Prior authorization specialist full time jobs

At Central Ohio Urology Group, our Patient Access Representatives are the driving force behind every patient's first impression and final interaction. They keep our clinics running smoothly - with professionalism, precision, and proactive communication, every single day. This isn't your typical front desk job. As a PAR, you'll enjoy the variety of working across multiple satellite offices within the 270 loop - no two days are exactly the same. For those who thrive on change, excel in fast-paced settings, and love solving problems on the fly, this is the opportunity you've been waiting for. Position Requirements - What You Need to Know Before Applying Full-Time Commitment: This is a full-time position (Monday-Friday, 40 hours per week). Shift Availability: Shifts may begin as early as 7:30 AM and may end as late as 5:30 PM. You must be available to work shifts within this range. Reliable Transportation: You must have reliable transportation to travel locally to our satellite offices around I-270. Mileage reimbursement is available for eligible midday travel. What You'll Do As a Patient Access Representative, you'll be the anchor of each clinic you support - ensuring every patient is welcomed, every detail is managed, and every visit starts and ends on the right note. Key duties include: Meeting and greeting patients promptly, professionally, and with genuine care. Managing the reception and departure process with efficiency and attention to detail. Reviewing patient charts for accuracy, ensuring providers have everything they need to deliver excellent care. Performing administrative tasks including scanning, sorting, and maintaining electronic medical records (EMR). What You Bring 1+ year of face-to-face customer service experience in a fast-paced, high-volume healthcare setting. Exceptional communication skills - you're clear, courteous, responsive, and always one step ahead in keeping patients and providers informed. Reliable transportation - you'll need it to travel to your scheduled satellite locations. Punctuality and dependability - your team and patients can count on you, every time. A resourceful, proactive mindset - you're a self-starter who takes initiative and solves problems before they arise. Why You'll Love This Role You'll stay engaged: With a variety of locations, teams, and patient interactions, no two weeks look exactly the same - keeping your work dynamic and fulfilling. You'll be the go-to problem solver: Resourceful, self-reliant, and solutions-driven - you'll step in and step up wherever needed. You'll sharpen your communication superpowers: Exceptional communication isn't just a skill here - it's essential. You'll be trusted: As a self-starter, you'll be relied on to manage your time effectively, ensuring you're fully prepared for each satellite location and communicating proactively if any delays or challenges arise. What We Offer Health Benefits within 30 days of hire - Medical, dental, vision & more! Work-Life Balance - NO nights, weekends, holidays, or call - and yes, holidays are paid. Paid Time Off (PTO) - begins accruing on your first day Bring your A-game (and your A-list) - get rewarded for excellence and referrals Competitive pay, real perks, and rewards that go beyond the paycheck - including mileage reimbursement for eligible midday travel. What We are Offer You At U.S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here “Every Family Matters” Compassion Make Someone's Day Collaboration Achieve Possibilities Together Respect Treat people with dignity Accountability Do the right thing Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more. About US Urology Partners U.S. Urology Partners is one of the nation's largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy. U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

About Us At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives. Shift details: Full-time employees will work 40 hours per week Monday-Friday, with a variety of shift options available starting as early as 7:00 a.m. and as late as 9:00 pm. Saturday, 8:00 am to 4:00 pm (rotating with team) Position Summary At Gifthealth, our call center is the heart of our operations-where every interaction puts the patient first. Joining our Pharmacy Operations team means becoming an essential partner in delivering exceptional service and support to our agents, ensuring they can provide accurate, timely information to patients. As a Pharmacy Operations Specialist, you will work directly with agents, answering inquiries and navigating multiple systems to deliver high-quality assistance. This fast-paced, collaborative environment offers a deep understanding of pharmacy operations, empowering you to meet the needs of both agents and patients with excellence and care. Key Responsibilities Issue Triage: Identify and assess the nature of customer issues, providing accurate and timely information to agents to ensure clear and effective communication with patients. Customer Service: Engage directly with patients via phone, chat, or other communication channels to address inquiries, resolve issues, and provide compassionate, high-quality support. Agent Support: Serve as a knowledgeable resource for call center agents by answering questions, resolving escalations, and assisting with complex pharmacy-related inquiries. System Navigation: Utilize multiple pharmacy and communication systems to research patient information, verify data accuracy, and ensure seamless workflow across platforms. Quality Assurance: Maintain a high standard of accuracy and professionalism in all interactions, ensuring compliance with pharmacy policies, procedures, and regulatory requirements. Collaboration: Partner with cross-functional teams, including pharmacy, operations, and customer service, to resolve issues efficiently and enhance the overall patient experience. Process Improvement: Identify opportunities to streamline workflows, improve accuracy, and enhance communication between agents and patients. Documentation: Accurately record interactions, resolutions, and relevant details in appropriate systems to support transparency and operational excellence. Patient-Centered Focus: Uphold Gifthealth's mission by ensuring that both agent and patient needs are met with empathy, efficiency, and exceptional service. Qualifications Education: High School Diploma or equivalent Previous experience in customer support, service, or success roles, preferably within healthcare and/or high-growth startups (minimum 2 years). Strong problem-solving skills with an emphasis on process improvement. Preferred Pharmacy Technician certification; support provided for obtaining this certification. Work Environment Location: On-site / Hybrid Schedule: Full-time May require additional availability or flexibility for escalations. Regular meetings with teams, departments, or leadership to ensure alignment. Key Essential Functions [example below key provision - you may require others] Must be able to remain seated at a workstation for extended periods while handling calls, chats, and system navigation. Must be able to type and use a computer for the majority of the shift, including rapid switching between multiple systems. Must be able to communicate clearly and professionally via phone, chat, and written channels. Must be able to de-escalate conversations and maintain composure when handling sensitive or urgent patient issues. Must be able to independently research and resolve issues by reviewing information across multiple platforms and databases. Must be able to maintain accuracy and attention to detail while multitasking in a fast-paced environment. Must be able to work scheduled shifts, including rotating Saturdays and occasional schedule adjustments based on business needs. Must be able to follow all pharmacy-related compliance, confidentiality, and verification procedures. Must be able to collaborate effectively with cross-functional teams, including pharmacy staff, operations, and customer service. Must be able to meet performance metrics such as quality, accuracy, productivity, and attendance. Employment Classification Status: Full-time FLSA: Non-Exempt Equal Employment Opportunity (EEO) Statement Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply! Disclaimer This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time.

Description: About Us At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives. Shift details: Full-time employees will work 40 hours per week Monday-Friday, with a variety of shift options available starting as early as 7:00 a.m. and as late as 9:00 pm. Saturday, 8:00 am to 4:00 pm (rotating with team) Position Summary At Gifthealth, our call center is the heart of our operations-where every interaction puts the patient first. Joining our Pharmacy Operations team means becoming an essential partner in delivering exceptional service and support to our agents, ensuring they can provide accurate, timely information to patients. As a Pharmacy Operations Specialist, you will work directly with agents, answering inquiries and navigating multiple systems to deliver high-quality assistance. This fast-paced, collaborative environment offers a deep understanding of pharmacy operations, empowering you to meet the needs of both agents and patients with excellence and care. Key Responsibilities Issue Triage: Identify and assess the nature of customer issues, providing accurate and timely information to agents to ensure clear and effective communication with patients. Customer Service: Engage directly with patients via phone, chat, or other communication channels to address inquiries, resolve issues, and provide compassionate, high-quality support. Agent Support: Serve as a knowledgeable resource for call center agents by answering questions, resolving escalations, and assisting with complex pharmacy-related inquiries. System Navigation: Utilize multiple pharmacy and communication systems to research patient information, verify data accuracy, and ensure seamless workflow across platforms. Quality Assurance: Maintain a high standard of accuracy and professionalism in all interactions, ensuring compliance with pharmacy policies, procedures, and regulatory requirements. Collaboration: Partner with cross-functional teams, including pharmacy, operations, and customer service, to resolve issues efficiently and enhance the overall patient experience. Process Improvement: Identify opportunities to streamline workflows, improve accuracy, and enhance communication between agents and patients. Documentation: Accurately record interactions, resolutions, and relevant details in appropriate systems to support transparency and operational excellence. Patient-Centered Focus: Uphold Gifthealth's mission by ensuring that both agent and patient needs are met with empathy, efficiency, and exceptional service. Qualifications Education: High School Diploma or equivalent Previous experience in customer support, service, or success roles, preferably within healthcare and/or high-growth startups (minimum 2 years). Strong problem-solving skills with an emphasis on process improvement. Preferred Pharmacy Technician certification; support provided for obtaining this certification. Work Environment Location: On-site / Hybrid Schedule: Full-time May require additional availability or flexibility for escalations. Regular meetings with teams, departments, or leadership to ensure alignment. Key Essential Functions [example below key provision - you may require others] Must be able to remain seated at a workstation for extended periods while handling calls, chats, and system navigation. Must be able to type and use a computer for the majority of the shift, including rapid switching between multiple systems. Must be able to communicate clearly and professionally via phone, chat, and written channels. Must be able to de-escalate conversations and maintain composure when handling sensitive or urgent patient issues. Must be able to independently research and resolve issues by reviewing information across multiple platforms and databases. Must be able to maintain accuracy and attention to detail while multitasking in a fast-paced environment. Must be able to work scheduled shifts, including rotating Saturdays and occasional schedule adjustments based on business needs. Must be able to follow all pharmacy-related compliance, confidentiality, and verification procedures. Must be able to collaborate effectively with cross-functional teams, including pharmacy staff, operations, and customer service. Must be able to meet performance metrics such as quality, accuracy, productivity, and attendance. Employment Classification Status: Full-time FLSA: Non-Exempt Equal Employment Opportunity (EEO) Statement Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply! Disclaimer This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time. Requirements:

Family Care Coordinator Positions in both Licking and Knox Counties Duties: In this role, you will provide care coordination services to youth clients [age birth to 22, if still enrolled in school] with mental health and substance abuse issues and their families. Implements monitoring system, determines client needs and ensures delivery of needed treatment and services. Screens and assesses clients for their appropriateness for agency services. Conducts interviews with family members, service providers, school personnel and others to obtain information for the assessment. Implements client monitoring systems, determines clients' needs and identifies clients' risk factors. Ensures delivery of needed treatment and services. Meets with individual clients and provides group facilitation. Works constructively with clients to reach agreed upon outcomes and coordinates care with internal and external providers. Shares on-call responsibility. The Organization: Since 1955, Behavioral Health Care Partners (Formally known as Moundbuilders Guidance Center) has been providing integrated mental health and addiction treatment services for youth, adults and families. In addition, we offer: Exceptional pay Great benefits including health, dental, vision, life insurance 403b retirement plan with matching funds CEUs, Licensure/Certification Reimbursements, Multiple Student Loan Forgiveness Programs, and employee discounts Accrued paid time off including 2 weeks' vacation, 12 sick days per year, and 10 paid holidays for full time staff Flexible schedule/Potential Hybrid Model 40 hours per week (Monday-Friday) Eligible for sign on bonus Our Location: We are located at 8402 Blackjack Road, Mount Vernon, Ohio, and at 65 Messimer Road, Newark, Ohio, both are a short 30-minute scenic commute from Columbus, Zanesville, and Lancaster. Qualifications: Candidates must possess strong written and oral communication skills and the ability to collaborate with other service providers. Associate's Degree in Human Services or related field with one to three years of case management experience for individuals with mental health or substance abuse issues required. Qualified Mental Health Specialist (QMHS) required. Licensed Social Worker (LSW) or Licensed Professional Counselor (LPC) preferred. State of Ohio Driver's License; BLS/CPR certification required. LSW/LPC; State of Ohio Driver's License; BLS/CPR certification required. Basic computer, phone and typing skills are necessary for all positions. To Apply: Online at ***********************************

Job Details Position Type: Full Time Education Level: High School Salary Range: Undisclosed Travel Percentage: Road Warrior Job Shift: First Job Category: Nonprofit - Social Services Description Madison County OhioRISE Moderate Care Coordinator Compensation: $45,000 An OhioRise Moderate Care Coordinator is a professional working under Ohio Medicaid's OhioRise program serving children with complex needs across behavioral health, juvenile justice, child welfare, developmental disabilities, education and others. Moderate Care Coordinators work to deliver community based, wraparound care coordination. As a Care Coordinator, you'll guide children and families through the OhioRise program, helping them access the right services, build stronger support systems, and achieve better health outcomes. This role is all about collaboration, compassion, and advocacy as well as empowering families while working alongside providers and community partners to ensure care is coordinated and effective. Working at NYAP * Generous Time off: 22 Days of Paid Time Off + 11 Paid Holidays, Summer hours during the summer! * Professional Growth: CEU's, ongoing training/education, tuition reimbursement, and supervision hours * Health and Wellness: Comprehensive healthcare packages for you and your family And So Much More: Retirement Matching (401K), flexible hours, mileage reimbursement, phone allowance, paid parental leave What is OhioRISE? The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. In 2020, ODM introduced a new vision for Ohio's Medicaid program - one that strengthens Ohio's future and ensures everyone has the chance to live life to its full potential. OhioRISE, or Resilience through Integrated Systems and Excellence, is Ohio's first highly integrated care program for youth with complex behavioral health and multi-system needs. National Youth Advocate Program is proud to announce that we were selected as the Care Management Entity (CME) in Catchment Area C, made up of 11 Ohio counties: Allen, Auglaize, Champaign, Clark, Darke, Hardin, Greene, Logan, Madison, Miami, and Shelby. The CME is responsible for delivering wraparound care coordination for children and youth enrolled in OhioRISE who have moderate behavioral health needs, and for helping to grow the system of care in the communities served to ensure the behavioral health needs of children and their families are met. As a result, NYAP is seeking a fulltime CME Moderate Care Coordinator which will cultivate flexible, family-focused, community-based responsive services based on the High-Fidelity Wrap Around model of care coordination covering all of Madison County and overlap into Clark County as needed. Under direct supervision of the Care Coordination Supervisor, this employee will aim to achieve the ultimate goal to keep youth in their homes, communities, and schools by assessing and delivering the appropriate services needed and reducing unnecessary out-of-home placement and potential custody relinquishment. Responsibilities: * Cultivate flexible, family-focused, community-based responsive services based on the High Fidelity Wrap Around model of care coordination * Develop and maintain the Wraparound Team, including coordinating and leading team meetings * Coordinate and supervise implementation of the Plan of Care, including a Transition Plan and Crisis Plan with providers and community resources; update plan as necessary * Ensure family support and stabilization during crises * Provide and document the initial and ongoing Life Domain Assessment * Maintain all service documentation requirements, evaluation outcome requirements and data as required * Provide services in a timely manner and in accordance with Plan of Care and/or Crisis Plan * Utilize and monitor Flexible Funding and service coordination * Obtain weekly reports from subcontracted providers * Participate in after hours on-call response * Attend Program staff meetings, supervision and any other meetings as required * Participate in the Agency and Program CQI Peer review process * Perform duties to reflect Agency policies and procedures and comply with regulatory standards * Meet Agency training requirements * Report all MUl's to Site Manager and Supervisor immediately * Other duties as assigned Qualifications * An MCC Care Coordinator will be a licensed or an unlicensed practitioner in accordance with rule 5160-27-01 of the Administrative Code * MCC care coordinators will complete the high-fidelity wraparound training program provided by an independent validation entity recognized by ODM * MCC Care Coordinators will successfully complete skill and competency-based training to provide MCC * MCC Care Coordinators will have experience providing community-based services to children and youth and their families or caregivers in areas of children's behavioral health, child welfare, intellectual and developmental disabilities, juvenile justice, or a related public sector human services or behavioral health care field for: (i) three years with a high school diploma or equivalent; or (ii) two years with an associate's degree or bachelor's degree; or (iii) one year with a Master's degree or higher CME Moderate Care Coordinators will: * Have a background and experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling or therapy, child protection, or child development * Be culturally competent or responsive with training and experience necessary to manage complex cases * Have the qualifications and experience needed to work with children and families who are experiencing SED, trauma, co-occurring behavioral health disorders and who are engaged with one or more child- serving systems (e.g., child welfare, juvenile justice, education) * Live in one of the counties included in Catchment Area C Driving and Vehicle Requirements * Valid driver's license * Reliable personal transportation * Good driving record * Minimum automobile insurance coverage of $100,000/$300,000 bodily injury liability Apply today! www.nyap.org/employment Benefits listed are for eligible employees as outlined by our benefit policy. Qualifications An Equal Opportunity Employer, including disability/veterans.

Williams Oral Surgery, a leader in dental and maxillofacial care, is excited to announce the opening for a full-time Patient Care Coordinator. This is a pivotal role within our facility, designed for a dedicated individual who thrives in a dynamic, patient-focused environment. Due to the hands-on nature of the position, it is not suitable for remote work. Working as a Patient Care Coordinator, you will be the front line in providing a stellar patient experience, ensuring efficient and effective patient care through your day-to-day management of clinical and administrative tasks. This role requires excellent communication skills, a knack for organization, and a deep commitment to patient welfare. Duties and Responsibilities Greet and assist patients in a friendly and professional manner. Schedule and confirm patient appointments, surgeries, and follow-ups. Manage patient records and documentation, ensuring accuracy and confidentiality. Coordinate with medical, nursing, and administrative staff to ensure patient needs are addressed. Handle patient inquiries and provide clear, accurate responses or escalate to appropriate medical staff. Prepare and manage patient invoices, receipts, and insurance claims. Facilitate patient preparation for surgeries and consultations. Maintain a clean and welcoming front office environment. Update and maintain the scheduling system to optimize workflow and resource utilization. Provide compassionate support and information to patients and their families. Undertake continuous professional development to stay informed on the latest health policies and compliance requirements. Ensure compliance with healthcare regulations and safety standards. Participate in regular staff meetings to share best practices and improve services. Handle emergency situations with calmness and professionalism. Must be willing to travel between two offices. Requirements Proven experience as a Patient Care Coordinator or similar role in a busy oral surgery or dental practice preferred. Strong understanding of medical and dental terminology. Excellent organizational and multi-tasking skills. Superior communication and interpersonal skills. Demonstrated ability to handle sensitive information confidentially. Care stream dental software knowledge preferred Capability to work under pressure in a fast-paced environment. Commitment to delivering high-quality support to both patients and staff. Empathetic and compassionate demeanor. Attention to detail and problem-solving skills.

**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** This position begins the Revenue Cycle process by collecting accurate demographic and financial information to produce a clean claim necessary to receive timely reimbursement. In addition, this position provides exceptional support and customer service during encounters with patients, families, visitors, and OhioHealth Physicians and associates. **Responsibilities And Duties:** Accurately identifies patient in EMR system. Obtains and enters accurate patient demographic and financial information through a standard work process (via phone, virtual, face to face and/or bedside location) to complete registration all while maintaining patient confidentiality and providing exceptional customer service. Provides exceptional customer service during every encounter with patients, families, visitors, and OhioHealth physicians and associates. Performs registration functions in any of the Patient Access areas. Uses critical thinking skills to make decisions, resolve issues, and/or escalate concerns when they arise. Uses various computer programs to enter and retrieve information. Verifies insurance eligibility using online eligibility system, payer websites or by phone call. Secures and tracks insurance authorizations and processed BXC patients. Transcribes ancillary orders. Scheduled outpatients. Generates, prints and provides patient estimates utilizing price estimator products. Collects patient's Out of Pocket expenses and past balances to meet individual and departmental goals. Attempts to collect residual balances from previous visits. Answers questions or concerns regarding insurance residuals and self-pay accounts. Uses knowledges of CPT codes to accurately select codes from clinical descriptions. Generates appropriate regulatory documents and obtains consent signatures. Identifies and/or determines patient Out of Network acceptance into the organization. Reviews insurance information and speaks to patients regarding available financial aid. Explains billing procedures, hospital policies and provides appropriate literature and documentation. Scans required documents used for claim submission into patient's medical record. Escorts or transports patients in a safe and efficient manner to and from various destinations. Assists clinical staff in administrative duties as needed. Complies with policies and procedures that are unique to each access area. Assists with training new associates. Oversees functions of reception desks and lobbies including, but not limited to, cleanliness and order of lobbies and surrounding work areas. Goes to the Nursing Units to register or obtain consents. Uses multi-line phone system, transferring callers to appropriate patient rooms or other locations. Makes reminder phone calls to patient. Processes offsite registrations; processes offsite paper registrations; processes pre-registered paper accounts. Maintains patient logs for statistical purposes. Reviewed insurance information and determines need for referrals and/or financial counseling. Educations patients on MyChart, including its activation. Based on Care Site, may also have responsibility for Visitor Management which includes credentialing visitors and providing wayfinding assistance to their destination. **Minimum Qualifications:** High School or GED (Required) **Additional Job Description:** **SPECIALIZED KNOWLEDGE** Excellent communication, organization, and customer service skills. Basic computer skills. One to two years precious experience in a medical office setting. **Work Shift:** Evening **Scheduled Weekly Hours :** 40 **Department** Main Registration Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Central Scheduling Full Time Columbus, OH AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions with the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers, plans, and employers to remove barriers to care to ensure all people have access to the care they deserve. We are looking for a Patient Onboarding Specialist who will play an important role at AndHealth - serving on our new Central Scheduling team, the "Front Door" to our company. At AndHealth, every patient's journey is different, and that's exactly where you come in. You'll be the first point of contact guiding patients through complex medical needs with empathy, precision, and judgement. This is not a back-office scheduling role; it's a frontline opportunity to solve problems in real time, anticipate obstacles before they arise, and make sure each patient feels fully supported. If you thrive on connecting the dots, navigating ambiguity, and making healthcare smoother and more human, this is the role where you'll do your most meaningful work. What you'll do in the role: * Orchestrate patient scheduling across all service lines, applying sound judgment to balance urgency, clinical priorities, and patient needs in a dynamic environment. * Own the referral process end-to-end. Interpret and process partner referrals, schedule patients appropriately, and document outcomes in both partner EHRs and internal systems with precision. * Serve as the first problem-solver for incoming calls from patients, partners, or other stakeholders - diagnose the need, resolve directly when possible, or rapidly connect to the right team member for action. * Set every patient up for success at their first visit by proactively handling complex pre-visit steps: insurance verification and consents, records retrieval, questionnaires, and uncovering hidden barriers such as transportation or other social drivers that will help inform the patients care team. * Deliver a "Wow" experience in every interaction by combining empathy, resourcefulness, and tech savvy to make patients feel supported and partners feel confident in our approach. * Take ownership of timely communication. Return calls quickly, document outcomes accurately, and keep patients and care team informed at every step. * Shape how the team works! Collaborate with other team members to refine playbooks, design workflows, and provide feedback that improves our systems and tools as we scale this department. * Protect patient trust by upholding HIPAA and data-privacy standards while maintaining meticulous and timely documentation. * Strive for excellence by consistently meeting service benchmarks around responsiveness, conversation rates, readiness for visit, and documentation quality, while continuously finding smarter ways to achieve them. Education & Licensure Requirements: * Bachelor's degree preferred but not required. Other Skills or Qualifications: * Background in healthcare. * Strong communication skills. * Excellent relationship building skills. Here's what we'd like to offer you: * Equal investment and support for our people and patients. * A fun and ambitious start-up environment with a culture that takes on important things, takes risks, and learns quickly. * The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together. * A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer. * We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally. * Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, Paid time off, Short- and Long-Term Disability, and more. Supervisory Responsibilities: * None Work Environment: The work environment characteristics described here are representative of those encountered while performing the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * The noise level in the work environment is usually quiet. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to person the essential functions. * While performing the duties of this job, the employee is regularly required to sit, stand, talk, visualize, or hear. We are an equal opportunity and affirmative action employer. We embrace diversity and are committed to creating an inclusive environment for all employees. Applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status.

Job Description We are seeking a compassionate and organized Dental Patient Care Coordinator to join our team. The ideal candidate will play a key role in providing exceptional customer service and assisting in the seamless operation of the dental office. The Patient Care Coordinator will be responsible for handling patient scheduling, ensuring a positive experience from check-in to check-out, and managing administrative duties with professionalism, efficiency, and accuracy. Key Responsibilities: Patient Scheduling & Coordination: Manage patient appointments, ensuring optimal scheduling and reducing wait times. Follow up on no-shows and cancellations to fill open slots. Patient Communication: Serve as the primary point of contact for patients, answering inquiries via phone, email, and in person. Provide information about services, treatment options, and insurance coverage. Insurance Verification & Billing Support: Verify patient insurance eligibility, assist in processing claims, and help patients understand their coverage and out-of-pocket costs. Treatment Plan Coordination: Assist with explaining treatment plans and financial options to patients. Ensure they understand the steps, associated costs, and benefits of the recommended care. Patient Check-In & Check-Out: Greet patients warmly, collect necessary documentation, update medical records, and ensure patients are comfortable during their visit. Process payments and schedule follow-up appointments as needed. Record Management: Maintain accurate and up-to-date patient records in the electronic health record (EHR) system. Ensure confidentiality and compliance with privacy laws. Customer Service & Problem-Solving: Address patient concerns and complaints in a professional and empathetic manner. Work to resolve issues to ensure patient satisfaction. Team Collaboration: Work closely with the dental team, including hygienists, assistants, dentist, and administrative staff, to ensure smooth office operations and a positive patient experience. Required Qualifications: High school diploma or equivalent (Associate's or Bachelor's degree in healthcare or related field preferred). 1-2 years of experience in a dental office or healthcare environment (preferred). Strong communication skills and a friendly, welcoming demeanor. Excellent organizational and multitasking abilities. Proficient with dental software and office management tools (experience with Eaglesoft a plus). Knowledge of dental terminology, insurance plans, and billing procedures is a plus. Ability to work well in a team environment and maintain a positive attitude. Strong attention to detail and commitment to patient confidentiality. Working Hours: Full-time position Monday through Friday. Benefits: Competitive Hourly Pay Dental Benefits Retirement Plan Uniforms Paid time off Continuing education opportunities If you are a hard-working individual that is passionate about providing excellent patient care, have strong organizational skills, and thrive in a patient-focused environment, we encourage you to apply for the Dental Patient Care Coordinator position at our office. Join us in making a positive impact on our patients' lives! To apply, please submit your resume and cover letter to: *********************** Skills: General Practice Scheduling MS Office Eaglesoft Benefits: Dental 401k PTO Bonuses Compensation: $20-$30/hour

Patient Care Coordinators are responsible for providing exceptional service by welcoming our patients and ensuring all check-in and checkout processes are completed. * Acknowledge and greets patients, customer, and vendors as they walk into the practice, in a friendly and welcoming manner * Answers and responds to telephone inquiries in a professional and timely manner * Schedules appointments * Gathers patients and insurance information * Verifies and enters patient demographics into EMR ensuring all fields are complete * Verifies vision and medical insurance information and enters EMR * Maintains a clear understanding of insurance plans and is able to communicate insurance information to the patients * Pulls schedules to ensure insurance eligibility prior to patient appointment and ensures files are complete * Prepare insurance claims and run reports to ensure all charges are billed and filed * Print and prepare forms for patients visit * Collects and documents all charges, co-pays, and payments into EMR * Allocates balances to insurance as needed * Always maintains a clean workspace * Practices economy in the use of _me, equipment, and supplies * Performs other duties as needed and as assigned by manager * High school diploma or equivalent * Basic computer literacy * Strong organizational skills and attention to detail * Strong communication skills (verbal and written) * Must be able to maintain patient and practice confidentiality Benefits * 401(k) with Match * Medical/Dental/Life/STD/LTD * Vision Service Plan * Employee Vision Discount Program * HSA/FSA * PTO * Paid Holidays * Benefits applicable to full Time Employees only. Physical Demands * This position requires the ability to communicate and exchange information, utilize equipment necessary to perform the job, and move about the office.

Job Description Unidine is hiring immediately for a full time PATIENT DINING ASSOCIATE (DIETARY AIDE) position. Location: Adena Regional Medical Center - 272 Hospital Road, Chillicothe, OH 45601. Note: online applications accepted only. Schedule: Full time schedule. 3 shifts per week, 12-hour shifts. Days may vary, including rotating weekends. Further details upon interview. Requirement: Previous customer service experience preferred. Pay Range: $16.00 per hour to $20.00 per hour WHAT'S IN IT FOR YOU A fun work environment, robust benefits package, great team members, and a career with one of the top hospitality companies in the nation! You'll work with a talented and supportive team that makes a real impact in the lives of those we serve. YOU'D MAKE A GREAT ADDITION TO OUR TEAM Our culinary team is the core of our business. Every day brings new opportunities to enhance lives, create connections, and make a difference. If you enjoy creating memorable experiences, you will be a great addition to the Unidine team! Job Summary Patient Dining Associates work on assigned units in a healthcare facility, and provide services that include helping patients make menu selections, assemble, deliver and pick-up their meal trays. They are part of the caregiving team, responsible for patient safety and satisfaction goals by making sure meals are accurate and delivered at the right time and temperature. Essential Duties and Responsibilities: Help patients understand their menu selections and work with nursing to ensure sure their orders comply with their nutritional requirements or restrictions. Work with the caregivers and culinary team to determine menu alternatives for patients with food allergies and sensitivities; cultural, ethnic and religious preferences; or when a patient inquires about additional selections. Manage tray tickets and assemble meals according to each patient's menu selection in a timely and accurate manner. Retrieve trays from patient rooms at assigned times. Complies with regulator agency standards, including federal, state and JCAHO. Adhere to facility confidentiality and the patient's rights policy as outlined in the facility's Health Insurance Portability and Accountability Act (HIPAA) policies and procedures. Follows Hazard Analysis Critical Control Point (HACCP) guidelines when handling food, cleaning work stations and breaking down patient tray line. Follows facility and department infection control policies and procedures. Assist dietitians, such as helping monitor patients who cannot eat food through their mouth, are on liquid diets or have a specific calorie count to manage. Communicate problems or concerns with patients to appropriate personnel in a timely manner, following department procedures. Complete all daily, weekly or monthly reports as outlined in the Morrison Healthcare policies and procedures. Comply with federal, state and local health and sanitation regulations, as well as department sanitation procedures. Performs other duties assigned. Qualifications: Ability to read, write and interpret documents in English. Basic computer and mathematical skills. Must be able to occasionally lift or move up to 100 pounds, as well as maneuver and push food delivery carts. BENEFITS FOR OUR TEAM MEMBERS Full-time and part-time positions offer the following benefits to associates: Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity Theft Protection, Pet Insurance, and Voluntary Benefits, including Critical Illness Insurance, Accident Insurance, Hospital Indemnity Insurance, Legal Services, and Choice Auto and Home Program Full-time positions also offer the following benefits to associates: Medical, Dental, Vision, Life Insurance/AD, Disability Insurance, Commuter Benefits, Employee Assistance Program, Flexible Spending Accounts (FSAs) Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here or copy/paste the link below for paid time off benefits information. **************************************************************************************** Unidine is a member of Compass Group. Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law. Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. Applications are accepted on an ongoing basis Application Deadline: applications are accepted ongoing until all openings are filled for this position. If an applicant is declined due to the position being filled, they may still be considered for future opportunities and are always welcome to reapply. Req ID: 1487743

Pure Smiles Westerville Be part of a private practice that is family-owned, rapidly growing company that prides itself in using state-of-the-art technology, has a team-oriented work environment and gives you the opportunity to work alongside some of the dental industry's greatest owners, administrators, doctors and dental assistants. In addition, you will be paired with a team lead/office manager who is invested in you and your success! No weekends or late nights: Description: We are offering an exciting career opportunity as a Patient Care Coordinator at our Westerville office. In this role, you will: be an integral part of our dynamic team of dental health care professionals represent the Pure Smiles brand by being warm, friendly and helpful as well as a team player and comfortable with change greet and check in patients promptly and courteously, and provide them clear, accurate information about their scheduled appointment/treatment communicate with the clinical staff during the patient's appointment to keep everyone on schedule and informed about patient's needs respond to incoming text messages, emails, appointment requests, and voicemail (multi-tasking skills are critical!) coordinate with the practitioner, the patient, and their insurance provider to determine estimated treatment costs based upon the proposed treatment plans, applicable lab fees, and benefits coverage increase new patient growth by supporting marketing and promotional programs, including recall, continuing care calls, and working with referrals We Provide: A full-time opportunity: Monday through Thursday 7:30am-5pm and 2 Fridays/ Month 7:30am-1pm Paid time off (effective immediately) paid sick time, health and dental insurance, 401(k) and 401(k) matching, paid holidays, uniform/clothing allowance, new Teammate dental exam and cleaning, continuing education and much more! We are Looking for Candidates Who: have dental practice experience and know dentistry terms want to make a positive lasting difference in the lives of our patients through high quality dentistry are passionate, pursue continuous growth, possess gratitude, and have an abundance mindset approach each day with motivation, determination and confidence possess excellent communication, teamwork, multi-tasking and customer service skills are reliable and able to build trust with patients thrive in a culture of empowerment, advanced technology and education enjoy working on a team and having fun! If this is you, WE are your match! WE look forward to meeting you!

Medical Billing Specialist (Behavioral Health) A Great Opportunity / Full Time / $17.50 - $18.50 per hour Through a wide range of innovative services referred to as ViaQuest's Circle of Care, our skilled, dedicated employees ensure that the people we serve are active participants in their own care. ViaQuest offers quality, highly-personalized, specialized and cost-effective care, solutions and services through Psychiatric & Behavioral Solutions, Day & Employment Services, and Residential Services. Responsibilities may include: Responsible for all aspects of billing including, but not limited to collecting necessary billing documentation, preparation of invoices, posting payments Responsible for collection of all client company accounts, proactive research of troubled client accounts and communication with operations and third-party partners regarding client accounts Responsible for filing paper correspondence Follow up daily on billing practices for assigned payers and assist team members as needed Complete other duties as assigned by management Identify and meet deadlines Requirements for this position include: High school diploma required, Associate's degree or certification in medical billing/coding is preferred. At least 1 year of medical billing experience and experience with billing software. Knowledge of insurance including Medicaid, Medicare, and Commercial insurance. Understanding of explanation of benefits (EOB's), claim denials, and account receivables. Knowledge of healthcare or human services is preferred and experience with Behavioral Health billing is a plus. Strong organizational, prioritization and written and verbal communication skills. What ViaQuest can offer you: Paid training. Benefit package for full-time employees (including medical, vision, dental, disability and life insurance and a 401k). Employee discount program. Paid-time off. Employee referral bonus program. About ViaQuest To learn more about ViaQuest visit: ********************** From Our Employees To You ********************************************************** Would you like to refer someone else to this job and earn a bonus? Participate in our referral program! ************************************************************** Do you have questions? Email us at ***********************

Requirements REQUIRED EDUCATION AND/OR EXPERIENCE: High School diploma or GED equivalent. PREFERRED EDUCATION AND/OR EXPERIENCE: Associate's degree in related field. Six months' experience in healthcare/medical/insurance/DME customer service role ADDITIONAL QUALIFICATIONS: None. COMPETENCIES: Communication proficiency Compliance Customer service / client focus Results driven Stress management POSITION TYPE/EXPECTED HOURS OF WORK: The Patient Care Coordinator position is full-time, and hours of work and days are Monday through Friday, 8:00 a.m. to 5:00 p.m. SUPERVISORY RESPONSIBILITY: This position has no supervisory role. WORK ENVIRONMENT: This job operates primarily in a home or professional office environment but also spends some time in a warehouse setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. May utilize home medical equipment when demonstrating to patients. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is typically required to sit; frequently stands, occasionally required to climb or balance; and stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include both close and distance vision, color and peripheral vision, depth perception and ability to adjust focus. TRAVEL: Travel is not a daily requirement for this position but may be needed for occasional local deliveries. Overnight travel may be required for continuing education and meetings at the corporate office. OTHER DUTIES: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. EEO #ind100

Job Description Our Mission: "Helping People Hear Better" Lucid Hearing is a leading innovator in the field of assistive listening and hearing solutions, and it has established itself as a premier manufacturer and retailer of hearing solutions with its state-of-the-art hearing aids, testing equipment, and a vast network of locations within large retail chains. As a fast-growing business in an expanding industry, Lucid Hearing is constantly searching for passionate people to work within our amazing organization. Club: Sam's Club in Chillicothe, OH Hours: Full time/ Tuesday-Saturday 9am-6pm Pay: $18+/hr What you will be doing: • Share our passion of giving the gift of hearing by locating people who need hearing help • Directing members to our hearing aid center inside the store • Interacting with Patients to set them up for hearing tests and hearing aid purchases • Secure a minimum of 4 immediate or scheduled full hearing tests daily for the hearing aid specialist or audiologist that works in the center • 30-50 outbound calls daily. • Promote all Lucid Hearing products to members with whom they engage. • Educate members on all of products (non hearing aid and hearing aid) when interacting with them • Assist Providers when necessary, calling past tested Members, medical referrals to schedule return, etc. What are the perks and benefits of working with Lucid Hearing: Medical, Dental, Vision, & Supplemental Insurance Benefits Company Paid Life Insurance Paid Time Off and Company Paid Holidays 401(k) Plan and Employer Matching Continual Professional Development Career Growth Opportunities to Become a LEADER Associate Product Discounts Qualifications Who you are: Willingness to learn and grow within our organization Sales experience preferred Stellar Communication skills Business Development savvy Appointment scheduling experience preferred A passion for educating patients with hearing loss Must be highly energetic and outgoing (a real people person) Be comfortable standing multiple hours Additional Information We are an Equal Employment Opportunity Employer.

Unidine Unidine is hiring immediately for a full time PATIENT DINING ASSOCIATE (DIETARY AIDE) position. * Location: Adena Regional Medical Center - 272 Hospital Road, Chillicothe, OH 45601. Note: online applications accepted only. * Schedule: Full time schedule. 3 shifts per week, 12-hour shifts. Days may vary, including rotating weekends. Further details upon interview. * Requirement: Previous customer service experience preferred. * Pay Range: $16.00 per hour to $20.00 per hour WHAT'S IN IT FOR YOU A fun work environment, robust benefits package, great team members, and a career with one of the top hospitality companies in the nation! You'll work with a talented and supportive team that makes a real impact in the lives of those we serve. YOU'D MAKE A GREAT ADDITION TO OUR TEAM Our culinary team is the core of our business. Every day brings new opportunities to enhance lives, create connections, and make a difference. If you enjoy creating memorable experiences, you will be a great addition to the Unidine team! Job Summary Patient Dining Associates work on assigned units in a healthcare facility, and provide services that include helping patients make menu selections, assemble, deliver and pick-up their meal trays. They are part of the caregiving team, responsible for patient safety and satisfaction goals by making sure meals are accurate and delivered at the right time and temperature. Essential Duties and Responsibilities: * Help patients understand their menu selections and work with nursing to ensure sure their orders comply with their nutritional requirements or restrictions. * Work with the caregivers and culinary team to determine menu alternatives for patients with food allergies and sensitivities; cultural, ethnic and religious preferences; or when a patient inquires about additional selections. * Manage tray tickets and assemble meals according to each patient's menu selection in a timely and accurate manner. Retrieve trays from patient rooms at assigned times. * Complies with regulator agency standards, including federal, state and JCAHO. Adhere to facility confidentiality and the patient's rights policy as outlined in the facility's Health Insurance Portability and Accountability Act (HIPAA) policies and procedures. * Follows Hazard Analysis Critical Control Point (HACCP) guidelines when handling food, cleaning work stations and breaking down patient tray line. * Follows facility and department infection control policies and procedures. * Assist dietitians, such as helping monitor patients who cannot eat food through their mouth, are on liquid diets or have a specific calorie count to manage. * Communicate problems or concerns with patients to appropriate personnel in a timely manner, following department procedures. * Complete all daily, weekly or monthly reports as outlined in the Morrison Healthcare policies and procedures. * Comply with federal, state and local health and sanitation regulations, as well as department sanitation procedures. * Performs other duties assigned. Qualifications: * Ability to read, write and interpret documents in English. * Basic computer and mathematical skills. * Must be able to occasionally lift or move up to 100 pounds, as well as maneuver and push food delivery carts. BENEFITS FOR OUR TEAM MEMBERS * Full-time and part-time positions offer the following benefits to associates: Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity Theft Protection, Pet Insurance, and Voluntary Benefits, including Critical Illness Insurance, Accident Insurance, Hospital Indemnity Insurance, Legal Services, and Choice Auto and Home Program * Full-time positions also offer the following benefits to associates: Medical, Dental, Vision, Life Insurance/AD, Disability Insurance, Commuter Benefits, Employee Assistance Program, Flexible Spending Accounts (FSAs) Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here or copy/paste the link below for paid time off benefits information. **************************************************************************************** Unidine is a member of Compass Group. Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law. Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. Applications are accepted on an ongoing basis Application Deadline: applications are accepted ongoing until all openings are filled for this position. If an applicant is declined due to the position being filled, they may still be considered for future opportunities and are always welcome to reapply. Req ID: 1487743

Job Details West Liberty, OH Full Time High School Health CareReferral Specialist Job Title: Referral Specialist Department: Quality Time Commitment: Full-time Reports To: HIM Coordinator FLSA Status: Non-exempt Location: West Liberty, Ohio (Supports all locations) Position Summary Community Health and Wellness Partners (CHWP) is an integrated primary care community health center that utilizes a beam-based care model, sharing patient-care responsibilities among members of a team. The Referral Specialist primary function is to support continuity of care by coordinating, processing, and tracking referrals across a variety of medical, behavioral health, and specialty services. This position is responsible for reviewing and processing referral requests from CHWP providers, scheduling appointments when appropriate, obtaining prior authorizations when required, and ensuring that all documentation is accurately entered into the Electronic Health Record (EHR). The Referral Specialist also monitors referral statuses, follows up with patients and specialists, and ensures timely closure of referrals in accordance with organizational policy. This role requires clinical and administrative judgment, familiarity with CPT and ICD codes, and the ability to multitask effectively in a fast-paced environment. The Referral Specialist works collaboratively with providers, care teams, and referral staff across departments to ensure a seamless and patient-centered referral process that supports CHWP's Mission, Vision, and Values. PRIMARY ACCOUNTABILITIES Achieve Results Directly supports patient well-being by ensuring timely and accurate coordination of referrals and authorizations, facilitating access to essential health services. Positively impacts clinic efficiency by maintaining a high standard of referral processing, documentation, and communication across internal teams and external providers. Contributes to the success of quality initiatives by meeting or exceeding performance benchmarks for referral turnaround times, documentation accuracy, and referral closure rates. Ensures accuracy, efficiency, and confidentiality in EHR documentation, patient records, and administrative processes related to referrals and prior authorizations. Promotes a positive patient experience by providing clear, professional communication and timely follow-up during the referral process. Operational Excellence Ensure that all referral and prior authorization processes are carried out in accordance with organizational policies, payer requirements, and regulatory standards (e.g., HIPAA, HRSA, PCMH). Maintain accurate and timely documentation within the EHR to support quality care, referral tracking, and reporting requirements. Adhere to established workflows and timelines for outgoing and incoming referrals, including follow-up, documentation, and closure, to support continuity of care and operational efficiency. Support the effectiveness of the team-based care model by collaborating closely with providers, nursing staff, case management, and other referral team members. Participate in continuous quality improvement efforts related to referrals, authorizations, and patient access, identifying and addressing workflow barriers as needed. Relationship Management Build and maintain professional, respectful communication with patients during the referral process, ensuring they understand next steps, appointment details, and follow-up expectations. Coordinate with external providers, specialists, and clinics to schedule appointments, confirm referral acceptance, and obtain necessary documentation. Communicate with insurance payers and third-party portals as needed to obtain authorizations and ensure timely processing of referrals. Collaborate effectively with providers, nursing staff, behavioral health, case management, and administrative teams to ensure accurate, efficient, and patient-centered referral coordination. Support a positive team environment by sharing updates, best practices, and problem-solving approaches with peers and leadership. Professionalism & Stewardship Serve CHWP's Mission by providing quality, whole-person, patient-centered medical care to anyone and everyone in our community. Aspire to CHWP's Vision to change lives within our community by eliminating barriers and providing a standard of healthcare that improves the well-being of the whole person. Commitment to the Values of CHWP (BLESSED): Be welcoming Listen with heart Educate patients Serve with excellence Share best practices Eliminate barriers Develop relationships Ensure all actions, job performance, personal conduct and communications represent the organization in a highly professional manner at all times. Uphold and ensure compliance and attention to all corporate policies and procedures as well as the overall mission and values of the organization. Compliant with HIPAA. Volunteer to serve the community by offering five (5) hours annually to a community service program. PRIMARY TASKS & DUTIES Monitors the EHR regularly throughout the day to capture new referral requests as soon as they come in, carefully reviewing to ensure all necessary information is included (diagnosis, urgency, documentation) before processing. Coordinates with internal departments (e.g., Behavioral Health, Case Management, Pharmacy) to assign and process incoming referrals appropriately. Process both incoming and outgoing referrals and attach all relevant documentation in the EHR. Document all communication and status updates in the referral module, including attempts to contact the patient. Utilizes third-party payer/insurance portals to initiate the prior authorization process when required for STAT orders or specific insurance types (e.g., Tricare/Military). Performs timely tracking on outstanding referral appointments and documents communication efforts with both the patient and receiving clinics to ensure referral loop closure. Follows established workflows to meet the highest level of efficiency and timeliness for patients. Escalates referrals per escalation protocol (e.g., no appointment within 14 days, specialist request for additional testing, patient non-response). Documents all referral-related communication, status changes, and patient outreach attempts in the Referral Module using structured fields. May schedule specialty appointments directly on behalf of the patient for both internal and external services, based on urgency and patient readiness. Conducts audits of open referrals to ensure documentation of consultation notes or follow-up is complete. Organizes and prioritizes workload based on acuity, including prioritizing STAT and Urgent referrals in accordance with timelines outlined in the Referral Policy. Attaches documentation to the patient chart Maintains confidentiality by following all applicable HIPAA regulations. Performs other related functions requiring proficiency in communication and organizational skills. Seeking educational opportunities to increase competence, personal and professional growth through in-house education materials, conferences, and community resources. ESSENTIAL FUNCTIONS/KEY COMPETENCIES Strong ability to multitask, track referral progress, and maintain focus across multiple referral work pools. Excellent time management skills, consistently meeting or exceeding productivity standards. Strong attention to detail. Clear and professional communication with patients, providers and external clinics. Skilled in managing difficult clients and patients with empathy and patience. Excellent verbal and written communication skills. Demonstrates solid knowledge of medical practices and charting requirements. Ability to perform certain medical tasks within assigned scope of practice. High-level problem-solving skills to improve patient care and staff support. Adheres to evidence-based practices, including safety, infection control and clinical quality. Participate in aspects related quality compliance, improvement and risk management for FQHC, PCMH, NCQA, and organizational quality programs and initiatives. Engage in all corporate compliance requirements and quality initiatives of CHWP. Ability to utilize computers for data entry and information retrieval. All other duties assigned by Leadership, Management or Administration. Qualifications QUALIFICATIONS AND REQUIREMENTS Education Minimum education - High school diploma or equivalent Preferred; Medical Assistant Certified or Licensed to practice nursing in the State of Ohio. Equivalent Experience One to two years medical office billing, registration, or scheduling experience could be substituted for the formal certification, provided there is demonstrated knowledge of medical terminology and insurance authorization processes. Alternatively, one year of nursing as a nurse in a clinic setting Experience with billing, scheduling, referrals or registration in a clinical environment (1-2 years) is required. Additional Knowledge Familiarity with CPT and ICD coding Understanding of insurance authorization processes, including requirements for prior authorizations. Certificates and Licenses Valid Ohio Driver's license BCLS Certified Professional Demonstrated expertise in relevant medical practices, protocol, trends and best practices in clinical areas assigned. Demonstrated knowledge and success in affecting overall health center operations. Experience/Knowledge of accreditation processes and requirements, as well as all federal, state and local regulations and standards associated with the delivery of care in a community health center environment. Ability to manage multiple responsibilities and emergency situations successfully Proficiency in knowledge of office management, use of computers, software packages, and office machines Physical/Environmental Occasional lifting of 40 - 50 lbs. and pushing of 5-20 lbs. Sitting approximately 80% of the time, standing/walking approximately 20% of the time. A medium to high level of manual dexterity is required. Bending and reaching approximately 20% of the time. Normal accessibility and mobility throughout the region required. Normal overtime/extended work hours. Blood Borne Pathogen Exposure (Please Check One) _____ Category I: Job classification includes ALL employees who have occupational exposure* to blood borne pathogens* (blood or body fluids) while performing their job duties. _____ Category II: Job classification includes employees who are likely to have SOME occupational exposure to blood borne pathogens because Category I tasks may occasionally be required. _____ Category III: Job Classification includes those employees who perform jobs and tasks where NO CONTACT with blood borne pathogens occurs and Category I and Category II tasks ARE NOT a condition of employment. SUPERVISORY RESPONSIBILITIES Direct/Indirect WORK ENVIRONMENT The work environment is consistent with typical administrative and clinical support setting within a healthcare organization. This position is primarily office-based, with work performed at a computer in a clinical or administrative area. It may involve frequent interaction with internal departments and occasional phone communication with patients or external providers. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work hours This is a full-time position, non-exempt. Referral Specialist work hours are Monday through Friday, with shifts scheduled between 7:00 AM and 5:30 PM, depending on clinic needs and staff availability. Weekend or evening hours are not typically required for this role. Wages Starting wages for Referral Specialist will be negotiable based on Community Health & Wellness Partners pay policies and factors such as education and experience, national and state average compensation recommendations based on location and region. Introductory Period Ninety (90) calendar days probationary period. The successful completion of the introductory period does not alter the at-will employment status. EQUAL OPPORTUNITY EMPLOYER Community Health and Wellness Partners is an Equal Opportunity Employer.

Full-time Description Job Title: Injection Room Front Office Coordinator LPN/RN Employment Classification: Non-exempt, Hourly Status: Full Time M-F Travel: Delaware and Worthington The Injection Room/Front Office Nurse is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of their manager(s) and/or Director(s); respectfully interacts with all levels of staff; provides direct nursing care during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company's core values. Summary of Duties and Responsibilities Prepare the injection room area each morning Administer allergy injections Re-stock area, as needed, and order supplies through the approved clinic procedure Complete daily log of charges and total at end of day Collect co-pays and print out patient receipt Re-order vials in a timely manner Organize refrigerated vials in appropriate bins Log daily refrigerator temperatures Monitor shot cards monthly and discard expired vials Ensure that consent forms are signed; explain shot room policies to new patients Education of patients in first injection policy Maintain and follow HIPAA policies and procedures Stay the required 30 minutes after last injection is given before lunch or the end of the day Clean toy and lobby area Knowledge of all medications and IT treatment Check emergency medications monthly and reorder, as needed Effectively manage emergency procedures and protocols Other relevant duties as assigned by Director Perform and complete triage tasks Regular closing of offices Front Office Responsibilities: Check patients in/out and collect co-pays Schedule appointments Answer phones when needed End of day clinic charge reports Copy patient insurance cards and update information, as needed Requirements Abilities, Knowledge and Skills Effective communication skills to include: Ability to fluently speak and read English Ability to read and interpret documents such as safety rules, handbooks, policies, patient care plans and procedure manuals Ability to communicate effectively, verbally and written, with all levels of staff and patients Education, Prior Work Experience, Special Skill And Knowledge Requirements Diploma in Nursing- LPN/RN with an active and unrestricted OH Nursing License, or an eNLC multistate nursing license 6 months' experience in a medical office setting, preferred Previous allergy/asthma experience preferred CPR certification required Valid Driver's License required Active CPR Certification Acceptable results on Office of Inspector General, State Medicaid Exclusions, Abuse Registry Checks, Background Screenings, Drug Screen, and Sanction Checks Ability to travel to satellite offices as needed Must be at least 18 years of age Ability to work with patients directly and pleasantly Ability to work independently Strong computer skills Previous experience with EMR systems Physical Demands and Work Environment Physical Demands The physical demands described, here, are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the physical demands. While performing the duties of this job, the employee is regularly required to use hands to handle, or feel objects, tools, or controls; reach with hands and arms; and talk or hear. The employee frequently is required to stand, walk, stoop, kneel, crouch, reach, push, pull, bend and sit. On average, injection room or clinic staff may be standing or walking 80% of their shift. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. Specific communication abilities required by this job include the ability to talk and hear in order to converse with others, discern, convey, express oneself, and exchange information. Work Environment The work environment characteristics described here are representative of those an employee may encounter while performing the essential functions of this job. The noise level in the work environment is usually moderate; lighting is in the standard range. The employee is subject to infectious waste, potential exposure to allergens in concentrated forms, diseases and conditions. EEOC Compliance Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Please use link to complete this survey to be considered: ********************************* M7SYDhF

Join Our Team as a Billing Specialist! Are you a detail-oriented individual with a knack for numbers and a passion for healthcare? We are looking for a dynamic Billing Specialist to join our Finance division! In this full-time role, you'll manage the complete billing process, ensuring accuracy and compliance while working closely with clients, insurance providers, our electronic health record and our dedicated team. Responsibilities: • Assist with all billing operations from start to finish, ensuring confidentiality and precision. Work with insurance companies to submit and reconcile payments. • Handle client payment collections, verify statements, and resolve discrepancies with ease. • Collaborate with various departments to address billing issues and streamline processes. • Stay updated on insurance billing procedures and changes to provide top-notch service! Qualifications: • High school diploma or equivalent and at least three years of experience in handling insurance claims in a healthcare setting. • Strong computer skills, analytical mindset, and excellent teamwork abilities. Why Join Us? Be part of a supportive and innovative team dedicated to improving healthcare services. Competitive salary, opportunities for professional growth, and a chance to make a real difference in the community await you! If you're ready to take your career to the next level and thrive in a rewarding environment, we want to hear from you!