Prior authorization representative work from home jobs - 592 jobs

One of our top clients is looking for a team of Patient Access Representatives within a call center environment in Beverly Hills, CA! This person will be responsible for handling about 50+ calls per day for multiple specialty offices across Southern California. This position is fully on-site for 2 - 4 months, then fully remote. Required Skills & Experience HS Diploma 2+ years healthcare call center experience (with an average call time of 5 minutes or less on calls) Proficient with scheduling appointments through an EHR software 2+ years experience scheduling patient appointments for multiple physicians in one practice 40+ WPM typing speed Experience handling multiple phone lines Nice to Have Skills & Experience Proficient in EPIC Experience verifying insurances Basic experience with Excel and standard workbooks Experience in either pain management, dermatology, Neurology, Endocrinology, Rheumatology, or Nephrology. Responsibilities Include: Answering phones, triaging patients, providing directions/parking instructions, contacting clinic facility to notify if a patient is running late, scheduling and rescheduling patients' appointments, verifying insurances, and assisting with referrals/follow up care. This position is on-site until fully trained and passing multiple assessments (typically around 2-4 months of working on-site - depending on performance) where it will then go remote.

Medical Support Assistant Duration: 1 year contract (strong possibility of extension!) Onsite: Denver, CO Full Time: M-F, Day Shift Overview: We are seeking reliable and mission-driven Medical Support Assistants to support Veterans served by a large healthcare system. MSAs provide critical front-line administration support across outpatient clinics and virtual care services. Responsibilities: • Customer service, appointment scheduling, and records management • Answer phones, greet Veteran patients, schedule appointments and consults • Help determine a clinic's daily needs, and verify and update insurance information Required Qualifications: • Minimum 6+ months of customer service experience • 1+ year of clerical, call center, or healthcare administrative experience • High school diploma or GED required • Proficient with medical terminology • Typing speed of 50 words per minute or more • Ability to pass a federal background check • Reliable internet for a remote work environment

Department: AccessibleNU Salary/Grade: EXS/6 The Access Coordinator position serves as a subject matter expert on the academic and on-campus housing ADA reasonable accommodation request process for students. The Access Coordinator role is a remote position. Utilizing a thorough and timely process, daily functions include meeting with students with disabilities, reviewing medical and supplemental documentation, evaluating and determining requests for accommodations, and creating and maintaining case notes. The role collaborates with other ANU staff, coordinates with faculty, academic department leaders, and other campus liaisons, and leads campus trainings and outreach events. The Access Coordinator position ensures institutional compliance with federal, state, and local disability regulations. Pay Range: The salary range for the AccessibleNU Access Coordinator position is $68,500 - $70,000 depending on experience, skills, and internal equity. About AccessibleNU: AccessibleNU (ANU) is responsible for the academic and on-campus housing accommodation determination and coordination process for students with disabilities. Northwestern University recognizes disability as an essential aspect of our campus, and as such, we actively collaborate with faculty, staff, and students to achieve access goals. Mission: AccessibleNU supports and empowers students with disabilities by collaborating with the Northwestern community to ensure full participation in the academic learning environment. Principal Accountabilities: * Maintains a full caseload of students and provides ongoing support for undergraduate, graduate, professional, and online students. * Reviews and processes incoming accommodation requests, ensuring a prompt, thorough, and equitable response to each request: * Interprets disability documentation including medical, educational, and/or psychological assessments. Conducts accommodation meetings to gather additional information. Cross-analysis to determine reasonable accommodations. * Ensures accommodation determinations align with ANU process and procedures, the Americans with Disabilities Act (as amended), Sections 504 and 508 of the Rehabilitation Act, state and local disability regulations, the Fair Housing Act, relevant caselaw and legal guidance, and University policies and procedures. * Generates creative and practical solutions to address current and emerging needs, including accommodations for students in off-site placements such as clinical settings, internships, practicums, and experiential learning environments. * Uses office database (AIM) to maintain student files including: sending accommodation emails, maintaining confidential documentation, scheduling appointments, case noting, and documenting communications with students and university personnel regarding the accommodation process. * Engages with faculty, academic department leaders, and staff to facilitate difficult conversations and coordinate and implement complex accommodations (e.g. flexibility with attendance and deadlines, classroom relocation, furniture placement, clinical arrangements, qualifying exam accommodations, adjustments to program requirements, etc.) while upholding essential course and programmatic requirements and/or technical standards. * Provides consultation services, information meetings, presentations, trainings, outreach events, and programming with respect to University disability accommodation processes, definitions, perspectives, implications, applications of professional research, and local, state, and federal laws as requested. * Participates in developing and implementing strategic planning goals, objectives, and assessments as requested. * Participates, leads, and attends AccessibleNU or University based working groups, committees, events, or other division-wide activities as requested. * Performs back-up functions such as front desk duties and test proctoring/coordinating. * Assists ANU leadership team with overall unit functional areas. * Will perform other duties as assigned. Minimum Qualifications: Education and Experience: * Bachelor's degree in higher education administration, rehabilitation counseling, social work, psychology, or related field * Minimum of one (1) year related experience in the postsecondary environment, working directly with students with various disabilities; similar experience with students outside the postsecondary setting and/or a combination of training and experience may be considered * Knowledge of the ADAAA, Section 504, Section 508 and its application to accommodation determination * Familiarity with the complexities of medical documentation and its alignment with accommodation determination, including the interpretation of test results such as the WAIS, Woodcock Johnson, and other diagnostics within the DSM-V. Skills: * Ability to problem solve, collaborate, mediate conflict, and negotiate in challenging situations * Highly developed facilitation skills to foster a welcoming environment for students * Highly developed communication skills to build and promote collaborative partnerships with faculty and administration * Ability to adapt to and openness to change * Ability to independently manage time in a fast-paced environment * Ability to exercise independent judgement related to the impact of the disability, how it relates to classroom and housing access, and the legal aspects involved * Ability to work both independently and in team settings Preferred Qualifications: * Master's degree in higher education administration, rehabilitation counseling, social work, psychology, or related field * Prior case management work with undergraduate, graduate, professional, and online students with disabilities * Proficiency with a range of assistive technologies and adaptive equipment and their application * Demonstrated experience determining clinical and/or offsite accommodations using programmatic technical standards * Working Conditions: The Access Coordinator role is a remote position. Employees must have access to reliable internet. Note: Access Coordinators who are local to the Chicagoland area are required to come to the Evanston or Chicago campus on occasion for division and office events and meetings, on-boarding and trainings, presentations, and accommodation coordination. Will require limited evening and weekend availability. Benefits: At Northwestern, we are proud to provide meaningful, competitive, high-quality health care plans, retirement benefits, tuition discounts and more! Visit us at *************************************************** to learn more. Work-Life and Wellness: Northwestern offers comprehensive programs and services to help you and your family navigate life's challenges and opportunities, and adopt and maintain healthy lifestyles. We support flexible work arrangements where possible and programs to help you locate and pay for quality, affordable childcare and senior/adult care. Visit us at ************************************************************* to learn more. Professional Growth and Development: Northwestern supports employee career development in all circumstances whether your workspace is on campus or at home. If you're interested in developing your professional potential or continuing your formal education, we offer a variety of tools and resources. Visit us at *************************************************** to learn more. Northwestern University is an Equal Opportunity Employer and does not discriminate on the basis of protected characteristics, including disability and veteran status. View Northwestern's non-discrimination statement. Job applicants who wish to request an accommodation in the application or hiring process should contact the Office of Civil Rights and Title IX Compliance. View additional information on the accommodations process. #LI-GY1

**Join our dynamic team as a frontline patient care representative who interacts with our patients to provide exceptional and compassionate patient care! The patient care representative may have the option to work remotely after an introductory training period. General Job Summary: Vital to the success of our organization with providing OrthoCincy patients and all other callers a premier Ortho experience while focusing on their individual needs. Essential Job Functions: Schedules appointments for patients either by phone when they call in, through the company website or when requested from the clinic via computerized message system. Uses computerized system to match physician/clinician availability with patients' preferences in terms of date and time. Ability to handle a high volume of incoming calls, while maintaining a high standard of productivity, efficiency and accuracy while working under pressure. Must be able to respond to various inquiries made by patients, hospitals, insurance companies, as well as other medical entities. Engaging in active listening with all callers, while acting as a contact point person between patients, providers and staff. Maintains scheduling system so records are accurate and complete and can be used to analyze patient/staffing patterns. Updates physicians/clinicians or medical assistants. Ensures that updates (e.g. cancellations or additions) are input daily into master schedule. Send requests to clinic for prescription refills and follow up with patients on messages from clinic via computerized message system. Establish and maintain effective working relationships with patients, providers, co-workers, and the public. Maintaining a calm, pleasant and compassionate tone while being able to diffuse tense situations. Follows HIPAA regulations. Perform other duties necessary or in the best interest of the department/organization. Requirements Education/Experience: High school diploma. Minimum one year experience in a medical practice and/or position encouraged. Experience in a high volume call center a plus. Other Requirements: Schedules will change as department needs change. Performance Requirements: Knowledge: Knowledge of OrthoCincy's Mission, Vision and Values. Knowledge of medical practice protocols related to scheduling appointments. Knowledge of anatomy and medical terminology. Knowledge of computerized scheduling systems. Knowledge of customer service principles and techniques. Knowledge of OSHA and safety standards. Skills: Skill in communicating effectively with providers, employees, customers and patients. Skill in maintaining appointment schedule via computerized means. Effective in critical thinking skills. Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages. Abilities: Ability to multi-task effectively Ability to communicate calmly and clearly Ability to analyze situations and respond appropriately. Ability to alternate between multiple computer systems in a timely manner. Equipment Operated: Standard office equipment. Work Environment: Standard call center workstation. Mental/Physical Requirements: Involves sitting and viewing a computer monitor 90% of the work day. Must be able to remain focused and attentive without distractions (i.e. personal devices).

The Precertification and Authorization Representative is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In addition, this position may be responsible for pre-appointment insurance review (PAIR) and denials recovery functions within the Patient Access department. This may include processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts, as well as working assigned registration denials for government and non-government accounts. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. High School Diploma or GED and 2+ years of relevant experience required OR Bachelor's degree required Additional Requirements include: Prior Auth / Authorization, Cancer Services, Microsoft Office, Radiation Oncology, Insurance Verification, Appeals, and Pre Determination experience preferred. Ability to read and communicate effectively Basic computer/keyboarding skills, intermediate mathematic competency Good written and verbal communication skills Knowledge of proper phone etiquette and phone handling skills Position requires general knowledge of healthcare terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Knowledge of Denial codes is preferred. Knowledge of and experience using an Epic RC/EMR system is preferred. Healthcare Financial Management Association (HFMA) Certification Preferred. *This position is a 100% remote work. Individual may live anywhere in the US. **This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Job Title: Account Management Representative - Hawaii Market (Applicants must currently reside in Hawaii to be considered) Wage Range: $24 - $31/hour Help Hawaii's Local Businesses Grow with Trust at the Center At Better Business Bureau , we help businesses grow with confidence-offering tools, partnerships, and guidance that make trust a lasting advantage. In Hawaii, that work is deeply personal. Businesses thrive through connection, community, and cultural alignment. We're looking for a Customer Success Partner based on Oʻahu who understands the local business landscape, is eager to represent BBB in the community, and thrives on building meaningful, long-term relationships. This is a role for a trusted guide-not just a support rep. If you're energized by one-on-one connections, proactive strategy, and local impact, we want to meet you. What We're Looking For This is not a transactional support role. We're looking for someone who can partner strategically, build rapport with business leaders, and represent BBB with integrity in the community. As the main point of contact for a portfolio of Accredited Businesses, your goal will be to help them leverage the right tools, guidance, and resources to grow their business. You'll excel in this role if you: • Live on Oʻahu and are familiar with Hawaii's local business culture • Are a natural relationship builder, proactive communicator, and strategic thinker • Have experience in customer success, client services, or account management • Are confident attending business events, leading conversations, and presenting in person • Enjoy helping businesses grow by identifying opportunities and providing solutions that matter • Can effectively onboard new Accredited Businesses, guiding them through their tools and helping them realize value quickly • Are resourceful and confident with technology, using digital tools to support your portfolio and streamline processes • Are detail-oriented, organized, and comfortable documenting interactions and insights • Can collaborate with teammates, sharing best practices and supporting high-volume periods Bilingual candidates are encouraged to apply. Language skills help us better serve our diverse Accredited Business community. Qualifications • High school diploma or college degree • 1-3 years of experience in Customer Success, Account Management, or equivalent client-facing role • CRM experience required; comfort with Microsoft and/or HubSpot tools preferred Why You'll Love Working at BBB We show up every day ready to help businesses and consumers succeed. Our work is driven by integrity, collaboration, and a belief in the power of trust to drive progress. What we offer: • Mission-driven, supportive team culture • Medical, Dental, and Vision Insurance Plans (Dental and Vision base plans with premiums 100% paid by BBB) • 100% employer-paid life and long-term disability insurance • Optional insurance plans (short-term disability, additional life, accident, etc.) • Paid Time Off (PTO) as of your date of hire • Paid holidays, plus your birthday off with pay • Safe Harbor (immediate vesting) 401(k) plan with up to 6% company match • Local work model with flexibility to work remotely and attend in-person events across Oʻahu and occasionally neighbor islands At BBB, we embrace diversity and strive to create an inclusive environment that allows all team members to thrive. We foster a culture in which our differences are celebrated; our differences are what makes us a Better Business! We are proud to be an Equal Employment Opportunity. We will not discriminate based on race, color, gender, gender identity, religion, sexual orientation, national origin, age, marital status, disability status, citizenship status, veteran status, or any other characteristic prohibited by Local, State, or Federal law. Discrimination, retaliation, or harassment based upon any of these factors is inconsistent with our core values and will not be tolerated. Ready to join the team and show off your skills? Please apply now to join BBB's team, and let's create workplace magic together!

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. What Individualized Care contributes to Cardinal Health Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs, patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before. With all services centralized in our custom-designed facility outside of Dallas, Texas, Sonexus Health helps manufacturers rethink how far their products can go. Responsibilities The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits (pharmacy and medical benefits), and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. Investigate and resolve patient/physician inquiries and concerns in a timely manner Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate Proactive follow-up with various contacts to ensure patient access to therapy Demonstrate superior customer support talents Prioritize multiple, concurrent assignments and work with a sense of urgency Must communicate clearly and effectively in both a written and verbal format Must demonstrate a superior willingness to help external and internal customers Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable) Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry Must self-audit intake activities to ensure accuracy and efficiency for the program Make outbound calls to patient and/or provider to discuss any missing information as applicable Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance Documentation must be clear and accurate and stored in the appropriate sections of the database Must track any payer/plan issues and report any changes, updates, or trends to management Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties Support team with call overflow and intake when needed Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. Qualifications 3-6 years of experience preferred High School Diploma, GED or technical certification in related field or equivalent experience, preferred What is expected of you and others at this level Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments In-depth knowledge in technical or specialty area Applies advanced skills to resolve complex problems independently May modify process to resolve situations Works independently within established procedures; may receive general guidance on new assignments May provide general guidance or technical assistance to less experienced team members TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) Upload speed of 5Mbps (megabyte per second) Ping Rate Maximum of 30ms (milliseconds) Hardwired to the router Surge protector with Network Line Protection for CAH issued equipment Anticipated hourly range: $21.40 per hour - $30.60 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings plan Access to wages before pay day with my FlexPay Flexible spending accounts (FSAs) Short- and long-term disability coverage Work-Life resources Paid parental leave Healthy lifestyle programs Application window anticipated to close: 3/5/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. To read and review this privacy notice click here

Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors . This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. Job Summary: The Patient Access Specialist I provides support to the Columbia West Campus sphere that is part of a system wide access center managing large volumes of inquiries and requests from patients and customers for access/assistance in scheduling diagnostic services, physician referral/appointments, and general information on ColumbiaDoctors. The Patient Access Specialist I is a key role in our patient experience ecosystem and serves at the heart of the contact center acting as the front door to patient care. Job Responsibilities: Greets patients and answers telephone calls. Schedules appointment requests. Indicates special needs (e.g. special accommodation, interpreter, etc.) Communicates insurance participation, financial responsibility, and time of service policy to patient population. Obtain patients insurance and demographic information and ensure all obtained information is registered in EPIC. Performs real-time insurance verification and interprets responses. Collects pre-registration information to address outstanding Epic work queue accounts. Performs outbound calls to perform Epic referral scheduling. Contribute to the team by providing support and back-up coverage as needed and directed by Supervisor and/or Manager. General faxing, filing, and mail sorting. Performs other related duties as assigned. Job Qualifications: High School Diploma or the equivalent required. Minimum of 2 years of relevant experience including proficiency in medical terminology. Bachelor s Degree or college-level coursework is preferred. Prior high volume customer service experience in a call center environment is preferred. Bilingual (English/Spanish) a plus Hourly Rate Ranges: $23.82 - $30.02 Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education. 61st Street Service Corporation At 61 st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle. We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.

The Tsui Group is seeking a candidate who is qualified and experienced in educational facility construction projects to serve as an Owner Authorized Representative I for a large educational client within Los Angeles County with the below duties: Manages, oversees and coordinates all facets of the pre-construction, bid and award, construction and close-out phase of all assigned projects Reviews pre-construction documents and submits comments to Designer as necessary Plans, organizes, and prepares reports to upper management with respect to the status and/or progress of the projects Coordinates with all pertinent public agencies during pre-construction and construction to comply with all off-site work; coordinates with various District and Project staff Manages both the project budget and schedule to meet the District's qualitative standards; monitors project budget on a monthly basis and ensures that the budget accurately reflects the project status/progress Manages daily activities of the contractor, reviews contractors' construction schedules and submittals, and coordinates responses to the contractors' inquiries thru the Requests for Clarifications (RFC) and other related documents Reviews substitution submittals from contractors to ensure specification and/or District requirements are complied with Receives, reviews, and negotiates Contractor Change Order Proposal(s) to achieve a fair & reasonable price in accordance with the General Conditions; reviews and addresses any and all Schedule impacts in accordance with the project specifications in a timely manner Reviews the process and monitors payments for the contractor, architects, engineers and any other pertinent parties Administers provisions of Professional Service Agreements between Architects and the District Coordinates District delivery of related fixtures, furniture and equipment Monitors and manages project close-out with respect to project certification with the Division of State Architects (DSA) and project financial close out Perform other related duties as assigned Requirements Required Experience: Minimum of 10 years full time paid professional experience in Construction and/or a combination of Project and Construction Management of Commercial and/or Public/Educational Facility Construction. Minimum of 3 years of experience with full responsibility for coordinating complex projects with construction values in excess of $10M. Additional Preferred Experience: Design Build Experience Experience utilizing Building Information Modeling (BIM) Experience with Leadership in Energy and Environmental Design (LEED) certified projects and/or the Collaborative for High Performing Schools (CHPS) Experience with Division of the State Architect (DSA) construction/design processes Safety and OSHA Safety Regulations (OSHA 30 minimum) Required Education: There are 3 ways to meet the education requirement: Graduation from a recognized college or university with a bachelor's degree in Architecture, Engineering, or Construction Management OR Graduation from a recognized college or university with a bachelor's degree. Candidate must be able to complete the Certified Construction Manager (CCM) credential within one (1) year of employment in the Facilities Services Division of the Los Angeles Unified School District. OR Possession of a valid Certified Construction Manager (CCM) credential which may substitute for the required education Preferred Licenses and Certificates: A valid Certificate of Registration as an Architect by the California Architectural Board or Professional Engineer by the State Board for Professional Engineers and Land Surveyors A valid Construction Manager (CCM) credential by the Construction Manager Certification Institute (CMCI) Benefits Salary Range: $146,000-$151,000 Medical, Vision, & Dental - 100% covered for the employee* Life and Disability Insurance 10.5 days of Vacation pay (Accrued) 6 days of Sick pay (Available Immediately) 13 days of Holiday pay 3% Employer Contribution 401k (After 1 year of service) Monthly Stipend for Cell Phone Laptop for work purposes

Hill International is seeking an OAR I in Los Angeles, California Minimum of ten (10) years of full-time paid professional experience in construction and/or a combination of Project and Construction Management of Commercial and/or Public/Educational Facility Construction. At least three (3) of the ten (10) years should include full responsibility for coordinating complex projects with construction values of more than $10M. Education requirement can be met in three ways. Bachelor's degree in architecture, engineering, or construction management from a recognized college or university. Or bachelor's degree from a recognized college or university with ability to complete the Certified Construction Manager (CCM) credential within one (1) year of employment in the Facilities Services Division of the Los Angeles Unified School District. Or possession of a valid Certified Construction Manager (CCM) credential. Valid Construction Manager (CCM) credential from the Construction Manager Certification Institute (CMCI) preferred. Valid Certificate of Registration as an Architect by the California Architectural Board or Professional Engineer by the State Board for Professional Engineers and Land Surveyors preferred. Experience utilizing Building Information Modeling (BIM). Experience with Leadership in Energy and Environmental Design (LEED) certified projects and/or the Collaborative for High Performing Schools (CHPS). Experience with Division of the State Architect (DSA) construction/design processes. Knowledge of safety and OSHA Safety Regulations (OSHA 30 minimum). The salary range for this position is $118,000-$148,000. The offered salary will be based on the applicants qualifications, education, experience and work location. Depending upon your employment status, Hill's comprehensive benefits may include, Medical, Dental, Vision, Employer Paid Life and Accidental Death & Dismemberment Insurances, Business Travel Accident Insurance, Short-Term Disability, Long Term Disability, Flexible Spending Account, Health Savings Account, Dependent Care Flexible Spending Account, Commuter Benefits, Legal Assistance, Identity Theft Protection, Pet Insurance, Auto & Home Insurance, Critical Illness Insurance, Accident Insurance, Hospital Indemnity Insurance, Voluntary Life & Accidental Death & Dismemberment Insurance. Paid Time Off (PTO), Holidays, 401(K) Retirement Savings Plan, Employee Referral Program, Professional Certification Incentive Program, Hill University Learning and Development, Tuition Reimbursement, EAP, Years of Service Awards Program. Manage, oversee, and coordinate all facets of the pre-construction, bid and award, construction, and close-out phases for all assigned projects. Review pre-construction documents and submit comments to Designer as necessary. Plan, organize, and prepare reports to upper management regarding project status and progress. Coordinate with all pertinent public agencies during pre-construction and construction to ensure compliance with all off-site work, as well as coordinate with various District and Project staff. Manage the project budget and schedule to meet the District's qualitative standards and monitor the project budget on a monthly basis to ensure accurate reflection of project status and progress. Manage the daily activities of the contractor, review contractor's construction schedules and submittals, and coordinate responses to contractor's inquiries through Requests for Clarifications (RFC) and other related documents. Review substitution submittals from contractors to ensure specifications and/or District requirements are in compliance. Receive, review, and negotiate Contractor Change Order Proposals to achieve a fair and reasonable price in accordance with the General Conditions. Review and address any and all schedule impacts in accordance with project specification in a timely manner. Review the process and monitor payments for the contractor, architects, engineers, and any other pertinent parties. Administer provisions of Professional Service Agreements between Architects and the District. Coordinate District's delivery of related fixtures, furniture, and equipment. Monitor and manage project close-out with respect to project certification with the Division of State Architects (DSA) and project financial close-out. Perform other related duties as assigned.

The Precertification and Authorization Representative is an intermediate level position that is responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across hospital (inpatient & outpatient), ED, and clinic/ambulatory environments. In addition, this position may be responsible for pre-appointment insurance review (PAIR) and denials recovery functions within the Patient Access department. This may include processing of pre-certification and prior authorization for workers compensation/third party liability (WC/TPL), managed care and HMO accounts, as well as working assigned registration denials for government and non-government accounts. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. High School Diploma or GED and 2+ years of relevant experience required OR Bachelor's degree required Additional Requirements include: Prior Auth / Authorization, Cancer Services, Microsoft Office, Radiation Oncology, Insurance Verification, Appeals, and Pre Determination experience preferred. Ability to read and communicate effectively Basic computer/keyboarding skills, intermediate mathematic competency Good written and verbal communication skills Knowledge of proper phone etiquette and phone handling skills Position requires general knowledge of healthcare terminology and CPT-ICD10 codes. Basic knowledge of and experience in insurance verification and claim adjudication is preferred. Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Knowledge of Denial codes is preferred. Knowledge of and experience using an Epic RC/EMR system is preferred. Healthcare Financial Management Association (HFMA) Certification Preferred. *This position is a 100% remote work. Individual may live anywhere in the US. **This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

This salary rangeis inclusive of several career levels and an offer will be based on the candidate's experience, qualifications, and internal equity. The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Patient Resource Representative JOB OVERVIEW: The Patient Resource Representative position is responsible for scheduling, pre-registration, insurance verification, estimates, collecting payments over the phone, and inbound and outbound call handling for Primary and Specialty Clinics supported by the Patient Resource Center. This includes call handling for specialized access programs: Accountable Care Network Contracts Hotline Call Handling, MyChart Scheduling, and Outbound dialing for Referral Epic Workqueues. DEPARTMNT: Patient Resource Center WORK HOURS: As assigned REPORTSTO: Supervisor, Patient Resource Center PREREQUISITES: * High School Graduate or equivalent (G.E.D.) preferred. * Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. * Demonstrates basic skills in keyboarding (35 wpm) * Computer experience in a windows-based environment. * Excellent communication skills including verbal, written, and listening. * Excellent customer service skills. * Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: * Ability to function effectively and interact positively with patients, peers and providers at all times. * Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. * Ability to provide verbal and written instructions. * Demonstrates understanding and adherence to compliance standards. * Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: * Ability to communicate effectively in verbal and written form. * Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. * Ability to maintain a calm and professional demeanor during every interaction. * Ability to interact tactfully and show empathy. * Ability to communicate and work effectively with the physical and emotional development of all age groups. * Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. * Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. * Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. * Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent * Ability to organize and prioritize work. * Ability to multitask while successfully utilizing varying computer tools and software packages, including: * Utilize multiple monitors in facilitation of workflow management. * Scanning and electronic faxing capabilities * Electronic Medical Records * Telephone software systems * Microsoft Office Programs * Ability to successfully navigate and utilize the Microsoft office suite programs. * Ability to work in a fast-paced environment while handling a high volume of inbound calls. * Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. * Ability to speak, spell and utilize appropriate grammar and sentence structure. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: See Generic for Administrative Partner. PERFORMANCE RESPONSIBILITIES: * Generic Job Functions: See Generic Job Description for Administrative Partner. * Essential Responsibilities and Competencies: * In-depth knowledge of VMC's mission, vision, and service offerings. * Demonstrates all expectations outlined in the VMC Caregiver Commitment throughout every interaction with patients, customers, and staff. * Delivers excellent customer service throughout each interaction: * Provides first call resolution, whenever possible. * Acknowledge if patient is upset and de-escalate using key words and providing options for resolution. * Identify and assess patients' needs to determine the best action for each patient. This is done through active listening and asking questions to determine the best path forward. * A knowledgeable resource for patient/customers that works to build confidence and trust in the VMC health care system. * Schedules appointments in Epic by following scheduling guidelines and utilizing tools and resources to accurately appoint patient. * Generates patient estimates and follows Point of Service (POS) Collection Guidelines to determine patient liability on or before time of service. Accepts payment on accounts with Patient Financial Responsibility (PFR) as well as any outstanding balances, documents information in HIS and provides a receipt for the amount paid. * Strives to meet patients access needs for timeliness and provider, whenever possible. * Applies VMC registration standards to ensure patient records are accurate and up to date. * Ensures accurate and complete insurance registration through the scheduling process, including verifies insurance eligibility or updates that may be needed. * Reviews registration work queue for incomplete work and resolves errors prior to patient arrival at the clinic. * Utilizes protocols to identify when clinical escalation is needed based on the symptoms that patients report when calling. * Takes accurate and complete messages for clinic providers, staff, and management. * Relays information in alignment with protocols and provides guidance in alignment with patient's needs. * Routes calls to appropriate clinics, support services, or community resource when needed. * Coordinates resources when needed for patients, such as interpreter services, transportation or connecting with other resources needed for our patient to be successful in obtaining the care they need. * Identifies, researches, and resolves patient questions and inquiries about their care and VMC. * Inbound call handling for our specialized access programs * A.C.N. Hotline Call handling * Knowledge of contractual requirements for VMC's Accountable Care Network contracts and facilitates care in a way that meets contractual obligations. * Applies all workflows and protocols when scheduling for patients that call the A.C.N. Hotline * Completes scheduling patients for all departments the PRC supports. * Facilitates scheduling for all clinics not supported by the PRC. * Completes registration and transfer call to clinic staff to schedule. * Completes the MyChart Scheduling process for appointment requests and direct scheduled appointments. * Utilizes and applies protocols as outlined for MyChart scheduling * Meet defined targets for MyChart message turnaround time. * Outbound dialing for patient worklists * Utilizes patient worklists to identify patients that require outbound dialing. * Outbound dialing for referral work queues. * Utilizes referral work queue to identify patients that have an active/authorized referral in the system and reaches out to complete scheduling process. * Schedules per department protocols * Updates the referral in alignment with the defined workflow. * Receives, distributes, and responds to mail for work area. * Monitor office supplies and equipment, keeping person responsible for ordering updated. * Other duties as assigned. Created: 1/25 Grade: OPEIUC FLSA: NE CC: 8318 #LI-Remote Job Qualifications: PREREQUISITES: 1. High School Graduate or equivalent (G.E.D.) preferred. 2. Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. 3. Demonstrates basic skills in keyboarding (35 wpm) 4. Computer experience in a windows-based environment. 5. Excellent communication skills including verbal, written, and listening. 6. Excellent customer service skills. 7. Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: 1. Ability to function effectively and interact positively with patients, peers and providers at all times. 2. Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. 3. Ability to provide verbal and written instructions. 4. Demonstrates understanding and adherence to compliance standards. 5. Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: a. Ability to communicate effectively in verbal and written form. b. Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. c. Ability to maintain a calm and professional demeanor during every interaction. d. Ability to interact tactfully and show empathy. e. Ability to communicate and work effectively with the physical and emotional development of all age groups. 6. Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. 7. Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. 8. Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. 9. Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent 10. Ability to organize and prioritize work. 11. Ability to multitask while successfully utilizing varying computer tools and software packages, including: a. Utilize multiple monitors in facilitation of workflow management. b. Scanning and electronic faxing capabilities c. Electronic Medical Records d. Telephone software systems e. Microsoft Office Programs 12. Ability to successfully navigate and utilize the Microsoft office suite programs. 13. Ability to work in a fast-paced environment while handling a high volume of inbound calls. 14. Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. 15. Ability to speak, spell and utilize appropriate grammar and sentence structure.

We are recruiting 100 entry level Remote Insurance Verification Representatives in FL, NV, SD, TX, and WY. If you are looking for steady work from home with consistent pay then this is the opportunity for you. To make sure this is a fit for you, please understand: You will be on the phone the entire shift. You will need to overcome simple objections and maintain a positive attitude. You will need to purchase a USB Headset (if you don't already have one). True W2 pay check and direct deposit company (not gimmick 1099 pay) No phone line needed No cellphone needed No driving required No people to meet No packaging materials No shipping No ebay accounts No phone experience needed (but a serious advantage) Company Culture This compant prides itself on empowering their team to be responsible, "show up" on time for their shift(s), and stay focused on their task(s) the whole time. Working from home is a blessing, but it can also be the biggest distraction. That's why they their staff with the utmost respect and expect the same from them. This is a serious opportunity from one of the most modern work from home companies on the planet. They are literally a bunch of people spread out around the country with a common goal of helping select customers complete their car insurance quotes. They skype together all day and everyone supports eachother as a team even though 95% all work from REMOTE locations. This company has been in the online and insurance marketing business for over 3 years now, and the founder has been in this industry for over 10 years now. Compensation $8.25/hr starting or 3$ per lead depending on which is more. Focused and aggressive verifiers make $15-$19 an hour. Scheduling The shifts that are available are 9am-1pm / 1pm-5pm / 5pm-9pm M-F. (Eastern Time). Depending on your location and availability you will be assigned (1) of these shifts temporarily until you are well trained and established. You will start as PART TIME. Once you are established Full time is possible and many reps choose full time. Full on-going success training is provided. (You are NOT required to purchase training materials or anything from them or us.) Again all you need is your own computer, high speed internet, 5 MBPS Download Speeds and 1 MBPS Upload Speeds USB headset.

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Authorization Specialist (Remote in Wisconsin & Michigan) Cost Center: 101651135 Insurance Verification Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Mon-Fri; 8:00 am - 5:00 pm (United States of America) Job Description: Wisconsin and Michigan residents only eligible to apply JOB SUMMARY The Authorization Specialist is a healthcare professional responsible for reviewing patient medical records to determine if a prescribed treatment, procedure, or medication requires prior authorization from the insurance company, ensuring that the requested care is deemed medically necessary and covered under the patient's benefits before it can be administered; this involves verifying patient eligibility, contacting insurance companies to obtain authorization, and managing the process to minimize delays in patient care. An Authorization Specialist works in a fast-paced environment with high call volumes, requiring strong organizational skills and the ability to manage multiple tasks simultaneously. JOB QUALIFICATIONS EDUCATION For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: None Preferred/Optional: Successful completion of post-secondary courses in Medical Terminology and Diagnosis and CPT Coding, and Anatomy & Physiology. Graduate of a Medical Assistant, Health Unit Coordinator or Health Care Business Service program. EXPERIENCE Minimum Required: Two years' experience in a medical business office or health care setting involving customer service or patient-facing responsibilities, or equivalent experience. In addition to the following: * Medical knowledge: Understanding of basic medical terminology, disease processes, and treatment options to accurately assess medical necessity. * Insurance knowledge: Familiarity with different insurance plans, benefit structures, and prior authorization guidelines. * Excellent communication skills: Ability to effectively communicate with healthcare providers, insurance companies, and patients to clarify information and address concerns. * Attention to detail: High level of accuracy in data entry and review of medical records to ensure correct prior authorization requests. * Problem-solving skills: Ability to identify potential issues with prior authorization requests, navigate complex situations, and find solutions to ensure timely patient care. Preferred/Optional: None. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: None. Preferred/Optional: None. Wisconsin and Michigan residents only eligible to apply Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

Hi. We're Hummingbird. We're elevating patient access so patients can get healthcare how, when, and where they need it. We partner with healthcare systems to transform how patients access care, enabling their providers to focus on what matters most - caring for patients. By managing patient access as a technology-enabled service, we help health systems stabilize costs and improve patient experience while creating good jobs that attract and retain talent in the industry. Our team of experts is obsessed with the connection between the people, processes, and technology that make healthcare organizations hum. Join us and help build the healthcare experience we want for our communities, our families, and ourselves. Summary Help patients get the care they need with patience, clarity, and compassion. As an Associate Patient Access Specialist at Hummingbird, you're the first voice patients hear when they reach out for care. Every call is a chance to make someone's day a little easier, whether you're scheduling an appointment, updating records, or helping someone log in to their MyChart account. You'll learn to navigate healthcare systems and practice empathy on every call, using your customer service skills to make each patient feel supported. You'll also work with a close-knit team that supports you and celebrates your growth. This is a starting point for a meaningful career in healthcare. You don't need medical experience; you need great communication skills, curiosity, technical aptitude, and the desire to help others, while contributing as a dependable part of the patient access team. We will teach you the rest through hands-on training, coaching, and real-time support. Responsibilities Note: This posting is for our ongoing Patient Access Specialist Talent Pool. We interview continuously and anticipate frequent openings, with start dates typically 2-6 months after your application. What You'll Do Be the first point of contact for patients calling to schedule or update appointments, ask about referrals or test results, request prescription refills, or get MyChart support. You'll spend most of your day talking with patients over the phone, supporting them through back-to-back calls in our remote call center environment. Listen carefully, ask clarifying questions, and guide patients to the right next step. Recognize when a patient needs clinical support and escalate calls that require medical guidance, urgent attention, or clinical review. Use our phone system, reference materials, and Epic (our electronic medical record system) to schedule visits, update insurance/contact details, and keep patient information accurate. Help patients use MyChart, a secure online portal, by setting up accounts, resetting passwords, and walking them through features like messaging or virtual visits. Document each call clearly and follow established workflows to keep things running smoothly. Escalate more complex questions to senior specialists or leads, knowing you have a team ready to support you. Participate in ongoing training and coaching to build consistency and accuracy in workflows. Contribute to a positive team culture where collaboration, curiosity, and kindness come first. The Details Location: Remote (U.S.-based) Schedule: Full-time or part-time, Monday-Friday; hours vary based on patient access center hours Compensation: Expected total range for the role is $17.00 to $22.00 per hour. New hires start between $17.00 and $20.00, depending on experience and internal equity. Benefits: Comprehensive medical, dental, and vision coverage; paid time off; 401(k); parental leave; career development support; and more Training: Paid, structured onboarding and ongoing mentorship Expectations for Focus & Presence To support patients and each other, this role requires your full attention during scheduled work hours. Our Outside Employment Policy doesn't allow overlapping work or “job stacking,” so any outside work must happen fully outside your Hummingbird schedule. We're a camera-ready team, and you'll need to be on-camera during training and when needed during the workday after training ends. We value connection, teamwork, and being present, which is what keeps our patients safe and our team supported. If that's what you're looking for, you'll feel at home here. If you're hoping to hold another job during the same hours, this job won't be the best match. About our Talent Pool Hummingbird is growing fast, and we interview year-round for our Associate Patient Access Specialist Talent Pool. While we're not hiring for this specific role right now, we typically add new specialists monthly, so start dates are often 2-6 months after applying. Joining the talent pool means you'll be among the first considered when opportunities open. We receive a lot of applications, so hearing back may take a little time, but we'll keep you updated, usually within a couple of weeks. You may also be invited to complete an assessment or have a brief conversation with a recruiter as part of early screening. Growth at Hummingbird This role is the first step in our Patient Access career path. Associates receive structured training and ongoing coaching to build skills in scheduling, technology, and patient communication. As you gain experience, you'll take on more complex workflows and grow into Patient Access Specialist and Senior Specialist roles, with increased independence, system expertise, and peer support. At Hummingbird, we believe good jobs should lead somewhere, and that starts here. Why You'll Love Working Here We're on a mission to make healthcare more human. At Hummingbird, that means treating every patient - and every teammate - with empathy, respect, and clarity. As an Associate, you'll be supported from day one through training, coaching, and clear workflows that help you build confidence. As you grow, so will your independence and comfort navigating calls, systems, and patient needs. Our specialists often share how much they value the balance of autonomy and trust here. You'll start with a strong foundation, and over time you'll have the chance to step into that same sense of ownership and balance as you advance. Required & Desired Skills What You'll Bring Work experience helping people, whether in retail, hospitality, customer service, or another role where patience and professionalism matter. Strong communication skills and the ability to stay calm and clear when someone is stressed. Confidence using multiple systems at once, learning new software tools quickly, and typing at least 50 WPM accurately while managing patient calls. Attention to detail and the ability to stay organized while juggling several tasks. A growth mindset and openness to feedback, eager to learn and build new skills. Curiosity about healthcare and how it all fits together behind the scenes. What Helps You Shine Please note that we use both your resume and your written and oral communication throughout the hiring process to understand your fit for this role. Thoughtful, clear responses help us see your attention to detail, your professionalism, and your ability to communicate with care - all skills that are essential for success on our team. Please Note: The seniority level of this position may be adjusted during the recruitment process based on candidate skills and experience. The Hummingbird Approach We value a team that brings diverse perspectives and experiences to the work we do. While there are many ways to do this, people who are successful at Hummingbird: Lead with Respect by valuing kindness and working to actively foster an environment of inclusion and respect. Embrace Growth and seek out learning and growth for themselves and support those around them in their growth journey. They bring curiosity and an openness to innovation to all their interactions. Bring a Win Together mentality by approaching conflict directly, listening carefully, and seeking to understand. They problem-solve with the goal of finding successes, not trade-offs, for all involved. Equal Opportunity Statement Hummingbird Healthcare is an equal opportunity employer committed to diversity and inclusion. We do not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other protected characteristic. We value the talents of individuals from all backgrounds and actively seek a diverse workforce. Our mission is to provide a fair and inclusive recruitment process for everyone, and reasonable accommodations are available to any applicant who may need them. Please reach out to talent@hummingbird.healthcare to request accommodations and we'd be happy to chat.

Pay Range: $21.00 - $25.00 per hour Schedule: Full-time, 5 days/week (8:30 AM - 5:00 PM PST) with weekend rotation or staggered schedule including one fixed weekend day About Us At Seaport Scripps Home Health, our mission is simple yet powerful: to provide LIFE CHANGING SERVICE to our patients and their families. We believe a career in healthcare is one of the noblest professions, and exceptional clinical operations leadership makes home health possible. Our team is committed to delivering superior clinical outcomes and outstanding patient and family satisfaction. Through dedication and compassion, we strive to be the provider of choice in the communities we serve. We foster a culture that values: Celebration of successes and making work enjoyable Highest standards of care and professionalism Continuous learning and growth Respect and empathy for others Innovation and good judgment And most importantly, we put employees first, because we know great care starts with a great team. Job Summary The Authorization Specialist plays a key role in ensuring smooth operations by verifying insurance eligibility, obtaining authorizations, and managing related clerical tasks. This position supports intake processes, maintains accurate clinical records, and fosters positive relationships with providers and referral sources. Key Responsibilities Verify insurance eligibility and confirm payer sources for all referrals Manage the authorization process, including monitoring calls and requests from providers Obtain and provide clinical information needed for authorizations Communicate authorization status to field and scheduling staff Provide backup support to Intake and Scheduling Coordinators Protect patient and organizational confidentiality Maintain knowledge of state, federal, and CHAP documentation regulations Qualifications Minimum 1 year of experience in insurance eligibility and authorizations (home health experience preferred) Knowledge of information systems and corporate business management Familiarity with governmental regulations Strong communication and public relations skills Ability to work independently with organization, flexibility, and cooperation About Seaport Scripps Home Health We are part of the Pennant Group, a nationwide network with 300+ locations. This gives us the stability of a proven healthcare leader while allowing us to operate locally with autonomy and innovation. Our Core Values guide everything we do: Celebration Accountability Passion for Learning Love One Another Intelligent Risk Taking Customer Second Ownership Benefits Competitive compensation Health, dental, vision, life, and disability insurance Pre-tax healthcare and dependent care flexible spending accounts 401(k) plan with generous company match Critical illness benefit Tuition reimbursement Paid time off Employee assistance program Seaport Scripps Home Health is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, or other protected characteristics. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

Patient Care Representative - ARM Team Hybrid/Remote Join a Best Places to Work Winner - 18 Years Running! Do you have experience with medical systems and a passion for helping others? Looking for full-time work with a company known for its award-winning culture? KeyBridge Medical Revenue Care is seeking a compassionate, detail-oriented Patient Care Representative to join our ARM team. About KeyBridge At KeyBridge, we believe exceptional patient care starts with supporting exceptional people. As an 18-time Best Places to Work winner, we're committed to compassion, integrity, and excellence. Our mission is simple: bridge the gap between healthcare providers and their patients by delivering respectful, empathetic financial care in a call-center environment. Position Overview As an ARM Patient Care Representative, you'll serve as the trusted voice of our healthcare clients-guiding patients through billing questions, assisting with payments, and helping resolve account balances. This role is the perfect blend of customer service, problem-solving, and meaningful human connection. What You'll Do Deliver exceptional service: Manage inbound and outbound calls with professionalism and empathy, assisting patients with billing questions, payment options, and account concerns. Resolve issues efficiently: Apply strong problem-solving and analytical skills to provide accurate, timely solutions while maintaining compliance and meeting performance standards. Navigate multiple systems: Work across various medical and internal systems to locate information and support patients with complex inquiries. Collaborate & communicate: Maintain clear, thorough documentation of all interactions, support team members, and help mentor new representatives when needed. Live our values: Foster trust, teamwork, and integrity with patients, clients, and colleagues every day. Requirements What We're Looking For: Strong written and verbal communication skills, with excellent active listening Ability to multitask and work efficiently across multiple systems Experience using medical systems (billing systems such as Epic, Cerner, etc.) Proficiency with Microsoft Office (Outlook, Teams) Positive, professional attitude with a drive to succeed Ability to understand and follow written, oral, and visual instructions Prior remote-work experience Ability to pass ACA certification tests when eligible Spanish-speaking skills a plus Salary Description $16-$20

Find your calling at Mercy!The Patient Access Representative is often the first point of contact for our patients and therefore must represent Mercy with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and Mercy Service Standards. The Patient Access Representative will facilitate all components of the patient's entrance into any Mercy facility. This may include scheduling, registration, benefit verification, pre-certification and financial clearance including pre-visit collection. The Patient Access Representative will be responsible for ensuring that the most accurate patient data is obtained and populated into the patient record. This co-worker must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and accreditation agencies.Position Details: Experience and Education Requirements: 1-3 years clerical experience and customer service experience preferred. Experience with medical terminology and insurance plans preferred. High School diploma required; some college helpful. Minimum skills, knowledge and ability requirements: - Ability to communicate effectively both orally and in writing, excellent telephone etiquette required. - Ability to establish and maintain positive working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies. - Strong organizational skills; attention to detail. - Ability to work under stress, meet deadlines and perform all daily assignments with a high level of accuracy. - Knowledgeable and experienced with various computers systems; Ability to use a 10-key calculator and computer keyboard. Physical Requirements: • Position requires the ability to push, pull, and/or lift 50 lbs on a regular basis. • Position requires prolonged standing and walking during each shift. • Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties. Why Mercy? From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values: Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new. Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward-always. Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise. Job Summary: As a Patient Access Programs Operations Specialist, you will provide routine operations support for the Patient Access Operations team. As part of this role you will be responsible for tasks such as: data entry, pharmacy claims adjudication support for member facing teams, pharmacy partner support, routine operations audits, and task level project support. Your success is determined by your efficiency in processing high-volume task-oriented assignments. What you will do: Conduct audits on program builds across adjudication platforms Accurately maintain the program database updated and current based on business needs Assist with aggregating data for Patient Access program billing, and invoicing Managing and updating program drug lists and spreadsheets Contact/make outbound calls to pharmacies to reprocess claims for medications as needed Execute digital communication outreach campaigns Coordinate incoming emails from pharmacy partners and internal teams with the expectation of resolution Provide exceptional support in daily operations of the Patient Access Programs Special projects, general support other ad hoc duties as assigned What you will bring to SmithRx: High School diploma 2+ yrs of experience in healthcare or health systems operations function Proficiency in Mac, MS-Office, G-Suite Proficiency in Excel and Google Sheets Experience using Salesforce Service Cloud or other CRM tool is a plus High attention to detail Excellent verbal and written communication skills Self-starter with ability to multitask, prioritize, and manage time effectively Ability to organize and prioritize multiple deadlines and work independently, define problems as they arise, and work through them. The ability to make decisions, suggestions, and solve problems using sound, inclusive reasoning and judgment. Ability to work independently as well as part of an extended, cross-functional team Passion for helping people Passion for delivering high quality results What SmithRx Offers You: Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life and AD&D Insurance 3 Weeks Paid Time Off Paid Company Holidays Paid Parental Leave Benefits Flexible Spending Benefits 401(k) Retirement Savings Program Short-Term and Long-Term Disability Wellness Benefits Commuter Benefits Employee Assistance Program (EAP) Well-stocked Kitchen In Office Locations Professional Development and Training Opportunities