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Account Specialist jobs at Regeneron - 5091 jobs

  • Supervisor Patient Care

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    Full Time 36 hours/week 7pm-7am onsite The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander Responsibilities: 1.Understands the business, financials industry trends, patient needs, and organizational strategy. 2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards. 3. Assist in monitoring the department budget and helps maintain expenditure controls. 4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts. 5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers. 6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital. 7. Assist in decision-making processes and notifies the Administrator on call when necessary. 8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively. 9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures. 10. Other duties as assigned. Other information: Technical Expertise 1. Experience in clinical pediatrics is required. 2. Experience working with all levels within an organization is required. 3. Experience in healthcare is preferred. 4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience 1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required. 2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required. 3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred. 4. Years of relevant experience: Minimum 3 years of nursing experience required. 5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred. Full Time FTE: 0.900000 Status: Onsite
    $52k-69k yearly est. 17d ago
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  • Radiology Coordinator, Norton Orthopedic Institute - Southern IN, 7:45a-4:15p

    Norton Healthcare 4.7company rating

    Jeffersonville, IN jobs

    Responsibilities The incumbent must demonstrate a thorough knowledge of anatomy and demonstrate a thorough knowledge, skill and understanding of image quality. Must be able to communicate to patients the nature of the tests and relieve their anxiety. The incumbent must demonstrate an understanding of Radiographic Positioning, Radiographic Technique, Radiation Safety, Imaging Equipment, Infection Control and Quality Control techniques. Presents a pleasant and helpful manner to patients, families, physicians, and other staff members. Qualifications Required: Diploma Radiologic Technology Radiologic Technologist (ARRT) State Radiology Technologist License - Must obtain RAD within 12 mos of hire if currently hold RADT. Desired: One year in radiology
    $32k-40k yearly est. 17h ago
  • Pre-Service Representative, Days

    Norton Healthcare 4.7company rating

    Louisville, KY jobs

    Responsibilities The Pre Service representative sets the patient's expectation and ensures a positive patient experience for upcoming surgical procedures and diagnostic tests by completing pre-registration and accurately and efficiently handling the day-to-day operations relating to financial clearance for the hospital system including adult and pediatric acute facilities and diagnostic centers. The pre service representative also initiates authorizations for non-scheduled hospital admissions as well as scheduled procedures as assigned. The pre service representative utilizes multiple systems simultaneously and works in a fast paced, productivity driven call center environment accepting inbound calls promptly and making outbound calls in a professional and courteous manner and independently works to resolve patient and provider questions related to referrals, pre-authorizations, and insurance verification. The representative possesses strong telephone communication and computer skills, problem-solving abilities, and demonstrates the highest level of customer service for all patients, providers, and other team members. Qualifications Required: One year in Patient Registration, Insurance Verification, or Authorizations Desired: Three years Patient Access High School Diploma or GED
    $28k-33k yearly est. 17h ago
  • Clearance Specialist

    Soleo Health, Inc. 3.9company rating

    Frisco, TX jobs

    Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. 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 This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork Schedule: Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time Weekend On-call once monthly Must have experience with Acute Infusion for Prior authorization/Benefits Verification Requirements High school diploma or equivalent 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 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. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring Salary Description $23.00-$27.00 per hour
    $23-27 hourly 1d ago
  • Account Service Representative -Field Sales

    New Health Partners 4.1company rating

    Doral, FL jobs

    The Account Service Representative is responsible for delivering exceptional service to brokers, agencies, and employer groups. This role supports the full lifecycle of group accounts-renewals, enrollments, changes, claims support, quoting follow-ups, and carrier communication. The ASR works closely with the sales and operations team to ensure accuracy, timeliness, and high customer satisfaction What you'll be doing: Broker & Agency Support: Serve as the primary point of contact for agencies regarding group insurance questions, documentation, renewals, and service needs. Assist brokers with quoting requests, benefit summaries, enrollment materials, and onboarding documentation. Provide clear guidance on medical, dental, vision, GAP, and ancillary benefits. Group Account Management: Support new group onboarding, including application review, census validation, and carrier submissions. Assist with open enrollment meetings, renewal reviews, and plan comparison tools. Maintain accurate group records, policy details, and service notes. Track renewals, missing documents, billing issues, and enrollment updates. Carrier & Vendor Coordination: Communicate with carriers regarding applications, eligibility, billing discrepancies, and service issues. Facilitate resolution of escalated member and employer concerns. Ensure compliance with carrier guidelines and timelines. Administrative & Operational Tasks: Prepare service emails, renewal notices, spreadsheets, and standardized documents for agencies and employers. Maintain CRM activity logs, follow-up tasks, and documentation. Assist the Group Sales Director in tracking KPI metrics and service SLAs Requirements: Must know all carriers. Traditional group insurance Must have knowledge of working with a census Customer service experience 215 License required Reliable transportation Qualifications: Salesforce knowledge helpful Ichra knowledge helpful Business development experience 5-10 years of experience in health insurance, group benefits, or employee benefits administration (preferred). Knowledge of medical, dental, vision, GAP, and ancillary products. Strong communication skills-professional, clear, and customer focused. Ability to manage multiple priorities with attention to detail and deadlines. Proficient in Microsoft Office (Excel, Word, PowerPoint); CRM experience is a plus. Bilingual (English/Spanish) Salary range: $55-$75k + Commission Schedule: 9-5 with occasional weekend events. Hybrid/remote possible after 90 days. January start date
    $21k-28k yearly est. 3d ago
  • Billing Specialist

    Spooner Medical Administrators, Inc. 2.7company rating

    Westlake, OH jobs

    Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker. The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices. Essential Functions Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information. Perform fee bill audits according to established procedures and guidelines. Data enter fee fills accurately for electronic transmission. Adhere to established billing performance requirements. Review electronic response to transmitted bills and make modifications accordingly. Respond to telephone inquiries from customers regarding bill payment status. Participate in continuous improvement activities and other duties as assigned. Supervision Received Reports to the Billing Supervisor Experience and Education Required Medical billing certification or at least 2 years of experience working in the medical billing field Data entry experience Additional Skills Needed Effective written and verbal communication Detail oriented Strong organizational ability Basic computer literacy skills Working Environment The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.
    $28k-33k yearly est. 2d ago
  • Medical Biller/Collector

    Tri-City Medical Center 4.7company rating

    Oceanside, CA jobs

    Tri-City Medical Center is a full-service acute-care hospital located in Oceanside, California, serving the communities of Oceanside, Vista, Carlsbad, and San Marcos. Known for its Gold Seal of Approval, the hospital features two advanced clinical institutes and a team of physicians specializing in over 60 medical fields. As a leader in robotics and minimally invasive technologies, Tri-City Medical Center has been delivering high-quality healthcare services to the local community for over 50 years. The hospital's facilities include the main campus, outpatient services, and the Tri-City Wellness Center in Carlsbad. The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. Maintains a safe, clean working environment, including unit based safety and infection control requirements. Reviews patient bills for accuracy and completeness; obtains missing information Knowledge of insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances Utilize a combination of electronic health record (EHR) to perform billing duties; maintain an accurate, legally compliant medical record Process claims as they are paid and credit accounts accordingly Review insurance payments for accuracy and compliance with contract discounts Review denials or partially paid claims and work with the involved parties to resolve the discrepancy Manage assigned accounts, ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to Business Office Manager. Prepare reports and forms as directed and in accordance with established policies Perform a variety of administrative duties including, but not limited to: answering phones, faxing and filing of confidential documents; and basic Internet and email utilization Provide excellent and professional customer service to internal and external customers Function as a contributing team member while meeting deadlines and productivity standards Qualifications: Minimum of 1 year of experience posting in a health care setting. Strong background in customer service. Competencies in the areas of leadership, teamwork and cooperation. Strong ethics and a high level of personal and professional integrity. Ability to understand medical/surgical terminology. Educated on and compliant with HIPAA regulations; maintains strict confidentiality of patient and client information. Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites Preferred experience with billing systems such as GE Centricity & SRS Caretracker Strong written, oral and interpersonal communication skills; Ability to present ideas in a business-friendly and user-friendly language; Highly self-motivated, self-directed and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high pressure environment Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations Education: High school diploma or equivalent, required. Associate's Degree in Business Administration, preferred. Certifications: Certified Medical Reimbursement Specialist (CMRS) certification, preferred. Please follow following link Medical Biller/Collector - OSNC in Oceanside, California | Careers at Tri-City Medical Center
    $34k-40k yearly est. 2d ago
  • Street Team Specialist

    Health Federation of Philadelphia 4.1company rating

    Philadelphia, PA jobs

    Equal Opportunity Employer The mission of the Health Federation of Philadelphia is to promote community health by advancing access to high-quality, integrated, comprehensive health and human services. We believe in and are firmly committed to equal employment opportunity for employees and applicants. We do not discriminate on the basis of race, color, national or ethnic origin, ancestry, age, religion, disability, sex or gender, gender identity and/or expression, sexual orientation, military or veteran status. This commitment applies to all aspects of the Health Federation of Philadelphia's employment practices, including recruiting, hiring, training, and promotion JOB SUMMARY The Street Team will be tasked with increasing harm reduction resources and training in neighborhoods that have been most affected by overdose crisis, particularly North and Southwest Philadelphia. The people filling these positions will work in the field five days per week in zip codes 19121, 19132, 19141, 19144, 19140, 19139 and 19133 (subject to changed based on data) to distribute harm reduction resources and educational materials about the overdose crisis in the city. Street Team staff will interact directly with people in active addiction, people who use substances recreationally, people who are unhoused, as well as people who may have a stigmatizing view of substance use. The Street Team Specialist is a core member of the Community Engagement Program within the Division of Substance Use Prevention and Harm Reduction at the Philadelphia Department of Public Health and will be expected to work collaboratively within and across programs. People from the zip codes of focus, as well as people with lived experience and/or returning citizens are highly encouraged to apply. JOB SPECIFICATIONS Responsibilities/Duties Under the supervision of the Community Engagement Program Manager, the Community Engagement Specialist will perform the following essential job functions: Engage in direct outreach efforts to contract community members in designated Philadelphia neighborhoods. Focus outreach activities within the priority zip codes: 19121, 19132, 19141, 19144, 19140, 19139 and 19133. Engage directly with people using substances, people experiencing homelessness and their communities. Follow and maintain safety protocols and procedures for street team to ensure safe and effective community outreach operations. Build trust and rapport within priority communities to increase access to harm reduction resources. Provide and educate individuals on the proper use of Naloxone, fentanyl testing strips and other harm reduction supplies. Maintain accurate records of distributed supplies, interactions and referrals in compliance with program reporting requirements. Collaborate with the Community Engagement Program at tabling events, special events and/or Narcan training request. Support public health emergency response, including outreach and harm reduction activities during cold- and heat-related weather emergencies. A valid driver's license is required. This position requires regular operations of a departmental vehicle to perform job related duties. Other duties as assigned. EDUCATION: Completion of high school or equivalent degree and 3+ years community organizing and/or harm reduction work. SKILLS/EXPERIENCE Knowledge of substance use is highly required. Knowledge of the impact of drug use and overdose on communities of color in Philadelphia. Sensitivity to and experience working with ethnically, culturally, socioeconomically, and sexually diverse individuals, communities, agencies, and organizations. Excellent oral communication skills. Ability to analyze and think critically to apply reasonable judgment and problem-solving skills. Excellent interpersonal skills and ability to build relationships and collaborate effectively with stakeholders from diverse backgrounds. Experience working with health and prevention services agencies. Excellent organizational skills. Ability to work as part of a team, to prioritize and handle multiple tasks, and to work independently in a high-pressure environment. Ability to establish and maintain effective relationships with people contacted in the course of work. Knowledge of neighborhoods in Southwest, West, Northwest or North Philadelphia or adjacent neighborhoods. Work Environment: 90% Field Work, 10% Office Work. This position also requires extensive time in the field interacting with and linking clients to care. Position Type and Work Schedule: Full time position, typical hours are Monday through Friday 8:30 am to 5:00 pm. This position also requires flexibility to work on weekends and schedules will be adjusted accordingly to flex hours. Travel: Local travel to multiple sites several times per week, as needed. Physical Demands: Ability to transport materials; walking for an extensive distance. Salary: $25 per hour Benefits: Our employees are our most valuable resource, so we offer a competitive and comprehensive benefits package, which can include: Medical with vision benefits Dental insurance Flexible spending accounts Life, AD&D and long-term care insurance Short- and long-term disability insurance 403(b) Retirement Plan, with a company contribution Paid time off including vacation, sick, personal and holiday Employee Assistance Program Eligibility and participation are handled consistently with the plan documents and HFP policy. DISCLAIMER The Health Federation reserves the right to modify, interpret, or apply this in any way the Company desires. The above statements are intended to describe the general nature and level of work being performed by an employee assigned to this position. This in no way implies that these are the only duties, including essential duties, responsibilities and/or skills to be performed by the employee occupying this position. This job description is not an employment contract, implied, or otherwise. The employment relationship remains "at will." The aforementioned job requirements are subject to change to reasonably accommodate qualified disabled individuals. The Health Federation of Philadelphia (HFP) is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or preference, marital status or any classification protected by federal, state or local law.
    $25 hourly 4d ago
  • RCM OPEX Specialist

    Femwell Group Health 4.1company rating

    Miami, FL jobs

    The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes. Essential Job Functions Manage internal and external customer communications to maximize collections and reimbursements. Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes. Maintain fee schedule uploads in financial and practice operating systems. Review and resolve escalations on denied and unpaid claims. Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted. Monitor accounts receivable and expedite the recovery of outstanding payments. Prepare regular reports on refunds, under/over payments. Stay updated on changes in healthcare regulations and coding guidelines. *NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position. Other Essential Tasks/Responsibilities/Abilities Must be consistent with Femwell's core values. Excellent verbal and written communication skills. Professional and tactful interpersonal skills with the ability to interact with a variety of personalities. Excellent organizational skills and attention to detail. Excellent time management skills with proven ability to meet deadlines and work under pressure. Ability to manage and prioritize multiple projects and tasks efficiently. Must demonstrate commitment to high professional ethical standards and a diverse workplace. Must have excellent listening skills. Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures. Must maintain compliance with all personnel policies and procedures. Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members. Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position. Education, Experience, Skills, and Requirements Bachelor's degree preferred. Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management. Strong knowledge of healthcare regulations and insurance processes. Knowledgeable in change control. Proficiency with healthcare billing software and electronic health records (EHR). Knowledge of HIPAA Security preferred. Hybrid rotation schedule and/or onsite as needed. Medical coding (ICD-10, CPT, HCPCS) Claims management (X12) Revenue cycle management Denials management Insurance verification Data analysis Compliance knowledge Comprehensive understanding of provider reimbursement methodologies Billing software proficiency
    $34k-49k yearly est. 1d ago
  • RCM Specialist

    Aspen Dental 4.0company rating

    East Syracuse, NY jobs

    The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U.S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and wellness offices across 47 states in three distinct categories: Dental care, urgent care, and medical aesthetics. Working in partnership with independent practice owners and clinicians, the team is united by a single purpose: to prove that healthcare can be better and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental, ClearChoice Dental Implant Centers, WellNow Urgent Care, Lovet Pet Health Care and Chapter Aesthetic Studio. Each brand has access to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-quality consumer healthcare experiences at scale. As a reflection of our current needs and planned growth we are very pleased to offer a new opportunity to join our dedicated team as Revenue Cycle Management (RCM) Specialist based in our East Syracuse, NY office. Essential Responsibilities: RCM Specialists care for the people who care for our patients by performing insurance adjudication, customer service, and patient collection job functions that require superior service and attention to detail. Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals. Partners with internal departments to resolve issues related to all tasks and assignments supporting the business. Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries. Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting. Plans, organizes, and executes tasks and activities with urgency and in accordance with managers' delegated assignments. Responds to and resolves issues related to claim adjudication, patient and billing inquiries, while seeking managers guidance for non-routine inquiries or escalated concerns. May be required to meet position related productivity and quality standards. Other duties as assigned. Requirements/Qualifications: Education Level: High School diploma or equivalent. Job related/Industry experience preferred. Excellent verbal and written communication skills. Excellent organizational and time management skills. Excellent problem solving/analysis collaboration. Self-motivated individual with strong attention to detail. Leadership experience preferred. Additional Details: Base Pay Range: $17.00 - 21.00 per hour (Actual pay may vary based on experience, performance, and qualifications.) This position will be based on-site in our East Syracuse, NY office working a hybrid schedule of 4 days/week and 1 day remote. A generous benefits package that includes paid time off, health, dental, vision, and 401(k) savings plan with match.
    $17-21 hourly 4d ago
  • Billing Coordinator

    Adelphoi Village Inc. 3.5company rating

    Latrobe, PA jobs

    Billing Coordinator: Latrobe, PA The Billing Coordinator is responsible for coordinating and processing billing activities to ensure accurate, timely, and compliant submission of claims and invoices. This role works closely with clinical, program, and finance teams to resolve billing discrepancies, maintain payer compliance, and support efficient revenue cycle operations. Essential Duties and Responsibilities Prepare, review, and submit billing claims and invoices to insurance carriers, counties, and other funding sources. Ensure billing accuracy and compliance with contract terms, payer requirements, and regulatory guidelines. Monitor claim status, follow up on unpaid or denied claims, and initiate corrections or resubmissions as needed. Research and resolve billing discrepancies, underpayments, and payment variances. Coordinate with clinical and program staff to verify service documentation and billing eligibility. Maintain billing schedules, tracking logs, and supporting documentation. Respond to internal and external inquiries related to billing and payment status. Support audits, payer reviews, and program integrity activities by providing requested billing documentation. Maintain confidentiality and comply with HIPAA and organizational policies. Provide back-up assistance to the authorization coordinator Position Benefits Include but not limited to: Flexible schedule Paid time off starting the first day of employment Paid holidays Excellent medical, dental, and vision insurance at a reasonable cost to the employee 403(b) employer match Student Loan Forgiveness Tuition reimbursement Team Members can expect the following: Structured training time Strong supervisory support Team atmosphere with autonomy in your work schedule Strength-based atmosphere Education and Experience: Diploma/Degree in Billing functions such as Medical Coding or a minimum of three (3) years of billing experience preferably in a behavioral health setting Requires FBI, Act 33 and Act 34 clearances (agency assistance provided), PA Driver's License Adelphoi Village, headquartered in Latrobe, has more than 600 committed team members delivering residential, community, and educational support services to youth in need. We have a 50-year history of collaboration with local children and youth agencies, school districts, and the juvenile justice systems. #PursueExcellence
    $37k-47k yearly est. Auto-Apply 17d ago
  • Billing Coordinator - Stop Area Six

    Healthright 360 4.5company rating

    San Diego, CA jobs

    . The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources. The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing. Key Responsibilities Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered. Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.). Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks. And, other duties as assigned. Education and Knowledge, Skills and Abilities Education and Experience Required: High School Diploma or equivalent. Previous work experience working with spreadsheets. Previous work experience performing data entry. Type 45 wpm. Strong math skills. Desired: Bilingual. AA Degree; Experience may substitute for this on a year-by-year basis. We will consider for employment qualified applicants with arrest and conviction records. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.
    $45k-55k yearly est. Auto-Apply 60d+ ago
  • Billing Coordinator

    Advocare LLC 4.6company rating

    Jersey City, NJ jobs

    Job DescriptionDescription: We are seeking a detail-oriented and experienced Billing and Coding Specialist to join our healthcare team. This role is vital in ensuring accurate and timely processing of medical claims, supporting our commitment to efficient patient care and revenue cycle management. If you have a strong understanding of medical billing and coding procedures, we invite you to become a key part of our organization's success. Key Responsibilities: Review and accurately code medical diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems. Prepare and submit insurance claims in a timely manner, ensuring compliance with payer requirements. Verify patient insurance coverage and obtain necessary authorizations. Follow up on unpaid or denied claims to facilitate prompt resolution. Maintain detailed and organized records of billing and coding activities. Stay updated on changes in coding regulations and insurance policies. Collaborate with healthcare providers and administrative staff to resolve billing issues. Ensure compliance with all relevant healthcare laws and regulations. Benefits Available: Multiple medical and prescription coverage options Dental and vision care plans Health Savings Accounts (HSAs), where applicable Flexible Spending Accounts (FSAs) Voluntary critical illness, cancer, and accident insurance Voluntary hospital indemnity coverage Voluntary short-term and long-term disability insurance Voluntary term life insurance and AD&D (Accidental Death & Dismemberment) 401(k) retirement savings plan Paid time off (PTO) Commuter benefits Group Auto and Homeowners Insurance Discounts Join our dynamic team where we value accuracy, efficiency, and continuous learning. We offer opportunities for professional growth, a collaborative work environment, and learning experience to support your career development. Requirements: Skills and Qualifications: Proven experience in medical billing and coding, preferably in a healthcare setting. Certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is preferred. Strong knowledge of ICD-10, CPT, HCPCS coding systems, and medical terminology. Familiarity with electronic health records (EHR) and billing software. Excellent attention to detail and organizational skills. Ability to work independently and as part of a team. Strong communication skills and problem-solving abilities. Knowledge of healthcare regulations and compliance standards.
    $70k-102k yearly est. 8d ago
  • On-Call Client Engagement Specialist

    DESC 4.3company rating

    Seattle, WA jobs

    Pay Range: $39.00 per hour, $50 per hour Premium Pay for applicable shifts Benefits: Employee Assistance Program (EAP), Safe & Sick Time, Retirement Plan DESC (Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. Our vision is a community where no person is abandoned, ignored, or experiencing homelessness. As the region's leading provider of services to multiply disabled adults who have experienced chronic homelessness, DESC serves almost 3,000 people each day. Our integrated service model is designed to help people secure and maintain appropriate, safe and affordable housing. DESC is recognized nationally and regionally as an innovator in developing solutions to homelessness. JOB DEFINITION: We are looking for On Call Client Engagement Specialists (CES) who will work within the larger Client Engagement Team spanning two locations: Hobson Clinic and the Downtown Behavioral Health Center. Hobson Clinic is an integrated behavioral and physical health outpatient clinic jointly operated by DESC and Harborview Medical Center (HMC). The Clinic provides holistic health care services to thousands of community members annually with a focus on improving health care access for people who have experienced barriers to conventional health services. The Clinic specializes in serving people living on lower incomes, people living homeless, and people living with complex physical and mental health conditions and substance use disorders. The Downtown Behavioral Health Center is operated by DESC and support a variety of clinical staff and programs ranging from outpatient behavioral health, substance disorder treatment, supportive employment, medical, and drop-in services. The clinical programs located in Pioneer Square serve a myriad of clients daily to address complex needs related to their mental and physical health. The CES team monitors the safety and security of the clinics by managing the milieu of the main lobby/building and engaging clients. The CES team will also be tasked with providing trauma-informed support to clients and patients utilizing Hobson clinic and Pioneer Square by employing various de-escalation skills and tactics, both verbal and hands-on approaches, while in coordination and consultation with the wider clinical and medical teams. The CES team supports DESC's Good neighbor policy in public spaces adjacent to clinics and ensures the community milieu around DESC buildings are welcoming and approachable. ESSENTIAL DUTIES AND RESPONSIBILITIES: Be present in all main operating areas of both Hobson and Pioneer Square clinics for client engagement and de-escalation purposes only. Be a welcoming presence and direct clients to the services they are seeking, at times escorting to designated area, and walking regular rounds in both low and high-risk areas of the clinic, including area immediately outside of the clinic. Be present in outside spaces near to the clinic for community visibility and client engagement. Be a welcoming presence, orient community members and clients to DESC services, walk regular rounds in the neighborhood, escort clients and prospective clients to nearby DESC buildings, and participate in clean-up activities. Initiate and maintain appropriate social interactions with clients. Integrate experience with behavioral health and substance use conditions into work with clients. Monitor the general milieu, lobby, entryway, immediately outside of the clinic, security systems, and other common areas to monitor the safety and security of clients and staff. Work to maintain a comfortable milieu, even in the presence of potentially unusual client behaviors. Commitment to the Harm Reduction and Trauma Informed Care models and working to incorporate those principles through an equity and social justice lens. Commitment to diversity, equity, and inclusion and applying to all areas of work responsibility. Intervene when necessary to support clients, maintain order, and communicate/enforce clinic rules and policies. Intervene in client crises and emergencies (medical, behavioral health, interpersonal), participate in verbal de-escalation and hands-on de-escalation in emergent situations, and initiate action as required, including contact with emergency response systems, and facilitating a higher level of care. Write significant events involving clients and Clinic operations activities in a daily log; read log daily and coordinate with relevant staff. In collaboration with an interdisciplinary team, promote a safe and secure clinic environment by responding to emergent safety issues using a layered active response approach. Assist clinical staff in engaging clients through creative, resourceful strategies that build trust and confidence. Provide support to staff related to safety issues upon request. Help ensure cleanliness of lobby area and other common spaces within the building. Participate in staff meetings, team huddles, and training, with both DESC and HMC staff. Other responsibilities as assigned. MINIMUM EXPECTATIONS: Be reasonably available to accept 8 am to 5 pm per-diem shifts with less than 24 hours notice. Maintain current contact information with supervisor, including phone, email, text, etc. Once a full shift is accepted (no partial shifts), work that shift from start to finish, except in extraordinary circumstances that make this impossible. Attend to work responsibilities while on duty and limit personal phone calls and other interruptions to break times except for emergencies. Ability to learn and incorporate required DESC protocols and procedures with limited training and orientation (typically 1 day of training and two shift shadows). Picking up at least two shifts per month as shifts are available. Requirements MINIMUM QUALIFICATIONS: Ability to meet Washington Department of Health requirements for registration as a Registered Agency Affiliated Counselor (AAC) or any other superseding credential Relevant Bachelor's degree in social work, psychology, or related behavioral science, OR a combination of 1 year of relevant paid work experience and demonstration of the ability to perform required job duties. Ability to drive an agency or personal vehicle to conduct agency related business. A current Washington State driver's license and insurable driving record are required. Interest in working with clients who are difficult to engage and maintain in traditional mental health/substance use disorder programs. Experience working with behavioral health conditions and intervening with de-escalation and hands-on approaches using Crisis Prevention & Intervention (CPI) or the equivalent and must be familiar with behavioral health treatment services. Willingness to become certified in enhanced behavioral de-escalation training, which trains to use hands on techniques. Experience in human services (paid or volunteer), preferably working with adults living homeless and/or living with a mental illness and/or substance use disorder. Proficient in de-escalation skills, crisis intervention, and stabilization strategies and possess the ability to use these skills in high-risk, high traffic areas. Have a strong understanding of recovery and resilience, the value of client partnerships, and client choice. Experience working with adults living with mental illness and/or co-occurring disorders. Interest or experience in working with clients that traditional health care programs have turned away. Ability to communicate and work effectively with clients and staff from various backgrounds and utilize good customer service skills. Ability to work effectively with clients potentially displaying unusual and bizarre behaviors. Subscribe to the philosophy of working in an integrated team approach which fosters cooperation and continuity across programs and of consideration and respect for clients. Have experience working in collaboration with law enforcement, and neighborhood stakeholders that do not always agree with the harm reduction, trauma informed, or person-centered work philosophy. Able to prioritize multiple job responsibilities, work independently, and exercise good professional judgment. Able to maintain client confidentiality. Ability to pass criminal background check. PREFERRED QUALIFICATIONS: Has work experience as an Emergency Medical Technician or Psych Technician in the field. Bilingual in English and Spanish. Skill in operating office equipment, including computers (including e-mail), software (e.g., Microsoft Word, Excel) and telephones. 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 accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee will be required to sit, communicate with other employees, required to lift and carry items weighing up to 40 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. WORKING CONDITIONS: Works in a climate-controlled office environment with frequent interpersonal interactions. Works outside in all weather. May escort clients or have professional meetings in environments which are not climate controlled. Also works outside of the office in the community. EQUAL OPPORTUNITY EMPLOYER: DESC is committed to diversity in the workplace, and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply. Salary Description $39.00 per hour
    $39-50 hourly 60d+ ago
  • Client Engagement Specialist - Downtown Behavioral Health Clinic

    DESC 4.3company rating

    Seattle, WA jobs

    Shift: Day Days Off: Saturday, Sunday Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW. About DESC: DESC (Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. Our vision is a community where no person is abandoned, ignored, or experiencing homelessness. As the region's leading provider of services to multiply disabled adults who have experienced chronic homelessness, DESC serves almost 3,000 people each day. Our integrated service model is designed to help people secure and maintain appropriate, safe and affordable housing. DESC is recognized nationally and regionally as an innovator in developing solutions to homelessness. JOB DEFINITION: We are looking for a Client Engagement Specialist (CES) who will work within the larger Client Engagement Team spanning two locations: Hobson Clinic and the Downtown Behavioral Health Center. Hobson Clinic is an integrated behavioral and physical health outpatient clinic jointly operated by DESC and Harborview Medical Center (HMC). The Clinic provides holistic health care services to thousands of community members annually with a focus on improving health care access for people who have experienced barriers to conventional health services. The Clinic specializes in serving people living on lower incomes, people living homeless, and people living with complex physical and mental health conditions and substance use disorders. The Downtown Behavioral Health Center is operated by DESC and supports a variety of clinical staff and programs ranging from outpatient behavioral health, substance disorder treatment, medical, and drop-in services. The clinical programs located at DBHC serve a myriad of clients daily to address complex needs related to their mental and physical health. The CES team will be the point people to monitor the safety and security of the clinics by managing the milieu of the main lobby/building and engaging clients. The CES team will also be tasked with providing trauma-informed support to clients and patients utilizing Hobson clinic and DBHC by employing various de-escalation skills and tactics, both verbal and hands-on approaches, while in coordination and consultation with the wider clinical and medical teams. The CES team supports DESC's Good neighbor policy in public spaces adjacent to clinics and ensures the community milieu around DESC buildings are welcoming and approachable. ESSENTIAL DUTIES AND RESPONSIBILITIES: To be present in all main operating areas of both Hobson and DBHC for client engagement and de-escalation purposes only. Be a welcoming presence and direct clients to the services they are seeking, at times escorting to designated area, and walking regular rounds in both low and high-risk areas of the clinic, including area immediately outside of the clinic. Initiate and maintain appropriate social interactions with clients. Integrate experience with behavioral health and substance use conditions into work with clients. Monitor the general milieu, lobby, entryway, immediately outside of the clinic, security systems, and other common areas to monitor the safety and security of clients and staff. Work to maintain a comfortable milieu, even in the presence of potentially unusual client behaviors. Be present in outside spaces near to the clinic for community visibility and client engagement. Be a welcoming presence, orient community members and clients to DESC services, walk regular rounds in the neighborhood, escort clients and prospective clients to nearby DESC buildings, and participate in clean-up activities. Commitment to the Harm Reduction and Trauma Informed Care models and working to incorporate those principles through an equity and social justice lens. Become certified in enhanced behavioral de-escalation training and maintain annual re-certification. Commitment to diversity, equity, and inclusion and applying to all areas of work responsibility. Assist in training clinic staff on de-escalation skills and leading crisis response drills. Intervene when necessary to support clients, maintain order, and communicate/enforce clinic rules and policies. Intervene in client crises and emergencies (medical, behavioral health, interpersonal), participate in verbal de-escalation and hands-on de-escalation in emergent situations, and initiate action as required, including contact with emergency response systems, and facilitating a higher level of care. Write significant events involving clients and Clinic operations activities in a daily log; read log daily and coordinate with relevant staff. In collaboration with an interdisciplinary team, promote a safe and secure clinic environment by responding to emergent safety issues using a layered active response approach. Participate in clinical reviews and case conferences to develop personal success plans for clients as needed. Assist clinical staff in engaging clients through creative, resourceful strategies that build trust and confidence. Lead critical debriefs and work in coordination with clinical Director and Managers to provide support to staff related to safety issues upon request. Attending consumer advisory board (CAB) meetings with the purpose of eliciting consumer input regarding Clinic program performance and to assure the consumer perspective is well-understood and reported back to the team. Help ensure cleanliness of lobby area and other common spaces within the building. Participate in staff meetings, team huddles, and training, with both DESC and HMC staff. Other responsibilities as assigned. WORKING CONDITIONS: Works in a climate-controlled office environment with frequent interpersonal interactions. Works outside in all weather. Works as needed driving to client homes and interacting with clients in their homes. May escort clients or have professional meetings in environments which are not climate controlled. Also works outside of the office in homeless camps and in a vehicle. Requirements MINIMUM QUALIFICATIONS: Ability to meet Washington Department of Health requirements for registration as a Registered Agency Affiliated Counselor (AAC) or any other superseding credential Relevant Bachelor's degree in social work, psychology, or related behavioral science, OR a combination of 1 year of relevant paid work experience and demonstration of the ability to perform required job duties. Ability to drive an agency or personal vehicle to conduct agency related business. A current Washington State driver's license and insurable driving record are required. Interest in working with clients who are difficult to engage and maintain in traditional mental health/substance use disorder programs. Experience working with behavioral health conditions and intervening with de-escalation and hands-on approaches using Crisis Prevention & Intervention (CPI) or the equivalent and must be familiar with behavioral health treatment services. Willingness to become certified in enhanced behavioral de-escalation training, which trains to use hands on techniques. Experience in human services (paid or volunteer), preferably working with adults living homeless and/or living with a mental illness and/or substance use disorder. Proficient in de-escalation skills, crisis intervention, and stabilization strategies and possess the ability to use these skills in high-risk, high traffic areas. Have a strong understanding of recovery and resilience, the value of client partnerships, and client choice. Experience working with adults living with mental illness and/or co-occurring disorders. Interest or experience in working with clients that traditional health care programs have turned away. Ability to communicate and work effectively with clients and staff from various backgrounds and utilize good customer service skills. Ability to work effectively with clients potentially displaying unusual and bizarre behaviors. Subscribe to the philosophy of working in an integrated team approach which fosters cooperation and continuity across programs and of consideration and respect for clients. Have experience working in collaboration with law enforcement, and neighborhood stakeholders that do not always agree with the harm reduction, trauma informed, or person-centered work philosophy. Able to prioritize multiple job responsibilities, work independently, and exercise good professional judgment. Able to maintain client confidentiality. Ability to pass criminal background check. PREFERRED QUALIFICATIONS: Has work experience as an Emergency Medical Technician or Psych Technician in the field. Bilingual in English and Spanish. Skill in operating office equipment, including computers (including e-mail), software (e.g., Microsoft Word, Excel) and telephones. 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 accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee will be required to sit, communicate with other employees, required to lift and carry items weighing up to 40 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. EQUAL OPPORTUNITY EMPLOYER: DESC is committed to diversity in the workplace, and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply. Salary Description $37.78 - $41.72 per hour
    $37.8-41.7 hourly 6d ago
  • Client Engagement Specialist - Downtown Behavioral Health Clinic

    DESC 4.3company rating

    Seattle, WA jobs

    **Shift:** Day **Days Off:** Saturday, Sunday **Benefits:** Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) **Other Benefits:** Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan **Union Representation:** This position is a part of a union and is represented by SEIU Healthcare 1199NW. **About DESC:** DESC (Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. Our vision is a community where no person is abandoned, ignored, or experiencing homelessness. As the region's leading provider of services to multiply disabled adults who have experienced chronic homelessness, DESC serves almost 3,000 people each day. Our integrated service model is designed to help people secure and maintain appropriate, safe and affordable housing. DESC is recognized nationally and regionally as an innovator in developing solutions to homelessness. **JOB DEFINITION:** We are looking for a Client Engagement Specialist (CES) who will work within the larger Client Engagement Team spanning two locations: Hobson Clinic and the Downtown Behavioral Health Center. Hobson Clinic is an integrated behavioral and physical health outpatient clinic jointly operated by DESC and Harborview Medical Center (HMC). The Clinic provides holistic health care services to thousands of community members annually with a focus on improving health care access for people who have experienced barriers to conventional health services. The Clinic specializes in serving people living on lower incomes, people living homeless, and people living with complex physical and mental health conditions and substance use disorders. The Downtown Behavioral Health Center is operated by DESC and supports a variety of clinical staff and programs ranging from outpatient behavioral health, substance disorder treatment, medical, and drop-in services. The clinical programs located at DBHC serve a myriad of clients daily to address complex needs related to their mental and physical health. The CES team will be the point people to monitor the safety and security of the clinics by managing the milieu of the main lobby/building and engaging clients. The CES team will also be tasked with providing trauma-informed support to clients and patients utilizing Hobson clinic and DBHC by employing various de-escalation skills and tactics, both verbal and hands-on approaches, while in coordination and consultation with the wider clinical and medical teams. The CES team supports DESC's Good neighbor policy in public spaces adjacent to clinics and ensures the community milieu around DESC buildings are welcoming and approachable. **ESSENTIAL DUTIES AND RESPONSIBILITIES:** + To be present in all main operating areas of both Hobson and DBHC for client engagement and de-escalation purposes only. Be a welcoming presence and direct clients to the services they are seeking, at times escorting to designated area, and walking regular rounds in both low and high-risk areas of the clinic, including area immediately outside of the clinic. + Initiate and maintain appropriate social interactions with clients. Integrate experience with behavioral health and substance use conditions into work with clients. + Monitor the general milieu, lobby, entryway, immediately outside of the clinic, security systems, and other common areas to monitor the safety and security of clients and staff. Work to maintain a comfortable milieu, even in the presence of potentially unusual client behaviors. + Be present in outside spaces near to the clinic for community visibility and client engagement. Be a welcoming presence, orient community members and clients to DESC services, walk regular rounds in the neighborhood, escort clients and prospective clients to nearby DESC buildings, and participate in clean-up activities. + Commitment to the Harm Reduction and Trauma Informed Care models and working to incorporate those principles through an equity and social justice lens. + Become certified in enhanced behavioral de-escalation training and maintain annual re-certification. + Commitment to diversity, equity, and inclusion and applying to all areas of work responsibility. + Assist in training clinic staff on de-escalation skills and leading crisis response drills. + Intervene when necessary to support clients, maintain order, and communicate/enforce clinic rules and policies. + Intervene in client crises and emergencies (medical, behavioral health, interpersonal), participate in verbal de-escalation and hands-on de-escalation in emergent situations, and initiate action as required, including contact with emergency response systems, and facilitating a higher level of care. + Write significant events involving clients and Clinic operations activities in a daily log; read log daily and coordinate with relevant staff. + In collaboration with an interdisciplinary team, promote a safe and secure clinic environment by responding to emergent safety issues using a layered active response approach. + Participate in clinical reviews and case conferences to develop personal success plans for clients as needed. Assist clinical staff in engaging clients through creative, resourceful strategies that build trust and confidence. + Lead critical debriefs and work in coordination with clinical Director and Managers to provide support to staff related to safety issues upon request. + Attending consumer advisory board (CAB) meetings with the purpose of eliciting consumer input regarding Clinic program performance and to assure the consumer perspective is well-understood and reported back to the team. + Help ensure cleanliness of lobby area and other common spaces within the building. + Participate in staff meetings, team huddles, and training, with both DESC and HMC staff. + Other responsibilities as assigned. **WORKING CONDITIONS:** Works in a climate-controlled office environment with frequent interpersonal interactions. Works outside in all weather. Works as needed driving to client homes and interacting with clients in their homes. May escort clients or have professional meetings in environments which are not climate controlled. Also works outside of the office in homeless camps and in a vehicle. Requirements **MINIMUM QUALIFICATIONS:** + Ability to meet Washington Department of Health requirements for registration as a Registered Agency Affiliated Counselor (AAC) or any other superseding credential + Relevant Bachelor's degree in social work, psychology, or related behavioral science, OR a combination of 1 year of relevant paid work experience and demonstration of the ability to perform required job duties. + Ability to drive an agency or personal vehicle to conduct agency related business. A current Washington State driver's license and insurable driving record are required. + Interest in working with clients who are difficult to engage and maintain in traditional mental health/substance use disorder programs. + Experience working with behavioral health conditions and intervening with de-escalation and hands-on approaches using Crisis Prevention & Intervention (CPI) or the equivalent and must be familiar with behavioral health treatment services. + Willingness to become certified in enhanced behavioral de-escalation training, which trains to use hands on techniques. + Experience in human services (paid or volunteer), preferably working with adults living homeless and/or living with a mental illness and/or substance use disorder. + Proficient in de-escalation skills, crisis intervention, and stabilization strategies and possess the ability to use these skills in high-risk, high traffic areas. + Have a strong understanding of recovery and resilience, the value of client partnerships, and client choice. + Experience working with adults living with mental illness and/or co-occurring disorders. + Interest or experience in working with clients that traditional health care programs have turned away. + Ability to communicate and work effectively with clients and staff from various backgrounds and utilize good customer service skills. + Ability to work effectively with clients potentially displaying unusual and bizarre behaviors. + Subscribe to the philosophy of working in an integrated team approach which fosters cooperation and continuity across programs and of consideration and respect for clients. + Have experience working in collaboration with law enforcement, and neighborhood stakeholders that do not always agree with the harm reduction, trauma informed, or person-centered work philosophy. + Able to prioritize multiple job responsibilities, work independently, and exercise good professional judgment. + Able to maintain client confidentiality. + Ability to pass criminal background check. **PREFERRED QUALIFICATIONS:** + Has work experience as an Emergency Medical Technician or Psych Technician in the field. + Bilingual in English and Spanish. + Skill in operating office equipment, including computers (including e-mail), software (e.g., Microsoft Word, Excel) and telephones. **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 accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee will be required to sit, communicate with other employees, required to lift and carry items weighing up to 40 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. **EQUAL OPPORTUNITY EMPLOYER:** DESC is committed to diversity in the workplace, and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply. Salary Description $37.78 - $41.72 per hour
    $37.8-41.7 hourly 60d+ ago
  • Client Engagement Specialist - Night Shift, STAR Center

    DESC 4.3company rating

    Seattle, WA jobs

    Shift: Night (8:00pm - 4:00am) Shift Differential: $1.00 per hour Days Off: Tuesday, Wednesday Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW. About DESC: DESC (Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. Our vision is a community where no person is abandoned, ignored, or experiencing homelessness. As the region's leading provider of services to multiply disabled adults who have experienced chronic homelessness, DESC serves almost 3,000 people each day. Our integrated service model is designed to help people secure and maintain appropriate, safe and affordable housing. DESC is recognized nationally and regionally as an innovator in developing solutions to homelessness. JOB DEFINITION: We are looking for a Client Engagement Specialist (CES) who will work within the larger Client Engagement Team spanning three locations: Hobson Clinic, the DESC Pioneer Square clinics, and the STAR Center. Hobson Clinic is an integrated behavioral and physical health outpatient clinic jointly operated by DESC and Harborview Medical Center (HMC). The Clinic provides holistic health care services to thousands of community members annually with a focus on improving health care access for people who have experienced barriers to conventional health services. The Clinic specializes in serving people living on lower incomes, people living homeless, and people living with complex physical and mental health conditions and substance use disorders. The Pioneer Square clinics are two clinics operated by DESC that support a variety of clinical staff and programs ranging from outpatient behavioral health, substance disorder treatment, supportive employment, medical, and drop-in services. The clinical programs located in Pioneer Square serve a myriad of clients daily to address complex needs related to their mental and physical health. The STAR (Stability Through Access and Resources) Center is a time-limited, 24/7, behavioral health-focused non-congregate shelter program. Services at the Center are tailored for unsheltered adults facing significant untreated and undertreated challenges related to mental health and substance use disorders. The center is located at 619 3rd Avenue and Cherry Street in downtown Seattle The CES team will be the point people to monitor and provide 24/7 safety and security at the STAR Center by managing the milieu outside and inside of the Shelter. The CES team will also be tasked with providing trauma-informed support to clients at the STAR Center and Pioneer Square by employing various de-escalation skills while in coordination and consultation with the wider STAR Center staff, clinical, and medical teams. ESSENTIAL DUTIES AND RESPONSIBILITIES: To be present in all main operating areas of Hobson Place, 216 James, and STAR Center for client engagement and de-escalation purposes. Be a welcoming presence and direct clients to the services they are seeking, at times escorting to designated area and walking regular rounds in both low and high-risk areas of the clinic, Hobson Place, 216 James, STAR Center and 600 block of 3rd Ave, including the area immediately outside of the clinic. Monitor the general milieu outside the Hobson Clinic, 216 James Clinic, STAR center and the 500 and 600 blocks of 3rd Ave. Work to maintain a comfortable atmosphere for people along 3rd Ave, even in the presence of potentially unusual or posturing client behaviors. Proactively engage clients and community members in the public spaces on and around 3rd Ave. in front of Hobson Clinic, 216 James St, and the STAR Center. Coordinate real-time intervention for crises both in and around DESC spaces. Enforce the DESC Good Neighbor policy and Project/Program rules with DESC Clients. Initiate and maintain appropriate social interactions with clients and prospective clients. Integrate experience with behavioral health and substance use conditions into work with clients and prospective clients. Commitment to the Harm Reduction and Trauma Informed Care models and working to incorporate those principles through an equity and social justice lens. Become a DESC trainer for de-escalation and dis-engagement for new employees and yearly refresher; this responsibility will be shared with another trainer within the agency. Assist in training clinic staff on de-escalation skills and leading crisis response drills. Receive training in hands on techniques (escorts and holds) and work in collaboration with partnering agency security to ensure the safety of clients is made a priority. Commitment to diversity, equity, and inclusion, applying to all areas of work responsibility. Intervene when necessary to support clients, maintain order, and communicate/enforce clinic rules and policies. Intervene in client crises and emergencies (medical, behavioral health, interpersonal), participate in verbal de-escalation and hands-on escorts and holds in emergent situations, and initiate action as required, including contact with emergency response systems, and facilitating a higher level of care. Write a shift summary log detailing significant events involving clients and clinic operations, read log daily, participate in shift brief, complete activity logs and other shift-related documentation, and coordinate with relevant staff to ensure all required documentation is completed. In collaboration with an interdisciplinary team, promote a safe and secure clinic environment by responding to emergent safety issues using a collaborative active response approach. Participate in clinical reviews and case conferences to develop personal success plans for clients as needed. Assist clinical staff in engaging clients through creative, resourceful strategies that build trust and confidence. Participate in bar review committee and, psych consults as needed. Lead critical incident debriefs and work in coordination with clinical Director and Managers to provide support to staff related to safety issues upon request. Help ensure cleanliness of sidewalks. Participate in staff meetings, team huddles, and training, with both DESC and HMC staff. Wear agency-provided clothing that makes you easily identifiable in the community as a DESC employee. Other responsibilities as assigned. WORKING CONDITIONS: Works both indoors in a climate-controlled office environment with frequent interpersonal interactions and primarily outdoors in variable weather with frequent interpersonal interactions. May escort clients or have professional meetings in environments which are not climate controlled. Also works outside of the office in homeless camps and in a vehicle. Requirements MINIMUM QUALIFICATIONS: Experience working with behavioral health conditions and intervening with de-escalation and hands-on approaches using Crisis Prevention & Intervention (CPI) or the equivalent and must be familiar with behavioral health treatment services. Willingness to become certified in enhanced behavioral de-escalation training, which trains to use hands on techniques. Willingness to use training in de-escalation and disengagement to intervene with clients that are posturing or assaultive. Experience in human services (paid or volunteer), preferably working with adults living homeless and/or living with a mental illness and/or substance use disorder. Experience working and building rapport with people in a psychiatric crisis. Proficient in de-escalation skills, crisis intervention, and stabilization strategies and possess the ability to use these skills in high-risk, high traffic areas. Have a strong understanding of recovery and resilience, the value of client partnerships, and client choice. Interest or experience in working with clients that traditional health care programs have turned away. Ability to communicate and work effectively with clients and staff from various backgrounds and utilize good customer service skills. Ability to work effectively with clients potentially displaying unusual and bizarre behaviors. Subscribe to the philosophy of working in an integrated team approach which fosters cooperation and continuity across programs and of consideration and respect for clients. Have experience working in collaboration with law enforcement, and neighborhood stakeholders that do not always agree with the harm reduction, trauma informed, or person-centered work philosophy. Able to prioritize multiple job responsibilities, work independently, and exercise good professional judgment. Able to maintain client confidentiality. Ability to pass criminal background check. Ability to drive an agency or personal vehicle to conduct agency related business. A current Washington State driver's license and insurable driving record are required. PREFERRED QUALIFICATIONS: Has work experience as an Emergency Medical Technician or Psych Technician in the field. Bilingual in English and Spanish. Bi-cultural background/experience. Skill in operating office equipment, including computers, communication platforms, software (e.g., Microsoft Word, Excel), and telephones. EDUCATION AND EXPERIENCE REQUIREMENTS: Relevant Bachelor's degree in social work, psychology, or related behavioral science, OR A combination of 1 year* of relevant paid work experience and demonstration of the ability to perform required job duties *Internal applicants in direct, client facing positions can substitute 6 months of experience in lieu of 1 year 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 accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee will be required to sit, communicate with other employees, required to lift and carry items weighing up to 40 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. EQUAL OPPORTUNITY EMPLOYER DESC is committed to diversity in the workplace and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply. Salary Description $36.75 - $40.58 per hour
    $36.8-40.6 hourly 60d+ ago
  • Reimbursement And Billing Coordinator

    Toledo Clinic 4.6company rating

    Toledo, OH jobs

    Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis. Principal Duties & Responsibilities: Example of Essential Duties: Responsible for the update and control of the fee schedule files. Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices. Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases. Generate payor analysis as requested by Administration/Contracting Committee. Assist offices with any fee schedule issues they may have. Work with IT and eCW testing new applications. Pull contracting information as requested. Communicate with Payors on issues regarding reimbursement Other Essential Duties May Include (but are not limited to): Other duties as assigned. Knowledge, Skills & Abilities: Required: - Extensive knowledge of Excel pertaining to Formulas and Pivot Tables - Working knowledge of a physician based medical office practice. - Knowledge of physician coding and federal/state regulations of patient care. - Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame. - Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed. - Demonstrates adaptability to expanded roles. Education: - HS diploma or GED, Medical billing - Bachelors Degree
    $39k-45k yearly est. Auto-Apply 11d ago
  • REIMBURSEMENT AND BILLING COORDINATOR

    Toledo Clinic Inc. 4.6company rating

    Toledo, OH jobs

    Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis. Principal Duties & Responsibilities: Example of Essential Duties: * Responsible for the update and control of the fee schedule files. * Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices. * Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases. * Generate payor analysis as requested by Administration/Contracting Committee. * Assist offices with any fee schedule issues they may have. * Work with IT and eCW testing new applications. * Pull contracting information as requested. * Communicate with Payors on issues regarding reimbursement Other Essential Duties May Include (but are not limited to): * Other duties as assigned. Knowledge, Skills & Abilities: Required: * Extensive knowledge of Excel pertaining to Formulas and Pivot Tables * Working knowledge of a physician based medical office practice. * Knowledge of physician coding and federal/state regulations of patient care. * Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame. * Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed. * Demonstrates adaptability to expanded roles. Education: * HS diploma or GED, Medical billing * Bachelors Degree
    $39k-45k yearly est. 13d ago
  • PSC Billing Coordinator

    Highland District Hospital 4.1company rating

    Hillsboro, OH jobs

    The Highland District Hospital Billing Coordinator for Professional Services Corporation (PSC) reports directly to the Physician Office Director and is responsible for billing management of the physician offices that are a part of PSC. The Billing Coordinator is responsible for billing operations to ensure office operational excellence, billing operational excellence and customer service excellence. The Billing Coordinator works collaboratively with the outsourced billing vendor as well as the Physician Office Director, Vice President, Finance, and other HDH personnel. Qualifications Coordinates and supervises daily corporate billing operations, including HDH/PSC employee billing work activities and effectiveness of daily billing operations. Actively promotes teamwork for overall PSC billing efficiency. Monitors and coordinates with outsourced billing vendor the effectiveness of overall billing operations, including: individual office daily balancing and claim verification, coordination of credentialing and recredentialing, accounts receivable aging, days in Accounts Receivable (A/R), credit balance reports, collection agency reports, refund activity, productivity reports, and other reports necessary to effectively manage A/R for PSC Corporation. Monitors and maintains daily audits to assure timely billing of daily services from all PSC offices, as well as effectiveness of outsourced billing vendor. Proactively reviews insurance carrier bulletins for new information to disseminate and train HDH/PSC staff, so HDH/PSC knowledge is always current. Demonstrates responsibility and accountability for continuous improvement, and practices quality service as evidenced through quality results and patient satisfaction surveys. Demonstrates responsibility and accountability for enhancing positive relations with patients, families, co-workers, providers, administration, and outsourced billing vendor. Maintains high ethical standards. Provides direction to HDH/PSC front desk employees and outsourced billing vendor. Possesses comprehensive and current knowledge of administrative office practice, and the application to quality patient care. Possesses good verbal and written communication skills. Shares knowledge with others. Displays a willingness to listen and be flexible. Respects the confidential nature of information concerning corporate and Hospital matters. Keeps Vice President, Finance informed of PSC billing activity. Meets monthly with accounting and outsourced billing company to review and resolve any discrepancies identified during monthly bank reconciliations. Proactively engages HDH/PSC staff, outsourced billing vendor, insurance carriers, patients, etc. to resolve billing issues in a timely manner. Demonstrates effective leadership techniques as evidenced by high productivity and morale of employees and providers through consistently meeting objectives. Mentors and serves as a role model for staff through complying with HDH/PSC policies and procedures, as well as Behavior Based Standards. Acts as liaison between physicians, staff, administration, patients, families, and outsourced billing vendor. Treats all customers with respect and responds in a timely and courteous manner to customer (providers, fellow employees, patients, families, visitors, and outsourced billing vendor staff) complaints. Demonstrates positive problem-solving approach in resolving concerns or issues with staff, other departments, outsourced billing vendor or providers as indicated by positive responses of contacts. Demonstrates organizational skill in providing administrative services and consistently implements appropriate action to guide staff in meeting office needs. Manages assigned projects and prepares reports, accordingly. Honors patient rights to privacy and confidentiality and provides direction to staff in this regard. Demonstrates active knowledge of HIPAA. Works collaboratively with Director to create, maintain and annually update HDH/PSC policies and procedures. Administers billing policies in a consistent and timely manner. Actively participates in office audits through assuring compliance of policies, procedures, and protocols by each PSC office. Uses appropriate resources to develop knowledge base of front desk staff through educational presentations, seminars and developing orientation procedures in correlation with other coordinators. Plans and conducts meetings and discussions with front desk staff as appropriate. Keeps current in field by reviewing relevant literature, attending workshops and seminars and networking with colleagues as demonstrated by implementing advances in patient care. Other duties as assigned.
    $34k-45k yearly est. 11d ago

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