Prior authorization specialist work from home jobs

An employer is looking for a Patient Access Representative within a call center environment in the Beverly Hills, CA area. This person will be responsible for handling about 50+ calls per day for multiple primary care offices across Southern California. The job responsibilities include but are not limited to: 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 is a contract to hire position, where you will be eligible for conversion with the client around 6-12 months. This role can pay up to $24/hour. The first 3 months of the role are ONSITE for mandatory training. During month 3 you will be assed and transitioned to a fully REMOTE employee. The shifts will be anytime from 7am-7pm. Required Skills & Experience: -HS Diploma -2+ years healthcare call center experience OR front desk experience at doctor's office with multiple physicians -Proficient in EHR/EMR software -2+ years experience scheduling patient appointments for multiple physicians -40+ WPM typing speed Nice to Have Skills & Experience: -Proficient in Epic software -Experience verifying insurances -Basic experience with Excel and standard workbooks -Experience with Genesis phone system

Job Description ABOUT INSPIRE MEDICAL SYSTEMS Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Inspire Medical Systems is committed to enhancing patients' lives through sleep innovation. We are steadfast in our commitment to prioritize patient outcomes, act with integrity and lead with respect. With positive persistence at our core, we are committed to all those we serve. WHY JOIN OUR FAST-GROWING TEAM At Inspire, we value people - your diverse experiences, backgrounds, and thoughts. We elevate voices and encourage learning opportunities to build a professional network that grows into community. We embrace a people-first culture by offering excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement. If you're passionate about making a difference in people's lives and want to work with innovative technology, come be a part of our great team! *Fully Remote Position* ABOUT THIS POSITION We are recruiting for a Prior Authorization Specialist to join our team. In this role, you will provide expertise in the area of prior authorization and play a critical role in ensuring adequate coverage and resource distribution across the department. Unlike the traditional Prior Authorization Specialist role, this position does not have an assigned territory of clinics. Instead, the Float will provide flexible support to clinics and territories as coverage needs arise. OPPORTUNITIES YOU WILL HAVE IN THIS ROLE Support Inspire's Prior Authorization Program, including: Entering and managing patient information in database Assisting with patient intake and verifying of insurance coverage Calling insurances to obtain the status of Prior authorization requests Working with patients and sites to pursue authorization success. Provide flexible coverage across territories including: Supporting any assigned clinic/territory as coverage needs dictate Assisting with spikes in volume, staff absences, or temporary coverage gaps Ensuring timely processing of all intakes, submission, and follow-ups Assist in tracking and monitoring progress of prior authorization requests, along with all related appeals through to EMR. Participate in updating the packet of materials and best practices methods to support the prior authorization processes for upper airway stimulation. Seek continuous process improvement to increase success rates and reduce time to success. Implement Inspire's Prior Authorization Program, including: Training sites on program requirements Entering and managing patient information in database Completing prior authorization requests Providing guidance to participating sites on prior authorization requests Working directly with the field and clinic to pursue prior authorization success. Work in conjunction with manager and staff to execute action plans and objectives to support internal/external clients. QUALITY SYSTEM RESPONSIBILITIES Complete training requirements and competency confirmations as required for this position within the required timeline. Comply with applicable quality system procedures/policies and make suggestions for continuous process improvement. WHAT YOU CAN BRING TO OUR GREAT TEAM Required: 3+ years of related work experience in prior authorization Ability to read, interpret and appropriately respond to payer requirements relating to prior authorization Ability to read, interpret and summarize clinical literature Excellent written and oral communication skills Proficient in Microsoft Office applications, including Word, PowerPoint, Excel High attention to detail and strong team attitude Ability to manage a high workload while maintaining accuracy and efficiency in a fast-paced setting Comfortable in a small, dynamic company environment with frequent changes in direction Preferred: Bachelor's degree Medical device experience Experience working in a clinic or medical practice environment The salary for this position will be offered at a level consistent with the experience and qualifications of the candidate. This information reflects the anticipated salary range for this position at the time of posting. The salary range may be modified in the future and actual compensation may vary from the posting based on various factors such as geographic location, work experience, education and/or skill level. Salary$56,000-$70,000 USD BENEFITS AND OTHER COMPENSATION Inspire offers a highly competitive benefits package including ( general description of the benefits and other compensation offered ): Multiple health insurance plan options. Employer contributions to Health Savings Account. Dental, Vision, Life and Disability benefits. 401k plan + employer match. Identity Protection. Flexible time off. Tuition Reimbursement. Employee Assistance program. All employees have the opportunity to participate in the ownership and success of Inspire. Employees at all levels can participate through equity awards and the Employee Stock Purchase Program. Inspire Medical Systems provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, creed, sex, national origin, age, disability, marital status, familial status, sexual orientation, status regarding public assistance, membership or activity in a local commission, military or veteran status, genetic information, pregnancy or childbirth, or any other status protected by applicable federal, state, and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, and social and recreational programs. Inspire Medical Systems complies with applicable laws governing non-discrimination in employment in every location in which Inspire Medical Systems has facilities. All such employment decisions will be made without unlawfully discriminating on any prohibited basis. Inspire Medical Systems is an equal opportunity employer with recruitment efforts focused on ensuring a diverse workforce. Applicants with a disability that need accommodation to complete the Inspire Medical Systems application process should contact Human Resources at ************ or email careers@inspiresleep(dot)com Inspire Medical Systems participates in E-Verify.

About us: At Trovo Health, we're bringing scalable superhuman support to healthcare providers. Our proprietary, clinically-backed AI coordinator acts as an extension of the care team to help enhance the patient experience, improve outcomes, and operate more efficiently. The Trovo Services Team is a network of experienced professionals who use our platform to complete care coordination workflows for our healthcare provider customers. The Trovo Services Team is fully remote. We're growing rapidly and are backed by Oak HC/FT - investors in leading healthcare and technology companies such as Ambience Healthcare, Devoted Health, VillageMD, CareBridge, Main Street Health, Maven Clinic, and more. About the Role: As a Prior Authorization Specialist on the Trovo Services Team, you will be instrumental in enhancing the patient experience by securing essential insurance approvals for healthcare services using AI-enhanced workflows. You'll collaborate with clinical teams and external partners to ensure efficient, compliant processing of prior authorization requests. This role requires expertise in healthcare authorization processes (medical and prescription) and proactive communication skills. Responsibilities Coordinate and manage prior authorization requests for imaging, diagnostics, interventions, medications, and procedures. Liaise between providers, patients, and insurers to clarify requirements, resolve issues, and drive approval. Collaborate with clinical and operational teams to ensure all documentation meets insurance protocols. Monitor authorization statuses, proactively following up on pending cases and addressing denials or requests for additional information. Utilize Trovo Health's internal tools and technology to streamline workflows and maintain accurate, up-to-date records. Identify and escalate patterns or barriers in the authorization process, suggesting improvements to increase efficiency. Communicate outcomes and next steps to providers and patients clearly and compassionately Minimum Qualifications 2+ years of experience in prior authorizations, healthcare administration, or a related role in a healthcare provider setting. Direct experience supporting providers and other medical staff or managing authorizations, ideally in specialty care (e.g., cardiology, women's health, gastroenterology, ophthalmology, etc.) Solid understanding of healthcare insurance, medical billing, and prior authorization protocols. Proficiency in CPT, ICD‑9, and ICD‑10 coding. Skilled communication and problem-solving, with the ability to manage multiple tasks and priorities effectively. Comfortable working with EHR systems, prior authorization portals, and healthcare software. Strong Additional Qualifications Experience in a technology‑forward healthcare setting. Knowledge of AI applications in healthcare administration. Familiarity with specialty care (e.g., cardiology, urology, gastroenterology, etc.) Compensation & Schedule Competitive pay of $25/hr-$33/hr based on candidate experience. Full-time (40 hours per week) and part-time (20+ hours per week) opportunities available. Life with the Trovo Services Team Fully remote work environment Comprehensive onboarding, training, and technology support Generous health, vision, and dental insurance for eligible team members Paid time off A mission-driven culture committed to empowering clinicians and improving access to preventive care Trovo Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $18.67 - USD $21.96 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8 hr shift in between Remote Work Notification ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Prior Authorization Specialist's main objective is to answer phone calls and contact the doctors and patients via fax or phone or other communication means to facilitate and document prior authorization approval. The Prior Authorization Specialist may also be responsible for ensuring that all pertinent patient information is contained within the record. Patient information shall include demographics, allergies, medication history, comorbidities, and payer information. This position will function with and assist any other area in the facility as needed with regard to prior authorization type duties. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Responsible for answering the inbound calls from patients, prescribers, and other healthcare professionals Responsible for contacting doctors to obtain necessary information Responsible for managing the assigned workflow queues Responsible for accurate and thorough documentation of information and prescription order set up The Employee will act in accordance with all applicable federal and state laws and with the highest ethical standards that we consistently strive to achieve. Thus, legal and ethical compliance is an essential duty of each employee Other duties as assigned Qualifications What our team expects from you? High school diploma or GED Some college preferred CPhT Preferred Pharmacy technician license or pharmacy technician trainee license is strongly preferred in states requiring pharmacy technician licensure Minimum two years pharmacy support experience or healthcare environment experience preferred Ability to work scheduled hours, shifts may vary based on department needs. Hours of operation are 8am to 7pm Monday thru Thursday and 8am to 6pm on Friday Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US

About Us: Judi Health is a health technology company offering a wide range of benefits administration solutions for employers and health plans. This includes Capital Rx, a public benefit corporation that provides full-service pharmacy benefit management (PBM) solutions to self-insured employers; Judi Health™, which offers comprehensive health benefit management solutions for employers, TPAs, and health plans; and Judi , the industry's leading proprietary Enterprise Health Platform. To learn more, visit **************** Position Summary: The QA Pharmacist will perform routine auditing and monitoring processes to ensure quality, accuracy, and regulatory compliance of coverage requests and appeals. The QA Pharmacist will utilize a strong comprehension of regulatory requirements to ensure success in annual reporting, program audits, and ad hoc audits. Position Responsibilities: Complete monthly utilization management and appeals performance and process audits in alignment with applicable regulations, accreditation standards, and best practices. Create and maintain progress reports and audit results in accordance with regulatory/accreditation requirements and internal processes. Present audit results to leadership in a timely manner to address issues and ensure adherence to departmental procedures and regulatory/accreditation requirements (CMS, URAC, NCQA). Continuously review and remain informed of all regulatory/accreditation requirements and updates impacting the coverage request and appeals processes. Respond to inquiries from internal and external stakeholders regarding quality assurance processes, audit results, and compliance policies and procedures. Work independently and with team members as warranted by audit assignment. Assist in designing and implementing audit tools and programs, creating QA scorecards and guides in collaboration with all department stakeholders. Provide ongoing performance feedback, to team leads to ensure consistent performance. Assist management in identifying, evaluating, and mitigating operational, and compliance risks. Work in collaboration with operational leaders to identify training opportunities and recommend improvements to Work Instructions, Job Aids, and Policy and Procedures to improve performance. Minimum Qualifications: Active, unrestricted, pharmacist license required 2+ years of utilization management experience required Extensive knowledge of how to operationalize regulatory requirements Strong oral and written communication skills required Intermediate to advanced Microsoft Excel skills required Possess strong analytical skills, attention to detail, quantitative, and problem-solving abilities Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven work environment Ability to multi-task and collaborate in a team with shifting priorities Preferred Qualifications: Familiarity/experience with URAC and NCQA accreditation requirements Utilization management and/or appeals audit experience 1+ years of compliance or regulatory experience at a PBM or health plan This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. #LI-BC1 Salary Range$135,000-$145,000 USD This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC). MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success! Join Our Team! We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included! Apply today to become a part of our dynamic team! Competitive Pay Advancement Opportunities Medical, Dental & Vision Insurance HSA Account w/Company Contribution Pet Insurance Company provided Life and AD&D insurance Short-Term and Long-Term Disability Tuition Reimbursement Program Employee Assistance Program (EAP) Employee Referral Bonus Program Social Recognition Program Employee Engagement Opportunities CALM App 401k (with a matching program) / Roth IRA Company Discounts Payactiv/On-Demand Pay Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays Responsibilities and Duties: Support intake staff by assisting with insurance verification. Initiates authorization requests with insurance companies and government payers and obtains the necessary documentation. Communicate and report to case management any insurance related issues for order fulfillment. Monitors outstanding authorization requests and initiates follow up of authorizations in a timely manner. Assists with insurance changes when prior authorizations are needed. Manages phone calls related to prior authorizations. Other duties as assigned. Qualifications: Education: Graduate of an accredited high school or GED equivalence. Experience/Knowledge/Skills/Physical Requirements Ability to multi-task in a fast-paced environment Detail and team oriented Effective communication (verbal and written) and organizational skills Proven computer proficiency, the use of multiple applications simultaneously Knowledge of the HME/DME industry is preferred **Starts no less that $16.50

Are you enthusiastic, self-motivated, and eager to learn? Do you thrive in a fast-paced environment and aren't afraid of hard work? If so, we want to hear from you! At Globe Life: The Gelb Group, we are dedicated to protecting the hardworking middle class. As a Remote Sales Insurance Specialist, you'll embark on a structured 3-6 month training program designed to provide you with in-depth industry knowledge and hands-on experience. You'll gain valuable insights into our history, mission, and vision while developing the skills necessary to excel and grow within our company. What Youll Do: Master the daily operations of the business through hands-on training. Work directly with customers to tailor permanent benefits that meet their family's needs. Build and maintain strong relationships with organizations such as the Police Association, Nurses Association, Firefighters, Postal Workers, Labor Unions, and more. Develop essential skills in communication, leadership, organization, time management, networking, and team building. Learn business logistics and strategies to maximize earnings and profitability. What Were Looking For: Leadership experience is a plus, but not required. A strong willingness to learn and be coachable. Ability to accept and apply constructive feedback. Strong people skills and a great sense of humor! Highly organized and team-oriented. Company Perks & Benefits: Incentive Trips to destinations like Cabo, Tulum, Vegas, and Cancun. 100% Remote Work from anywhere! Weekly training calls to support professional growth. Performance-based weekly pay & bonuses. Health insurance reimbursement. Life insurance & retirement plan. If youre ready to take your career to the next level, apply today with your most up-to-date resume! Its not about where you startits about where you finish! Overview: American Income Life has been a leading provider of life and supplemental benefits for working families since 1951. We have established strong relationships with unions and associations across the United States. As the company grows rapidly, we are now offering remote positions to serve families across all time zones nationwide. This is an entry-level position with a potential annual income ranging from $60,000 to $80,000. Responsibilities: Assist clients by providing information about products and services Address client questions regarding their coverage Continuously develop and maintain an understanding of evolving products and services Regularly review client agreements to identify opportunities for cost-effective improvements Qualifications: Previous experience in customer service, sales, or a related field (not required) Ability to build rapport with clients Strong multitasking and organizational skills Positive, professional demeanor Excellent written and verbal communication skills What We're Looking For: A sharp individual with an entrepreneurial mindset A team player who thrives under pressure Someone with professional communication skills Benefits: Comprehensive hands-on training Weekly pay Performance-based bonuses Commission-based income Residual income opportunities Company-paid trips Remote work flexibility Compensation details: 55000-100000 Yearly Salary PId2e3ecf86a6d-31181-38920149

If you are a dedicated and compassionate individual eager to make a meaningful contribution to patient care, we encourage you to apply for the Customer Service Representative role in our thriving call center. Join our team and contribute to improving healthcare experiences for our patients. About Gifthealth: Gifthealth is dedicated to simplifying and democratizing the pharmacy experience for patients and providers nationwide. In less than a year, we have already served thousands of patients and are rapidly expanding on a national level. We believe that health should be prioritized, not privileged, and we are committed to this mission. Come join us at Gifthealth! About the Patient Care Team: Our call center is the heart of Gifthealth's operations, putting the patient at the forefront. Joining our call center team means becoming a key player in delivering exceptional service and support to our patients, providers, and pharmacies. As a member of this team, you will directly interact with patients while also collaborating internally with various teams. This dynamic environment will provide you with an in-depth understanding of the Voice of the Customer, ensuring their needs are met with the highest level of quality. Shift details: Full-time employees will work 40 hours per week Available shifts: Monday-Friday 12:00-8:00pm or 1:00-9:00pm EST Saturday: 8:00am-4:00pm (rotating with team) Start date for this position - January 12, 2026 Work site location: 4343 Equity Drive Suite A Columbus, Ohio 43228 Requirements Key Responsibilities: Call Handling: Professionally and empathetically respond to incoming customer calls, emails, or chats, offering accurate information and effectively resolving queries. Average daily call goal of 75+. Issue Triage: Identify the nature of customer issues and direct them to the appropriate internal teams for resolution, as needed. Feedback Collection: Gather valuable patient feedback and technical issues, forwarding this information to our account management, partner pharmacy, and product teams to facilitate continuous improvement. Problem Solving: Understand patients' needs, clarify information, conduct research, and present solutions or alternatives to ensure their satisfaction. Customer Engagement: Go above and beyond to engage with patients, foster enduring relationships, and cultivate positive experiences. Documentation: Maintain detailed and comprehensive records of all customer interactions for future reference. Qualifications: 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). Track record of excelling in a call center environment with outstanding performance metrics. Strong problem-solving skills with an emphasis on process improvement. Pharmacy Technician Trainee license will be required for this role. Gifthealth will support candidates in obtaining this before their start date. Our Offer: A highly rewarding position addressing real-world challenges for individuals relying on affordable medication access. Generous vacation package. Comprehensive healthcare benefits offered by Gifthealth. Competitive compensation ranging from $16.00 to $20.00 per hour, based on experience and performance. Role works on-site for at least the first 90 days. There is an option for hybrid or remote work once specific metrics are accomplished and maintained. Salary Description $16-20

**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).

At Lingraphica, we are dedicated to improving lives by helping individuals with speech and language challenges communicate more effectively, regain independence, and enhance their quality of life. Since our start more than 35 years ago, we've combined compassionate support with advanced augmentative and alternative communication (AAC) devices, software and community-based services to serve people with aphasia, brain injury, autism and other communication needs, as well as their families, care partners and clinicians. Grounded in our core values of Action, Empowerment, Improvement and Integrity, we strive to create an inclusive, supportive workplace where innovation meets genuine empathy and every team member has the opportunity to make a meaningful impact. Job Description Purpose: The Authorization Specialist's main function is to secure funding approvals for our customers whether it be from private insurances, State funding, or any other type of funding source. This position serves as the liaison between many other teams and provides excellent customer service to employees as well as customers using their knowledge of how insurance verifications, medical policies, and insurance requirements/guidelines work. The Authorization Specialist is also responsible for maintaining accurate records of policies and insurances for employees to view and reference as needed. Essential Duties & Responsibilities: Initiates prior authorizations, pre-determinations, and out-of-network gap exceptions. Initiates and follows through with authorization appeals. Follows up on all authorization requests in a timely manner and reports on progress to internal teams. Applies to and follows up on applications for funding through Government programs. Negotiates and obtains agreements with insurance companies for individual cases when necessary. Communicates internally and externally regarding authorizations, appeals, and exceptions. Assists in eligibility and benefits inquiries when necessary. Determines the authorization requirements of each health plan and keeps detailed records of the medical policies and requirements. Maintains accurate and complete documentation of all inquiries. Proactively communicates with team members regarding identified potential issues and concerns. Tracks patterns and trends of authorization issues from payers to eliminate future delays in authorization processing. Exhibits strong problem-solving skills through both verbal and written communications. Assists reimbursement team in authorization related corrections on rejected or denied claims. Answers in-bound calls and assists customers. Exercises the above with discretion and independent judgement. Performs other duties and works on special projects related to authorization. Qualifications Education & Experience: Bachelor's Degree or equivalent combination of education and experience Familiarity with entire revenue cycle and terminology. Experience with insurance portals such as NaviNet and Availity. Experience with DME/Home Medical Equipment. Experience with healthcare claims (e.g. authorization, billing, collections). Knowledge, Skills & Abilities: Experience with prior authorizations, pre-determinations, and out-of-network gap exceptions. Proficient understanding of healthcare provider environment. Excellent problem-solving skills and attention to detail. Excellent customer service skills and professionalism. Ability to comfortably interface with various users across the organization. Proficiency with MS Outlook, Word, Excel, Adobe. Knowledge of insurance requirements regarding face-to-face documentation. Additional Information Work Environment & Physical Demands: Incumbent works from home and is expected to maintain a safe, productive work environment with secure internet access. Must be able to operate a computer with or without a reasonable accommodation. Travel: Travel may be required on occasion, up to 2 - 4x / year Accommodations: To perform this job successfully, an individual must be able to perform each essential duty and physical demand satisfactorily. The requirements listed above are representative of the knowledge, skills, and/ or ability abilities and physical demands required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. To learn more about Lingraphica, visit: ******************** Lingraphica and Pay Transparency At Lingraphica, we are committed to fair and equitable compensation practices. The starting salary range for this position is $50,000 and $55,000 per year. Placement in the starting pay is based on factors such as experience, skills, education, and internal equity. We regularly review our compensation structures to ensure they align with industry standards, promote fairness, and support career growth. In addition to competitive base pay, we offer a comprehensive benefits package and a commitment to fostering an inclusive and supportive workplace. We encourage open conversations about compensation and are dedicated to maintaining transparency throughout the hiring process. Paid Time Off (sick, personal, and vacation) Paid Company Holidays 401(k) Retirement Plan and Contribution Medical/Dental/Vision benefits with FSA, HSA, & Dependent care options Employer Paid Life Insurance Voluntary benefits such as Short- and Long-Term Disability, Critical Illness, Hospital Indemnity and AD & D insurance Stipends for health and wellness, home office setup and professional development Paid Family Leave Annual bonus program Annual merit increases Year-Round Flex Friday's Discounts on travel, entertainment, home/pet/car insurance To learn more about Lingraphica, visit: ******************** To learn more about our benefits offerings, click here! This Organization Participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Este empleador participa en E-Verify y proporcionará al gobierno federal la información de su Formulario I-9 para confirmar que usted está autorizado para trabajar en los EE. UU.

Citadel CPM is a California corporation, headquartered in Pasadena with offices in Fullerton, Long Beach, Riverside, and Sacramento, as well as Phoenix, Arizona. Citadel CPM was established in 2006 to provide professional construction project management services to Federal, State, and municipal agencies in the justice, corrections, education, healthcare, infrastructure, and military market sectors. ABOUT THE TEAM Our team is dedicated to making our clients' vision a reality while delivering projects on budget, schedule, scope, and quality expectations. Our team is committed to resolving issues in a professional and collaborative manner with integrity always foremost in mind. We are proud to know that Citadel CPM is regarded as a team of reputable professionals that clients seek out to help them manage their construction projects, and that industry professionals aspire to join. Citadel's reputation has been built on a set of three principles that form our core values: Integrity, Professionalism, and Responsiveness. ABOUT THE ROLE Citadel CPM is looking for an Owners Authorized Representative (OAR) I and II with minimum of 10 -15 years of experience in construction and/or a combination of Project and Construction Management of Commercial and/or Public/Educational Facility Construction to oversee all phases of assigned projects, including pre-construction, bid and award, construction, and close-out. Responsibilities include coordinating with public agencies, managing budgets and schedules, reviewing contractor activities, negotiating change orders, and ensuring compliance with regulations. Additionally, the role involves administering agreements, coordinating deliveries, and managing the project close-out process. ABOUT YOU You are an OAR construction professional with minimum of 10 -15 years of experience in construction and/or a combination of Project and Construction Management of Commercial and/or Public/Educational Facility Construction. Five (5) of the fifteen (15) years should have full responsibility for coordinating complex projects with construction values exceeding $10M and $20M. BASIC QUALIFICATIONS 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 stakeholders and pertinent public agencies during pre-construction and construction to comply with all off-site work; coordinates with various client and Project staff. Manages both the project budget and schedule to meet the client'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 contractor's construction schedules and submittals, and coordinates responses to the contractor's inquiries through Requests for Clarifications (RFC) and other related documents. Reviews substitution submittals from contractors to ensure compliance with specifications and/or client's requirements. 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 invoices and monitors payments for the contractor, architects, engineers, and any other pertinent parties. Administers provisions of Professional Service Agreements between Architects and the client. Coordinates delivery of related fixtures, furniture, and equipment (FF+E). Monitors and manages project close-out with respect to project certification with the Division of State Architects (DSA) and project financial close-out. Performs other related duties as assigned. REQUIRED QUALIFICATIONS 10 - 15 years full time paid professional experience in construction and/or a combination of Project and Construction Management of Commercial and/or Public/Education Facility Construction. 5 years of full responsibility in coordinating complex projects with construction values in excess of $10M and/or $20M. 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) design/construction processes. Safety and OSHA Safety Regulations (OSHA 30 minimum) EDUCATION REQUIREMENTS You must have one of the following: Graduation from a recognized college or university with a bachelor's degree in Architecture, Engineering, or Construction Management. 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. College undergraduate but possess more than 20 years of Construction or Project Management experience and must complete the Certified Construction Manager (CCM) credential within one (1) year of employment in the Facilities Services Division. 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) Citadel is committed to a diverse and inclusive workplace environment. Citadel is an equal opportunity employer and does not discriminate based on race, natural origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. To request an interview accommodation please send an email to ************************* In compliance with the local law, we are disclosing compensation, or a range therefore for location where legally required. Actual salaries will vary based on several factors, including but not limited to external market data, internal equity, location, licenses, skill set, experience and/or performance. Base pay is only one component of Citadel's total compensation packages for employees. Pay range for the OAR I is $155,000 - $180,000 salary per year. Pay range for the OAR II is $170,000 - $195,000 salary per year. Featured Benefits Medical Insurance Vision Insurance Dental Insurance 401K Life and Long-Term Disability Insurances Paid Time Off (PTO) for personal time, sick days, and holidays Professional Development Reimbursement

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

Job Title: Patient Growth Specialist Classification: 1099 Contractor; Full-Time Hours/Schedule: Monday-Friday, 10:00 AM - 6:00 PM ET Work Structure: Fully Remote (United States) Team: Enrollment Operations Reporting to: Senior Enrollment Operations Manager Location: United States Compensation: $30/hour About Us One in three people die of heart disease - it's time to change that. We're redesigning heart health from the ground up so that everyone can live fuller lives. Our team consists of mission-driven clinicians, engineers, and professionals attacking a problem using evidence-based research and guidelines for cardiovascular rehabilitation. We're working to deliver exercise and wellness for the older adult cardiovascular disease using telemedicine. We are dedicated to delivering exceptional services that enhance the lives of our patients. About the Role We're seeking a Patient Growth Specialist to support the expansion of our virtual cardiac rehabilitation program. This role is highly conversion-driven and ideal for someone who excels in high-volume outbound calling, persuasive communication, and helping patients take action in a fast-paced healthcare environment. You'll be responsible for engaging prospective patients, clearly explaining program value, overcoming objections, and guiding individuals through enrollment and basic technical setup. Key Responsibilities * Make high-volume outbound cold calls to prospective patients * Engage patients in clear, empathetic conversations to drive enrollment into our virtual cardiac rehab program * Confidently explain program benefits, expectations, and next steps * Assist patients with mobile app downloads, account setup, and basic technical troubleshooting * Complete initial reminder outreach to confirm upcoming appointments and reduce no-shows * Accurately document call outcomes, patient status, and next steps in internal systems * Meet or exceed daily call volume and enrollment targets * Partner closely with Enrollment Operations and Clinical teams to ensure a seamless patient experience Required Qualifications * Bachelor's degree (required) * Proven experience in cold calling, outbound sales, or high-volume call environments * Strong verbal communication skills with the ability to build trust quickly over the phone * Comfort handling objections and motivating patients to take action * Ability to perform in a metrics-driven, fast-paced environment * Strong technical aptitude and comfort helping patients navigate mobile apps and resolve basic tech issues * Reliable internet connection and a quiet, professional home workspace Preferred Experience * Healthcare, digital health, or patient engagement experience * Business development, inside sales, or growth roles * Experience onboarding or enrolling users into programs or platforms * Familiarity with CRMs, power dialers, or patient management systems * Note: This is a 1099 contractor position

If you got into healthcare to make a difference, you're in the right place. We're looking for a values-driven, mission-focused, dynamic Patient Enrollment Specialist who is passionate about working with seniors (and their families), especially those navigating challenges with dementia. Someone who is searching for a workplace and culture that is as committed to them as they are their patients. If that's you, read on! What's Rippl? At Rippl, we are a passionate, impatient, slightly irreverent, people-obsessed group of optimists & doers intent on building a movement to bring dementia care to our aging population. We believe there is no more noble mission than caring for people at this critical stage of life, and we're ready to take action. We're reimagining what dementia care for seniors can be. By leveraging an obsession with supporting our clinicians, a new care model and disruptive technology, we are pioneering an entirely new way to democratize senior access to high quality, wrap-around dementia care, for seniors and their families and caregivers. Helping them stay healthier, at home longer, and out of the ER and hospital. Our Mission The Rippl Mission is to enable more good days for those living with dementia and their families. Our Core Values At Rippl, we live and breathe a set of shared, core values that help us build the best team to serve our patients, families and caregivers. We're fed up. Today's dementia care isn't working. Too many families are struggling to find the support they need, and too many seniors are left without the care they deserve. We know it can be done better-so we're doing it. We're changemakers. We're pioneering a new, better care model that actually works for people living with dementia and their families. We use evidence-based care, technology, and human connection to deliver the support that people need-when and where they need it. And we're proving it works. We're in a hurry. The need for high-quality dementia care has never been greater. The number of people living with dementia is growing at an unprecedented rate. Families need help now, and we refuse to wait. We start with yes. We don't let barriers stop us. When faced with a challenge, we figure it out-together. We're problem-solvers, innovators, and doers who find a way to make things happen for the people who need us. We care for those who care for others. Great care starts with the people delivering it. We are obsessed with supporting our care team-because when they feel valued and empowered, patients and caregivers get the care they deserve. Join the movement We're looking to find other changemakers who are ready to join our movement. The Role: The Patient Enrollment Specialist serves as the first point of contact for our patients, and caregivers throughout their robust onboarding experience with Rippl. As the first friendly voice of Rippl, the Patient Enrollment Specialist is accountable for patient engagement, outreach, and acceptance of care for patients and caregivers. This is a great opportunity for someone who is excited about being part of the early stages of growing a business, and really cares about making a huge difference with the senior population. Available shifts: 1030-7 M-Th, 11-7:30 Friday 10-6:30 Monday-Friday 10-6:30 M-W, 10:30-7 Th-F Essential Functions: Providing patients and their caregivers with an engaging, white glove experience Effectively communicate Rippl's offerings to a senior population Engage with new patients with the goal of having them accept care with Rippl Handle inbound calls and outbound calls to support the needs of new patients. Set patients up for success by scheduling their first appointments with Rippl Care Team, providing a smooth and efficient onboarding experience Communicate and receive patient information by phone, email, e-referral and fax management Be a trusted and knowledgeable resource for patients on Rippl services Maintain accurate and up-to-date patient demographics in CRM/EHR Collaborate with Care Team to ensure a seamless transition of newly onboarded patients are assigned to the Care Pods Ensure required onboarding paperwork has been completed by the patient or Power of Attorney (POA) and obtain any necessary medical documents from healthcare providers, to ensure Rippl's Care Team has the most up-to-date and comprehensive patient record Meet quality, productivity, and acceptance rate performance metrics Perform other administrative duties as assigned. Qualifications: Passion for working with seniors, their families and caregivers 2+ years experience in a healthcare environment required Experienced in patient outreach, engagement, intake, medical reception and/or customer service Proficiency in various systems such as Google Suite, Salesforce, Athena (EHR), and cloud based telephony systems Knowledge of medical and behavioral health terminology Exceptional interpersonal, customer service, problem-solving and conflict resolution skills Comfortable in a high speed, ever changing, start-up environment Strong verbal and written communication skills Excellent organizational and multitasking skills Ability to connect and build relationships with people from diverse backgrounds Access to high-speed, reliable internet and a secure, private workspace conducive to confidentiality required What's in it for you Development, mentoring and training programs designed to help you chart your dream career and make sure you are learning everything you need to know as you gain more responsibility Fast growth company with opportunities to take on more responsibility or develop into new roles Flexible work environment and the opportunity to work from home Competitive compensation Quarterly performance based incentives 401(k) plan with a company contribution Medical, Dental and Vision coverage for you and your family Life insurance and Disability Remote Work stipend Generous Paid Time Off Pay Range Details The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations. Exact compensation may vary based on skills, experience, and location. Role: Range is $19-25 per hour depending on experience We are going to make some very big waves starting with a small Rippl - come join us!

Benefits: Starting at $19.00 Competitive Health & Welfare Benefits Monthly $43 stipend to use toward ancillary benefits HSA with qualifying HDHP plans with company match 401k plan after 6 months of service with company match (Part-time employees included) Employee Assistance Program that is available 24/7 to provide support Employee Wellness Events Minimum Qualifications: A minimum of 2 years of experience in the healthcare field is required and previous experience in referrals/authorizations, front office, and/or charge posting is preferred. Excellent organizational skills and strong customer service orientation are required with a strong background in computers and data entry. Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources. Essential Functions Monitors the authorizations of upcoming surgical cases on the physician's calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner. Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans. completes surgical cost analysis form, documenting the required surgical cost estimation for collection prior to services. Verifies benefits on all surgical procedures. Document authorizations and progress of authorizations in the patient's chart. Enters the authorization information within case management. Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both internal and external customers. Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases. Work with the department manager to respond to and reduce complaints timely and professional. Assist surgery schedulers with STAT authorizations. Ensure strict confidentiality of all health records, member information and meet HIPAA guidelines. Assists in identifying opportunities for improvement within the daily workflow process. Attends department meetings as required.

Salary:$18.00 per hour Details Aveanna Healthcare is the largest provider of home care to thousands of patients and families, and we are looking for caring, compassionate people who are driven to fulfill our mission to revolutionize the way pediatric healthcare is delivered, one patient at a time. At Aveanna, every employee plays an important role in bringing our mission to life. The ongoing growth and success of Aveanna Healthcare remain dependent on our continued ability to consistently deliver compassionate, committed care for medically fragile patients. We are looking for talented and committed individuals in search of a rewarding career with a company that values Compassion, Integrity, Accountability, Trust, Innovation, Compliance, and Fun. Position Overview The Intake Patient Care Representative is responsible for admitting new patients, verifying insurance information, and completing all applicable admissions paperwork. Completion of the accounts includes, but is not limited to checking prescription validity, authorization validity, insurance requirements, demographics, patient needs, and notation prior to shipping orders of medical supplies. The starting pay for our Intake team is $18.00 per hour. In addition to compensation, our full-time employees are eligbile to receive the following competitive benefit package including: Health, Dental, Vision, Life and many other options, 401(k) Savings Plan with Employer Match, Employee Stock Purchase Plan, and 100% Remote Opportunity! Candidates in the Central time zone will be prioritized for consideration. Working hours will be 8am-5pm Central time. Essential Job Functions * Enter demographics and other pertinent information into the digital system and ensure completion of all admission paperwork * Verify insurance coverage, explain benefit information to patients and case managers, collect and process payments as applicable * Identify patients' needs, clarify information, research every issue and provide solutions * Answer incoming calls for intake patients as well as assist with overflow hunt groups as necessary * Meet daily, monthly, and quarterly metrics and goals set by management * Communicate effectively with other departments to present solutions to any patient concerns * Ensure work being performed meets internal and external compliance requirements * Maintain confidentiality of all information; adhere to all HIPAA guidelines/regulations * Various clerical work including faxing, scanning, and copying * Support the Aveanna mission and culture by demonstrating our core values; compassion, team integrity, accountability, trust, innovation compliance and fun. * Adhere to the Aveanna Compliance Program, including following all regulatory, Aveanna and accrediting agency policy requirements. * Maintain the skills and qualifications necessary to provide or support quality care, including attendance at company-wide educational programs. * Responsible for harmonious interactions with coworkers and customers, including patients, medical office staff, vendors and the general public. * Upon employment, all employees are required to fully comply with Company's policies and procedures. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees in this position. Requirements Minimum Education: High school diploma or GED Minimum Experience: Minimum of 2 years related experience Preferred Experience: Medical Office, Customer Service preferred Preferences * Education or experience equivalent to a bachelor's degree in related field (preferred) * Experience in healthcare preferred; knowledge of insurances and respiratory care is a plus Other Skills/Abilities * Proficient in Microsoft suite of products including Outlook, Word and Excel * Self-starter, able to display the highest level of integrity and respect for confidentiality. * Ability to exercise effective judgment and sensitivity to changing needs and situations. * Must have strong organization skills and be very detail-oriented. * Must possess a strong sense of urgency and attention to detail. * Excellent written and verbal communication skills. * Proven ability to work independently at times and within a team. * Ability to adapt to change. * Demonstrated ability to prioritize multiple tasks to meet deadlines. * Demonstrated ability to interact in a collaborative manner with other departments and teams. 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. Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. 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. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Position Description Position TitleRegistration Management Specialist Secondary Title SchedulerGroup / Grade6 ClassificationClassifiedWork LocationAll CampusesOvertime EligibleNon-ExemptDivisionStudent Learning & SuccessDifferentialsBilingualDepartmentEnrollment ServicesReports ToAssistant RegistrarSupervision Received Works under the supervision of the Assistant Registrar and Registrar.Supervisory Responsibility Supervision is not a responsibility of this position. May oversee student employees Provides college-wide coordination for academic course and room scheduling and supports core enrollment operations. Ensures accurate term schedules and student records through data stewardship, compliance, and cross-department collaboration. Serves as a primary point of contact for scheduling and registration processes and provides training, guidance, and customer service to faculty, staff, and students. Works with minimal supervision to prioritize deadlines, resolve issues, and safeguard confidential information. Primary Responsibilities 1.Scheduling * Coordinate term course and room scheduling; maintain course, schedule, and student files. * Manage 25Live Pro and Publisher; approve events and ensure accurate room and resource data. * Liaise with department chairs, Curriculum Office, and instructional partners (e.g., SOU, OHSU) to align schedules and room assignments. * Extract data and produce reports related to scheduling, enrollment, financial aid, audits, accreditation, and space utilization. * Provide training and guidance on scheduling policies, systems (25Live Pro, my Rogue), and procedures. 2.Enrollment and Registrar Operations * Process registration, grading, and academic-standing workflows. * Maintain student records, registration communications, and term calendars. * Handle student record updates, reactivations, demographic changes, and compliance checks. * Administer system access and FERPA training for staff and student employees. * Support the Assistant Registrar and Registrar with data integrity, OCCURS reporting, and student record compliance. 3.Textbook Acquisitions * Serve as the primary contact for faculty textbook adoptions in eCampus-FAST. * Coordinate adoption windows, send reminders, and track completio * Resolve adoption changes or issues and update records in collaboration with faculty and the vendor. * ·Provide training and support to faculty and administrative assistants on textbook adoption processes. 4.Administrative & Other Duties * Serve as liaison for cross-department operational matters (Marketing, IT, Facilities). * Participate in college committees as assigned (e.g., Commencement, catalog/calendar groups, student success committees). * Maintain office SOPs, desk manuals, and administrative documentation. * ·Assist with special projects involving Enrollment Services, Curriculum, and Scheduling. * ·Performs other duties as assigned. Institutional Expectations * Demonstrates our core values of integrity, collaboration, diversity, equity, and inclusion, sustainability, and courage. * Actively contributes to a culture of respect and inclusivity by collaborating effectively with students, colleagues, and the public from diverse cultural, social, economic, and educational backgrounds. * Participates in recruitment and retention of students at an individual and institutional level in promotion of student success. * Embraces and leverages appropriate technology to accomplish job functions. * Provides high quality, effective service through learning and continuous improvement. Qualifications & Additional Position Information1.Minimum Qualifications * Education - A Bachelor's degree in business, information systems, education administration, or a related field is required. * Experience - A minimum of three years of progressively responsible experience in student records, academic scheduling, registrar/enrollment operations, data management, or closely related administrative work. A high degree of technical aptitude is required. Only degrees received from an accredited institution will be accepted: accreditation must be recognized by the office of degree authorization, US Department of Education, as required by ORS 348.609. Final candidate will be required to provide official transcripts for required degree. Any satisfactory equivalent combination of education and experience which ensures the ability to perform the essential functions of the position may substitute for the requirement(s). Please see our Applicant Guide for more information on education/experience equivalency guidelines. 2.Preferred Qualifications * Experience in a community college or academic setting. * This position is designated as preferring bilingual fluency in Spanish. Proficiency will be determined by a college-approved certification professional. Proficiency is defined by the ability to express yourself over a broad range of topics at a normal speed. You may have a noticeable accent and will make grammatical errors, for example with advanced tenses, but the errors will not cause misunderstanding to a native speaker. It is the responsibility of the employee to maintain bilingual skills throughout the duration of employment. A bilingual pay differential may apply to this role upon certification. 3.Essential Knowledge, Skills, & Abilities (Core Competencies) * Knowledge - Must possess thorough knowledge of federal student financial aid regulations and the Family Educational Rights and Privacy Act (FERPA); office procedures and archival requirements; networked databases and data management practices; and the use of computer applications, including Microsoft Office Suite. The position requires understanding of basic mathematics, human relations, and customer service principles, as well as familiarity with college instructional and registration policies. * Skills - Strong skills in customer service, organization, and multitasking are essential, along with excellent verbal and written communication abilities. The incumbent must demonstrate proficiency in current computer applications, data accuracy, and problem-solving in a fast-paced environment while maintaining a high degree of confidentiality. * Abilities - Ability to operate standard office equipment, utilize networked databases, and interpret and apply complex student records and financial aid regulations is required. The incumbent must be able to learn and apply detail-oriented, cross-functional policies and practices; manage multiple priorities in a high-traffic setting; think proactively; and communicate clearly and professionally with diverse audiences. The position requires flexibility to work at other campuses as needed, occasional evening or weekend hours during peak periods, and a high level of accuracy in verbal, written, and numerical data tasks. Proficiency in conversational Spanish is preferred. 4.Other Requirements * For assignments requiring operation of a motor vehicle, possession of a valid Oregon Driver's License or the ability to obtain one within 30-days of employment, and maintenance of an acceptable driving record are required. 5.Remote Work Options (see AP 7239 Working Remotely for more details) * This position functions as an in-person work arrangement, working on-campus with either a set schedule or flexibility depending on operational needs. 6.Physical Demands The physical demands listed below represent those that must be met by an incumbent to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with qualified disabilities to perform the essential functions. * Manual dexterity and coordination are required for over half of the daily work period (about 90%), which is spent sitting while operating office equipment such as computers, keyboards, 10-key, telephones, and scanners. While performing the duties of this position, the employee is frequently required to stand, walk, reach, bend, kneel, stoop, twist, crouch, climb, balance, see, talk, hear, and manipulate objects. The position requires some mobility, including the ability to move materials less than 5 pounds occasionally, and 5-25 pounds seldomly. This position requires both verbal and written communication abilities. 7.Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * While performing the duties of this position, the employee is primarily working indoors in an office environment. The employee is not exposed to hazardous conditions. The noise level in the work environment is usually moderate, and the lighting is adequate. This is a Full-time Classified, 40-hour-per-week (100%) position in the Enrollment Services department. Starting compensation is entry level for Group 6 on the 2025-26 Classified Wage Schedule. Position will remain open until filled, with screening scheduled to begin 11/11/2025. Applications received after the screening date are not guaranteed review. Documents required for submission include a cover letter and resume. Applications missing any of the listed required documents may be considered incomplete and ineligible for further review. Candidates with disabilities requiring accommodation and/or assistance during the hiring process may contact Human Resources at ************. Only finalists will be interviewed. All applicants will be notified by email after final selection is made. Final candidate will be required to show proof of eligibility to work in the United States. For position with a degree required, only degrees received from an accredited institution will be accepted; accreditation must be recognized by the Office of Degree Authorization, US Department of Education, as required by ORS 348.609. Public Service Loan Forgiveness Rogue Community College is considered a qualifying public employer for the purposes of the Public Service Loan Forgiveness Program. Through the Public Service Loan Forgiveness program, full-time employees working at the College may qualify for forgiveness of the remaining balance on Direct Loans after 120 qualifying monthly payments under a qualifying repayment plan. Questions regarding your loan eligibility should be directed to your loan servicer or to the US Department of Education. RCC is committed to a culture of civility, respect, and inclusivity. We are an equal opportunity employer actively seeking to recruit and retain members of historically underrepresented groups and others who demonstrate the ability to help us achieve our vision of a diverse and inclusive community. Rogue Community College does not discriminate in any programs, activities, or employment practices on the basis of race, color, religion, ethnicity, use of native language, national origin, sex, sexual orientation, gender identity, marital status, veteran status, disability, age, pregnancy, or any other status protected under applicable federal, state, or local laws. For further policy information and for a full list of regulatory specific contact persons visit the following webpage: **********************************

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! This position is responsible for focusing on customer acquisition and retention by providing prospective members with all qualifying services available and creating solutions that best fit the member's needs. This includes daily outbound calling to potential members referred to the company across multiple channels and/or “disconnected” from services for various reasons. This role... Interacts with external and internal customers in a professional, helpful, and courteous manner. Processes new member referrals and enter member information into company databases. Calls members to verify referral information and explain services being offered by referring agency. Manages incoming phone calls by responding to request and assisting with inquiries. Researches member history and using best practices to enroll/retain potential members. Reports any identified complaints or concerns to the appropriate party. Answers member questions using scripted and non-scripted responses. Maintains access to, and security of, highly sensitive materials. May be responsible for assisting with device troubleshooting. May be responsible for patient offboarding. Communicates regularly and clearly with supervising team members. Drives positive change to achieve both departmental and company-wide metrics. Demonstrates a professional attitude, sound judgment, and empathy in all interactions with patients, caregivers, and other internal/external healthcare team members. Participate in other projects or duties as assigned. We are excited to speak to someone with the following... High School Diploma or GED required. Associates or Bachelors degree in a health related field a plus. Two (2) plus years of related professional experience. EHR/CRM experience preferred. Experience working with the senior population in home health, clinics, or other health service setting is preferred. Or equivalent combination of education and/or experience. Ability to work flexible hours and overtime when needed. Self-motivation and the ability to work independently and with teams. Proficient in the use of Word, Excel, Outlook, and PowerPoint. Exceptional oral and written communication skills. Proficient in managing multiple tasks as the same time. Empathy, patience, and passion for delivering a phenomenal patient experience. Highly personable, social telephone manner. Able to inform, reassure, and roll with resistance as needed. Ability to thrive in a fully virtual environment. Bilingual Spanish preferred. Salary: starting at $18.81/hr Schedule: Monday-Friday 11:30am-8:00pm (EST). This role also includes Saturday coverage 10:00am-2:00pm (EST). Modivcare's positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. We value our team members and realize the importance of benefits for you and your family. Modivcare offers a comprehensive benefits package to include the following: Medical, Dental, and Vision insurance Employer Paid Basic Life Insurance and AD&D Voluntary Life Insurance (Employee/Spouse/Child) Health Care and Dependent Care Flexible Spending Accounts Pre-Tax and Post --Tax Commuter and Parking Benefits 401(k) Retirement Savings Plan with Company Match Paid Time Off Paid Parental Leave Short-Term and Long-Term Disability Tuition Reimbursement Employee Discounts (retail, hotel, food, restaurants, car rental and much more!) Modivcare is an Equal Opportunity Employer. EEO is The Law - click here for more information Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at ***************************

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Securities Registrations Specialist in the United States. In this fully remote role, you will manage the end-to-end registration process for individuals affiliated with U.S. broker-dealers, ensuring compliance with securities, commodities, municipal advisor, and investment advisor regulations. You will handle license applications, updates, and terminations while maintaining accurate registration databases and coordinating with regulatory bodies such as FINRA, NFA, and state authorities. Your work will support regulatory adherence across multiple business lines, enable smooth onboarding of new hires, and contribute to the integrity of compliance reporting. This position offers an opportunity to build expertise in financial regulations, data accuracy, and interdepartmental collaboration while working in a dynamic, highly regulated environment. Accountabilities: Prepare and submit initial applications for securities, investment advisor, municipal advisor, and commodities licenses. Coordinate branch and entity registration forms, and process terminations as required. Manage consent and disclosure checks for potential new hires. Process Form U4, U5, and 8R filings, including updates for name changes, address changes, and disclosures. Communicate with FINRA, NFA, and state regulators to resolve registration matters. Maintain and reconcile registration databases, track regulatory continuing education, and generate reporting. Research and correct licensing deficiencies, ensuring employees remain appropriately licensed. Requirements Bachelor's degree or equivalent work experience. 2-4 years of experience in banking or financial services, preferably in compliance or registration roles. Familiarity with MS Office applications (Word, Excel, PowerPoint). Knowledge of regulatory systems such as FINRA Gateway, Form ADV, MSRB/Edgar, and NFA ORS is a plus. Strong interpersonal and communication skills with the ability to handle escalations professionally. Problem-solving orientation, attention to detail, and commitment to regulatory compliance. Benefits Competitive salary with potential performance-based incentives ($45,000-$85,000 depending on experience and registration status). Comprehensive healthcare coverage including medical, dental, and vision plans. 401(k) program with company-matching contributions. Paid time off and holidays, including volunteering opportunities. Professional development support, including tuition reimbursement and coaching. Flexible, fully remote work environment. Opportunities to make a meaningful impact and work in a collaborative, high-performing team. Jobgether is a Talent Matching Platform that partners with companies worldwide to efficiently connect top talent with the right opportunities through AI-driven job matching. When you apply, your profile goes through our AI-powered screening process designed to identify top talent efficiently and fairly. 🔍 Our AI evaluates your CV and LinkedIn profile thoroughly, analyzing your skills, experience, and achievements. 📊 It compares your profile to the job's core requirements and past success factors to determine your match score. 🎯 Based on this analysis, we automatically shortlist the 3 candidates with the highest match to the role. 🧠 When necessary, our human team may perform an additional manual review to ensure no strong profile is missed. The process is transparent, skills-based, and free of bias - focusing solely on your fit for the role. Once the shortlist is completed, we share it directly with the company that owns the job opening. The final decision and next steps (such as interviews or additional assessments) are then made by their internal hiring team. Thank you for your interest! #LI-CL1