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  • Remote Civil Litigation Attorney - 3+years exp

    Waddell Serafino Geary Rechner Jenevein, PC

    Remote job

    Waddell Serafino Geary Rechner Jenevein, PC is a law firm formed with the purpose of managing and resolving its clients' legal issues. Our attorneys are passionate problem solvers who represent a diverse group of individuals, corporate clients and government entities, including construction firms, financial institutions, school districts, real estate development and leasing companies, insurance carriers, professional sports teams, entertainment industry professionals, accounting firms and many other private and public entities. A growing law firm with offices in Dallas, Phoenix and Las Vegas, our team is dedicated to representing clients in a manner that is consistent with each client's philosophy and objectives. We are seeking an associate attorney to join the firm in its Dallas office with at least 3+ years' experience in civil litigation. The Associate would act as part of a team handling the investigation and defense of tort claims against electric utility companies. The associate attorney provides legal work and will collaborate with other attorneys, paralegals, and legal assistants on civil litigation matters. The job responsibilities may include, among others, managing a docket of litigation files, which may include drafting motions, pleadings, memoranda and briefs, propounding and responding to written discovery, conducting legal research, preparing for and attending depositions, hearings, trials, reporting to clients, and communicating with courts and opposing parties. Responsibilities Research and analyze legal sources such as statutes, recorded judicial decisions, legal articles, constitutions, and legal codes Manage all phases of discovery, including propounding and responding to written discovery, electronic document production, taking and defending depositions Prepare legal briefs, pleadings, appeals, contracts, and any other necessary legal documentation Formulate legal strategy and case management Appear in court for status, hearings, and trials Work closely with other attorneys and team members on legal matters Occasional work in the field as part of investigations Communicate with clients and provide status reports Minimum Qualifications JD from an accredited law school Licensed and in good standing to practice law in Texas 3 years of prior civil litigation experience Solid organization, communication and writing skills Experience tracking and entering billing preferred Previous work experience on civil litigation matters with focus on investigation and defense of tort claims preferred Physical Demands and Working Environment Work is performed in an office environment and involves everyday risks or discomforts, requiring normal safety precautions when performing work. Work involves some level of travel and fieldwork away from the office. Work requires frequent walking, standing, bending, and carrying items up to 25 pounds. Benefits Offered In addition to a competitive salary and discretionary bonus, the firm offers a full complement of benefits for full-time employees, including health and dental insurance, HRA, HSA with employer contribution, tele-health and patient advocacy service, limited FSA, immediately available paid time off, paid garage parking or DART pass reimbursement, 401k with employer match, STD, LTD, AD&D, and life insurance. Job Type: Full-time Benefits: * Dental insurance * Flexible spending account * Health insurance * Health savings account * Life insurance * Vision insurance Education: * Doctorate (Preferred) Experience: * practicing law: 3 years (Required) * civil litigation: 3 years (Required) Ability to Commute: * Dallas, TX 75201 (Required) Work Location: In person
    $77k-131k yearly est. 3d ago
  • RN, Registered Nurse Appeals

    Quantum-Health 4.7company rating

    Dublin, OH

    is located at our Dublin, OH campus with hybrid flexibility. Multistate Licensure: Quantum Health nurses must be willing and able to obtain and maintain nursing licensure in multiple states, as required by the business. All application and filing fees will be paid by Quantum Health. Who we are Founded in 1999 and headquartered in Central Ohio, w e're a privately-owned , independent healthcare navigation organization . We believe that no one should have to navigate the cost and complexity of healthcare alon e, and w e're on a mission to make healthcare simpler and more effective for our millions of members . Our big-hearted, tech-savvy team fight s to ensure that our members get the care they need, when they need it, at the most affordable cost - that's why we call ourselves Healthcare Warriors . We're committed to building diverse and inclusive teams - more than 2,000 of us and counting - so if you're excited about this position, we encourage you to apply - even if your experience doesn't match every requirement. About the role The Registered Nurse (RN) - Appeals is responsible for managing all clinical appeal requests according to Quantum Health's defined process for the receipt, logging, preparing for review, evaluation and response. This critical clinical subject matter expert works to increase the consistency, efficiency and appropriateness of responses for all appeal service requests. What you'll do Review and process all appeal requests; Prepare requests for review by researching Specific Plan Detail (SPD) provisions, applicable criteria, analyzing the basis for appeal and preparing a written summary of each case. Assure timely processing and response to appeal requests. Communicate with member , provider, facility, and all internal work groups regarding appeal requests/outcomes. Collaborate with Medical Directors, Physician reviewers, External Medical Directors, and Independent Review Organization (IRO) to process all requests requiring physician review. Identify care coordination and case management opportunities. Maintain a working knowledge of all clinical processes and workflows, employer benefit plans and related documentation. Participate in educational training with clinical staff regarding the appeal process; Partner with the clinical operations managers to identify coaching opportunities for the clinical services team, identify trends, and improve processes. Assist pre-certification team as needed with medical reviews, assist with pre-certification training, serve as enhanced pre-certification trainer for new nurses, provide coaching to care coordination nurses on appeal cases, etc. All other duties as assigned. What you'll bring Licensure: Active and current license in good standing as a Registered Nurse (RN) in the State of Ohio required . Education: Bachelor of Science in Nursing (BSN) degree in nursing preferred 3+ years of clinical experience with direct patient care in a hospital setting required. Experience working in the clinical review and/or appeal process, ideally in a health insurance setting preferred. Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently. Excellent verbal and written communication skills. Comfortable communicating with members and providers via phone regularly throughout the day. Trustworthy and accountable behavior, capable of viewing and maintaining confidential personal information daily. Ability to communicate effectively with members and providers in implementing clinical services; Translate complex clinical concepts for non-clinical audiences. Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently. Trustworthy and accountable behavior, capable of viewing and maintaining confidential information daily. What's in it for you Compensation: Competitive base and incentive compensation Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more. Retirement: 401(k) plan with up to 4% employer match and full vesting on day one. Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more. Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development. Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision. Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more! What you should know Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite. Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check. Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we're committed to empowering our ERGs, and we're proud to be an equal opportunity employer . Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds. Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate's unique combination of experience and qualifications related to the position. Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship. Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party. Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request. Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you've encountered a recruiting scam, report it to the Federal Trade Commission and your state's Attorney General .
    $60k-92k yearly est. 14h ago
  • Denial Management Specialist

    Vital Connect 4.6company rating

    Remote job

    Purpose The Denial Management Specialist role belongs to the Revenue Cycle team and is responsible for investigating and resolving complex third-party insurance denials and outstanding claims. The role aids in optimizing reimbursement by conducting exhaustive research and taking prompt action to resolve denials. The primary function of the role is to resolve payer denials while performing advanced level work related to referral, authorizations, notifications, non-coverage, medical necessity, and others as assigned. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. This position reports to the Patient Financial Engagement Manager and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to insurance company representatives, patients, physicians, and practice staff. Execute the denial appeals process which includes receiving, accessing, documenting, tracking, responding to, and/or resolving appeals with third-party payers in a timely manner for services provided to managed care patients. **This is a fully remote role** Responsibilities Comprehensive research and review to resolve payer claim denials. Researches payer denials related to referral, pre-authorization, notifications, medical necessity, non-covered services, and billing resulting in denials and delays in payment. Requires extensive knowledge of carrier specific claim appeal guidelines. Conducts comprehensive reviews of the claim denial and makes determinations if an authorization needs to be obtained, a written appeal is needed, or if no action is needed. Writes and submits professionally written detailed appeals which include compelling arguments based on clinical documentation, third-party medical policies, and contract language. Customize appeals to payers in accordance with Medicare, Medicaid, and third-party guidelines as well as VitalConnect policies and procedures. Possesses proven analytical and decision-making skills to determine what selective clinical information must be submitted to properly appeal the denial. Contact payers, via website, payer portal, phone and/or correspondence, regarding reimbursement of claims. Understands medical billing requirements for Medicare, Medicaid, contracted, in-network, out of network and commercial payers. Strong understanding of insurance plans (HMO, PPO, IPO, etc.), coordination of benefits, medical terminology, limited coverage and utilization guidelines, denial remark codes and timely filing guidelines. Responsible for tracking and trending of recovery efforts by utilizing various departmental tools and appropriately reporting on-going problems specific to payers and/or contracts. Ensuring all eligible accounts are appealed within the designated payer time frames and are documented appropriately in the patient software system. Consistently meet the current productivity standards in taking appropriate actions to identify and track root causes, successfully appeal denied accounts, and trend issues. Must be cross trained and functional in all areas within the department as it relates to A/R and denials. Extensive working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes. Experience accessing payer portals such as Navinet, Availity, etc.to obtain information and upload appeals, etc. Provide individual contribution to the overall team effort of achieving the department A/R goal. Escalate exhausted accounts that will not be financially cleared as outlined by department policy to management. Contact payers to determine cause of denial and steps to appeal. Perform follow-up activities indicated by relevant management reports. Review daily payer correspondence to proactively reconcile denials in a timely manner. Maintains confidentiality of patient's financial and medical records; adheres to the State and Federal laws regulating collection in healthcare; adheres to enterprise and other regulatory confidentiality policies; and advises management of any potential compliance issues immediately. Communicate with all internal and external customers effectively and courteously. Maintain patient confidentiality, including but not limited to, compliance with HIPAA. Perform other related duties as assigned or required. Requirements Education A bachelor's degree or equivalent work experience is required. Experience 3+ years of experience in medical collections setting with experience in denials, appeals, insurance collections and related follow-up. Knowledge and Training Strong knowledge of healthcare terminology and CPT-ICD10 codes. Complete understanding of insurance is required. Knowledge pertaining to different insurance plans, coordination of benefits, explanation of benefits and coverage and utilization guidelines. Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues. Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff, and other customers. Able to communicate effectively in writing. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Must be able to maintain strict confidentiality of all personal/health sensitive information. Ability to effectively handle challenging situations and to balance multiple priorities. Basic computer proficiency inclusive of ability to access, enter and interpret computerized data/information including proficiency in Microsoft Suite applications, specifically Excel and Word. Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards as outlined by Management. Salary & Benefits The estimated hiring salary range for this position is $22/hr- $24/hr. * The actual salary will be based on a variety of job-related factors, including geography, skills, education and experience. The range is a good faith estimate and may be modified in the future. This role is also eligible for a range of benefits including medical, dental and 401K retirement plan.
    $22-24 hourly 60d+ ago
  • Director, Ar Ops Transition Remote 100% Travel

    Direct Staffing

    Remote job

    7+ to 10 years experience As clients consolidate, integrate and transition their existing operations (business offices) into this role directs the various activities throughout the client consolation process. This includes serving as interim management of operations, overseeing all functions of A/R Management (billing, follow-up, cash posting, and customer service and vendor management) during a client consolation, and conducting client assessment prior to client consolations, to include gap analysis between current state of the department and the Conifer model to include; processes, staffing levels, metrics and technology. The role will report to the Sr. Director of Transitions and will work closely with other members of the transition team and our operations Team. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. No. Description 1. Align operations to meet core performance metrics and SLA's for new client. 2. Manage the process change as it relates to performance, staffing, and employee relations to fully transition new client to existing operations leaders. 3. Provides operational direction to assigned site and business function. Coordinates site related issues with Human Resources and Legal. 4. Oversees billing/collections/reimbursement, ensuring standardization and compliance with established policies and procedures of Conifer Health Solutions, regulations of applicable regulatory agencies, and standards of JCAHO for new client site and fully transitions new client to existing operational leaders. 5. Analyzes and identifies problems, determines cause and desired resolution. Takes steps necessary to implement resolution. Solves escalated problems related to his/her areas of assignment, and maintains a detailed knowledge of functions in these areas. 6. Ability to transition from our transitions Management Team to the applicable unit in the absence of new client engagements. 7. Supports and interfaces with hospital leadership when required. Coordinates necessary meetings/focus groups and assigns direct reports as necessary to help with implementation and feedback within these groups. 8. Ensures implementations of any new processes are in line with the client's policies and works directly with client's departments to ensure visibility of any changes in processes. 9. Prioritizes transition projects and completes them effectively within the provided timeframe. Ensures that any delays to projects are communicated proactively and can address issues. 10. Make recommendations based on gap analysis of processes and performance data. 11. Completion of assessment and provides feedback on key benefits for us in transitioning a client. Participates in preparation of financial model. FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): varies by location/assignment SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. No. Direct Reports (incl. titles) TMT Manager Operations. Number is variable AR Manager assignments are dictated by each new client, and varies by location No. Indirect Reports (incl. titles) As dictated by each new client, varies by location 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. Advanced understanding of Compliance Regulations and Guidelines Advanced knowledge of healthcare reimbursement methodologies Advanced knowledge of the hospital based operations related to the revenue cycle including Health Information Management, Patient Access, Clinical Quality/Case Management, Management Information Systems, Accounting and Finance Advanced knowledge of healthcare A/R, collections, insurance, government programs and appeals Knowledge of the flow of revenue cycle, revenue cycle technology, and revenue cycle metrics and drivers Detail oriented, analytical skills, and an ability to work independently Proficiency in prioritizing and managing multiple tasks Advanced skills in human resource management as it relates to large floor operations/call center environments Ability to create and clearly communicate strategic and tactical plans leading to an efficient and effective operation, and understand and execute financial models Intermediate Microsoft Office (Word and Excel) Excellent oral and written communication skills and strong presentation skills Ability to provide advanced customer service EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. 4 year college degree in Business Administration, Finance, or Health Administration or equivalent experience 7 - 10 years experience directing a multi-facility healthcare business office (CBO) or large facility Patient Financial Services Department or financial services call center CERTIFICATES, LICENSES, REGISTRATIONS Certified Patient Account Manager (CPAM) or Certified Financial Healthcare Professional (CFHP) or Certified Revenue Cycle Representative (CRCR) preferred OTHER 100% Travel Required (Not required to travel on weekends/ holiday's or weeks surrounding a National Holiday) Hospital Revenue Cycle Managment Acute Care Collections Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc
    $95k-169k yearly est. 60d+ ago
  • Senior Appeals Specialist - Worker's Comp

    Reliant 4.0company rating

    Remote job

    Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client's needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative. As a Senior Appeals Specialist - Workers' Compensation, you will play a critical role in resolving post-payment disputes related to Workers' Compensation bills. This includes conducting provider outreach, negotiating disputed charges, and ensuring compliance with state-specific regulations. Your work will directly support our cost containment efforts and ensure appropriate bill reimbursement for our clients. Primary Responsibilities Manage a caseload of post-payment Workers' Compensation bills, including those related to state disputes and usual and customary rate (UCR) disputes. Assigned high priority clients in managing all items related to the service with Reliant Conduct proactive outreach to medical providers to explain payment methodologies, resolve disputes, and negotiate reductions on appealed or outlier bills. Communicate effectively and professionally with clients to coordinate and investigate information as it relates to the case/appeal. Educate providers on Workers' Compensation billing and reimbursement policies and regulatory requirements. Document all provider communications thoroughly, including contact information, bill details, proposed and counter-offered payment rates, and final resolution in claim platform. Adhere to state-specific compliance standards and confidentiality requirements, including HIPAA. Maintain productivity and quality standards, ensuring timely resolution of bills in accordance with state timelines and internal service level agreements. Follow client-specific protocols and internal Reliant procedures, including scripting and documentation guidelines. Stay current on Workers' Compensation regulatory changes, fee schedules, and payment policies across multiple states. Support special projects and perform additional duties as assigned. Responsible for training team members both upon hire and for existing team members. Responsible for overseeing all DWD handling and state dispute referrals to attorneys. First line for all support with questions from other team members. Backup for other team members and/or senior leadership Works with appeals intake specialist to ensure process documents remain current Responsible for identifying opportunities for enhancement either through automation or process changes that increase efficiency for the team Responsible for team goals and ensuring that individuals meet their personal goals Qualifications 5 years of relevant experience in Workers' Compensation bills, medical billing, medical coding, or insurance negotiations. Strong understanding of Workers' Compensation reimbursement methodologies, state regulations, and provider billing practices. Experience negotiating medical bill payments or adjustments with providers. Ability to collaborate with a variety of individuals both internally and externally. Familiarity with claims processing systems and provider communications. Excellent communication, negotiation, and organizational skills. Requires communication proficiency, discretion, ethical conduct, decision making and technical skills Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role. Pay Transparency$70,000-$75,000 USDBenefits: Comprehensive medical, dental, vision, and life insurance coverage 401(k) retirement plan with employer match Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) Paid time off (PTO) and disability leave Employee Assistance Program (EAP) Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business-and our society-stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
    $70k-75k yearly Auto-Apply 22d ago
  • Billing Coordinator

    Total Care Therapy LLC 4.5company rating

    Dublin, OH

    Job Description About Us At TCT, we are a therapist-owned and operated company passionate about providing exceptional Physical Therapy, Occupational Therapy, and Speech Therapy in assisted living settings. Our mission is to restore independence through compassionate and high-quality care. We take pride in fostering a supportive, close-knit culture that values collaboration and professional growth. At TCT, you'll enjoy competitive pay, flexible schedules, rewarding work, and a comprehensive benefits package. Our values-Tailored, Transformative, Transparent, Compassion, Care, and Community (T's and C's)-guide everything we do. Why Join Us? Comprehensive Benefits: Medical, dental, vision, and life insurance. Work-Life Balance: Flexible scheduling and paid time off. Recognition & Rewards: Employee reward and recognition programs. Growth Opportunities: On-the-job training and upward mobility. Position Details We're looking for a full-time Medical Biller to join our team in Columbus, OH. This on-site position is ideal for candidates who are detail-oriented, organized, and thrive in a collaborative environment. Key Responsibilities Log payments from insurance companies and patients, maintaining accurate records. Update billing addresses and contact details as needed. Follow up on delinquent payments, resolve denial instances, and file appeals. Submit claims and process billing data for insurance providers. Verify insurance benefits for new and existing clients. Administrative Support: Assist with faxing, answering calls, emails, and text messages. Requirements Minimum 1 year of medical billing experience in a healthcare setting. Associate's Degree in Medical Billing, Coding, or a related field. Proficiency with: Google Suite Microsoft Excel and Word CMS 1500 Availity platform Compensation Competitive and based on experience. Let's talk! Powered by JazzHR Y2tGqxgA9F
    $37k-53k yearly est. 22d ago
  • Attorney - Workers' Compensation Professional Athletes

    Glenn, Stuckey, & Partners LLP

    Remote job

    Job DescriptionBenefits: 401(k) 401(k) matching Bonus based on performance Dental insurance Health insurance Vision insurance Paid time off We are an applicant-side workers compensation law firm dedicated to representing former professional athletes. Our practice is committed to securing the benefits and lifetime medical care that injured athletes are legally entitled to - whether they retired last season or last played in the 1960s. We are seeking a Full-Time Workers' Compensation Attorney who is ambitious, adaptable, and passionate about advocacy. The ideal candidate will have deposition experience, strong legal writing and research skills, and the interpersonal ability to work closely with former professional athletes. Responsibilities: Manage all aspects of workers' compensation cases from initial intake through resolution, including client communication, discovery, legal analysis, and settlement documentation. Represent clients in Workers' Compensation Appeals Board (WCAB) proceedings, including conferences, depositions, and administrative hearings. Handle daily case administration, including reviewing correspondence, managing deadlines, and preparing pre-trial conference statements. Maintain consistent communication with clients, opposing counsel, legal staff, and other professional offices. Develop and execute strategic case plans tailored to each clients circumstances. Prepare for and attend depositions, hearings, and settlement conferences (in-person or remotely). Negotiate settlements that align with each client's best interests. Draft clear, well-reasoned legal documents with attention to detail and persuasive advocacy. Remain up to date on California workers compensation laws, regulations, and WCAB procedures. Qualifications: Juris Doctor (JD) degree from an accredited law school. Active member in good standing with the State Bar of California (required). Minimum of three years of workers compensation litigation experience (five years preferred). Strong working knowledge of WCAB rules, procedures, and applicable California labor codes. Deposition and court experience (required). Ability to manage a dull caseload efficiently and independently. This is a remote position.
    $43k-100k yearly est. 25d ago
  • Underwriter, Commercial Insurance - Remote Opportunity

    Amynta Agency

    Remote job

    We're thrilled that you are interested in joining us here at the Amynta Group! Come "Build" Your Career with Builders & Tradesmen's Insurance Services Builders Tradesmen Insurance Services (BTIS) is nationwide insurance wholesaler focused on servicing Enterprises of all sizes with commercial insurance products. We take pride in our commitment to customer satisfaction, risk management expertise, and fostering a dynamic work environment. BTIS is currently seeking a skilled a Commercial Insurance Underwriter with MGA, MGU or INSURANCE experience to join our Workers Compensation Insurance team. The ideal candidate will play a crucial role in assessing and underwriting commercial insurance applications, ensuring the profitability and sustainability of our business. If you have a strong analytical mindset, excellent communication skills, and a deep understanding of commercial insurance policies, we invite you to apply. Come "Build" Your Career with Builders & Tradesmen's Insurance Services Builders Tradesmen Insurance Services (BTIS) is nationwide insurance wholesaler focused on servicing Enterprises of all sizes with commercial insurance products. We take pride in our commitment to customer satisfaction, risk management expertise, and fostering a dynamic work environment. BTIS is currently seeking a skilled a Commercial Insurance Underwriter with MGA, MGU or INSURANCE experience to join our Workers Compensation Insurance team. The ideal candidate will play a crucial role in assessing and underwriting commercial insurance applications, ensuring the profitability and sustainability of our business. If you have a strong analytical mindset, excellent communication skills, and a deep understanding of commercial insurance policies, we invite you to apply. The Commercial Insurance Underwriter is responsible for the evaluation selection, acceptance, rejection, pricing and servicing of commercial insurance policies within accepted company procedures and guidelines. JOB RESPONSIBILITES INCLUDE: * Uses knowledge and independent judgment to determine eligibility of risks when compared to guidelines of programs available. Responds to questions from agents received via telephone, email, chat, mail and fax. * Reviews insurance applications and documentation to determine if the applicant is an acceptable risk in accordance with company guidelines and standards. * Recommends appropriate premiums and coverage for risks after complete analysis and consideration of applicant documentation, business factors and competitive situations. * Prepares written communication on adverse underwriting decisions, proposals, referrals, rate appeals, underwriting requirements, status and declinations. * Analyzes commercial line accounts. * Evaluates pricing and coverage to ensure premiums charged are accurate. * Manages book of business to achieve profitability goals. * Builds productive and positive relationships. * Assists with binding of policies, processing of endorsements, renewal, and new business underwriting. MINIMUM JOB SKILLS, ABILITIES AND QUALIFICATIONS * Bachelor's Degree (and/or combined education and experience) (Required) * 3+ years of underwriting experience * Strong technical underwriting and analytical skills, strong knowledge of Workers Compensation business and products * Knowledge of Microsoft Applications and the ability to learn new software programs *** MUST HAVE MGA, MGU or INSURANCE EXPERIENCE *** * Strong attention to detail, is dependable and follows through. * Ability to analyze data and present recommendations based on outcomes of analysis. * High level of maturity to handle sensitive and confidential situations. * Strong work ethic and excellent time management skills. * Strong interpersonal skills and ability to work well with people throughout the organization. * Willingness to maintain a professional appearance and provide a positive company image. * Willingness to work non-traditional shifts which meet the needs of the team and company. * Ability to handle complex issues and problems and defer to higher-level staff only as needed. PAY RANGE $64,480 to $75,000 and will depend on several factors including geographical location, relevant experience, skills and knowledge pertaining to this role and industry. The Amynta Group (the “Company”) is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any ground of discrimination protected by applicable human rights legislation. The information collected is solely used to determine suitability for employment, verify identity and maintain employment statistics on applicants. Applicants with disabilities may be entitled to reasonable accommodation throughout the recruitment process in accordance with applicable human rights and accessibility legislation. A reasonable accommodation is an adjustment to processes, procedures, methods of conveying information and/or the physical environment, which may include the provision of additional support, in order to remove barriers a candidate may face during recruitment such that each candidate has an equal employment opportunity. The Company will accommodate a candidate to the point of undue hardship. Please inform the Company's personnel representative if you require any accommodation in the application process.
    $64.5k-75k yearly Auto-Apply 60d+ ago
  • Senior Manager, Provider Contracting | El Paso, Texas (Remote/Home-Based)

    Alignment Healthcare 4.7company rating

    Remote job

    Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Sr. Manager, Network Management is responsible for contracting with all provider types and successful provider network performance related to key financial, operational, and member satisfaction performance indicators in a multi-market territory. Works closely with Network Management and other departments to enhance the contracted provider experience consistent with company's mission statement and values. General Duties/Responsibilities (May include but are not limited to): Collaborate with Network Management leadership in the development and execution of the contracting strategy. Recruit providers to eliminate network deficiencies within a specific region. Negotiate / re-negotiate and finalize all contracts which may be primary care, specialist, ancillary, hospital, group/IPA as well as ensure the accuracy of administration of these agreements. Manage staff; lead, mentor and coach staff effectively Assure the day-to-day operations of the provider network are consistent with standards/ expectations and develops provider education materials as needed to support adherence with company requirements. Develop agendas and lead Joint Operations Meetings to drive results, including oversight of New Provider Orientations and new Contract Orientations. Meetings will focus on addressing performance improvement metrics, resolving operational issues, including but not limited to utilization management, financial, enrollment, member appeals and grievances, provider termination/panel closures, continuity of care, and marketing activities. Responsible for the execution of regional work-plans, monitoring performance metrics, updating status, and communicating progress both internally and externally to ensure results. Responsible for timely and professional interaction with internal and external customers. Ensure accurate and timely data reporting requirements are being met for designated regions, including but not limited to provider network contacts, eligibility and capitation reports, risk sharing, claims timeliness, pharmacy utilization, bed day utilization, encounter data and audit compliance. Develop goals and objectives that align with Network Management leadership's performance metrics to ensure department KPIs are met, as well as the organization's vision for future growth and network development. Utilize contracting knowledge for effective problem resolution and compliance. Responsible for timely and professional interaction in response to grievances. Research, analyze and resolve complex problems dealing with hospital shared risk pool, claims, appeals, and eligibility issues within the appropriate limits. Create and implement policies and procedures for the department. Interpret company policies and procedures. Represents the department in interdepartmental meetings and selected committees. Other projects and responsibilities as assigned Supervisory Responsibilities: Oversees assigned staff. Responsibilities include recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplining employees. Will also oversee third-party vendors and/or student workers as appropriate. Minimum Requirements: 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. Minimum Experience: Minimum 5-7 years' experience with an HMO, managed care provider organization (IPA, Medical Group or institutional provider) or insurance company with at least 5 years' specific experience in managed care contracting and knowledge or Medicare Advantage regulatory guidelines. Previous supervisory experience; demonstrated abilities to manage staff Education/Licensure: Bachelor's Degree or equivalent experience required Other: Proficient in MS Office, including strong Word and Excel proficiency. Detail oriented. Language Skills: Ability to read and interpret documents such as contracts, safety rules, operating and maintenance instructions and procedure manuals. Ability to interpret government regulations a must. Ability to write routine reports and correspondence. Ability to speak effectively before groups of providers or employees of internal/external organization. Mathematical Skills: Ability to calculate figures and amounts such as fee schedules, per diem rates, discounts, interest, commissions, proportions, and percentages. Ability to apply concepts of algebra, geometry and statistics. Reasoning Skills: Strong analytic and problem-solving skills required, including ability to synthesize, interpret and apply detailed and complex information. Office Hours: Monday-Friday, 8am to 5pm. Extended work hours, as needed. Maintain reliable means of transportation. If driving, must have a valid driver's license and automobile insurance. Drives approximately 20-40% of the time to provider sites. 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. Essential Physical Functions: 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. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ****************** . Pay Range: $91,651.00 - $137,477.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
    $91.7k-137.5k yearly Auto-Apply 17d ago
  • Internship Opportunities - Summer 2026 - Youth Advocacy Division - Statewide

    Committee for Public Counsel Services 4.1company rating

    Remote job

    The Youth Advocacy Division (YAD) of CPCS is seeking applicants for Summer 2026 internship positions across the Commonwealth. We are interested in law students (both with and without SJC Rule 3:03 Certification), graduate students, and undergraduate students for opportunities in the Youth Advocacy Division. We fight for equal justice and human dignity by supporting our clients in achieving their legal and life goals. We zealously advocate for the rights of individuals and promote just public policy to protect the rights of all. Our Values Courage • Accountability • Respect • Excellence We stand with our Clients and the Community in the fight for Justice. We are dedicated to providing zealous advocacy, community-oriented defense and protection of fundamental constitutional and human rights. Our staff across the Commonwealth embodies a diverse group of people from different backgrounds, experiences, abilities, and perspectives. It is through these differences in age, ethnicity, geographic origin, race, faith, religion, and progressive values, that we are able to best serve our clients. Through our internship program we seek to hire, develop, and hopefully retain talented people from all backgrounds. We strongly encourage individuals from non-traditional backgrounds, historically marginalized, or underrepresented groups to apply. The clients we represent are diverse across every context imaginable and bring many unique cultural dimensions to the matters we address. This reality creates a critical need for CPCS attorneys to be culturally competent and able to work well with people of different races, ethnicities, genders and/or sexual orientation identities, abilities, and limited English proficiency, among other protected characteristics. DIVERSITY AND INCLUSION MISSION STATEMENT CPCS is committed to protecting the fundamental constitutional and human rights of our assigned clients through zealous advocacy, community-oriented defense, and the fullness of excellent legal representation. We are dedicated to building and maintaining strong professional relationships, while striving to accept, listen to and respect the diverse circumstances of each client, as we dedicate ourselves to meeting their individual needs. It is our CPCS mission to achieve these goals, and in furtherance thereof, we embrace and endorse diversity, equity and inclusion as our core values as we maintain a steadfast commitment to: (1) Ensure that CPCS management and staff members represent a broad range of human differences and experience; (2) Provide a work climate that is respectful and supports success; and (3) Promote the dignity and well-being of all staff members. CPCS leadership is responsible for ensuring equity, diversity, and inclusion. The ability to achieve these goals with any level of certainty is ultimately the responsibility each member of the CPCS community. AGENCY OVERVIEW The Committee for Public Counsel Services (CPCS) is the state agency in Massachusetts responsible for providing an attorney when the state or federal constitution or a state statute requires the appointment of an attorney for a person who cannot afford to retain one. The agency provides representation in criminal, delinquency, youthful offender, child welfare, guardianship, mental health, sexually dangerous person, and sex offender registry cases, as well as in appeals and post-conviction and post-judgment proceedings related to those matters. YOUTH ADVOCACY DIVISION OVERVIEW Youth Advocacy Division (YAD) Trial Offices Interns will work with lawyers committed to ensuring that every child in Massachusetts had access to zealous legal representation, which incorporates a Positive Youth Development approach, in delinquency and youthful offender cases. Interns will assist lawyers and work closely with social workers to represent juveniles. YAD provides effective representation in court as well as educational advocacy and individualized referrals to community-based resources. This unit will provide interns with a wide range of opportunities, including, but not limited to, legal research and writing, arraignment and bail advocacy, pretrial investigations including visiting crime scenes, and locating and interviewing witnesses. Juvenile Appeals Unit Interns will assist Youth Advocacy Division Appellate attorneys who oversee a panel of skilled and zealous private lawyers representing clients in two distinct types of assignments: direct appeals and screenings. These assignments arise from delinquency, youthful offender and juvenile murder cases. We collaborate with the adult Private Counsel Criminal Post Conviction and Appeals Unit on "emerging adult" cases, where individuals were between the ages of 18 and 25 at the time the offense was committed. Interns will have the opportunity to do legal research and writing, policy discussions, and assist in developing and implementing trainings. Qualifications MINIMUM ENTRANCE REQUIREMENTS Interested candidates should have a demonstrated commitment to the principle of zealous advocacy, community-oriented defense, and the protection of fundamental constitutional and human rights. Candidates must also: * Have access to reliable transportation in order to travel to courts, clients, and investigation locations that are not easily accessible by public transportation; and, * Have access to a personal computer with home internet access sufficient to work remotely; APPLICATION INFORMATION Interested applicants should submit (1) Resume, (2) Personal Mission Statement (no more than two pages detailing your interest in the internship, your personal qualities and background, and what draws you to this work, and (3) Writing Sample (minimum of 10 pages). Applicants should specify preferred office locations for the Summer 2026 Internship Program. Applications received prior to January 10, 2026 will be given preference. INTERNSHIP FUNDING OPPORTUNITIES CPCS has a limited number of paid internship opportunities for Summer 2026. In order to be considered, applicants may complete the following application: ***************************************************************** For students who are not selected for a paid internship, CPCS can work with students to support the receipt of externship credit or outside funding. Responsibilities OVERVIEW OF REGIONS AND YAD OFFICE LOCATIONS SOUTHEAST REGION The Southeast Region is home to an ethnically, racially, and linguistically diverse population of immigrants dating back to the 19th century whaling industry. Brockton known as the "City of Champions" because it was home to former undefeated heavyweight boxing champion, Rocky Marciano, and middleweight boxing champion Marvin Hagler. Fall River was once the leading textile manufacturer center in the country and maintains the world's largest collection of World War II naval vessels at Battleship Cove. New Bedford is home to the Whaling National Historic Park. Hyannis is known as the gateway to esteemed Cape Cod and is home to the iconic Kennedy family compound. The area offers beautiful sand beaches, numerous state parks, and quaint towns with picturesque harbors. The Southeast Region of CPCS includes Youth Advocacy Division office locations in Hyannis and Fall River. NORTHEAST REGION The Northeast Region is filled with history. Lowell is known as the birthplace of the American Industrial Revolution and is known for its textile manufacturing with many of these historic manufacturing sites preserved by the National Park Service. During the Cambodian genocide, the city took in an influx of refugees, leading to Lowell having the second largest Cambodian-American population in the country. During the American Revolution, the citizenry of Malden were heavily involved in the early resistance of the oppression of Britain and was the first town to petition the colonial government to withdraw from the British Empire. Malden is five miles northwest of Boston and conveniently accessible from the Orange Line. Salem is one of the most significant seaports in early American history and it is well-known for its role as the location of the Salem Witch Trials. The Northeast Region of CPCS includes Youth Advocacy Division office locations in Lowell, Malden, and Salem. Juvenile Appeals Unit office location in Malden. WEST REGION The West Region has a diverse topography from the Berkshire Mountains to the banks of the Connecticut River. The region is home to 22 colleges/universities which is the 2nd highest concentration of higher learning institutions aside from the Boston Metropolitan area. The area has long been patronized by artists and is recognized for the Eric Carle Museum, Tanglewood, and Norman Rockwell Museum. The area is famous for all of its "first innovations" including basketball, volleyball, American gas-powered automobile, motorcycle company, commercial radio station, use of integrated parts in manufacturing, railroad sleep car, and the American dictionary. The city of Worcester became a center for the American Revolution that was recognized for his industry and as a result attracted many immigrants of European descent. The city of Springfield was designated by George Washington for an Armory that became the site of Shay's Rebellion and is now a national park and site to the world's largest collection of historic American firearms. The city played a pivotal role in the Civil War as a stop for the Underground Railroad. The West Region of CPCS includes Youth Advocacy Division office locations in Worcester and Springfield. CENTRAL REGION The Central Region is famous for its rich history. Boston is not only the capital of the Commonwealth but one of the oldest municipalities in the United States and the scene of several significant events in the American Revolution, such as the Boston Massacre, the Boston Tea Party, Battle of Bunker Hill, and the Siege of Boston. It was a port and manufacturing hub and a center of education and culture, as well as home to the first public park, public school, and subway system in the United States. The area is home to professional sports teams, including Boston Bruins, Boston Celtics, and the Boston Red Sox. Roxbury is known to serve as the "heart of black culture in Boston" and is home to an extremely diverse population. The city of Quincy is recognized as the "City of Presidents" as it was the birthplace of John Adams, and his son John Quincy Adams, as well as, John Hancock, who was president of the Continental Congress and first signor of the Declaration of Independence, and first and third governor of Massachusetts. This city was home to first commercial railroad in the United States and had a thriving granite industry. The Central Region of CPCS includes Youth Advocacy Division office locations in Roxbury and Quincy. EEO Statement The Committee for Public Counsel Services (CPCS) is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, ethnicity, sex, disability, religion, age, veteran or military status, genetic information, gender identity, or sexual orientation as required by Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Act of 1990, and other applicable federal and state statutes and organizational policies. Applicants who have questions about equal employment opportunity or who need reasonable accommodations can contact the Chief Human Resources Officer, Sandra DeBow-Huang at ************************
    $31k-39k yearly est. Auto-Apply 60d+ ago
  • Appeals Intake Specialist

    Reliant 4.0company rating

    Remote job

    Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client's needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative. As an Appeals Intake Specialist, you will play a critical role in resolving post-payment disputes related to Workers' Compensation bills. This includes conducting provider outreach, negotiating disputed charges, and ensuring compliance with state-specific regulations. Your work will directly support our cost containment efforts and ensure appropriate bill reimbursement for our clients. Primary Responsibilities Responsible for screening/returning all voicemails and answering questions Offer guidance to providers including sharing details on documents needed to process their appeal/reconsideration request If the situation appears to have issues escalating to the senior appeal specialist for direction Responsible for monitoring/managing the shared appeals inbox Locating the bill in question and assigning to the appropriate team member for handling Creation of appeal case in Salesforce or Claimsave Update the attorney referred cases spreadsheet based on received emails Bimonthly report updates shared with clients on cases referred to attorneys Responsible for updating claim platform with new status received from attorneys Work with senior appeal specialist on updates needed to the process SOP's Insures accurate and thorough documentation in claims platform for every email and voicemail. Demonstrates knowledge about workers' comp and Reliant processes Adheres to our department TAT, either individual claim based or organization wide Understands the support function of the job and assumes responsibility for assignments. Establishes and prioritizes job tasks, desired solutions to problems and develops a realistic plan for their accomplishment. Qualifications 1 -2 years of relevant experience in Workers' Compensation bills or appeals. Strong understanding of Workers' Compensation reimbursement methodologies, state regulations, and provider billing practices. Experienced communicator with providers and clients Ability to collaborate with a variety of individuals both internally and externally. Familiarity with claims processing systems and provider communications. Excellent communication and organizational skills. Requires organizational skills, communication proficiency, discretion, ethical conduct, decision making, technical skills Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role. Pay Transparency$50,000-$55,000 USDBenefits: Comprehensive medical, dental, vision, and life insurance coverage 401(k) retirement plan with employer match Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) Paid time off (PTO) and disability leave Employee Assistance Program (EAP) Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business-and our society-stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
    $50k-55k yearly Auto-Apply 27d ago
  • Freelance Script Writer

    Filmless

    Remote job

    We have an ambitious mission at Filmless: provide the fastest, easiest, and most affordable way for companies to get professional videos. As a rapidly growing company, we're searching for individuals as determined as us who are ready to step up, take ownership, and wear as many hats as needed to achieve the highest level of success. Check out our videos on our website before applying so that you know what kind of videos we create: ************************ Job Description We're looking for flexible, creative, and ambitious writers to create, edit and review video scripts. You must be able to generate great ideas and write scripts/treatments for a wide variety of client's products and services. This is a work from home job so you can work from any city, state, or country. Specifically, you should be able to: • Develop concepts, storyboards, and write script content for various types of videos (explainer, promo, and interview style videos) • Create the angle, content, and tone according to the needs of the client and the audience for each video • Collaborate with clients and team members Qualifications • 5+ years of experience in content and script writing that appeals to wide audiences • Well organized and detail oriented • Ability to manage multiple projects of varying complexities, meet deadlines, and work well under pressure • Must own a Mac or Windows based PC or laptop Additional Information All your information will be kept confidential according to EEO guidelines.
    $54k-90k yearly est. 8h ago
  • Contract Management Auditor

    CPSI 4.7company rating

    Remote job

    The Contract Management Auditor is Responsible for reviewing, analyzing and resolving discrepancies in claim payments as determined by TruBridge Contract Management software. The Contract Management Auditor works closely with team members and the client to ensure necessary and up to date contract information is provided and works with the TruBridge modeling team to confirm terms are modeled correctly. Essential Functions: Proactively researches and identifies claim reimbursement discrepancies and takes the necessary steps to resolve the issue and collect maximum reimbursement from payers for services provided. Reviews and interprets payer contracts and associated documentation to ensure accurate modeling and works with the Contract Management modeling team to ensure accurate calculations and communicate any known updates or changes needed. Works with payors and client payor representatives through verbal, online and/or written communication as required by specific payor appeal processes to correct and collect underpayments on claims as well as identifying overpayment refunds due from the client to payors as required. Manage Contract Management processes for multiple clients. Maintain tracking system and reporting on appeals and under payment recoupments. Other duties as required. Minimum Requirements: 3 Years of health care billing multiple payors. 1 Year of Health care Contract Management Auditing or Comparable Experience Above average knowledge of healthcare billing processes. High degree of self-motivation, strong organizational skills. Ability to positively collaborate and communicate with the team. Can work independently and has a high degree of critical thinking skills. Business Support
    $29k-51k yearly est. Auto-Apply 27d ago
  • HomeBase Administrative Program Manager

    Metro Housing Boston 3.9company rating

    Remote job

    HomeBASE Administrative Program Manager Exempt ORGANIZATION Metro Housing|Boston (formerly Metropolitan Boston Housing Partnership) is a leading nonprofit dedicated to connecting the residents of Greater Boston with safe, decent homes they can afford. Metro Housing empowers families and individuals to move along the continuum from homelessness to housing stability. Serving more than 25,000 households annually, we work seamlessly to bridge the gaps among government, nonprofits, and corporations to continually increase our impact. With more than 30 years of experience piloting and implementing housing programs, we have solidified our position as an industry-leading expert on navigating the affordable housing field. MISSION “We mobilize wide-ranging resources to provide innovative and personalized services that lead families and individuals to housing stability, economic security, and an improved quality of life.” OVERVIEW The Housing Base Administrative Program Manager is responsible for executing advanced administrative support services to the Homebase Administrative program, the shelter program, and the Department of Executive Office of Housing and Livable Communities. This is a hybrid position where you will work a minimum of two (2) days per week in the office at 1411 Tremont Street Boston, MA. Hybrid work schedule may change, and you will be notified by your supervisor. REPORTS TO: Director of Housing Supports RESPONSIBILITIES MAY INCLUDE Various program and department reporting monthly and as needed, per the department director. Organize and facilitate special projects assigned by the Director. Input data entry and monitor data entry into CMS, ETE, and ETO, Web data system. Primary point of contact for notifying the Director and resolving all payment and landlord issues for Homebase Admin. Work closely with the Director of Housing Supports and HomeBASE Stabilization managers on updates or changes to programming. Draft and design general correspondence, memos, forms, labels, etc. to track and improve customer service delivery. Assist the Director with Program Audits to meet timely deadlines. Participate in and contribute to monthly team meetings; Provide direct supervision to (2) FTE (Full Time Employee) under HB administration. Monitoring and overseeing the approval process for Homebase Intake Packets from EOHLC, EA shelter providers, and special contracts. Assisting The Director with Homebase Appeals, Grievances, and Terminations from the HB program. Responsible for timely data collection and program reporting to the Director and HLC. Ensuring that all new program staff have access and are trained appropriately on designated. software systems. ETE, SALESFORCE, SHARE POINT, and ETO. Informing HLC, Director, and MIS to remove staff removal of systems after departing from their HB position. Approving, processing, and managing all HB payments to appropriate vendors. Hiring, training, and managing staff necessary to successfully administer all components of HB programs. Other duties as assigned; by the Director. QUALIFICATIONS: Bachelor's degree with a minimum of 2 years of administrative experience, or 5 years of managerial experience (preferred). Ability to work in a high-volume, fast-paced environment. Strong organizational and project management skills. Excellent verbal and written communication skills, including grammar and professional correspondence. Strong customer service skills for both internal and external stakeholders. Ability to work both independently and collaboratively. Proficiency in Microsoft Office Suite (Word, Excel) and willingness to learn new systems. PREFERENCE GIVEN TO Candidates with multilingual skills (verbal and written). We are seeking candidates who speak and write English and at least one of the following languages (for interpreting and translation): Vietnamese, Cape Verdean Creole, Haitian Creole, Portuguese, Cantonese, Mandarin, Toisanese, and Spanish. Candidates who live within two miles of Metro Housing|Boston's headquarters at Roxbury Crossing. AN EQUAL OPPORTUNITY EMPLOYER
    $59k-74k yearly est. Auto-Apply 60d+ ago
  • Utilization Review Nurse- RN

    Virginpulse 4.1company rating

    Remote job

    Who We Are Ready to create a healthier world? We are ready for you! Personify Health is on a mission to simplify and personalize the health experience to improve health and reduce costs for companies and their people. At Personify Health, we believe in offering total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters. Together, we're shaping a healthier, more engaged future. Responsibilities Ready to Make Critical Decisions That Ensure Appropriate Patient Care? We're seeking a full time skilled RN who understands that utilization review is about ensuring patients receive the right care at the right time. As our Utilization Review Nurse, you'll use clinical expertise to assess medical necessity, support appropriate care transitions, and serve as an advocate for both quality care and cost-effective treatment options while working collaboratively with medical directors and care teams. What makes this role different ✓ Clinical decision-making: Your assessments directly impact patient care and treatment authorization decisions across multiple service lines ✓ Comprehensive scope: Review outpatient/ancillary pre-certifications, inpatient stays including mental health and substance abuse, skilled nursing, rehabilitation, and post-service reviews ✓ Care coordination focus: Work with hospital staff to ensure smooth patient transitions and optimal discharge planning to appropriate next-level care ✓ Professional autonomy: Make independent clinical judgments using MCG guidelines, internal medical policies, and NCCN while collaborating with medical directors What You'll Actually Do Assess medical necessity: Conduct professional reviews of treatment requests and plans for medical appropriateness using established clinical guidelines and evidence-based criteria. Coordinate care transitions: Partner with hospital staff to prepare patients for discharge while ensuring smooth transitions to appropriate next-level care arrangements. Navigate complex cases: Review outpatient pre-certifications, inpatient hospital stays including mental health and substance abuse treatments, skilled nursing, and rehabilitation requirements with clinical expertise. Ensure appropriate referrals: Work to top of RN license while ensuring proper referral to medical director for denial authorizations through independent review organizations (IRO). Support member wellness: Identify and refer appropriate cases to case management, wellness, chronic disease, and Nurturing Together programs while maintaining thorough documentation. Process appeals: Handle appeals for non-certification of services and complete non-certification letters when appropriate while reviewing plan documents for benefit determinations. Maintain compliance excellence: Meet productivity, quality, and turnaround time requirements while maintaining HIPAA compliance and passing external URAC and NCQA audits. Utilize clinical guidelines: Apply guidelines in appropriate hierarchy including MCG guidelines, internal medical policies, group-specific policies, and NCCN for consistent decision-making. Qualifications What You Bring to Our Mission The clinical foundation: Current RN license in United States or U.S. territory Associate's degree or diploma (Nursing program) required 1+ year clinical experience required The professional competencies: Ability to meet productivity, quality, and turnaround time requirements daily Capability to pass external audits including URAC and NCQA Commitment to maintaining HIPAA compliance per company policies and procedures Ability to complete and pass all annual testing including IRRA at 90% or higher Willingness to cross-train and provide cross-coverage as needed The clinical expertise: Strong clinical judgment for assessing medical necessity across multiple service lines Knowledge of MCG guidelines, internal medical policies, and clinical decision-making tools Ability to review plan documents and attempt to redirect providers and patients to PPO providers when beneficial Proficiency with documentation software and electronic health systems The professional qualities: Excellent communication skills with ability to explain complex medical information clearly Independent judgment combined with collaborative team approach Commitment to maintaining confidentiality and minimum requirement rules Ability to complete all required yearly training per company's expected time period Comfort navigating fast-paced, high-volume review environment while maintaining quality standards Why You'll Love It Here We believe in total rewards that actually matter-not just competitive packages, but benefits that support how you want to live and work. Your wellbeing comes first: Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!) Mental health support and wellness programs designed by experts who get it Flexible work arrangements that fit your life, not the other way around Financial security that makes sense: Retirement planning support to help you build real wealth for the future Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage Growth without limits: Professional development opportunities and clear career progression paths Mentorship from industry leaders who want to see you succeed Learning budget to invest in skills that matter to your future A culture that energizes: People Matter: Inclusive community where every voice matters and diverse perspectives drive innovation One Team One Dream: Collaborative environment where we celebrate wins together and support each other through challenges We Deliver: Mission-driven work that creates real impact on people's health and wellbeing, with clear accountability for results Grow Forward: Continuous learning mindset with team events, recognition programs, and celebrations that make work genuinely enjoyable The practical stuff: Competitive base salary that rewards your success PTO policy because rest and recharge time is non-negotiable Benefits effective day one-because you shouldn't have to wait to be taken care of Ready to create a healthier world while building the career you want? We're ready for you. No candidate will meet every single qualification listed. If your experience looks different but you think you can bring value to this role, we'd love to learn more about you. Personify Health is an equal opportunity organization and is committed to diversity, inclusion, equity, and social justice. In compliance with all states and cities that require transparency of pay, the base compensation for this position ranges from $30 to $38 per hour. Note that compensation may vary based on location, skills, and experience. This position is eligible for benefits. We strive to cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive. Personify Health is committed to driving Diversity, Equity, Inclusion and Belonging (DEIB) for all stakeholders: employees (at each organization level), members, clients and the communities in which we operate. Diversity is core to who we are and critical to our work in health and wellbeing. #WeAreHiring #PersonifyHealth Beware of Hiring Scams: Personify Health will never ask for payment or sensitive personal information such as social security numbers during the hiring process. All official communication will come from a verified company email address. If you receive suspicious requests or communications, please report them to **************************. All of our legitimate openings can be found on the Personify Health Career Site.
    $30-38 hourly Auto-Apply 7d ago
  • Refund Dispute Specialist

    Brightspring Health Services

    Remote job

    Our Company Amerita Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals. The Refund/Dispute Specialist is responsible for processing incoming payer refund requests by researching to determine whether the refund is appropriate or a payer dispute is warranted in accordance with applicable state/federal regulations and company policies. The Refund/Dispute Specialist works closely with other staff to identify, resolve, and share information regarding payer trends and provider updates. The employee must have the ability to prioritize, problem solve, and multitask. This is a Remote opportunity. Applicants can reside anywhere within the Continental USA. Schedule: Monday-Friday, 7:00AM to 3:30PM Mountain Time We Offer: • Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts • Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance • 401(k) Retirement Plan with Employer Match • Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability • Employee Discounts • Tuition Reimbursement • Paid Time Off & Holidays Responsibilities Reverses or completes necessary adjustments within approved range. Ensures daily accomplishments by working towards individual and company goals for cash collections, credit balances, medical records, correspondence, appeals/disputes, accounts receivable over 90 days, and other departmental goals Understands and adheres to all applicable state/federal regulations and company policies Understands insurance contracts in terms of medical policies, payments, patient financial responsibility, credit balances, and refunds Verifies dispensed medication, supplies, and professional services are billed in accordance to the payer contract. Validates accuracy of reimbursement and the appropriate deductible and cost share amounts billed to the patient per the payer remittance advice. Reviews remittance advices, payments, adjustments, insurance contracts/fee schedules, insurance eligibility and verification, assignment of benefits, payer medical policies and FDA dosing guidelines to determine if a refund or dispute is needed. Completes payer/patient refunds as needed and validates receipt of previously submitted refunds/disputes. Creates payer dispute letters utilizing Amerita's standard dispute templates and gathers all supporting documentation to substantiate the dispute. Submits disputes to payers utilizing the most efficient resources, giving priority to electronic solutions such as payer portals. Scans and attaches disputes to patient's electronic medical record in CPR+. Works closely with intake, patients, and payers to settle coordination of benefit issues. Communicates new insurance information to intake for insurance verification and authorization needs. Submits credit rebill requests as needed to the billing department or coordinates patient-initiated billing efforts to insurance companies. Initiates and coordinates move and cash research requests with the cash applications department. Utilizes approved credit categorization criteria and note templates to ensure accurate documentation in CPR+ Works within established departmental goals and performance/productivity metrics Identifies and communicates issues and trends to management Qualifications High School diploma/GED or equivalent required; some college a plus A minimum of one to two (1-2) years of experience in revenue cycle management with a working knowledge of Managed Care, Commercial, Government, Medicare, and Medicaid reimbursement Working knowledge of automated billing systems; experience with CPR+ and Waystar a plus Working knowledge and application of metric measurements, basic accounting practices, ICD 9/10, CPT, HCPCS coding, and medical terminology Solid Microsoft Office skills with the ability to type 40+ WPM Strong verbal and written communication skills with the ability to independently obtain and interpret information Strong attention to detail and ability to be flexible and adapt to workflow volumes Knowledge of federal and state regulations as it pertains to revenue cycle management a plus Flexible schedule with the ability to work evenings, weekends, and holidays as needed About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit ****************** Follow us on Facebook, LinkedIn, and X. Salary Range USD $18.00 - $20.00 / Hour
    $18-20 hourly Auto-Apply 9d ago
  • Clinical Insights Manager, Revenue Cycle Manager (US, Remote)

    Eleos Health

    Remote job

    Who is Eleos Health? Today, more people than ever are speaking publicly about their mental health. Whether it's ourselves, our friends and family or even public figures, taking care of your behavioral health is no longer a taboo, it's vital, and it's only human. Eleos is on a mission to help deliver the world's most effective behavioral care through data, measurement, and personalization. Or simply put, we want to give clinicians the support they need to do the important work only they can do. The Opportunity We're launching an initiative to identify and validate product opportunities that meaningfully impact the revenue cycle for community mental health and SUD organizations. This role will map where breakdowns begin (front-end) and end (back-end), size the market, and translate insight into concrete product bets-partnering closely with Documentation and Compliance where RCM risk intersects with documentation quality and medical-necessity evidence. What You'll Do Scan the market & size opportunities. Build industry maps and evidence-backed cases (problem, who cares, TAM, adoption risks) for the top revenue-cycle opportunities Eleos can influence. Map end-to-end workflows. Diagram front-end through back-end RCM (referral & intake → eligibility & prior auth → service delivery & documentation → coding/charge capture → claims, remits, denials & appeals). Identify failure modes and quantify impact (rework, denials, write-offs). Translate clinical & compliance signals into product. Collaborate to translate the impact of billing/RCM requirements and pain points to clinical and operational processes and workflows. Model cross-silo + cross-payer variability. Build a view across clinical, QA/CQI, finance, contracting, billing, and IT to surface where processes break-and create state/payer playbooks that reflect program rules and Medicaid/managed-care differences (e.g., documentation elements tied to denials, authorization nuances, submission timing). Run experiments. Define leading indicators; pilot targeted checks or suggestions and measure lift. Synthesize and tell the story. Lead interviews with RCM, clinical, and quality leaders; turn payer/denial patterns and provider pain points into crisp problem statements. What You'll Bring (Required) Community mental health/SUD + Medicaid/managed care expertise. Direct, hands-on experience working in community mental health and SUD programs and operating within Medicaid/managed-care environments-grounded understanding of how program rules and documentation quality affect denials, rework, and revenue integrity. Depth & breadth in RCM. ~8+ years across front-end and back-end revenue cycle in behavioral health or adjacent ambulatory settings; proven ability to connect workflow breakdowns to measurable outcomes. Clinical & compliance literacy. Ability to translate financial and reimbursement optimization opportunities into product decisions. Product sense + analytical rigor. Comfortable with opportunity sizing, experiment design, and interpreting operational/claims trends to recommend focused bets. Trusted communicator. Warm, clear, and approachable; you help teams align without jargon or drama-consistent with Eleos' voice. Enterprise, cross-silo thinking. Demonstrated ability to see across organizational silos-clinical operations, QA/CQI, compliance, finance, contracting, HIM/coding, billing, and IT-and align people and processes toward clear product decisions. Multi-state/payer product judgment. Experience assessing variability across organizations, states, and payers (e.g., Medicaid rules, MCO contracts, accreditation expectations) and translating those differences into scalable product rules, guidance, and experiments. EHR experience. Working knowledge of back-end EHR configurations and their impact to RCM workflows. Leadership experience. Proven experience as a director and/or managing entire operations and the revenue cycle end-to-end. Nice to Have Experience leading cross-functional initiatives that link documentation quality to denial prevention. This is a unique opportunity to join a startup that has a meaningful impact on thousands' well-being and mental health. We have A product that positively impacts people's lives every single day. A team of amazing people with a shared vision and the infinite drive to make it happen The base pay range for this position is $130,000-190,000 per year. The determination of what a specific employee in this job classification is paid depends on several factors, including, but not limited to, prior employment history/job-related knowledge, qualifications and skills, length of service, and geographic location. In addition to your compensation, we offer wide and generous health benefits, significant equity and 401(k) plans matched to 4% Flexible PTO + Additional mental health days off you can take any given moment simply because you need them. Fully remote work environment Opportunity to build, grow, and become highly instrumental in shaping how technology can increase the effectiveness of therapy.
    $130k-190k yearly Auto-Apply 16d ago
  • Coding Policy Analyst *Remote*

    Providence Health & Services 4.2company rating

    Remote job

    Coding Policy Analyst _Remote_ The Coding Policy Analyst is responsible for the coordination of technically detailed work that has a significant impact on all operations and information systems within Providence Health Plan (PHP). This position will update and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing appropriate CPT, CMS, specialty society, Coding Policy, and/or other official documented rationale for Coding Policy edits. The analyst is responsible for monitoring changes to codes, coding guidelines and regulations, and coding edits from external agencies such as AMA, CMS, Medicaid, and specialty societies, and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive knowledge of AMA and CMS coding guidelines, policies, and regulations. This person will serve as a coding subject matter expert to other departments within PHP for questions about CPT, HCPCS, and ICD-10 codes, as well as coding guidelines and regulations. The analyst will work closely with the Benefits Management Team and Regulatory Department to ensure coding edits are applied in a manner consistent with member benefits and all state and federal insurance regulations. Providence Health Plan 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 Health Plan welcomes 100% remote work for applicants who reside in the following states:_ + Washington + Oregon + California Required Qualifications: + Coding certification through AAPC (CPC) or AHIMA (CCS) upon hire. + 5 years of experience directly related to CPT coding from chart extraction with a health care provider, a health insurance company, or a capitated managed care company. + 5 years of excellent writing and grammar skills required. + 5 years of demonstrated experience in detailed coding applications, as well as Microsoft Office capabilities, such as Excel, Word, and Access. Preferred Qualifications: + Bachelor's Degree or experience in a Healthcare or Health Plan setting coding and auditing will also be considered. + 2 years of experience with Facets Claims Adjudication system and/or Optum CES editing software. Salary Range by Location: California: Humboldt: Min: $33.05, Max: $51.30 California: All Northern California - Except Humboldt: Min: $37.08, Max: $57.56 California: All Southern California - Except Bakersfield: Min: $33.05, Max: $51.30 California: Bakersfield: Min: $31.71, Max: $49.22 Oregon: Non-Portland Service Area: Min: $29.56, Max: $45.88 Oregon: Portland Service Area: Min: $31.71, Max: $49.22 Washington: Western - Except Tukwila: Min: $33.05, Max: $51.30 Washington: Southwest - Olympia, Centralia & Below: Min: $31.71, Max: $49.22 Washington: Tukwila: Min: $33.05, Max: $51.30 Washington: Eastern: Min: $28.21, Max: $43.80 Washington: South Eastern: Min: $29.56, Max: $45.88 Why Join Providence Health Plan? 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: 403553 Company: Providence Jobs Job Category: Coding Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 5018 HCS MEDICAL MANAGEMENT OR REGION Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay Range: $31.71 - $49.22 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.
    $31.7-49.2 hourly Auto-Apply 11d ago
  • Legal Secretary - Commercial Direct Placement - Greenburg Traurig

    Contact Government Services, LLC

    Remote job

    Legal Support Specialist (Legal Secretary) Employment Type: Full-Time, Experienced - Employer will be Greenburg Traurig Department: Legal Services CGS is seeking an experienced Legal Secretary to provide high-level administrative, clerical, and legal support for Greenburg Traurig, a large global law firm. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Handles scheduling and travel arrangements. Schedules court appearances, depositions, arbitrations, mediations, client meetings and conference calls; arranges business itineraries and coordinates lawyers' travel arrangements; processes travel reimbursement, maintains calendar and due dates for lawyers as required- Sorts, reads and annotates incoming mail and documents as required. Answers phones and directs callers to appropriate persons as circumstances warrant- Types and composes general correspondence, memos, legal documents, faxes, reports, etc. from various sources. Responsible for accuracy and clarity of final copy. Ensures that all correspondence or other documentation is dispatched in a timely manner (via mail, messenger, express delivery services, etc. )- Prepares draft documents such as briefs, complaints, motions, subpoenas, summonses, using firm templates and information from attorneys. Prepares motion binders and special working binders- Coordinates multi-document filings in Federal, Circuit and State courts, including E-filings- Establishes and maintains filing and records, in both hard copy and electronic formats. - Enters lawyers' time as needed and sends to accounting by month-end deadlines. Prepares client billing as required- Oversees and conducts document reviews; prepares documentation regarding criteria changes; tracks and reports on review progress and results- Performs analytical tasks, including preparing witness interview memoranda, reviewing and summarizing documents and deposition and court transcripts and creating and using substantive coding tools- Performs and oversees both simple and complex cite checking and proof reading of briefs and other legal documents- Assists with trial preparation, including creating trial notebooks, identifying and organizing exhibits, coordinating witness schedules, maintaining trial calendars and communicating effectively with opposing counsel and courtroom staff- Assists with printing, scanning, organizing exhibit binders, preparing UPS labels and certified letters- Assists with other department activities as needed, and performs additional duties and responsibilities as assigned Skills & Competencies:- Proficiency with rules for court document filings- Comprehension of a variety of legal court documents, including complaints, answers, rulings, judgments, affidavits, motions, appeals, table of contents/authorities, subpoenas, court dockets, reports, memos and correspondence- Strong ability to maintain high standards, use good judgment and seek out ways to contribute and anticipate needs- Strong attention to detail, organizational skills and ability to manage time effectively- Excellent interpersonal skills, communication skills and the ability to collaborate well in a team- Position also requires the ability to work under pressure to meet strict deadlines Qualifications:- Bachelor's Degree or equivalent experience preferred- Minimum 10 years of experience in a law firm as a Litigation legal secretary/assistant- Computer proficiency in Microsoft Office Suite applications including Word, PowerPoint, Excel and Outlook, as well as document management and other office technologies, expertise in e-filing- Exceptional computer skills with the ability to learn new software applications quickly Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:******************* com/join-our-team/ For more information about CGS please visit: ************ cgsfederal. com or contact:Email: info@cgsfederal. com #CJ
    $34k-50k yearly est. Auto-Apply 60d+ ago
  • Development Manager

    After-School All-Stars 3.9company rating

    Remote job

    Full-time Description ORGANIZATION BACKGROUND: Founded in 1992, After-School All-Stars is a national non-profit organization which provides free, daily afterschool programs to more than 150,000 children in need at 728 school and community sites in 18 chapters across the U.S. Our goals for our All-Stars are the same we have for our own children: to be healthy and active, to graduate high school and go on to college, to find a job that they love and to give back to their communities. We achieve this by identifying and fueling our students' individual passions, tying their interests to tailored academic support, enrichment and health and fitness programming. A UNIQUE OPPORTUNITY: The Development Manager position on the ASAS National Development team is an ideal opportunity for candidates who thrive in fast-paced, mission-driven organizations. This position will work closely with the Executive Vice President of Development and will perform key functions on the Development team including helping build and maintain a robust pipeline of funding opportunities, executing appeals/campaigns, and providing support with fundraising events. The successful candidate will enjoy research, writing, learning, and managing multiple, concurrent projects. Requirements RESPONSIBILITIES: Prospect Research, Outreach, & Grant Writing · Research corporate and foundation prospects aligned to ASAS' mission to help maintain and grow a pipeline of viable funding opportunities. · Review prospects with EVP of Development on a weekly basis. · Ensure all funder data in Raiser's Edge is complete and accurate. · Conduct initial outreach to new prospects and schedule introduction meetings for EVP of Development. · Prepare briefing memos, PowerPoint decks, and extensive research for introductory funder meetings. · Proactively assist with follow-up after funder meetings, entering all notes and action items in Raiser's Edge · Assist with proposal development and submission as needed. Appeal Campaign Management · Manage all logistics for spring and winter appeal campaigns, including project management of recipient mailing lists, content development and design, interfacing with printing vendors, postage and mailing. · Track data related to each campaign, ensuring that all donors receive appropriate communications. · Interface with marketing and programs departments to build and execute successful campaigns. Support with Fundraising Events · Assist with planning and execution of large annual fundraising event each fall. · Manage logistics and details of additional fundraising events throughout the year. · Travel throughout Los Angeles in preparation for and follow-up after events as needed to ensure events are planned and executed with the highest degree of professionalism and customer service. · Coordinate logistics and manage detailed planning for multiple fundraising events throughout the year, ensuring seamless execution and professional presentation. · Conduct in-person outreach across Los Angeles before and after events to maintain relationships, oversee preparations, and follow up with stakeholders to ensure exceptional service delivery. Development Operations · Lead development of department newsletter and dissemination to all staff. · Lead development of department pre-send materials for board meetings. · Support planning and implementation of annual department retreat. · Send agendas for weekly team meetings. · Manage calendar for EVP of Development and department convenings as needed. · Other duties as assigned. WHO SHOULD APPLY? The successful candidate is a detail-oriented and proactive professional who is passionate about advancing educational opportunities and youth development. The ideal candidate will bring strong research and writing capabilities, excellent project management skills, and the ability to build meaningful relationships with funders and stakeholders. This role requires someone who can balance multiple priorities while maintaining high standards of quality and professionalism. If you are energized by mission-driven work and want to play a key role in securing resources that directly impact the lives of students in underserved communities, we encourage you to apply. · 2+ years of fundraising, project management, or other relevant experience · Exceptionally detail-oriented · Demonstrated excellent writing skills (writing samples required) · Experience managing data in a CRM (Raiser's Edge preferred) · Outstanding research skills · Outstanding interpersonal and communication skills · Excellent organizational skills, and a high degree of flexibility and initiative · Resourcefulness and ability to work autonomously, multi-task, and manage deadlines · Excellent ability to work collaboratively on a team and across departments · Passionate about and committed to ASAS' mission · Bachelor's degree required SALARY AND BENEFITS: This is a full-time, exempt position with a starting salary of $69,000-$75,000 per year, commensurate with the qualifications and experience of the individual candidate. This position is based in Los Angeles and requires an in-office presence of four days a week, Monday-Thursday with an option to work remotely on Fridays for a minimum of 40 hours a week with additional hours as needed throughout the year. ASAS promotes a healthy work/life blend and offers a competitive benefits package, including but not limited to: · 99% coverage of Medical plan, with two tier options · 99% coverage of Dental plan, with two tier options · 99% coverage of Vision plan · Employee Assistance Program · Short-term and long-term disability options · Life insurance · Optional employee critical illness plan coverage · 403 (b) plan, with employer match · Substantial paid time off in the first 3 years with a progressive increase in years 4-5, and then again once you have been employed for over 5 years. · Up to 25 paid holidays a year · Discounted ticket program ASAS is an equal opportunity employer and candidates of diverse backgrounds are encouraged to apply. HOW TO APPLY: Please submit a resume and thoughtful cover letter in PDF format via e-mail to: ************************************ Please put "Development Manager" and your last name in the subject heading. LEARN MORE ABOUT AFTER SCHOOL ALL-STARS: To learn more about ASAS, please visit our website: *************************** Salary Description $69,000-$75,000 per year
    $69k-75k yearly Easy Apply 60d+ ago

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