Emergency Room - ER RN - Travel Nurse
Travel Nurse Across America
Columbus, OH
We're looking for Emergency Room RNs for an immediate travel nurse opening in Columbus, OH. The right RN should have 1-2 years recent acute care experience. Read below for more requirements. As an ER Travel Nurse, you will work with a diverse team of caregivers to appropriately evaluate, triage and implement care using correct procedures and physician instructions. RNs should have experience and skill caring for patients in a fast-paced, urgent and emergency environment. Emergency Room RNs will perform minor medical operations, advise patients and family on illnesses or injuries, and plan long-term care needs. Other responsibilities as an ER Travel Nurse include documenting medical history, checking for any allergies patients might have, obtaining patient vital signs, and monitoring patients' emotional and physical well-being. As an ER Travel Nurse, you should be prepared to perform the following tasks: Provide basic bedside care. Clean and bandage wounds. Provide IV therapy. Maintain supplies and medical equipment. Report suspected abuse to appropriate agencies. ER Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, Emergency Room RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds. Requirements*: ACLS, BLS, NIH, PALS, 2 Years * Additional certifications may be required before beginning an assignment.$72k-138k yearly est. 2d agoOnsite Medicaid Eligibility Representative
The Revenue Group
Columbus, OH
Pay Rate: $17.50/hr. based on experience, plus monthly bonus ($0- 300) after 90 days. Hours: Monday - Friday 9:30am-6:00pm Who is Hospital Referral Services? No one wakes up in the morning and says, "Today I want to go to the hospital". We are here to help when the unexpected happens. Hospital Referral Services on-sites screen and help patients bedside to see what assistance programs the uninsured or underinsured may be eligible to receive. HRS's team of experts helps guide patients through the Medicaid process so the patient can focus on recovery. Hospital Referral Services has an opening for an Onsite Medicaid Screening Representative. We are looking for a self-motivated professional to add to our growing team. If helping people is something you enjoy, this may be the right job for you. Our employees voted us Top Workplaces 4 years in a row! The Onsite Medicaid Eligibility Representative will be responsible for: Review the hospital work queue or census to identify uninsured patients that are admitted to the Emergency Room. Screen/Interview patients bedside in hospital setting to determine possible eligibility for any assistance programs available including Medicaid and charities. High volume of walking and standing. (70% - 80% of your shift) The Onsite Medicaid Screening Representative will complete applications for Medicaid benefits and charity programs as needed. Maintain a positive working relationship with co-workers, hospital staff, and patients. Abide by HIPAA rules and regulations to protect patients privacy. The Onsite Medicaid Screening Representative will meet production goals and objectives as assigned by hospital and management on a monthly basis. Maintain confidentiality of account information at all times. PM21 Requirements: Requirements for the Onsite Medicaid Screening Representative: Previous customer service experience preferred. Must have basic computer skills. Must be able to multitask and type minimum 40 WPM Must have reliable transportation. Good attendance and dependability are essential. Successful completion of drug and background test is required. Annual Flu shots and TB testing is required The Onsite Medicaid Screening Representative must have availability to work some holidays. Please apply at: revenuegroup.com/careers EEO Statement: We are an Equal Employment Employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state/province, or local laws. PM21 Compensation details: 17.5-17.5 Hourly Wage PI4f89d8df97db-31181-39155499$17.5 hourly 7d agoProduct Operations Manager (Remote)
Tembo Health
Remote job
About the Company Tembo Health offers services and technology designed to make managing dementia and senior health easier. Despite accounting for less than 9% of the Medicare population, dementia seniors account for more than double of plan costs, inpatient hospitalizations, and emergency room visits. Meanwhile, 55% of PCPs report that there are not enough dementia specialists in their communities to meet senior demand and 50% of PCPs report that they do not feel adequately prepared to provide on-going care for individuals with dementia. Our dementia care management solution allows for patients, caregivers, primary care physicians, and health plans to handle the complexities and burdens of dementia care while also reducing medical spend for this population. We're venture backed, with funding from big tech investors like Bloomberg Beta, B Capital, Resolute, AARP and led by a cadre of entrepreneurs who have built and scaled unicorn tech companies (e.g., Flatiron, Oscar, Imagen). Our team includes startup veterans, physicians, and more. We're here to make a big, meaningful impact on healthcare and have fun while we're at it. We're looking for smart, mission-driven, goal-oriented team members who are creative problem solvers and big dreamers. If that sounds like you, let's talk! Our Values and Culture At Tembo, we're on a big mission: improve health outcomes for seniors. To make this mission a reality, we value several things in how we work: Patients First. We're here to make the lives of patients better and every activity has this in mind. Great Ideas. It doesn't matter whose idea it is, if it's a great idea, let's do it! Get Stuff Done. Ideas are nothing without implementation. So go ahead and try things, break stuff, learn and improve. In line with our values, we look for people who are Customer-Focused. You are able to identify and work towards what customers want and need. You see customer satisfaction as tantamount to success. Smart and Curios / Solution Oriented. You're constantly learning and applying your knowledge to find innovative solutions. You love sharing your ideas and workshopping ideas to get to great answers. You're excited by the prospect of iterating on products and processes to make them better over time. Efficient + Effect / Good at Time Management. You know what it takes to accomplish your goal and aren't afraid to put in the work. More importantly, you know how to ruthlessly prioritize and focus on the important activities. Our team features a wide breadth of experience in various industries and functions. This means we're bringing different ideas to the table that yield lively discussions and creative solutions that couldn't happen with industry experts alone. About the Role We are seeking a product operations to grow our product and service offerings as well as build the operations to support those offerings. Reporting to the VP of Clinical Operations, your focus as an individual contributor will be to work collaboratively and cross-functionally to build effective products and services, and their respective supporting operations, to support our vision of making dementia care easier for America's seniors. We will be leaning on you to help define what we build and how best to operationalize the processes to deliver those products and services. Therefore, you'll drive value for Tembo and its customers through effective & impact-oriented decisions for our products and operations. You will collaborate on policies, processes, and workflows to provide efficient and consistent care. Responsibilities Own the product lifecycle. You will be responsible for the development, roll out, and maintenance of our product and service lines. You will help define and prioritize requirements for new product and service lines. We'll be relying on you to provide timelines, manage key deliverables, and ensure our products achieve our desired outcomes. From end-to-end, you'll have to think of how to build and support these products throughout the product lifecycle and customer journey, including training, support, and monitoring what you own. Manage operations of our products. You will have to think about and build the processes and workflows so that your product will be successful. This may include coordinating and executing aspects of patient care as well as ensuring that clinicians are providing quality, evidence-based care through your product. This role will also continually iterate on these processes to remain effective as we grow, scale, and pivot to achieve our business and clinical objectives. Drive process improvement. We will lean on you as part of the clinical operations team to think about how we can grow and scale what we do from a clinical perspective. You will have the opportunity to identify how to improve our clinical workflows and supporting operations. Work with different stakeholders to build the processes and workflows to make our services and team be successful. Partner with teams and customers. You'll work with stakeholders and subject matter experts to execute on your responsibilities and build products and services that effectively help the patient and enable clinicians to do their work. Your role will require aligning everyone to your strategy and ensure transparency in its progress. These stakeholders include engineering, customer success, sales, and our clinical team, all of which will require leading thoughtful discussions, guiding strategic prioritization, driving accountability, and improving cross-functional collaboration. Represent the voice of the customer. We want you to be the voice of internal and external customers. To effectively prioritize what and how we build, you'll research and synthesize feedback and learnings to ensure we meet our customers' and patients' needs as well as develop the metrics and tools to track if we are successful in meeting those needs. Community outreach. In order to create awareness to our partnering communities, you will conduct friendly outreach calls to PCP's. Here, you will briefly describe our goals and purpose in these communities while also ensuring that we are not competing for the role of the patient's PCP. You will communicate how we can work synergistically to improve the health and lives of residents. Travel Requirements We expect this role to potentially have up to 20% of travel for user research and stakeholder engagement at our customer communities. Salary Range $90,000 to $120,000 About YouRequirements You'll be a fit for this role if you: Have a bachelor's degree, or commensurate military/work experience 3+ years of operational/leadership experience driving efficiency and effectiveness Have an entrepreneurial, results-driven mindset that can flex between strategy and execution Effectively identify what's important and prioritize competing workstreams in an ambiguous environment Work cross-functionally to drive alignment and action across a number of stakeholders Love solving challenges and problems while striving for continuous improvement and making things efficient Bonus Qualifications Have experience in a healthcare setting or company, especially with a senior population Advanced degree or commensurate experience (e.g., MBA, MPH, Informatics, Product) Located in the New York City, Boston, or California area$90k-120k yearly 60d+ agoCase Manager After Hours
Care Navigators On Demand
Remote job
The After Hours Triage Nurse performs triage functions by providing support and guidance, linking members and their families to healthcare services that meet their needs and serving as a communication bridge amongst and between members, families and the care team. Coordinates resources into a seamless model of access, care and support. Responds to and coordinate service request for transfers, request for admissions, ancillary service request, and facilitate discharges to lower levels of care. Demonstrates self\-direction in establishing priorities and working with little supervision. Maintains high level of precision in judgment, accuracy of assessment, and skill in problem solving under stress. Relates and communicates well over the telephone to all callers. Qualifications California Registered Nurse Experience Minimum 3 years of clinical experience in a medical\-surgical or other specialty 1 - 2 years Inpatient Case Management experience. Managed care experience preferred Emergency department triage experience preferred (walk\-in or telephone) High levels of experience or expertise in: Crisis intervention Teaching\/coaching Disease management Bilingual language skills a plus MUST be a CALIFORNIA resident This is a Part\-Time position. Must be able to work two 12 hour shifts every other weekend and one 12hr shift during the week. Shifts during the week are from 4pm\-4am and shifts on the weekend are from 8am\-9pm or 8pm\-9am. This is a remote position (work from home). Will also need to be readily available to train on site 4\-6 weeks Mon \- Fri 8am\-5pm and to attend meetings in Northridge. Position will transition to part\-time once trained. Job Type: Part\-time Required experience: In\-Patient: 1 year Emergency Room: 1 year Clinical: 3 years Required license or certification: Registered Nurse (RN) "}}],"is Mobile":false,"iframe":"true","job Type":"Full time","apply Name":"Apply Now","zsoid":"59877574","FontFamily":"PuviRegular","job OtherDetails":[{"field Label":"City","uitype":1,"value":"Granada Hills"},{"field Label":"State\/Province","uitype":1,"value":"California"}],"header Name":"Case Manager After Hours","widget Id":"**********00072311","is JobBoard":"false","user Id":"**********02463003","attach Arr":[],"custom Template":"5","is CandidateLoginEnabled":false,"job Id":"**********00309194","FontSize":"15","location":"Granada Hills","embedsource":"CareerSite","indeed CallBackUrl":"https:\/\/recruit.zoho.com\/recruit\/JBApplyAuth.do"}$35k-52k yearly est. 60d+ agoClaims Auditor- Remote
American Health Partners
Remote job
American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Louisiana, Iowa, and Idaho with planned expansion into other states in 2024. For more information, visit AmHealthPlans.com. If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! Benefits and Perks include: * Affordable Medical/Dental/Vision insurance options * Generous paid time-off program and paid holidays for full time staff * TeleMedicine 24/7/365 access to doctors * Optional short- and long-term disability plans * Employee Assistance Plan (EAP) * 401K retirement accounts * Employee Referral Bonus Program ESSENTIAL JOB DUTIES: To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. * Conduct pre-pay and post-pay audits to ensure accurate claims payments and denials * Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of claims processing standards * Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment * Work assigned claim projects to completion * Provide a high level of customer service to internal and external customers; achieve quality and productivity goals * Escalate appropriate claims/audit issues to management as required; follow departmental/organizational policies and procedures * Maintain production and quality standards as established by management * Participate in and support ad-hoc audits as needed * Other duties as assigned JOB REQUIREMENTS: * Proficient in processing/auditing claims for Medicare and Medicaid plans * Strong knowledge of CMS requirements regarding claims processing, especially regarding skilled nursing facilities and other complex claim processing rules and regulations * Current experience with both Institutional and Professional claim payments * Knowledge of automated claims processing systems * Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office. REQUIRED QUALIFICATIONS: * Experience: * Two (2) years' experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system * Two (2) years' experience in managed healthcare environment related to claims processing/audit * Two (2) years' experience with standard coding and reference materials used in a claim setting, such as CPT4, ICD10 and HCPCS * Two (2) years' experience with CMS requirements regarding claims processing; especially Skilled Nursing Facility and other complex claim processing rules and regulations * Two (2) years' experience processing/auditing claims for Medicare and Medicaid plans * License/Certification(s): * Coding certification preferred EQUAL OPPORTUNITY EMPLOYER Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. This employer participates in E-Verify.$43k-53k yearly est. 3d agoExecutive Assistant
Cottonwood Springs
Remote job
Schedule: Full Time Weekdays. Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a Senior Executive Assistant on the team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier . More about our team Sovah Health is a regional health care delivery system with 2 hospital campuses - Danville and Martinsville. Each facility has a 24/7 Emergency Room, Outpatient Imaging Center, and over 20 primary and specialty care physician clinics. Our Danville location is also a teaching hospital that trains medical students and physician residents specializing in family and internal medicine. The Senior Administrative Assistant provides administrative support to hospital administration, to include scheduling, meeting coordination, event planning, and a variety of duties as assigned. How you'll contribute A Senior Executive Assistant who excels in this role: Manages preparations for senior management and department director meetings, records minutes as needed. Maintains calendars and schedules meetings for board of trustees, town halls, and others as assigned. Plans and completes special projects and assignments by the CEO, organizes Board and Leadership group social events, retreats, as well as other requested activities. Prepares Administrative Call Schedule; complete applications for Hospital License, AHA annual survey, VHHA annual survey and any other documentation necessary for continued operations of the facility. Maintains and coordinates contract files for all entities and serves as administrator for contract collaborator systems. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: · Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more. · Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. · Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. · Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). · Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Applicants should have a high school diploma or equivalent. Associate Degree in Administrative Support, Office Management, or related experience preferred 3+ years of administrative experience required. Must have excellent oral and written communication skills, with experience using Microsoft Office, Excel, Word, PowerPoint, Outlook, and TEAMS. EEOC Statement Sovah Health - Danville is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.$42k-60k yearly est. Auto-Apply 44d agoClient Success Manager
Mpowerhealth
Remote job
HaloMD Who We Are: HaloMD specializes in Independent Dispute Resolution (IDR) through The No Surprises Act and state regulations for out-of-network healthcare providers, leveraging advanced technology and deep industry expertise to secure optimized reimbursements. Job Summary: The Client Success Manager must have an in-depth understanding of revenue cycle management (RCM), with historical experience across multiple care settings, including Emergency Rooms (ER), Ambulatory Surgery Centers (ASC), and Hospitals. This ensures a well-rounded understanding of the diverse areas we touch and the ability to effectively support our clients. The role requires strong data analytics knowledge, critical thinking skills to analyze processes, and a keen eye for identifying problems while presenting long-term solutions. In addition, exceptional customer service and communication skills are essential when engaging with physician customers and stakeholders. This position requires a professional individual with a proven track record of demonstrated leadership. The ideal candidate must be able to prioritize job responsibilities and demands, execute contractual agreements, and provide day-to-day management and operational support of management services. Finally, a Client Success Manager must be flexible, proactive, and disciplined to work both independently and as part of a team in a remote environment. Responsibilities Essential Job Duties and Responsibilities: Lead client experience strategies and initiatives across departments Manage and support cross-functional teams to improve customer engagement Gather, analyze, and interpret client feedback and performance metrics to identify trends and areas for improvement Collaborate with internal teams to address issues and implement innovative solutions Utilize client experience tools and platforms to streamline communication and monitor satisfaction Ensure compliance with relevant healthcare policies, including the Federal No Surprises Act Develop and maintain strong relationships with clients and stakeholders Present findings and recommendations to leadership with a focus on continuous improvement Qualifications Bachelor's degree in Healthcare Administration, Business Administration, Marketing, Communications, or a related field. Proven experience in customer service, client relations, project management, or client experience roles. Extensive historical experience in Revenue Cycle Management (RCM) within the ER, ASC, and Hospital spaces, with a strong understanding of processes across multiple care settings. Demonstrated success in managing teams or projects focused on client experience. Experience in the healthcare industry, specifically with the Federal No Surprises Act. Proficiency with client experience software and CRM tools. Strong data analysis skills with the ability to extract insights from client feedback and metrics. Excellent verbal and written communication skills. Problem-solving mindset with the ability to develop and implement client-focused solutions. Perks & Benefits: Fully Remote - Work from anywhere within the United States with reliable high-speed internet Multiple medical plan options Health Savings Account with company contributions Dental & vision coverage for you and your dependents 401k with Company match Vacation, sick time & Company paid holidays Company wellbeing program with health insurance incentives What's Next? If you're ready to bring your skills and passion to our growing team, we want to hear from you! Apply today and help us create a future where success is the standard. #IND123$49k-78k yearly est. Auto-Apply 60d+ agoTravel CT Tech - $2,582 per week in Columbus, OH
Alliedtravelcareers
Columbus, OH
CT Tech Location: Columbus, OH Agency: Windsor Healthcare Recruitment Group, Inc. Pay: $2,582 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP AlliedTravelCareers is working with Windsor Healthcare Recruitment Group, Inc. to find a qualified CT Tech in Columbus, Ohio, 43210! Shift: 3 Day (12 hour(s)) 1200-00:30, every 3rd weekend rotation 7p-730a. Weekends are considered Friday/Saturday. One 24-hour shift of call once every 10 weeks One weekend shift every 3 weeks We re looking for an experienced CT Technologist to join our team in a fast-paced emergency room environment. Our facility is a Level I trauma center, Stroke Accredited, and serves a diverse patient population. Key Responsibilities: Perform CT scans (abdomen, pelvis, chest, head/neck, spine, musculoskeletal, brain perfusion). Operate CT equipment and ensure high-quality images. Support patient comfort and safety during procedures. Keep accurate records and follow regulatory guidelines. Participate in on-call rotation as needed. Requirements: At least 1 year of CT tech experience. BLS and ARRT certifications required. Advanced ARRT certification preferred. Experience with Siemens and Epic charting. Able to work rotating shifts, including weekends and on-call. Strong communication skills and ability to work under pressure. Work Environment: Inpatient Emergency Room Operating Room Level I Trauma Community Hospital Adult ICU About Windsor Healthcare Recruitment Group, Inc. WHR isn't just another staffing agency - we're a tightly-knit family committed to empowering healthcare professionals to not just find jobs, but to carve out fulfilling careers. When you choose to partner with us, you unlock a world of opportunities. 10887320EXPPLAT$35k-59k yearly est. 20h agoFull Risk Claims Specialist - Remote (Multiple Positions) - 25-172
Primed Management Consulting
Remote job
We're delighted you're considering joining us! At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. Join Our Team! Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you're making a great choice for your professional career and your personal satisfaction. DE&I Statement: At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are. We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right! Job Description: Hill Physicians Care Solutions (HPCS) is a wholly owned subsidiary of Hill Physicians and operates under a Restricted Knox-Keene license issued by the California Department of Managed Care (DMHC). HPCS handles the highly visible and fast-growing Medicare Advantage claims for the full risk line of business. Under the leadership of the HPCS Supervisor, the Full Risk Claims Analyst is responsible for ensuring Full Risk claims and disputes are processed accurately and timely pursuant to health plan coverage and Hill Physicians' reimbursement policies as well as within CMS and AB1455 regulations. The analyst will be Responsible for resolving/responding to complex issues for members, health plans and physicians by conducting detailed research and by interfacing with appropriate departments and management to ensure that the standards for claims resolution processes are met. Analyst must have experience processing full risk claims, including but not limited to MS DRG Inpatient Hospital, Ambulatory Surgery Centers, Home Health Care, Skilled Nursing Facility, DME, Emergency Room Facility, Ambulance, etc. Essential Responsibilities Adjudicating and/or adjusting claims, specifically for the full risk line of business, including but not limited to MS DRG Inpatient Hospital, Ambulatory Surgery Centers, Home Health Care, Skilled Nursing Facility, DME, Emergency Room Facility, Ambulance, etc. Ensure these full risk claims are handled accurately, timely and appropriately. Claim contains pertinent and correct information for processing. Services have the required authorization. Accurate final claims adjudication/adjustment by using pricing system and provider contracts. Identify billing patterns, processing errors and/or system issues that inhibit the final adjudication of claims. Adjudicate claims on Epic Tapestry according to HPCS and HPMG guidelines. Navigate and decipher pricing rules using Optum Prospective Pricing System. Review, interpret and process MS DRG rules, Home Health and ASC groupings, DME and ambulance claims. Ensure all claim lines post to the appropriate fund. Maintain departmental productivity goal. Maintain a 97% payment accuracy rate and 98% non-payment accuracy rate in Claims Services Determine benefits using automated-system controls, policy guidelines, and HMO Fact Sheets. Coordinate and resolve claims issues related to claims processing with the appropriate departments as required. Review and process out of network claims according to the guideline/out of network claims research protocol in order to contain out-of-network cost Conduct second-level review of all Medicare denials for Not Authorized and/or Not A Covered Benefit. Research, resolve, and respond to claim resubmission disputes and inquires Coordinate and resolve claims issues related to claims processing with the appropriate departments as required. Provide claims contact resolution to the call center. Complete special projects as assigned to meet department and company goals. Document follow-up information on the system and generate appropriate letters to member and providers. Skills and Experience Required Minimum years of experience required - 3 Minimum level of education required - High School/GED Licenses and certifications required - None. Must have experience processing full risk claims, including but not limited to MS DRG Inpatient Hospital, Ambulatory Surgery Centers, Home Health Care, Skilled Nursing Facility, DME, Emergency Room Facility, Ambulance, etc. Working knowledge of CPT, Revenue codes, PDGM Home Health, ICD-10 codes, Red Book, MS DRGs, HCPC codes and ASC groupings. Three years' experience in claims-payment adjudication at a Health Maintenance Organization (HMO) Health Plan or IPA. (Internal applicants are expected to have one year of experience in claims-payment adjudication). Ability to process all claim types on UB-04 and CMS 1500 claim form, including but not limited to Surgery, Medicine, Lab and Radiology. Ability to understand member benefits and patient cost-shares. Ability to calculate and convert standard drug measurements. Knowledge of CMS and the DMHC rules and regulations. Excellent problem solving, organizational, research and analytical skills. Strong written- and verbal-communication skills. Strong Microsoft application skills. Strong interpersonal skills and the ability to interact with employees and others in a professional manner. Strong judgment, decision-making and detailed oriented skills. Ability to work independently or as a team. Ability to work in a fast- paced environment. Additional Information Remote - Multiple Positions Available Salary: $28 - $32 hourly Hill Physicians is an Equal Opportunity Employer$28-32 hourly Auto-Apply 60d+ agoMedication Historian Mount Carmel Dublin
Mount Carmel Health System
Dublin, OH
About Mount Carmel Dublin: Mount Carmel Dublin will be an innovative medical ambulatory campus directly tailored to the needs of the Dublin community and surrounding suburbs. Services provided: * 24 bay emergency department * 60 acute inpatient beds * 4 operating rooms * Advanced imaging and other outpatient testing Position Purpose: The Pharmacy Medication Historian assists with compiling an accurate and complete patient medication history. Interviews patients and uses a standardized tool to record all patient medication information including prescribed medications, over-the-counter medications, dietary and herbal supplements. Works with patients/family members to maintain updated medication lists, communicates pertinent findings to appropriate care team members, and identifies and facilitates correction of medication discrepancies. What You Will Do: * Gathers information about the patient's medications from family or directly from the patient in the Emergency Room or inpatient settings. * Compiles a complete list of patient's medications, including name, dosage, frequency, route and compliance history, OTC, and herbal supplements. * Collects information on patient's drug allergies and reactions. * Communicates with physician offices, retail pharmacies, or other sources to verify medications as needed. * Compares medication list to indications and medical history if available. * Identify medication discrepancies and facilitate correction or escalation to pharmacists for follow-up, if needed. Specific to Dublin * Accurate and timely delivery of patient specific medications * Assist with enrollment and processing of Meds-to-Beds patient medications * Maintain inventory, medication replenishments, and drug stock * Assist the Pharmacist with medication or patient care related issues * Assist the Pharmacist with prior authorizations for medications * Documents the distribution of medication for proper use and reimbursement in accordance with department policy. Minimum Qualifications: * Education: High school graduation or equivalent * Licensure / Certification: Approved Pharmacy Technician Certification and active registration as a Certified Tech with Ohio State Board of Pharmacy or active Pharmacy Intern License * Experience: 1-3 years of outpatient pharmacy experience preferred. * Demonstrates familiarity with drug names and indications, at hire or within ninety days of hire * Strong leadership and problem-solving skills * Project management experience/Team project management experience * Effective Communication Skills * Willingness to meet and work one-on-one with patients. Position Highlights and Benefits: * Mount Carmel Health System recognized by Forbes in 2025 as one of America's Best State Employers. * Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. * Retirement savings account with employer match starting on day one. * Generous paid time off programs. * Employee recognition programs. * Tuition/professional development reimbursement starting on day one. * RN to BSN tuition 100% paid at Mount Carmel's College of Nursing. * Relocation assistance (geographic and position restrictions apply). * Employee Referral Rewards program. * Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day! * Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups. Ministry/Facility Information: Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You! We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.$22k-27k yearly est. 4d agoIntake Clerk NIGHTS
Sun Behavioral Health Group
Columbus, OH
Job Details SUN Behavioral Columbus LLC - Columbus, OH Full Time High School/GED None Nights Health CareDescription Arranges for the efficient and orderly admission of inpatients, and outpatients to our Partial Hospitalization and Intensive outpatient programs. Ensures that the patient information is collected and that patients are aware of hospital policies and procedures. Interviews incoming patient or representatives and enters information required for admission into computer database. Distributes appropriate information to ancillary departments. Participates in performance improvement and continuous quality improvement (CQI) activities. Position Responsibilities: Clinical / Technical Skills (40% of performance review) Responsible for accepting admissions for hospital services. Coordinating referrals and admissions from a physician's office, local Emergency Rooms and other community referrals and pre-admitting these patients. Responsible for preregistering patients for scheduled admissions and outpatient programs and checking insurance eligibility. Responsible for interviewing patients or their representative for obtaining personal information or verifying information already on file, including emergency numbers and insurance information. Responsible for obtaining signatures on Conditions of Admission, all other admission forms/consent and initiating the advance directive process. Communicates with Nursing Services when no advance directive is available. Responsible for starting Q15 checks on all patients. Provides information to the patient/representative about the complaint process, patient rights, HIPAA and visiting hours. Distributes hospital specific literature. Responsible for insuring that a patient's valuables are taken home by a family member or secured in the safe. Communicates appropriately and clearly to supervisor, nurse managers, co-workers and physicians. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient's needs. Responsible, when previous arrangements have been made or a co-payment is required, to work with Business off to collect such payments, record payment and forward to the Business Office staff. Responsible for knowing hospital policies and being familiar with hospital services that are available. Refers patient to the Business Office when financial arrangements need to be made. Demonstrates an ability to be flexible, organized and function well in stressful situations. Treats patients and their families with respect and dignity; ensures confidentiality of patients' records. Maintain tracking of pending transfers and contact Telehealth Clinician within 15 min if there are at least two patients waiting for assessments. Monitor on-site assessments that likely won't be able to be started in the next 15 minutes and then contact telehealth clinician for completion of assessment. Understand the clinical collateral process (e.g. obtaining clinical for a transfer, responding to a fax request, etc.) Perform other duties as assigned by Director. Safety (15% of performance review) Strives to create a safe, healing environment for patients and family members Follows all safety rules while on the job. Reports “near misses”, as well as errors and accidents promptly. Corrects minor safety hazards. Communicates with peers and management regarding any hazards identified in the workplace. Attends all required safety programs and understands responsibilities related to general, department, and job specific safety. Participates in quality projects, as assigned, and supports quality initiatives. Supports and maintains a culture of safety and quality. Teamwork (15% of performance review) Works well with others in a spirit of teamwork and cooperation. Responds willingly to colleagues and serves as an active part of the hospital team. Builds collaborative relationships with patients, families, staff, and physicians. The ability to retrieve, communicate, and present data and information both verbally and in writing as required Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word. Demonstrates adequate skills in all forms of communication. Adheres to the Standards of Behavior Integrity (15% of performance review) Strives to always do the right thing for the patient, coworkers, and the hospital Adheres to established standards, policies, procedures, protocols, and laws. Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence. Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources. Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership Exemplifies professionalism through good attendance and positive attitude, at all times. Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws. Ensures proper documentation in all position activities, following federal and state guidelines. Compassion (15% of performance review) Demonstrates accountability for ensuring the highest quality patient care for patients. Willingness to be accepting of those in need, and to extend a helping hand Desire to go above and beyond for others Understanding and accepting of cultural diversity and differences Qualifications Education Required: High school diploma or GED. CPR and hospital-selected de-escalation technique certification. Preferred: Associates' degree in Science Maintains education and development appropriate for position. Experience Required: One year of experience in a behavioral health setting$34k-38k yearly est. 60d+ agoCoder I, Revenue Cycle Admin, Full Time, 1st Shift
Uc Health
Remote job
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is committed to providing an inclusive, equitable and diverse place of employment. Using established policies and procedures; the Non-certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Non-certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Responsibilities Coding quality: Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG's. • Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation. • Maintains an acceptable coding accuracy rating on records assigned. • Queries physicians when necessary to ensure documentation supports the codes assigned. Coding productivity: • Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals. • Completes productivity data correctly and timely. Billing edits, coding corrections, DRG changes: • Reviews, researches, and resolves claim edits for billing purposes. • Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated. Accountability: • Reviews educational materials thoroughly and takes responsibility for applying this information when coding. • Seeks to clarify information and educational material when necessary. • Listens actively. • Maintains information and resources in an organized manner so that information can be referenced easily. • Reviews emails timely and thoroughly and responds when indicated. • Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance. Qualifications Minimum Required: High School Diploma or GED. Formal education in basic ICD-9CM/CPT coding, Medical Terminology, Anatomy/, pathophysiology and disease processes. Preferred: Associate's OR Bachelor's Degree in healthcare related field. | Preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). | Minimum Required: 1 year of Acute Care Coding.$63k-82k yearly est. Auto-Apply 60d+ agoLead Coding Specialist Inpatient, $5000 Bonus, Fully Remote, CCS or RHIT certified, FT, 8A-4:30P
Baptist Health South Florida
Remote job
Join our in-house Coding Team at Baptist Health South Florida, where you'll find stability, a welcoming environment, and colleagues who truly care. * Flexible scheduling to support work-life balance * Supportive and engaged leadership that fosters a welcoming culture * Commitment to employee wellness, engagement, and success * Growth and development opportunities, including CEU access and recertification reimbursement * Individual quarterly performance bonus opportunities, along with performance-based recognition for outstanding contributions * The position will serve as the primary support to the Coding Supervisor. Assist in the supervision of coding, abstracting and reimbursement supporting billing ensuring compliance along with efficient operations for all Baptist Health facilities. * Ensures established goals and ICD-10-CM/PCS guidelines, CPT, and coding conventions are adhered to. * Assist with monitoring reports and workflows identifying opportunities for improvement, work volume and distribution, reviewing and reconciling reports, providing coding training within the Coding Department and performing research on coding issues. * Monitors coding personnel activities ensuring accurate and timely processing in accordance with state and federal regulations. Assist with monitoring reports and workflows identifying opportunities for improvement. Estimated pay range for this position is $31.20 - $40.56 / hour depending on experience. Degrees: * Associates. Licenses & Certifications: * AHIMA Certified Coding Specialist. Additional Qualifications: * Prefer RHIA or RHIT or equivalent experience. * At least five years Inpatient or Outpatient Surgery, Ancillary and Emergency Room coding experience in a large healthcare institution required. * Excellent verbal and written communication skills with ability to communicate clearly with both internal and external customers, problem-solving and personnel management skills. * Knowledgeable in health information systems, database management, spreadsheet design, and computer technology. * Strong computer proficiency (MS Office - Word, Excel and Outlook). * Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. * Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. Minimum Required Experience: 5 years$31.2-40.6 hourly 60d+ agoCustomer Service Associate (Remote)
Dahl Consulting
Remote job
Title: Customer Service Associate Job Type: Contract (6 months) Compensation: $19.00 - $21.00 per hour (W2) Schedule Options: Monday - Friday: 11:30am-8pm PST Tuesday - Friday: 9:30am-6pm PST, Saturday 6am-2:30pm PST Industry: Healthcare *Approved States: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington, & Wisconsin --- About the Role We are seeking a Customer Service Associate to support patients after emergency room discharge and assist those interested in care programs. This position involves patient outreach, appointment scheduling, and administrative tasks to ensure smooth care coordination. The ideal candidate is compassionate, detail-oriented, and thrives in a collaborative environment focused on delivering high-quality patient experiences. Job Description Key Responsibilities: Outbound Patient Outreach: Make 120-160 follow-up calls daily to patients recently discharged from the emergency room to ensure continuity of care. Inbound Patient Support: Respond to incoming calls from patients interested in care programs, providing clear and helpful information. Appointment Scheduling & Coordination: Assist patients with scheduling appointments, answer questions, and transfer calls to appropriate departments. Administrative Support: Complete administrative tasks that facilitate patient care coordination and maintain accurate records. Collaborative Care: Work closely with team members and provider networks to deliver a patient-centered model focused on high-quality service. Electronic Documentation: Accurately document all patient interactions in company and/or client systems. Qualifications Required: High School Diploma or GED equivalent. Minimum 1+ years of experience in healthcare or telehealth call center/customer service handling high-volume inbound/outbound calls (120-160 calls per day). Experience in the healthcare industry. Familiarity with HIPAA compliance and maintaining confidentiality. Comfortable with customer service and some sales exposure (offering services). Strong empathy and excellent communication skills. Technology-savvy; able to navigate telehealth platforms and CRM systems. Ability to log details accurately while making outbound calls. Organized and detail-oriented with willingness to learn and adapt to new processes. Must have a quiet, distraction-free workspace for calls. Preferred: Previous experience in patient care coordination or telehealth support. Knowledge of electronic health record (EHR) systems. Benefits Dahl Consulting is proud to offer a comprehensive benefits package to eligible employees that will allow you to choose the best coverage to meet your family's needs. For details, please review the DAHL Benefits Summary: *********************************************** How to Apply Take the first step on your new career path! To submit yourself for consideration for this role, simply click the apply button and complete our mobile-friendly online application. Once we've reviewed your application details, a recruiter will reach out to you with next steps! Equal Opportunity Statement As an equal opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you! #BP.Indeed #ZR$19-21 hourly 2d agoCustomer Service-Call Center Remote
Doherty Staffing Solutions
Remote job
Bring your customer service, phone, and messaging etiquette skills to provide solutions to customers! Doherty Staffing Solutions is partnering with a consumer healthcare company. We are seeking qualified candidates for Remote Customer Service Associate roles. Compensation for these contract opportunities is $19.00-21.00 per hour. Interested? Read more below! What you will do as a Customer Service Associate: Conduct outbound calls to outreach patients recently discharged from the emergency room Support inbound calls from patients interested in our program Assist with scheduling appointments, handling patient questions, and transfer to appropriate departments when applicable Assist with administrative tasks to support patient care coordination Work collaboratively with team members and our provider network to maintain an excellent model focused on patient care and high-quality service Document all conversations electronically on company and/or client systems Become an expert with company's software solutions, including but not limited to EMR, Slack, and Five9 interactions What you need to be a Customer Service Associate: Must have inbound, outbound high volume call center experience Must have experience handling 120+ calls per shift High speed internet Quiet workspace/distraction free 2+ years of experience in healthcare related customer support Experience working in a telehealth and/or a startup environment (preferred) Strong computer skills and are able to effectively utilize provided call scripts Excellent interpersonal, verbal, and written communication skills A high degree of patience and are detail oriented Ability to simultaneously speak with patients and document conversations Ability to work independently and also as an integral part of the patient care team Ability to follow instructions and standard operating procedures while adhering to standardized productivity goals Demonstrable customer service skills in interactions with patients, families, and staff in high-volume and stressful situations Apply today to start enjoying weekly paychecks! Click APPLY NOW to complete our mobile-friendly, online application. For questions or additional details about the Customer Service Associate role, please contact our recruiting team directly at (320) 763-3121. #DohertyStaffingPosition Doherty Staffing Solutions offers our valued contract employees health coverage through Benefits in a Card (preventative benefit and minimum value plans), along with weekly paychecks via a prepaid card from CHANGE. Learn more and find helpful links to additional resources at www.doherty.com/job-seekers/employee-benefits.$19-21 hourly 13d agoTriage Nurse I - CareBridge - Virtual - Overnight
Elevance Health
Columbus, OH
**Seeking candidates who have an active, unrestricted RN Compact license or Multi-state RN licenses in either of the following states: AZ, FL, IA, IN, KS, MA, NM, OH, TN, TX or VA.** **Carebridge Health** is a proud member of the Elevance Health family of companies, within our Carelon business. Carebridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services **Work Location:** **Virtual** This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. **Work Shift:** **Overnight 10pm - 8am (Central Standard Time)** The RN will work eight (8)10-hour work shifts, in a two-week period which includes Saturday and Sunday every other weekend. The **Triage Nurse I - CareBridge** is responsible for determining the appropriate Care Management program for members referred through internal and external sources and various data sources and reports. Utilizing department guidelines, completes triage process and applies established criteria to assign members to appropriate care management component. Deals with least complex cases having limited or no previous Triage care experience. Primary duties may include but are not limited to: + Utilizes the nursing process to meet an individual's health needs, utilizing plan benefits and community resources. + Educates members about contracted physicians, facilities and healthcare providers. + Learn to develop favorable working partnerships and collaborative relationships with members, physicians, healthcare service providers, and internal and external customers to help improve health outcomes for members. + Works in collaboration with medical management and care management associates to identify issues, problems, and resource needs and assign to appropriate care management program. + Facilitates selecting appropriate candidates for referral to CM and/or DM. + Partners with social work as appropriate. + Identifies and refers cases or issues to QI, SIU, Subrogation, Underwriting, or other departments as appropriate. + Documents appropriate clinical information, decisions, and determinations in a timely, accurate, and concise manner. + Develops a working knowledge of member benefits, contracts, medical policy, professional standards of practice, and current health care practices. Position requirements: + Requires AS in nursing and minimum of 2 years of acute care clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current unrestricted RN license in the applicable state(s) required. Preferred qualifications, skills, and experiences: + Current, active, RN Compact license highly preferred. + Emergency Room and/or Urgent Care experience highly preferred. + Telehealth experience. + Experience with EMR systems. + BS in nursing preferred. + Participation and/or certification in a managed care or utilization management organization preferred. + Ability to understand clinical information and prepare a concise summary following department standards strongly preferred. + Basic knowledge of the medical management and care management process and role preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $65,600 to $113,160 Locations: Cleveland, OH; Columbus, OH; Massachusetts In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._ * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.$65.6k-113.2k yearly 3d agoRemote Administrative Assistant
Korevariance
Remote job
Korevariance is looking for a detail-oriented individual to join us as a Remote Administrative Assistant. You will be paid $27 per hour during working hours/training. You will undergo a one week training session ( Monday-Friday, 9am-2pm) before fully getting started with work. You will receive your payment biweekly/weekly via check or direct deposit depending on your convenience. You will be working 20-50 hours Monday-Friday and sometimes on Saturdays if necessary, which you will surely be paid for. If you are employed you are going to be working as a full employee and not an independent contractor. Working hours are flexible and you are required to work a minimum of 20 hours and maximum of 50 hours weekly. You are to choose a convenient section weekly. General hours of business are between 8am 9pm, Monday-Friday. We are seeking an experienced, detail-oriented individual to join the Accounting Department as an Administrative Assistant. A successful candidate will have experience in office administration, including data entry and filing.. This is a great opportunity to work as part of an enthusiastic team and help ensure a smooth and efficient billing process.. Responsibilities: Provides administrative support to ensure efficient operation of office. Answers phone calls, schedules meetings and supports visitors. Carries out administrative duties such as filing, typing, copying, binding, scanning etc. Completes operational requirements by scheduling and assigning administrative projects and expediting work results. Makes travel arrangements for senior staff such as booking flights, cars, and hotel or restaurant reservations. Exhibits polite and professional communication via phone, e-mail, and mail. Supports team by performing tasks related to organization and strong communication. Develops administrative staff by providing information, educational opportunities, and experiential growth opportunities. Ensures operation of equipment by completing preventive maintenance requirements, calling for repairs, maintaining equipment inventories and evaluating new equipment and techniques. Provides information by answering questions and requests. Maintains supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies. Contributes to team effort by accomplishing related results as needed.. Perform coding of various types of medical record coding Perform clinical coverage review of CPT and HCPCS Provide coding and coding auditing services directly to providers. Perform coding across multiple hospitals. Perform coding across multiple entities. Resolve charge entry coding errors. Perform coding across multiple hospitals. Complete the coding portion of the IRF-PAI. Report to the account coding manager Attend coding meetings, conference calls. Encounter forms and applies coding training. Attend coding conferences, workshops, and in-house sessions to receive updated coding information on changes in coding and/or regulations. Requested in the coding and abstracting process. Provide chart coding audits per agency policy. Perform coding reviews based on customer billing disputes. Answering coding questions and screening candidates at times. Keep coding knowledge base current with Precise University. Keep coding knowledge base current with Precise University, available to all coding colleagues. Perform inpatient, ambulatory surgery, emergency room, outpatient and evaluation/management coding audits on coding colleague work.$27 hourly 60d+ agoNP/PA Cardiothoracic Surgery Riverside Methodist Hospital
Ohiohealth
Columbus, OH
**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** The Nurse Practitioner/Physician Assistant works in collaboration with the physician in the hospital-based inpatient setting working with critically ill and injured patients; primarily in the ICU or progressive units including trauma, neonatal, inpatient cardiology, emergency room and surgical services. Perform very invasive procedures and requires high level of independent clinical decision-making. **Responsibilities And Duties:** Works under direction and in consultation/collaboration with physician and may perform services authorized by the supervising/collaborating physician that are part of the physician's normal course of practice and expertise. Promotes quality outcomes and initiatives. Must have a Supervision Agreement (SA) or Standard Care Arrangement (SCA) with a physician in like practice. Practices within applicable state laws, appropriate boards, and in accordance with his/her/their SA/SCA and delineation of privileges. **Minimum Qualifications:** Master's Degree (Required) RN - Registered Nurse - Ohio Board of Nursing **Additional Job Description:** Must have a current RN license and maintain this license from the Ohio Board of Nursing Must have a current COA and maintain this license from the Ohio Board of Nursing Must have current Certification and maintain this Certification from a national certifying body (ANCC, AANP, etc. . . ) Must have graduated from an accredited CNP program (Nursing and graduate of an accredited post-Master's Nurse Practitioner Program). Must have CPR Certification endorsed by the American Heart Association. Three to five years clinical nursing practice in the acute care setting. Requires full prescriptive authority within two years of employment. Acute Care Certification is required for those working in the critical care setting. **Work Shift:** Variable **Scheduled Weekly Hours :** 40 **Department** CTS Riverside Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment$72k-128k yearly est. 50d agoReimbursement Auditing Specialist (Remote in Wisconsin)
Sanford Health
Remote job
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Reimbursement Auditing Specialist (Remote in Wisconsin) Cost Center:101651059 Coding-Audit Appeals EducScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; day shifts (United States of America) Job Description: **Wisconsin residents only eligible to apply** JOB SUMMARY The Reimbursement Auditing Specialist assists personnel in various areas of Revenue Integrity/Revenue Cycle as needed to properly code clinic, inpatient, outpatient, emergency room, nursing home, homecare/hospice, dialysis, OR/ambulatory surgery, supply and Durable Medical Equipment (DME) and regional center services. This individual is required to have knowledge and coding expertise of various CMS specialties and subspecialties within the Marshfield Clinic Health System. This Reimbursement Auditing Specialist reviews surgical and medical record documentation to assure complete/accurate charging for all properly documented services. This individual will utilize their leadership, analytical, and problem solving skills to complete audits, identify and resolve coding issues, and educate staff for training purposes or to optimize coding/billing results. JOB QUALIFICATIONS EDUCATION For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: AHIMA or AAPC approved Medical Coding Diploma or Health Information Management Degree or related program. Preferred/Optional: Associate degree in Medical Billing and Coding, Health Information Management, or a related field. EXPERIENCE Minimum Required: Three years of coding experience. Preferred/Optional: Three years progressive surgical coding/auditing experience. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: Coding certification from the AAPC, AHIMA, or other approved coding certification. Preferred/Optional: None **Wisconsin residents only eligible to apply** Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.$47k-53k yearly est. Auto-Apply 60d+ agoRemote Call Center Representative - Part 4
Insight Global
Remote job
We are building the future of healthcare. Through our digital health platform, we empower our partners to deliver world-class patient experiences. With nearly five million prescriptions shipped, we've been included on Forbes '"Next Billion-Dollar Startup" list and are proud to work with many of the world's largest healthcare organizations. We never settle for how it's done today. We invent how it will be done tomorrow. None of this is possible without the right team driving us forward. We are committed to creating an environment focused on racial and gender equality, inclusion, empowerment and respect. We believe that when our teams feel supported and inspired, they turn that creativity into innovation. The type of innovation that benefits all of our people, our partners and our patients. We encourage our team members to expand their horizons and bring their passion and curiosity to work, every day. Come join us. Let's build something great together. Post Discharge: This program makes phone outreaches to Medicare members who are discharged from the Emergency Department/Emergency Room (ED/ER). The Care Team will make outreaches to these members and offer a no-cost telephonic consultation with a Call Center Representative. Concerns that may be addressed may include, but are not limited to, issues surrounding the member's understanding of diagnoses, providing resources for hot meals, transportation, and local urgent care or Telehealth options, and making other recommendations for resources that may benefit their care, and discuss other follow-up needs. Responsibilities: * Primary work will come from outbound calls and some inbound calls from people calling back (high volume, fast-paced environment) * You will perform typical front office and back-office responsibilities, including patient education, medication requests, handling patient questions, and supporting provider needs * Assist with patient support such as answering patient emails, patient phone calls, processing medical records, provide patient care coordination * Work collaboratively with team members and our provider network to maintain an excellent model focused on patient care and high-quality service * Become an expert with our software solutions, including but not limited to, Zendesk, Truepill EMR, and Five9. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements * 2+ years of call center experience, needs to include high volume call center experience * 6+ months remote call center experience * Needs to be tech savvy: experience working with technology, computers, electronic medical records, etc. * High School Diploma or GED equivalent * A great communicator - both written and verbal * Must have strong internet connection because this is a remote role * Outbound call center experience * Knowledge of the healthcare / medical field * Experience working at a startup (fast paced, changing environment) * Experience with any customer service software (such as Zendesk, Freshdesk, TalkDesk, Salesforce, etc.) * Bachelor's Degree$32k-42k yearly est. 10d ago