Regency Health Services Inc Remote jobs - 962 jobs
Accounts Receivable Analyst (79800)
Regency Integrated Health Services 4.3
Weslaco, TX jobs
The essential functions for the AR Analyst are to bill required claims within manner, filling, and ensuring that payments are received. Each AR Analyst has a monthly goal to meet.
The AR Analyst is responsible for:
Responsible for effective communication from central billing office to field staff and facility staff to facilitate prompt and clean claims submission for facilities assigned.
Responsible for census for each assigned facility. This includes being familiar with payer contracts, and checking census regularly to ensure revenue and residents are booked and being billed per our contracts and payer trees are set up correctly.
Responsible for Billing all claims monthly by deadlines set forth depending on payer.
Responsible for working claims rejections and denials in a timely manner.
Responsible for held claims daily review and follow up as well as documentation until claims release.
Responsible for claims follow up until payment is received on all claims for assigned facilities.
Responsible for daily cash posting of deposits within 24 hours of receipt and reconciling check registers to verify all payments posted for the month.
Responsible for Aging review and clean up for assigned facilities. This includes reclassing and census line corrections as identified during such reviews.
Responsible for notifying ADR team regarding denials or additional documentation requests as identified for medical necessity or medical records requests. Claim corrections due to coding issues will be handled by the assigned biller.
Responsible for billing co-insurance claims after receipt of primary payer payment.
Responsible for reporting issues with specific payers to CBO AR Manager so that complaints are addressed timely and with the appropriate State departments should the need arise.
Responsible for keeping accurate and up to date billing notes in PCC for all accounts worked.
Responsible for Bad Debt completion on receivables each month.
Maintaining company collection goals and provide reasons for not meeting collections.
Participate in monthly aging reviews with Accounts Receivable Manager and Supervisor.
Ability to maintain proper time and attendance along with possessing a positive attitude and productive work environment.
Any other assigned functions as needed by the department as deemed necessary by CBO AR Manager.
Qualifications
Qualifications:
2 years minimum Skilled Nursing Billing Experience is preferred.
Ability to work well with others as a team and have strong customer service and communication skills is required.
High School diploma required.
Associate degree preferred.
Point Click Care Software experience is preferred.
Simple LTC software experience is preferred.
Excel spreadsheets experience is required.
Schedule:
Full- Time status Monday - Friday 8:00 am - 5:00 pm
Location:
Corporate billing office is located in Victoria, Texas for training purposes then will transition to a hybrid remote schedule with potential to be fully remote.
$35k-44k yearly est. 16d ago
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Attendant / Caregiver - Palestine
at Home Health Care 4.5
Palestine, TX jobs
Job title: Caregiver - Guiding Excellence in Client Care Reporting to: Field Supervisor Pay: Starts at $10.60/hour Urgently Hiring! Evenings, Weekends Mid days Weekends and Weekdays We're looking for Caregivers!!! Are YOU looking to help someone live their best life?
Join one of the most recognized home care companies in the state. At Home Healthcare is recognized as a Great Place to Work! At Home Healthcare is culture driven company with a foundation based on solid core values, recognition of achievements, and respect.
Why join At Home Healthcare?
We believe great care begins by taking care of our employees. So, we'll reward you with industry-leading pay, benefits, training, continuous development opportunities and our unique culture of support. In addition, you will:
Get paid Weekly.
Flexible Schedules
Have on call 24/7 support.
Join an awesome team of like-minded people.
No Vaccinations Required
Responsibilities (will vary by client):
Aiding with activities of daily living
Assisting with shopping, errands & transportation
Pick up prescriptions & assist with telehealth visits.
Light housekeeping
Meal preparation
Providing companionship
Light housekeeping
Meal preparation
Transportation
Companionship
Personal care (bathing, toileting)
Follow a plan of care.
Communicate professionally with families and your team.
Why At Home Healthcare Will Choose You:
Successful clearance of health screens as required by state regulations.
Successful clearance of state and company background.
Must have at least 12 hours of availability/weekly
Are you dedicated, reliable, patient, and sensitive to the needs of the elderly?
Are you able to work independently?
Are you an effective communicator with clients, families, team members and other stakeholders?
A DAY IN THE LIFE OF A SENIOR / DEVELOPMENTAL DISABILITIES CAREGIVER
As a Senior / Developmental Disabilities Caregiver, you tend to the daily needs of your clients and assist in making their lives as pleasant and independently driven as possible. You do more than just assist with meals, light housekeeping, bathing, toileting, grooming, dressing, running errands, and transportation. While those tasks are important, you also provide companionship and build strong relationships with each client.
Some aspects of this home care position are not easily accomplished, but the reward of happy clients is worth the effort. You have come to see your clients like family and sympathize with their sorrows and rejoice in their happiness. Seeing your clients smile from the guidance, care, and compassion you show to them is priceless. You enjoy being able to make a difference in this caregiving position.
ABOUT AT HOME HEALTHCARE
Locally established and quality driven for over 38 years, we stand out as the leader for innovative home care services throughout Texas. Our friendly caregivers provide 24/7 personal care for seniors and individuals with developmental disabilities in their homes. Our exclusive care management program allows clients to mix and match our services to build a tailored home care approach that fits their individual needs and gives their families peace of mind.
To hire and retain individuals who are professional, have Integrity, take initiative, and exude compassion, we work hard to facilitate a positive work culture.
$10.6 hourly 6d ago
Inpatient Coder - Remote
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).
Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility.
Coder Productivity: Meets and/or exceeds Conifer's inpatient coding productivity guidelines
Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.
Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls.
DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures
Proficient at writing AHIMA compliant physician queries
Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
Works collaboratively with CDI, Quality and other facility leadership
Functional knowledge of facility EMR, encoder, CDI tool and other support software
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
One to three years experience performing inpatient coding in acute care setting required
High school graduate or equivalent is required
Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements.
CERTIFICATES, LICENSES, REGISTRATIONS
* Required: AHIMA RHIT or RHIA or AAPC CCS approved credential
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to lift 15-20lbs
* Ability to sit and work at a computer for a prolonged period of time. Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments if appropriate
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Office/Hospital Work Environment
* Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide
OTHER
* Must be able to travel nationally as needed, not to exceed 10%
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
Pay: $27.30-$40.95 per hour. Compensation depends on location, qualifications, and experience.
Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
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$27.3-41 hourly 7d ago
Senior Major Gifts Director - Remote, Six-Figure Campaign Impact
University of Texas Md Anderson Cancer Center 4.3
Houston, TX jobs
A leading healthcare institution in Houston seeks a Senior Associate Director for Major Gifts to secure substantial philanthropic support. The role involves cultivating relationships with high-net-worth donors to raise significantly for institutional priorities. The ideal candidate will have extensive fundraising experience and exceptional leadership skills. This position offers competitive compensation starting at $121,000, with comprehensive employee benefits including paid medical, dental coverage, and tuition assistance.
#J-18808-Ljbffr
$121k yearly 2d ago
Licensed Clinical Social Worker (LCSW) - Remote
Brave Health 3.7
Texas City, TX jobs
Why We're Here: At Brave Health, we are driven by a deep commitment to transform lives by expanding access to compassionate, high-quality mental health care. By harnessing the power of technology, we break down barriers and bring mental health treatment directly to those who need it most-wherever they are. As a community health-centered organization, we are dedicated to ensuring that no one is left behind. Nearly 1 in 4 people in the U.S. receive healthcare through Medicaid, yet two-thirds of providers don't accept it. Brave Health is stepping up to close this gap by making mental health care accessible, affordable, and life-changing for all.
Job description
We are looking for full-time Licensed Therapists to join our team and provide outpatient services through our telehealth program!
Benefits: Our team works 100% remotely from their own homes!
W2, Full-time
Compensation package includes base salary plus bonus!
Monday - Friday schedule; No weekends! Shift options include: 9am-6pm or 10am-7pm CDT
Comprehensive benefits package including PTO, medical, dental, vision benefits along with liability insurance covered and annual stipend for growth & education opportunities
Additional compensation offered to bilingual candidates (Spanish)!
We not only partner with commercial health plans, but are also a licensed Medicaid and Medicare provider and see patients across the lifespan
Requirements:
Master's level degree and licensure
Candidates must have unrestricted authorization to work in the United States that does not require employer sponsorship now or in the future. At this time, we are unable to support employment authorization tied to temporary or employer-dependent visa statuses
Work from home space must have privacy for patient safety and HIPAA purposes
Fluency in English, Spanish preferred; proficiency in other languages a plus
Meets background/regulatory requirements
Skills:
Knowledge of mental health and/or substance abuse diagnosis
Treatment planning
Comfortable with utilizing technology at all points of the day, including telehealth software, video communication, and internal communication tools
Experience working in partnership with clients to achieve goals
Ability to utilize comprehensive assessments
Ready to apply? Here's what to expect next:
It's important to our team that we review your application and get back to you with next steps, fast! To help with that, and be most considerate of your time (which we value and know is limited), you may receive a call from Phoenix - our AI Talent Scout. She'll ask for just 5 minutes of your time to gather some information about you and your job search to get the basics out of the way. If there is a mutual fit we'll match you to the right senior recruiter on our team.
Brave Health is very proud of our diverse team who cares for a diverse population of patients. We are an equal opportunity employer and encourage all applicants from every background and life experience to apply.
$53k-63k yearly est. 2d ago
Homecare Homebase Support Representative
Ambercare 4.1
Frisco, TX jobs
The HCHB Support Representative is responsible for handling software support calls and tickets initiated by Addus Home Health, Hospice, and Private Duty, and Personal Care branches. The role will also assist in training during acquisition integration projects as well as testing hot fixes and system upgrades HCHB releases. Must have recent Homecare Homebase Software experience.
Schedule: Remote Role / Monday - Friday 8am to 5pm.
>> We offer our team the best
Medical, Dental and Vision Benefits
Continued Education
PTO Plan
Retirement Planning
Life Insurance
Employee discounts
Essential Duties:
Managing a service desk (ServiceNow) ticket queue which includes triaging incoming requests, managing escalations to Addus team members, building out new worker login profiles, device buildout, user errors, and assisting branches in clearing claims or preventing ineligible claims.
Consult with HCHB's Customer Experience team as needed to provide solutions to HCHB errors.
Submit and follow up on HCHB Support Tickets.
Assist in project tasks related to new agency acquisitions.
Communicate with branches via phone, email, and live chat in a timely fashion to identify and resolve reported issues.
Identifying trending issues and providing thorough research and documentation of findings.
Effectively provide consultation and education on the appropriate use of all products within the HCHB Suite.
Ability to take assigned projects to successful completion.
The role may also include training staff during HCHB rollouts, assisting in HCHB quarterly release testing, assist in audit reviews, and develop and conduct training programs to support team members on HCHB applications.
Position Requirements & Competencies:
High school diploma or GED equivalent, some college preferred.
No less than 2 years of recent HCHB software experience.
Excellent written and oral communication skills.
Excellent customer service skills.
Computer proficiency required: including intermediate level knowledge in Microsoft Suite.
Ability to analyze and interpret situations to complete tasks or duties assigned.
Detail oriented, strong organizational skills.
Team players who are passionate about their work and will actively contribute to a positive and collaborative environment.
Quick learners with strong problem solving and creative thinking abilities.
Driven individuals who remain engaged in their own professional growth.
Ability to Travel:
Heavy travel (varies and may exceed 50%) is required during acquisition phases.
Some travel may be required on weekends or evenings.
Addus 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.
To apply via text, text 9930 to ************
#ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR
We may text you during the hiring process. By proceeding, you give us permission to text you at the mobile number provided. Message and data rates may apply. Message frequency varies. Reply 'Opt Out' at any time if you no longer wish to receive text messages regarding our opportunities.
Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index.
**Galveston, Texas, United States**
Nursing & Care Management
UTMB Health
Requisition # 2505590
**Minimum Qualifications:**
Bachelor degree in Nursing, Healthcare Administration or related clinical program field
Eight (8) years of experience directly related to quality/performance improvement functions within a healthcare setting:
**LICENSES, REGISTRATIONS OR CERTIFICATIONS**
Required:
Valid state of Texas Professional Nursing (RN) license or clinical program professional registration
Preferred:
Six Sigma Green Belt or Certified Professional in Healthcare Quality (CPHQ) certification
**JOB DESCRIPTION**
Scope: The QAPI Manager, Clinical Services is a designated member of the clinical team and is responsible, under the guidance of the Department Administrator, for overseeing and continually evaluating the effectiveness of the operational components of the QAPI plan including metric development and selection, data capture, data analysis, opportunity identification, and ongoing operational survey readiness for all regulatory bodies. They are responsible for independently implementing initiatives aimed at improving quality outcomes.
Function: This individual is tasked with developing and maintaining the QAPI program and an educational framework that ensures all clinical programs and other hospital department staff have knowledge of new and existing regulatory requirements related to quality and patient safety. They will serve as the key liaison during survey activities. They will also serves as advisor and subject matter expert in Joint Commission, CMS, Texas Department of Health and Services and other regulatory agency standards and policies. The manager oversees staff that aid in developing and implementing new programs aimed at improving or maintaining departmental effectiveness and efficiency, and reviews identified opportunities for improvement. This individual supervises designated support staff.
**ESSENTIAL JOB FUNCTIONS**
**Quality:**
+ Oversees all collaboration with medical staff and operational leadership to facilitate evidence-based quality and patient safety initiatives; engages associates at all levels in continuous pursuit of improvement opportunities.
+ Provides project management and facilitation, as well as, oversight and support for key functions and processes for the systematic, coordinated, and continuous improvement of patient care delivery.
+ Ensures quality and performance improvement initiatives are aligned with regulatory standards and healthcare best practices and reporting of quality outcomes and performance improvement initiatives.
+ Ensures the integration of aggregate data into performance improvement planning and problem resolution.
+ Monitors the use of statistical process tools and process improvement methodologies used to ensure continuous improvement in patient care and outcomes.
+ Evaluates the relationship of quality and performance improvement initiatives with patient outcomes to determine if desired results have been achieved or sustained.
+ Compares performance data and outcomes with authoritative external sources and benchmarks.
+ Organizes and leads relevant task forces or work groups, for reviewing evidenced based literature/benchmarks, and suggesting revisions/additions to the indicators for monitoring and evaluation of quality, regulatory and accreditation goals and objectives
+ Prioritizes and sets strategic direction for improvement efforts based on alignment with health system and transplant program goals, as well as, clinical performance with regard to patient safety and pro-active reduction of risk.
+ Directs communication with hospital clinical risk management to identify adverse events, communication of the events to the transplant program leadership and staff, and provide oversight during the root cause analysis and improvement remediation processes related to these events.
**Regulatory Readiness:**
+ Responsible for independently developing and implementing initiatives supporting compliance with accreditation, licensure and regulatory standards for the service line program. Establishes and implements programs to assess state of readiness for surveys, focusing upon continual preparation.
+ Monitors internal compliance with survey readiness program and presents findings and recommendations for improvement.
+ Key liaison during survey visits/activities and post-survey follow-up activities. Prepares and coordinates responses to regulatory agencies on corrective action plans, inquiries, and other requested information.
+ Guides and coordinates policy/practice review to ensure alignment with regulatory and accrediting standards, best practices, and evidence-based practice.
+ Continually reviews and monitors Joint Commission data and changes in interpretations; communicates new or modified regulatory standards as appropriate; makes recommendations to ensure compliance.
+ Serves as the subject matter expert and resource for Joint Commission accreditation standards and accreditation requirements specific to transplant programs.
**Management and Consultative:**
+ Serves as program management representative in system or facility performance improvement, regulatory readiness and/or quality teams. Builds mutual trust and encourages respect and cooperation among team members to support movement from current state of practice to desired state of practice, address and mutually resolve issues.
+ Supervises support staff performance and clarifies work expectations, and defines goalsetting; promotes and mentors cooperation among individuals and groups.
+ Develops and implements processes through orientation, training and education to ensure that the competence of staff members is assessed, maintained, improved and demonstrated throughout their employment.
**Marginal or Periodic Functions:**
-Performs related duties as assigned in alignment with business needs
**KNOWLEDGE/SKILLS/ABILITIES**
+ Sound working knowledge of concepts, practices, and procedures related to quality improvement functions specific to clinical program supporting.
+ Demonstrated knowledge and expertise in the application of advanced quality tools and methodologies.
+ Strong facilitation skills with proven ability to plan, implement, coach and assist others in performance improvement measures.
+ Strong technical ability in basic business software and power automation such as PowerBI, PowerApps, Excel, PowerPoint, Word. Technical skill in database software such as Access and statistical analysis software such as Minitab, STATA and SPSS.
+ Experience with Joint Commission, state licensure and CMS Conditions of Participation survey process and regulatory compliance.
+ Demonstrated capability in facilitating a collaborative approach to compliance with regulatory standards.
+ Ability to consult and negotiate in situations that are controversial and/or sensitive that result in mutual decisions. Ability to exercise discretion in what and how to communicate.
+ Ability to read and interpret complex statutes and regulations and apply knowledge to manage compliance risk exposure.
+ Demonstrated ability to manage by influence in a consultative role that does not have direct authority.
+ Strong professional, organizational, and interpersonal skills required for effective and creative leadership in working with all levels of the organization.
+ Ability to lead and motivate individuals and groups toward the accomplishment of organizational goals.
+ Possesses good analytical and problem solving skills. Demonstrates a high level of organizational skills to establish and manage priorities and maintain follow-up.
**Salary**
Commensuratewith experience $92,080 - 119,700.
**Equal Employment Opportunity**
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
Compensation
$92.1k-119.7k yearly 5d ago
Laboratory Informatics Consultant-Remote supporting territory aligned to US South West
Varian Medical Systems, Inc. 4.4
Texas jobs
Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions.
Be the Catalyst for Digital Transformation in Healthcare
Imagine shaping the future of laboratory medicine-where data drives decisions, workflows are seamless, and patient care reaches new heights. At Siemens Healthineers, we're not just transforming technology; we're transforming lives. If you're passionate about innovation and want to make a measurable impact on healthcare systems across North America, this is your opportunity.
A Healthier Future Starts with You
We're looking for a Clinical Laboratory Informatics Consultant (IC) to join our team of trusted advisors driving laboratory digital transformation. In this role, you'll bridge operational workflows, digital solutions, and business outcomes-helping laboratories deliver maximum clinical and operational value for better patient care.
Why You'll Love This Role
* Be at the forefront of digital healthcare innovation
* Work with leading laboratories to optimize workflows and improve patient outcomes
* Collaborate with cross-functional teams in a dynamic, global organization
* Enjoy remote flexibility with opportunities to travel and engage directly with customers
Your Impact
As a Clinical Laboratory Informatics Consultant, you will:
* Lead discovery sessions with lab leadership to identify workflow challenges and strategic goals
* Conduct digital maturity assessments and design transformation roadmaps
* Develop future-state workflows and support business cases for ROI and KPI tracking
* Partner with sales teams to articulate value propositions and deliver executive-level presentations
* Ensure successful implementation alignment and change management for digital solutions
What We're Looking For
* Bachelor's degree in Clinical Laboratory Science, Medical Technology, Biomedical Engineering, Healthcare Informatics, or related field
* 3+ years in laboratory operations or clinical informatics
* Strong knowledge of LIS/HIS integration, middleware, and digital health platforms
* Proven ability to analyze and redesign workflows for efficiency and quality
* Exceptional communication and presentation skills for technical and executive audiences
* Ability to travel up to 60% (company car provided)
Preferred:
* Experience with Siemens Atellica Informatics portfolio or similar platforms
* Familiarity with Lab Automation, multi-site workflow optimization, and regulatory compliance
* Certifications in Lean Six Sigma, PMP, Clinical Informatics, or Change Management
Why Siemens Healthineers?
We offer a culture of collaboration and innovation, competitive compensation, comprehensive benefits, and opportunities for professional growth. Join us and help shape the future of healthcare.
Ready to make an impact?
#LI-BH1
Who we are: We are a team of more than 72,000 highly dedicated Healthineers in more than 70 countries. As a leader in medical technology, we constantly push the boundaries to create better outcomes and experiences for patients, no matter where they live or what health issues they are facing. Our portfolio is crucial for clinical decision-making and treatment pathways.
How we work: When you join Siemens Healthineers, you become one in a global team of scientists, clinicians, developers, researchers, professionals, and skilled specialists, who believe in each individual's potential to contribute with diverse ideas. We are from different backgrounds, cultures, religions, political and/or sexual orientations, and work together, to fight the world's most threatening diseases and enable access to care, united by one purpose: to pioneer breakthroughs in healthcare. For everyone. Everywhere. Sustainably.
To find out more about Siemens Healthineers businesses, please visit our company page here.
The base pay range for this position is:
$98,140 - $134,937
Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.
If this is a commission eligible position the commission eligibility will be in accordance with the terms of the Company's plan. Commissions are based on individual performance and/or company performance.
The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan. life insurance, long-term and short-term disability insurance, paid parking/public transportation, paid time off, paid sick and safe time.
Equal Employment Opportunity Statement: Siemens Healthineers is an Equal Opportunity and Affirmative Action Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to their race, color, creed, religion, national origin, citizenship status, ancestry, sex, age, physical or mental disability unrelated to ability, marital status, family responsibilities, pregnancy, genetic information, sexual orientation, gender expression, gender identity, transgender, sex stereotyping, order of protection status, protected veteran or military status, or an unfavorable discharge from military service, and other categories protected by federal, state or local law.
EEO is the Law: Applicants and employees are protected under Federal law from discrimination. To learn more, click here.
Reasonable Accommodations: Siemens Healthineers is committed to equal employment opportunity. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations.
If you require a reasonable accommodation in completing a job application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please fill out the accommodations form here. If you're unable to complete the form, you can reach out to our HR People Connect People Contact Center for support at *****************************************************. Please note HR People Connect People Contact Center will not have visibility of your application or interview status.
California Privacy Notice: California residents have the right to receive additional notices about their personal information. To learn more, click here.
Export Control: "A successful candidate must be able to work with controlled technology in accordance with US export control law." "It is Siemens Healthineers' policy to comply fully and completely with all United States export control laws and regulations, including those implemented by the Department of Commerce through the Export Administration Regulations (EAR), by the Department of State through the International Traffic in Arms Regulations (ITAR), and by the Treasury Department through the Office of Foreign Assets Control (OFAC) sanctions regulations."
Data Privacy: We care about your data privacy and take compliance with GDPR as well as other data protection legislation seriously. For this reason, we ask you not to send us your CV or resume by email. We ask instead that you create a profile in our talent community where you can upload your CV. Setting up a profile lets us know you are interested in career opportunities with us and makes it easy for us to send you an alert when relevant positions become open. Register here to get started.
Beware of Job Scams: Please beware of potentially fraudulent job postings or suspicious recruiting activity by persons that are currently posing as Siemens Healthineers recruiters/employees. These scammers may attempt to collect your confidential personal or financial information. If you are concerned that an offer of employment with Siemens Healthineers might be a scam or that the recruiter is not legitimate, please verify by searching for the posting on the Siemens Healthineers career site.
To all recruitment agencies: Siemens Healthineers does not accept agency resumes. Please do not forward resumes to our jobs alias, employees, or any other company location. Siemens Healthineers is not responsible for any fees related to unsolicited resumes.
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Job Description**
As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used.
**Position Summary**
Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients.
**Role contribution and responsibilities:**
+ Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs
+ Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes.
+ Monitors performance and recommends scope, schedule, cost or resource adjustments
+ Connects short-term demands to long-term implications, in alignment with the supporting business case.
+ Prioritizes multiple tasks while meeting deadlines
+ Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion.
+ Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success.
+ Connects project objectives to broader organizational goals.
+ Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility.
+ Negotiates with stakeholders to obtain the resources necessary for successful project execution.
+ Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making.
+ High level of client contact in an Account Management portfolio approach.
**What is expected of you and others at this level**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Participates in the development of policies and procedures to achieve specific goals
+ Recommends new practices, processes, metrics, or models
+ Works on or may lead complex projects of large scope
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
+ Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships
**Accountabilities in this role**
+ Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services
+ Acts as single technical liaison for the client
+ Daily interactions with client to assess and advise client needs and requests
+ Analyze client program, needs and propose solutions and options that provide value to client
+ Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements.
+ Manage client deliverables, timelines, and artifacts
+ Monitor team backlog and prioritize activities to deliver on time, on budget, on scope
+ Anticipate client needs and proactively make program recommendations to enhance service value
+ Perform necessary project administration, project status, and risk, issue management
_Qualifications_
+ Master's Degree preferred
+ 3-5 years' experience of client relationship management experience at the account management level preferred
+ Prior experience working in a Specialty Pharmaceutical HUB environment, preferred
+ 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred
+ Proficiency in Microsoft Office products preferred
+ Strong oral and written communication skills, with executive facing presentation experience
+ Strong project management skills
+ Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Travel requirement up to 10%
TRAINING AND WORK SCHEDULES:
+ Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
REMOTE DETAILS:
+ You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet.
+ We will provide you with the computer, technology and equipment needed to successfully perform your job.
+ You will be responsible for providing high-speed internet.
+ Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $105,100-$150,100
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 03/15/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$105.1k-150.1k yearly 10d ago
Remote - Insurance Verification Specialist
Baylor Scott & White Health 4.5
Dallas, TX jobs
The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization's reimbursement from payers for patient accounts that are scheduled and unscheduled.
ESSENTIAL FUNCTIONS OF THE ROLE
Performs financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe.
Completes appropriate payor forms related to notification and authorization.
Coordinates the submission of clinical documentation from physicians to payers for authorization needs.
Calculates accurate patient financial responsibility.
Communicates timely with Utilization Review, and collaborates effectively with physician and facility staff to ensure financial clearance of the patients account prior to scheduled or unscheduled service during the patient's hospital stay.
Interprets complex payer coverage information including, but not limited to, network participation status with provider, limited plan coverage and inactive benefits.
Documents systems according to the Insurance Verification guidelines to assure accurate and timely reimbursement.
KEY SUCCESS FACTORS
1 year of healthcare or customer service experience preferred.
Must have the ability to consistently meet performance standards of production, accuracy, completeness and quality.
Ability to understand and adhere to payer guidelines by plan and service type.
Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
Ability to maintain a professional demeanor in a highly stressful and emotional environment, behavioral health and/or suffering patients in addition to life or death situations.
Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
Excellent data entry, numeric, typing and computer navigational skills. Basic computer skills and Microsoft Office.
BENEFITS
Our competitive benefits package includes the following
* Immediate eligibility for health and welfare benefits
* 401(k) savings plan with dollar-for-dollar match up to 5%
* Tuition Reimbursement
* PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
QUALIFICATIONS
* EDUCATION - H.S. Diploma/GED Equivalent
* EXPERIENCE - Less than 1 Year of Experience
$27k-31k yearly est. 4d ago
Patient Access Quality Assurance Coordinator
Ensemble Health Partners 4.0
Tyler, TX jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
***This position is an onsite role, and candidates must be able to work on-site at the hospital.****
The Opportunity:
With little supervision, the Patient Access Quality Assurance Specialist will work directly with all levels of Patient Access leadership and the individual Patient Access Specialists and Sr. Patient Access Specialists. They will be responsible for auditing Patient Access calls, accounts, and work queues to ensure compliance and consistency to policy and procedure. They will be responsible for identifying trends and provide reporting for training/coaching purposes to both leadership and associates. In addition to auditing accounts, the auditor will ensure monthly quality scorecards are completed accurately and adhere to department standards and established metrics for quality.
This position pays between $17.00 - $18.15/hr based on experience
Job Responsibilities:
The QA specialist will be responsible for auditing Patient Access calls, accounts, and work queues to ensure compliance and consistency to policy and procedure.
They will monitor the quality audit tool and process and ensures accurate record keeping and audit scoring and system documentation.
They will be responsible for identifying trends and recommend quality and training needs of the department.
The auditor will partner with the leadership team to monitor, record and provide individual performance reporting for training/coaching purposes.
They will ensure monthly quality scorecards are completed accurately and adhere to department standards and established metrics for quality.
They will be responsible to collaborate with Patient Access leadership to remain updated on any new policy and procedure changes to make necessary changes on all associate scorecards.
Continuous research, development and implementation of new quality procedures and programs to ensure cutting edge ideas and efficiencies.
They will be expected to provide routine calibrations with the associates to further explain the score.
They will be expected to provide ad hoc audits requested by Patient Access leadership, in addition to normal account edits.
Experience We Love:
• 1 - 3 years of customer service experience
Required Qualifications:
• High School Diploma/GED Required
• CRCR Required within 9 months of hire
Other Preferred Knowledge, Skills and Abilities
Other 4 year/ Bachelors Degree
Minimum Years and Type of Experience: 2 years of Patient Access operations experience
Other Knowledge, Skills and Abilities Required:
Knowledgeable in Patient Access Services and Patient Access technology, applications, systems, processes.
Knowledgeable in all Microsoft Office products, with an emphasis in Excel.
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
EEOC - Know Your Rights
FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
Know your Rights
$17-18.2 hourly Auto-Apply 19d ago
Clearance Team Lead - Intake Trainer
Soleo Health 3.9
Frisco, TX jobs
Full-time Description
Soleo Health is seeking a Clearance Team Lead - Intake Trainer to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Soleo Health Perks:
Competitive Wages
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
Annual Merit Based Increases
No Weekends or Holidays
Paid Parental Leave Options
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) Options
Education Assistance Program
The Position:
The Clearance Team Lead - Intake Trainer provides daily support and guidance to the Patient Access team, assists with escalations, participates in complex therapy benefit verification and prior authorization submissions, and performs duties of both the Clearance Specialist and Prior Authorization Coordinator. They work closely with the Patient Access Supervisor to ensure the team meets or exceeds productivity and quality expectations while delivering exceptional patient care. Responsibilities include:
Acts as a resource for colleagues: Provide guidance to the team on referral processing standards, Soleo contracts, fee schedules, therapy guidelines, and supported therapies
Monitor and assign referral workload: Oversee the clearance team's workload and direct the work of other staff members
Serve as a Subject Matter Expert: Works autonomously to handle more complex issues related to benefits and authorization within established procedures and practices
Handle escalations: Provide exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner
Assist in training new team members: Ensure new team members understand their roles and responsibilities and provide ongoing training to enhance their skills and knowledge
Support Patient Access team members: Provide necessary guidance, feedback and counseling and may contribute input for performance evaluations
Generate and update reports: Create, update and distribute patient access-related reports as needed
Perform duties of a Clearance Specialist and Prior Authorization Coordinator
Schedule:
Monday-Friday 8:30-5p
Must have experience with Specialty Infusion for Prior authorization/Benefits Verification
Prefer someone with training or lead experience
Requirements
At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met
Ability to work in a fast-paced environment
Knowledge of HIPAA regulations
Basic level skill in Microsoft Excel & Word
Knowledge of CPR+ preferred
High school diploma or equivalent
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Salary Description $27-$31 per hour
$27-31 hourly 40d ago
District Manager
Biote 4.4
Dallas, TX jobs
Description Biote Medical is the world leader in hormone optimization and we are adding to our team! We partner with providers to take a complete approach to healthier aging through patient-specific bioidentical hormone replacement therapy and the only nutraceutical line created specifically to support hormone health.This position will help support our North Texas (DFW) territory. We're looking for someone with a passion for changing healthcare who wants to be in a hands-on and engaged position working within a dynamic and collaborative sales team.You must be located in the DFW area to be considered.Position and Scope:We are looking for a driven candidate with the desire to recruit qualified physicians and practitioners into a partnership relationship with Biote; in order to provide cutting edge technology for bioidentical hormone replacement therapy (BHRT) and healthy aging options to their own patients and to the public at large. The ideal candidate is responsible for relationship development, practice development and sales of the Biote Method to practitioners. Sales activity includes prospecting, cold calling, practice development, tradeshows, sales events, and other methods for creating leads and closing sales for Biote within the approved price matrix. In addition, the Liaison provides technical, educational, and Provider Partner support. This is a field-based remote position.As a District Manager, your daily responsibilities will include:
Acquiring and retaining extensive knowledge of hormone replacement therapy through materials provided by Biote, as well as outside sources.
Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
Ability to read and understand medical and scientific studies.
Researching and evaluating physicians in assigned areas based on Biote's criteria for appropriateness and suitability.
Effectively presenting Biote's training and business program to physicians, Nurse Practitioners, Physician Assistants, office managers and office staff.
Recruiting suitable physicians and other practitioners through professional and effective prospecting, appointment setting and presentation skills.
Cultivating and maintaining mutually productive partnerships with practitioners to grow new and current practices and maintain patient retention levels of 60% or better.
Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
Securing all required contracts, paperwork and documentation as well as payments and fees as needed for attendees to participate in regular training and certification classes.
Conducting and facilitating patient educational seminars as needed for trained practitioners on a monthly basis.
Contributing to the development of the practice by assisting the Office Manager/Marketing position with email marketing, social media, referral cards and website information cards.
Prospecting for new leads and identifying quality sales prospects from active leads.
Attending marketing and sales events for prospects and current customers.
Working with customers for sales referrals with new prospects.
Updating all relevant sales activities in the Company's CRM system.
Closing sales accurately and effectively each month to meet or exceed targets.
Responding to all emails received from the customer and Biote employees and related vendors in a timely manner.
Performing other related duties as required or requested.
As a District Manager, your background should include:
Bachelor's degree
Strong teamwork, communication (written and oral), client management, and interpersonal skills.
Minimum of 3-5 years of sales experience in a business-to-business model, preferably medical device, diagnostics, and/or biotech.
Strong work ethic and time management skills
Ability to make effective and persuasive communications and technical presentations to physicians, management and/or large groups. Ability to thoroughly understand and communicate the attributes and qualities of Company products using professional selling and closing skills.
Proficient in Microsoft Office suite and customer relationship management software.
Ability to travel in order to do business, approximately 20% of the month.
Scheduled hours are 40 to 50 hours per week Monday through Friday but may be extended as required to execute the tasks assigned.
Valid driver's license issued by the state/province in which the individual resides and a good driving record is required.
Home office capability is required with reliable high-speed internet access
Company Perks:
Medical, Dental & Vision Insurance, Virtual Visits/Telemedicine
Company Paid Life and AD&D Insurance
15 days of Paid Time Off and Company Holidays
401k with a 3% employer contribution
Motus mileage program
Other excellent health and wellness benefits in line with our business
If you're interested in this awesome opportunity, please apply today!
$73k-134k yearly est. Auto-Apply 60d+ ago
Remote Call Center Supervisor
Work Force 3.8
Houston, TX jobs
Job Description
The Supervisor is responsible for day-to-day leadership with excellent communication skills, supervisory experience, and a drive to bring excellence to their operating environment. Strong candidates will be curious, efficient practitioners who are motivated to succeed in a fast-paced environment and comfortable working both with an agent team and with a Government client.
Remote position, but candidate must reside in the Hampton Roads area
Duties:
• * Participate in efforts to improve overall performance
• Supervise and manage overall contact center operations:
• Workforce Management and schedule management
• Quality assurance
• Performance management
• Reinforce training and coaching contact center agents
• Direct customer support, when needed
• Engage with client and respond to Government requests
• Other duties, as assigned
Requirements
• HS diploma (or equivalent) is required.
• 1-2 years of contact center experience
• 1-2 years of contact center supervisor experience
• Must be able to obtain and maintain government agency suitability requirements as a condition of employment
• A reliable, hard-wired internet connection is required
Additional Information
All your information will be kept confidential according to EEO guidelines.
$32k-43k yearly est. 5d ago
(Medical Claims Specialist) Account Manager - OMN
Heritage Health Solutions 3.9
Coppell, TX jobs
Job Description
* This is currently a hybrid - remote position for DFW applicants only and requires 2 days in office with 3 days from home. Executive management reserves the right to change this policy as company needs dictate in the future.
POSITION SUMMARY
The primary responsibility of the Medical Claims Specialist, is to support the day-to-day activities of the client and contracted medical providers by serving as the primary point of contact for operational support to these entities. This role is responsible for routine communication with clients regarding changes to the Provider Network, spending trends, claim inquiries, addressing operational issues, and researching payment information. The Medical Claims Specialist is responsible for overall client satisfaction and is expected to proactively identify, resolve and/or appropriately escalate any service issues.
ESSENTIAL FUNCTIONS Reasonable Accommodations Statement To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Essential Functions Statement(s)
Serve as Heritage's liaison with internal and external customers, to include: Heritage subcontractors, Customer Care Center (CCC), Contracting Department, and other internal functional units.
Monitor and audit client authorization logs and documentation to stay within contract compliance requirements, ensure telephone, e-mail and faxes are addressed timely and forwarded to subcontractor(s) as appropriate, and ensure all inquiries are completed and closed.
Monitor and audit content of information entered into Salesforce and other databases to ensure adequate documentation of events is recorded.
Analyze data and create reports for clients
Create and present quarterly business reviews to customers in person or via conference call.
Coordinate implementation of new clients/customers/accounts - maintain a schedule of responsibilities within Salesforce
Respond directly to inquiries from internal and external customers, orally or in writing, in a timely manner.
Research, resolve and/or escalate program disputes.
Communicate program information as needed to the Customer Care Center and assist that team in handling escalated client issues, or payment inquiries.
Participate in staff meetings and conference calls.
Communicate client changes and updates to appropriate internal departments.
Create, organize and maintain client files.
Ensure adherence to each client's contractual Statement of Work, and other contractual obligations as appropriate.
Receive, document, process and forward all provider nomination inquiries to our provider networks department.
Performs administrative functions as needed (copying, assembling binders, mailing, etc.).
Perform other projects and responsibilities as requested
Other job-related duties as assigned.
POSITION QUALIFICATIONS Competency Statement(s)
Accuracy/Quality - Accuracy looks at the extent to which an individual's work is correct and error free within company policies and guidelines. This competency asks the question “How well do you perform your work, and check the quality of the work before passing it along?”
Decision Making - Decision making skills look at the ability of the individual to select an effective course of action while controlling resources and expenditures. The ability to make decisions and the quality and timeliness of those decisions. This competency asks the question “How well do you evaluate information and decide on an appropriate course of action?”
Initiative and Creativity - Initiative looks at the ability of the individual to go ahead with a task without being told every detail. The ability to make constructive suggestions. This competency asks the question “How confident are you in making decisions on the basis of your own initiative?”
Judgment - The skill of judgment looks at the ability of the individual to form sound opinions or make decisions by evaluating available information. This competency asks the question “How do you make decisions?”
Project Management/Planning and Organizing - Project management skills looks at the ability of the individual to demonstrate an understanding of planning, organizing, staffing, directing, and controlling work tasks. The ability to analyze work, set goals, develop plans of action, utilize time. This competency asks the question “How well do you direct people and control deadlines to meet a specific goal?”
Job Knowledge - Knowledge of job and policies/procedures that apply to one's job.
Autonomy - Ability to work independently with minimal supervision.
Communication, Oral - Ability to communicate effectively with others using the spoken word.
Communication, Written - Ability to communicate in writing clearly and concisely.
Detail Oriented - Ability to pay attention to the minute details of a project or task.
Organized - Possessing the trait of being organized or following a systematic method of performing a task.
Customer Oriented - Ability to take care of the customers' needs while following company procedures.
Interpersonal - Ability to get along well with a variety of personalities and individuals.
Tactful - Ability to show consideration for and maintain good relations with others.
Active Listening - Ability to actively attend to, convey, and understand the comments and questions of others.
PREFERRED SKILLS & ABILITIES Education: Bachelor's Degree preferred (four-year college or university) or four to six years of related experience.
Experience: One to three years' experience working in an Account Manager role preferred. Knowledge and understanding of Third-Party Administrator (TPA) role in managing medical claims processing is preferred. Experience working with, or for, Correctional Facilities is preferred. Minimum of two years' experience in an account manager role within the Health Care Insurance industries preferred. Computer Skills: Microsoft Office Suite, including, Word, PowerPoint, and excellent Excel Skills, Microsoft Outlook, Internet, Salesforce
Certificates & Licenses:
Valid State issued driver's license
Additional Skills: Ability to fluently speak, read, and write in English.
$32k-39k yearly est. 10d ago
Manager, Document Control (Hybrid Opportunity)
Quest Diagnostics 4.4
Lewisville, TX jobs
The Manager, Document Control will report to the quality management organization, and lead the development, management, and execution of document control programs in support of the QA/RA function.
This position is responsible for managing and maintaining Quest's documents and document control system, including document creation, revision control, approval, publication, retrieval, distribution, and archive of all documents within Quest's quality management system.
This is a hybrid position and requires 3 days on site at a major Quest Diagnostics sites. Sites include Lewisville, TX, Marlborough, MA, Clifton, NJ, Lenexa, KS, Houston, TX, Pittsburgh, PA, Tampa, FL, and Wood Dale, IL.
Responsibilities
Document Management
Maintain and oversee all quality documents and records to ensure accuracy, completeness, and compliance with applicable regulatory/standard requirements and established company procedures/policies/systems.
Receive policy/process changes from multiple sources (e.g. Regulatory, Quality, Product, R&D, etc.) and apply appropriate update actions
Manage and maintain the full lifecycle of all controlled documents in the quality management system (QMS) and electronic quality management system (eQMS).
Oversee the creation of new documents, ensure proper formatting, version control, and approval processes are followed.
Create, maintain, and revise document templates.
Document Distribution, Retrieval, and Compliance
Distribute documents to relevant stakeholders and manage requests for document retrieval.
Ensure all documents are compliant with company policy, regulation requirements, and standards.
Maintain hard copy records in accordance with Quest's retention policy.
Training and Support
Provide training to employees on document control procedures and best practices.
Partner with cross-functional areas to support timely periodic review, gather document requirements, facilitate document updates, assignment of training documents, and resolve document-related issues.
Maintain and implement improvements to the document control and record retention program.
Drive execution change control activities related to document and training.
Drive generation of documents, quality records in support of internal and external audits activities.
Drive generation and preparation of documentation, records, and other artifacts in support of regulatory submissions.
Qualifications
Required Work Experience:
5+ years of experience in document control in the medical device and/or IVD industry.
Previous experience with implementing, maintaining, and/or managing electronic quality management systems (e.g., SmartSolve, MediaLab, Veeva, etc.) in a regulated environment.
Experience applying Medical device regulations (e.g. FDA 21 CFR Part 803, 21 CFR Part 806, 21 CFR Part 820, ISO 13485, ISO 14971, ISO 15189, IVDR, CAP, and CLIA).
Preferred Work Experience:
Technical writing
ASQ or medical device related certification
Physical and Mental Requirements:
Strong attention to detail for thorough documentation to ensure consistency in documentation.
Excellent problem-solving skills to identify and address quality issues effectively.
Ability to work under pressure and meet deadlines, while maintaining accuracy.
Knowledge:
Broad-based technical knowledge and skills in diverse areas of business such as quality engineering, quality assurance, quality systems, regulatory affairs, laboratory operations, GCP, and GMP operations.
Strong working knowledge of applicable regulations, such as but not limited to, the medical device regulations: FDA 21 CFR Part 820 Quality Systems Regulations/new Quality Management System Regulation and ISO 13485 standards. Preferred: ISO 14971, ISO 15189, IVDR, CAP, CLIA, and NYSDOH requirements.
Skills:
Ability to manage large volumes of documents systematically and efficiently.
Demonstrated strong analytical thinking skills and attention-to-detail.
Strong communication and effective interpersonal skills to collaborate with various departments and stakeholders.
Ability to clearly communicate, both verbal and written, with all levels of organization.
Must be able to work/support multiple projects simultaneously and demonstrate organizational, prioritization, and time management proficiencies.
Proficient technical writing and document management tools (e.g., Microsoft Word, Microsoft Visio, Microsoft Excel, and Adobe) and with quality systems.
Ability to work independently and collaboratively with cross-functional departments in a fast-paced environment with minimal supervision.
Proficient in document management systems.
$74k-103k yearly est. Auto-Apply 60d+ ago
Senior Coding Quality Educator - Onsite
Providence Health & Services 4.2
Tye, TX jobs
Senior Coding Quality Educator _Remote - Most states eligible._ _Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them._
Providence is calling a Senior Coding Quality Educator who will:
+ Assist with the day-to-day operations of the Coding Integrity, Knowledge Management team
+ Assist with research and developing coding guidance based on local, state and federal healthcare coding regulations and other payor guidelines as applicable
+ Obtain, interpret, analyze and communicate information regarding coding matters with all internal and external revenue cycle and coding teams
+ Collaborate with various departments e.g., Physician Network Operations, Revenue Cycle, Compliance, Practice Operations, and other key stakeholders on all coding matters
We welcome 100% remote work for residents in the United States with the exception of the following States:
+ Colorado
+ Hawaii
+ Massachusetts
+ New York
+ Ohio
+ Pennsylvania
Essential Functions:
+ Assist with the identification, development and delivery of new and ongoing coding changes and updates to all regional coding teams
+ Collaborate with various departments e.g., regional coding teams, revenue cycle, compliance, practice operations, and other key stakeholders on all coding matters
+ Respond timely (either orally or written) to coding inquiries from coders, educators, and other teams across Providence enterprise
+ Serve as a resource and subject matter expert for all coding matters
+ Provide coding support to regional coding teams as needed
+ Maintain relevant documentation and data as required
+ Review and update coding guidance annually or as necessary
+ Maintain document control
+ Develops action plans as necessary to resolve complex coding cases and to address the implementation of new service offerings or code changes
+ Facilitates education to support Medicare Risk requirements & organization goals
+ Review relevant patient details from the medical record based on coding and documentation guidelines
+ Participate in monthly progress meetings to discuss process improvements, updates in technology, along with any job related details
+ Communicate any coding updates published in third-party payer newsletters and bulletins and provider manuals to coding and reimbursement staff
+ Assists management in identifying and creating standardized workflows
+ Reviews EMR templates and identifies areas of improvement for provider documentation
+ Attends and presents at regional meetings as needed
Required qualifications for this position include:
+ High School Diploma or GED Equivalency
+ National Certification from American Health Information Management Association upon hire or National Certification from American Health Information Management Association upon hire.
+ 6+ years of experience in professional fee inpatient, surgical, outpatient coding, E/M, auditing and related work
+ 5+ years of experience providing provider education and feedback to facilitate improvement in documentation and coding
+ Strong experience in Excel (e.g., pivot tables), database, e-mail, and Internet applications on a PC in a Windows environment
Preferred qualifications for this position include:
+ Associate Degree in Health Information Technology or another related field of study
+ Bachelor's Degree in Health Information Technology or another related field of study
+ 5+ years of experience in coding for multispecialty practice
+ 2+ years of experience in professional fee billing methodologies
+ Experience with IDX, Allscripts, Advanced Web, Meditech
+ Experience with project management
Salary Range by Location:
AK: Anchorage: Min: $40.11, Max: $62.27
AK: Kodiak, Seward, Valdez: Min: $41.81, Max: $64.91
California: Humboldt: Min: $40.98, Max: $64.88
California: All Northern California - Except Humboldt: Min:$46.91, Max: $72.82
California: All Southern California - Except Bakersfield: Min: $41.81, Max: $64.91
California: Bakersfield: Min: $40.11, Max: $62.27
Idaho: Min: $35.69, Max: $55.41
Montana: Except Great Falls: Min: $32.29, Max: $50.13
Montana: Great Falls: Min: $30.59, Max: $47.49
New Mexico: Min: $32.29, Max: $50.13
Nevada: Min: $41.81, Max: $64.91
Oregon: Non-Portland Service Area: Min: $37.39, Max: $58.05
Oregon: Portland Service Area: Min: $40.11, Max: $62.27
Texas: Min: $30.59, Max: $47.49
Washington: Western - Except Tukwila: Min: $41.81, Max: $64.91
Washington: Southwest - Olympia, Centralia & Below: Min: $40.11, Max: $62.27
Washington: Tukwila: Min: $41.81, Max: $64.91
Washington: Eastern: Min: $35.69, Max: $55.41
Washington: South Eastern: Min: $37.39, Max: $58.05
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 411100
Company: Providence Jobs
Job Category: Coding
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4010 SS PE OPTIM
Address: TX Lubbock 3615 19th St
Work Location: Covenant Medical Center
Workplace Type: On-site
Pay Range: $See posting - $See posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$40.1 hourly Auto-Apply 9d ago
(Non-Remote) Revenue Cycle Manager
Asian American Health Coalition 4.0
Houston, TX jobs
Job DescriptionDescription:
Revenue Cycle Manager
REPORTS TO: Chief Financial Officer
EDUCATION: Bachelor's degree from four-year college or university, and/ or 5-7 years of experience in lieu of
WORK EXPERIENCE: One to two years supervisor experience and/or training; and FQHC experience a plus!
SALARY RANGE: DOE
FLSA STATUS: Exempt
POSITION TYPE: Full-Time
LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is preferred
HOPE Clinic 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 is not a fully remote position**
JOB SUMMARY:
As the Revenue Cycle Manager for HOPE Clinic, you focus on partnering with our patients to clearly understand their institutional goals, challenges, organizational structure, and key business drivers. The role of the Revenue Cycle Manager oversees the Billing and Insurance Verification team's daily activities and follows up with teams to drive the overall performance and daily management of multiple assigned providers' schedules. The Revenue Cycle Manager serves as a liaison between the Billing and Insurance Verification team and other HOPE Clinic departments and the patients.
MAJOR DUTIES & RESPONSIBILITIES:
Manage overall medical billing operations such as ensuring effective flow of demographic changes and payment information, claims accuracy and timely submission, and account reconciliations;
Oversee aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements;
Track fee schedules and insurance denials to ensure fully allowed reimbursements;
Identify and implement strategies to improve internal and patient billing processes;
Incorporate and execute quality assurance processes related to ensuring accurate patient billing activities;
Review and analyze patient accounts, identify trends and issues, and recommend solutions;
Collaborate with other team members to improve/maintain an overall positive work environment for the team;
Provide a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues;
Collaborate with the front desk, call center, and other departments as needed to resolve any billing/payor issues;
Research, compile the necessary documentation, and complete appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary;
Prepare, review, and transmit claims using billing software to include electronic and paper claim processing both primary claims and secondary claims;
Follow up on unpaid claims within the standard billing cycle timeframe;
Collaborate with the billing team when necessary to make coding changes to submit corrected claims or appeals;
Stay current with payer trends as to how to submit corrected claims and the payer-specific appeal processes;
Analyze root causes of denials; trends and issues: propose solutions and work with the management team to determine the appropriate action to resolve;
Identify areas of concern regarding the various areas of the revenue cycle;
Share trending and feedback to reduce denials to the CFO and/or Credentialing Coordinator;
Hospital billing - identify charges that are billed for hospital visits, update spreadsheets and reports for documentation, and create claims to be billed;
Apply insurance and patient payments to the Practice Management system, utilizing ERAs and manual application;
Reconcile payments applied to the system to cash received;
Answer patient's estimate of benefits or statements, telephone inquiries verifying insurance and benefits within the practice management system;
Attend on-site/off-site community engagement activities, clinic events, and/or training as needed;
Perform other duties as assigned to support HOPE Clinic's Mission, Vision, and Values.
Requirements:
QUALIFICATION REQUIREMENTS:
5-7 years of experience with revenue cycles, medical billing, collections, and payment posting;
Understand regulatory and compliance requirements associated with submitting claims to payers;
Experience with Electronic Medical Records (EMR);
Strong communication and interpersonal skills;
Expertise with medical and billing terminology;
Excellent organization and time management skills;
Proficiency in computers, particularly Word and Excel.
EDUCATION and/or EXPERIENCE:
Bachelor's degree from four-year college or university (desired);
Or 5-7 years related experience and/or training; or equivalent combination of education and experience;
1-2 years of supervisory experience;
Knowledge of medical billing, front-office, physician practice management, and healthcare business processes;
Strong understanding of medical billing/coding, with an understanding of various insurance carriers, including Medicare, private HMOs, and PPOs;
Previous FQHC (Federally Qualified Health Center) RCM experience.
OTHER SKILLS and ABILITIES:
Bilingual (Vietnamese, Chinese, Arabic, and/or Spanish with English) is preferred.
Above average skills in language ability as well as public speaking and writing.
Must have good transportation and a valid Texas Driver's license.
$72k-101k yearly est. 14d ago
Medical Invoicing Specialist
Principle Health Systems 3.7
Houston, TX jobs
Job Title: Invoicing Specialist Job Type: Full-Time, Hybrid Schedule Reports To: A/R Manager
Pay: $19.00 - $20.00 per hour. Benefits: Full-time employees are eligible for competitive benefits, including health/vision/dental, 3 weeks PTO, 9 paid holidays, and a matching 401k plan.
Schedule: Monday - Friday, 8:00 AM to 5:00 PM. Ability to WFH Mondays and Fridays after 90-day probationary period.
Job Summary:
Principle Health Systems is on the hunt for a detail-savvy, invoice-wrangling guru to join our team as an invoicing specialist.
Your mission (should you choose to accept it):
Tame the data monster: Navigate through mountains of data like a pro, organizing, analyzing, and mastering data sets.
Invoice with Flair: Ensure every invoice is accurate, timed to perfection, and compliant, because precision + speed = 💰 efficiency!
Champion the AR Cycle: You'll play a vital role in making sure payments flow smoothly, keeping cash flow fabulous for everyone.
Detail Detective: You catch tiny inconsistencies before anyone else sees them (your eagle eye keeps us on point).
A “BIG picture” visionary: You're someone who steps back to see how invoicing fits into the greater business narrative: anticipating trends, suggesting smarter workflows, and always thinking about the “why” beyond line items.
Why you will love it here:
We are a mission-driven company where we put people over profits. Patients are 100% our purpose!
Love spreadsheets? You'll get a front row seat to organized chaos (your everyday playground).
Your work fuels our business! Each clean invoice helps the company thrive, so your impact will be felt everywhere.
Every day is a new challenge, every entry a new clue. You're the Sherlock Holmes of Skilled Nursing Facility (AKA: SNF) invoicing.
You will work alongside a small team that appreciates your expertise and celebrates your victories.
Who you basically are:
A detail-obsessed spreadsheet nerd (in the best way).
A finance-savvy individual with SNF or healthcare invoicing experience.
A cross-checking marvel who knows how to catch, reflect, and correct.
A master of efficiency (your organizational skills are next level).
Feeling called to transform SNF billing into a smooth, well-oiled machine? If organizing data and crafting precision perfect invoices lights you up, we can't wait to meet you!
Key Responsibilities:
Census retrieval and some interpretation.
Ad hoc reporting from LIMS (Laboratory Information Management System) to retrieve raw data and build reports.
Prepare and upload CSV and Standard Driver sheets into LIMS and RCM software.
Prepare and submit invoices for diagnostic services to skilled nursing facilities (SNF) and other contracted clients according to contract terms.
Collaborate with internal team members and SNF administrators, admissions teams, and finance staff to resolve billing discrepancies.
Assist in month-end closing activities, including invoice reconciliation and AR reporting.
Identify and implement process improvements for invoicing efficiency and accuracy.
Manage shared email inbox.
Other duties as assigned by management.
Qualifications:
Proficiency in Microsoft Excel (intermediate to advanced) and Outlook.
Excellent attention to detail and problem-solving skills.
Ability to meet deadlines, demonstrate urgency, prioritize tasks, and work both independently and collaboratively.
Strong verbal and written communication skills.
Preferred Qualifications:
Knowledge of HIPAA and healthcare compliance standards.
Experience working with multi-facility organizations or third-party billing companies.
2+ years billing/invoicing experience, preferably in a Skilled Nursing Facility, long-term care, or healthcare setting.
1+ years working in a LIS or LIMS. (Laboratory Information System)
Familiarity with applicable Skilled nursing facility (SNF) billing systems (e.g., PointClickCare, MatrixCare, Netsmart, or similar).
Bachelor's degree.
We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact ***********************.
Monday-Friday 8:00am-5:00pm; 1 Sunday a month for month-end support
Ability to work from home after 90 days on Monday & Friday
Works within the company's corporate office