implementation of a continuous quality improvement program.
Administer the infection control program and medical staff review of the quality improvement program.
Identify and correct quality care issues.
Develop statistical indicators to use in evaluating the overall operations and quality of care provided.
Serve as a member of the Quality Improvement Committee.
Medical Staff Relationships
Process the credentialing of practitioners of the facility.
Collaborate with the Medical Director in the review and revision of the Medical Staff Bylaws and Rules and Regulations on a biannual basis.
Collaborate with the Medical Director and serve as a liaison in problem areas with the medical staff. Promote positive relationships between employees and practitioners.
Develop a system whereby physician's needs and their patients' needs are defined in order to determine the proper mix of services and efficiencies.
Administrative Representative
Attend corporate administrative meetings representing the facility.
Act in accordance with the vision, mission, and business philosophy of the facility.
Maintain membership in professional associations relevant to ambulatory surgery facilities and healthcare administration.
Stay current in changes in the healthcare environment, such as reimbursement, legislative issues and business law, and act accordingly in the best interest of the corporation.
Personal Development and Professionalism
Identify areas that require additional reinforcement through education, consultation, or practicum.
Attend all mandatory in-services and meetings.
Follow the facility's professional conduct and dress code policy.
Maintain patient, physician, and employee privacy and confidentiality per policy.
Communicate effectively and courteously with visitors, physicians and their office staff, patients, and employees.
Criteria for Evaluation
Patient/family/physician/employee feedback
Annual Goals
#LI-TG1
Required Experience:
Annual and Quarterly bonus potential
Qualifications
Bachelor's degree or equivalent work experience.
Minimum three years of experience in a top administrative or management position in the health care field.
Good command of the English language, both verbal and written.
Ability to work well with physicians, employees, patients, and others.
The Governing Board may determine other qualifications as seen fit.
Working Conditions and Physical Requirements
Mobility to move about the facility to supervise employees and activities.
Office environment typical, but frequent exposures to patient care areas.
The employment practices of USPI and its companies comply with all applicable laws and regulations.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Insurance Coordinator (Specialty)
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
Description of Responsibilities
The Specialty Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter.
Reporting Relationship
Director of Operations
Scope of Supervision
None
Responsibilities include the following:
1. Responsible for insurance verification for new and existing specialty patients by phone or using pharmacy software or payer portals.
2. Responsible for insurance re-verification for all specialty restart patients
3. Responsible for insurance re-verification for all specialty patients at the beginning of each month and each new year.
4. Responsible for advanced monitoring expiring authorizations for existing specialty patients
5. Responsible for securing advanced re-authorization for existing specialty patients.
Participate in surveys conducted by authorized inspection agencies.
Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator.
Participate in pharmacy committees when requested.
Participate in in-service education programs provided by the pharmacy.
Report any misconduct, suspicious or unethical activities to the Compliance Officer.
Perform other duties as assigned by supervisor.
Comply with and adhere to the standards of this role as required by ACHC, Board of Pharmacy, Board of Nursing, Home Health Guidelines (Title 22), Medicare, Infusion Nurses Society, NHIA and other regulatory agencies, as applicable.
Minimum Qualifications:
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus.
Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.)
Prior experience in a pharmacy or home health company is preferred.
Prior experience in a consumer related business is preferred.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Paid time off
Vision insurance
Work Location: In person