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  • RN, Registered Nurse Specialty - Heart and Vascular

    Mount Carmel Health System 4.6company rating

    Columbus, OH

    *Employment Type:* Full time *Shift:* *Description:* * * The Registered Nurse Specialty positions are responsible for care in an atmosphere sensitive to each person's physical, emotional, social and spiritual needs within the scope of the Ohio Nurse Practice Act. The Registered Nurse functioning in the spirit of teamwork is accountable for the delivery of patient care utilizing the Nursing Process within the standards, procedures and guidelines of the Organization. * Specialty: Heart and Vascular * Location: 477 Cooper Rd STE 200, Westerville, OH 43081 3 * Hours of office: Monday through Friday 8:00am - 4:30pm *What You Will Do:* * Performs as liaison between vascular ( the specialty ) physicians, nurses, patients, families and other treating disciplines. * Educates and instructs patients/families on continuity of care, procedures and/ or medications. * Provide clinical in-basket oversight and coverage via Epic. * Act as a resource/trainer for new Medical Assistant's (clinical staff) * Handle sample medication tracking/monitoring/distribution. * Complete prior authorizations *Minimum Qualifications:* * · Education: Graduate of an accredited school of nursing · Licensure / Certification: In good standing with a current license to practice as a Registered Nurse in the State of Ohio · Experience: One year experience in a medical office preferred · Demonstrates the ability to plan, organize and manage patient care, including delegation to and supervision of other members of the patient care team *Position Highlights and Benefits:* * 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. * Relocation assistance (geographic and position restrictions apply). * Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing. * 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 four 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! *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.
    $51k-67k yearly est. 8d ago
  • Epic QA Consultant

    Onpoint Search Consultants 4.2company rating

    Remote job

    What you will find ... 100% REMOTE (12+ months) PTO days + 401K (3% auto contribution) top ranked hospital in the U.S. What you will do ... Epic QA testing for new hospital construction Testing Epic modules & new devices Build & test Epic application scripts Epic Charge testing Testing RTLS (real time location systems) Wish list ... 3+ years of Epic QA testing Build & test scripts for Epic applications Epic application knowledge Epic Charge testing a plus
    $82k-112k yearly est. 2d ago
  • Epic Willow Ambulatory Analyst

    Teksystems 4.4company rating

    Remote job

    A pediatric provider is working towards Epic go-live in March of 2026 and is looking for a SME to support the Willow Ambulatory implementation from the Revenue Cycle operations side of the house. This person should understand Willow Ambulatory builds and be able to work cross functionally with internal teams and Epic, to ensure a smooth and successful implementation and build. Strong experience in content, retail, and out patient pharmacy is a must have. This consultant will be the right hand to the Operations Leader. Must be willing to travel when epic is onsite to fully support the team. We CANNOT hire in: California, Illinois, Indiana, Massachusetts, Nevada, Ohio, Pennsylvania, Washington, or Wisconsin. Travel Dates: 1/6/26 - 1/8/26: 60-Day GLRA + End-User Training Kickoff 2/3/26 - 2/5/26: 30-day GLRA (last monthly onsite) 2/13 - 2/15 case conversion weekend 3/1 - 3/21 Job Type & Location This is a Contract position based out of Kansas City, MO. Pay and Benefits The pay range for this position is $95.00 - $120.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 16, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
    $57k-87k yearly est. 1d ago
  • Patient Account Representative (Remote Claims & Revenue Cycle)

    Randstad USA 4.6company rating

    Remote job

    Compensation: $25.00/hour Schedule: Full-Time, Monday - Friday, 9:30 AM - 6:30 PM We are seeking a highly specialized and detail-oriented Patient Account Representative to manage the full cycle of medical disability benefits, claims processing, and patient account collections. This role is essential for ensuring maximum reimbursement and financial security for our members and patients. The coordinator will interpret complex state/federal regulations, audit medical documentation, and perform collections while maintaining the highest level of professional communication. Key Responsibilities This position requires extensive interaction with medical records, billing systems, and external payers: Claims Processing & Auditing: Receives, reviews, and controls requests for medical information, visit records, and notes. Audits, abstracts, and summarizes pertinent data from patient medical records to process insurance claims and reports in compliance with state/federal regulations. Financial & Collections Management: Collects monies owing from third-party payers, employers, and patients/guarantors. Contacts debtors by phone/correspondence to arrange payments, abiding strictly by all state and federal collection laws and regulations. Documentation & Adjustment: Prepares and audits visit records using various fee schedules, CPT-4, and ICD-9-CM coding conventions. Generates and records appropriate adjustments, researching all available sources to determine their validity. System Maintenance: Documents all collection action taken on individual accounts in the computer system, including promised payments and insurance filing dates. Performs skip tracing and demographic updates as needed. Coordination & Communication: Acts as a representative to communicate and correspond effectively with insurance carriers, doctors, members, and outside providers to ensure proper and adequate exchange of data and maximization of payments. Required Qualifications Experience: Minimum one (1) year of collections or medical insurance claims processing experience. Related Experience: We are highly interested in candidates with prior experience working within large, complex health plan organizations. Core Skills: Demonstrated ability to perform diversified clerical functions, basic accounting procedures, and highly effective communication (written and verbal). Must have a strong ability to work independently without direct supervision in a fast-paced environment. Technical Proficiency: Proficiency in Microsoft Excel and Outlook. EPIC (HealthConnect) experience is REQUIRED for a quick start. Preferred Qualifications Two (2) or more years of collections experience in the healthcare field. Knowledge of medical terminology, CPT-4, and ICD-9-CM coding. Knowledge of mainframe collections applications and 10-key by touch. Top Three Daily Duties Supporting schedule maintenance and changes for medical providers. Processing insurance claims and reports for compensation. Collecting monies owing and performing follow-up with insurance companies/agencies.
    $25 hourly 1d ago
  • Informatics IS Pharmacist - Pharmacist Business Services

    Akkodis

    Columbus, OH

    Akkodis is seeking a remote Informatics IS Pharmacist - Pharmacist Business Services for a 9-12 Month contract job with a client in Columbus, OH. Rate Range: $56.25/hour to $81.73/hour highly dependent upon experience; The rate may be negotiable based on experience, education, geographic location, and other factors. Informatics IS Pharmacist - Pharmacist Business Services job responsibilities include: Monitors the performance of the Electronic Health Record (EHR), ensuring it provides accurate information, and interfaces with clinicians to enhance the clinical functionality of the computer system. Coordinates system software upgrades and/or updates to both our EHR and department hardware. Works across other IS service lines for both department and system-wide pharmacy-related projects. Provides staff education and designs the user training manuals and orientation materials for pharmacy-related information systems. Troubleshoots computer problems and shares on-call support for pharmacy-related needs. Develops and maintains pharmacy-related documentation and backup systems across the enterprise. Desired Qualifications: Bachelor's Degree from an accredited school or college of pharmacy, required. Licensed to practice pharmacy in the state where you reside. Epic Willow certification, with proficiency in Inpatient Ambulatory Pharmacy and Inventory. Beaker, Bugsy, or Compass Rose highly preferred. Inpatient pediatric hospital pharmacy experience, and building change records experience in healthcare systems. Deep understanding of the medication use process and related technology for health systems. Strong analytical and organizational skills required to evaluate existing systems/technologies and to implement new systems. Effective interpersonal and communication skills necessary for interactions with department staff, vendors, and representatives from external groups and agencies. Knowledge of general programming (i.e. SQL, Python, PowerBI), preferred. Proficiency in Microsoft Office product suite, required. If you are interested in this role, then please click APPLY NOW. For other opportunities available at Akkodis go to **************** Equal Opportunity Employer/Veterans/Disabled Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an EAP program, commuter benefits, and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Disclaimer: These benefit offerings do not apply to client-recruited jobs and jobs that are direct hires to a client. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit ****************************************** The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: · The California Fair Chance Act · Los Angeles City Fair Chance Ordinance · Los Angeles County Fair Chance Ordinance for Employers · San Francisco Fair Chance Ordinance
    $56.3-81.7 hourly 2d ago
  • Epic Cadence Project Manager

    Onpoint Search Consultants 4.2company rating

    Remote job

    What you will find ... 100% REMOTE 6+ months) PTO days + 401K (auto 3% contribution) top ranked hospital in the U.S. What you will do ... Project Manager for Epic Cadence & Referrals Epic Cadence & Referral build validation Project Manage Referrals & Online Scheduling Identify potential roadblocks to project milestones & goals Organize project timelines, resources, and document progress Facilitate meetings for Epic Cadence analysts Liaison with Epic MyChart team to ensure project alignment Wish list ... 3+ years Epic Cadence build 2+ years Epic project management or team lead REQUIRED Epic Cadence Certification REQUIRED align with PST hours Epic Referrals design & build MyChart a plus
    $77k-118k yearly est. 3d ago
  • Certified Medical Coder

    Pride Health 4.3company rating

    Remote job

    Title: Certified Medical Coder Shift: 8:00 AM - 4:00 PM Work Arrangement: Onsite Training (1-2 weeks) → Remote Pay: $35/hr to $37/hr Contract: 3-month assignment with possible extension Start Date: 12/01/2025 - 03/07/2026 Position Summary: We are seeking an experienced and detail-oriented Certified Medical Coder to join our team. This role begins onsite for initial training before transitioning to remote work. The ideal candidate will have strong inpatient coding experience in an acute care setting and be proficient with ICD-10, CPT coding, EPIC, and 3M Encoder tools. Key Responsibilities: Perform accurate and compliant inpatient coding using ICD-10, ICD-9-CM, CPT-4, and Encoder systems Review medical records and ensure proper documentation supports code selection Research and resolve coding-related questions and discrepancies Maintain coding accuracy and productivity standards Apply current coding guidelines, payer requirements, and regulatory rules Collaborate with clinical staff as needed to clarify documentation Support outpatient and ED coding tasks as needed (preferred, not required) Requirements: CCS Certification (required) EPIC and 3M Encoder experience (required) Minimum 3-4+ years of inpatient coding experience, preferably in an acute care setting Strong knowledge of ICD-10, ICD-9-CM, CPT-4, and Encoder systems Experience with outpatient and ED coding (preferred) Proficient computer skills, including MS Word, Excel, and coding applications Skills & Role Expectations: Strong understanding of coding guidelines, payer rules, and federal billing regulations Solid knowledge of anatomy, physiology, and disease processes Ability to work independently and efficiently after training Ability to research issues and resolve coding questions Experience mentoring or training coders is a plus Seeking candidates with strong inpatient coding backgrounds If Interested, you can reach me on my number ************** or email me at ******************************* Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
    $35 hourly 5d ago
  • Client Executive, Employee Benefits

    Epic Stores 4.5company rating

    Remote job

    To be considered for this role, you must reside in the Seattle, WA metropolitan area. Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” - people who know what they want and aren't afraid to make it happen. Headquartered in San Francisco and founded in 2007, our company has over 3,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees. Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your next career? Then consider joining our amazing team! LOCATION: This position will initially be remote then will transition to hybrid working in our Seattle office. This position serves as the primary service contact for the client and acts as the liaison with the carriers and vendors. Primarily responsible for open enrollment coordination. Works closely with account team to ensure client expectations are met. ESSENTIAL DUTIES AND RESPONSIBILITIES: Complete and present strategic business plans to clients. Ensure that all service commitments are met. Oversee the production, delivery and accuracy of contracts, benefit summaries Communicate to employees and/or administrators about their plan benefits Evaluate bid results and determine recommendations for clients Review renewal actions and discuss/negotiate with carriers Resolve client billing, claims and eligibility issues. Coordinate client open enrollment. Responsible for new case installation. Coordinate training sessions for clients with carriers and vendors. Work with the underwriting team on all marketing analysis and client presentations. Document all client activity in corporate database. Other duties as assigned. COMPETENCIES: QUALITY OF WORK - Work is accurate, thorough and neat. Is attentive to details and demonstrates effective organizational skills. PRODUCTIVITY - Able to effectively handle the volume of work required for the position without sacrificing accuracy or timeliness. Efficiently manages multiple tasks and priorities. RELIABILITY - Consistently meets deadlines, follows-up to ensure tasks are thoroughly completed and can be counted on to meet commitments. CONTINUOUS IMPROVEMENT - Understands what needs to be accomplished and seeks opportunities to improve own or departmental work processes and to better utilize technology. INITIATIVE - Identifies new and/or additional tasks and duties. Is able to work independently, prioritize, and takes ownership. Knows when to ask questions and request help. INTERPERSONAL RELATIONSHIPS - Develops and maintains strong, supportive relationships both internally and externally. Is cooperative, professional and positive in all interactions. COMMUNICATION SKILLS - Communicates clearly and accurately using written, verbal and electronic methods. ADAPTABILITY/FLEXIBILITY - Effectively handles changes and/or interruptions and demonstrates a willingness to adapt to new situations, priorities and tasks. Able to adjust approaches to reach a desired outcome. BALANCE - Effectively manages personal feelings and emotions, especially in situations involving crises or conflicts. Functions in a controlled manner when under stress. ATTITUDE - Exhibits an attitude which is positive, open to new ideas, and committed to achieving the desired results. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. REQUIRED: WA Life and Health License. 3+ years' experience in employee benefits industry. Proficient in Microsoft Office programs. This position may require routine or periodic travel which may require the teammate to drive their own vehicle or a rental vehicle. If required, acceptable results of a Motor Vehicle Record report at the time of hire and periodically thereafter, and maintenance of minimum acceptable insurance coverages are requirements of this position. PREFERRED: Four-year college degree. COMPENSATION: The national average salary for this role is $125,000.00 - $135,000.00 in base pay and exclusive of any bonuses or benefits. The base pay offered will be determined based on your experience, skills, training, certifications and education, while also considering internal equity and market data. WHY EPIC: EPIC has over 60 offices and 3,000 employees nationwide - and we're growing! It's a great time to join the team and be a part of this growth. We offer: Generous Paid Time off Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave Generous employee referral bonus program of $1,500 per hired referral Quarterly employee recognition program for demonstrating EPIC's values plus additional employee recognition awards and programs (and trips!) Employee Resource Groups: Women's Coalition, EPIC Veterans Group Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development Unique benefits such as Pet Insurance, Cancer Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC! EPIC Gives Back - Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation We're in the top 10 of property/casualty agencies according to “Insurance Journal” To learn more about EPIC, visit our Careers Page: ************************************************ EPIC embraces diversity in all its various forms-whether it be diversity of thought, background, race, religion, gender, skills or experience. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard. It is our belief that diversity drives innovation and that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients. California Applicants - View your privacy rights at: ******************************************************************************************* #LI-MS2 #LI-Hybrid
    $125k-135k yearly Auto-Apply 16d ago
  • Solutions Architect [80541]

    Onward Search 4.0company rating

    Remote job

    Onward Search is a specialized staffing and talent solutions company that helps professionals find top jobs with the nation's leading brands. We're looking to hire a Solutions Architect for a fully remote, contract opportunity with a leading healthcare company. Solution Architect Responsibilities Receive epic/feature assignments and general direction from train architect. Partner with Product Owner, BA and Development technical leads to refine/understand requirements. Partner with Solution Domain Lead architects (if necessary) to seek guidance or vet solutions impacting other domains. Collaborate with integration architect to deliver solution artifacts (sketch, ppt, etc.) Continuously attain and refine business and systems subject matter expertise. Leverage architecture patterns for the solution. Create them if covering new ground. Present solution sketches to various stakeholders (SS architect team, Infrastructure SMEs, business, etc.) for review and feedback. Required Skills: Significant experience with systems integration. Experience with the design and development of complex systems; employs a disciplined and rigorous approach Adept at requirements analysis, estimation, systems and application design, and testing Familiarity with popular Design Patterns. Excellent collaboration, influencing, and consensus-building skills. Ability to work with persons in all job functions (e.g. product, program, developers, etc). Excellent verbal and written communications Ability to manage multiple competing priorities with minimal supervision. Self-directed A great team player, with demonstrable experience delivering superior software products via Agile methodologies Experience on an Agile team Experience with modern languages, frameworks, and technologies such as Java, JavaScript, Node.js, messaging queuing infrastructures, as well as cloud and on-premise infrastructure and services Experience with distributed computing architectures, including race conditions, parallelism, and concurrency control Meeting facilitation with stakeholders, partners and team Desired Skills A proven track record working as part of a team on large/complex systems Architectural/technical experience with cloud native especially AWS and GCP and their cloud offerings. Experience with RDBMS and/or NoSQL databases (i.e. MongoDB). Understands the benefits and trade-offs of both. Familiar with normalization and denormalization, sharding, and other data-centric patterns Architectural/technical experience with Gen AI (RAG frameworks, Vector DB searches and embeddings, etc.) and/or Conversational AI (IBM WatsonX, Google Dialog Flow, etc.) Experience designing REST APIs that facilitate a strong developer experience or simplify systems integration. Experience with SAFe Software Development Principles Experience with distributed caching solutions; understands the factors that enable effective caching Exposure to CI/CD and DevOps Experience with Service Now or Salesforce for case management, workflow-based solutions Primary technologies API-first centric enterprise GCP (big data), AWS (digital experience/compute), Azure cloud (compute), Salesforce Service Cloud for user experience (GPS and some MX) Workflow experience with Service Now. Perks & Benefits: Medical, Dental, and Vision Insurance Life Insurance 401k Program Commuter Benefit eLearning Education Reimbursement Ongoing Training & Development *To qualify for our benefits package, you must work over 30 hours per week and the length of assignment must be a minimum of 10 weeks. To learn more about this Solution Archiect opportunity, apply now. Our recruitment team will be in touch, guide you through the interview process, and advocate on your behalf.
    $98k-143k yearly est. 2d ago
  • Medication Sourcing Administrator - OhioHealth Physician Group

    Ohiohealth 4.3company rating

    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:** ***This is a full-time, day shift position in Columbus, Ohio. Previous experience is required.*** MINIMUM QUALIFICATIONS / SPECIALIZED KNOWLEDGE - Degree in business administration, healthcare/finance/supply chain related field or 3 - 5 years' experience in business administration, healthcare, finance or supply chain role. (required) - Strong data analysis and analytical skills. - Project management related skills. - Excellent computer skills - Microsoft Suite of products, financial and inventory management systems. - Knowledge of inventory management theory and practices; Process improvement methodologies. - Proven professional customer service and training skills. - Expert in sourcing clinical and non-clinical services and supplies. - Excellent communication and problem resolution skills. - Experience with or knowledge of accounts payable, contracting, inventory, data integrity and receiving processes. - Pharmacy/healthcare supply chain services knowledge with a good understanding of the procurement cycle, pharmacy operations, healthcare services, supplies terminology and a broad understanding of a multi-hospital system or IDN. - 5 -7 Years of experience with increasing responsibility focusing on pharmacy operations and inventory analysis. - Prior inventory management experience. JOB SUMMARY The Medication Sourcing Administrator develops, deploys, maintains, and refines medication sourcing strategies for OhioHealth's Pharmacy operations on a system wide basis. This role is responsible for determining appropriate stock levels, balancing inventory turns with unpredictable and persistent medication supply channel disruptions to meet dynamic patient needs within the highly complex pharmaceutical industry while serving as gatekeeper for the organization's medication spend, in excess of $70M. This position will engage/influence key internal and external stakeholders to achieve optimal clinical and financial outcomes. The Medication Sourcing Administrator will develop demand planning analyses and forecasting models to seamlessly deplete stock ahead of formulary driven product conversions and/or medication shortage driven utilization shifts. This role is also responsible for evaluating processes/workflows/databases to establish/execute strategies for mitigating organizational risk associated with state/federal regulatory requirements (including SBOP, DEA, FDA, DSCSA, 340B, USP 797/800), TJC accreditation standards, safety considerations/recalls, contract compliance requirements and product pedigree/chain of custody/fiscal integrity considerations. They will serve a key role in the establishment of a system wide medication sourcing strategy requiring the coordination of key decision input factors from multiple, disparate pharmacy information systems. **Responsibilities And Duties:** 40% Medication Sourcing Assess, prioritize, and implement medication sourcing strategies to meet dynamic patient needs within highly complex pharmaceutical industry Demonstrate effective financial stewardship while overseeing OhioHealth's medication sourcing activities in excess of $70+M annually Engage key internal and external stakeholders Pharmacy, Clinical Operations, System Support Functions, Vendors, Wholesalers/Suppliers, Group Purchasing Organizations, et al. through the demonstration of effective 360 leadership to achieve optimal clinical and financial outcomes Determine appropriate stock levels, balancing inventory turns with unpredictable and persistent medication supply channel disruptions Develop demand planning analyses and forecasting models to seamlessly deplete stock ahead of formulary driven product conversions and/or medication shortage driven utilization shifts Analyze inventories for multiple hospital locations to identify opportunities for improved inventory management including increased inventory turns, reduced obsolescence, and increased accuracy. Utilize formal inventory management techniques to analyze inventories for opportunities to design or modify inventory methodologies Manage pharmaceutical and biologic recalls. Identify viable alternatives to address drug shortage situations 20% Pharmacy Information Systems Administration Manage databases, including complex inventory algorithms/billable to shippable unit conversions/barcode technology, to assure optimal downstream 340B compliance, charge capture/revenue integrity and pharmacy spend/expense management Coordinate the alignment and bridging of multiple, disparate IS systems in an increasingly complex segment of Pharmacy Services in support of key organizational priorities for compliance, operational continuity, future state business needs, and financial stewardship Develop and maintains competency in multiple PIS systems across the enterprise, including systems supporting core operations for all locations within OhioHealth's geographic footprint Epic, Paragon, Sorian, etc. Serves as PIS subject matter expert for key stakeholders including, but not limited to systems access, analytics, business intelligence, and technical assistance. Engages key internal and external stakeholders to define PIS needs to support future state business requirements and ensure operational continuity 20% Project Coordination and Process Improvement Evaluate processes/workflows/databases to establish/execute strategies for mitigating organizational risk associated with state/federal regulatory requirements including SBOP, DEA, FDA, DSCSA, 340B, USP 797/800 , TJC accreditation standards, safety considerations/recalls, contract compliance requirements and product pedigree/chain of custody/fiscal integrity considerations Establish system wide processes and strategies for medication handling to assure continued success in revenue integrity and assuring utilization initiative compliance in systems supporting core operations for all locations within OhioHealth's geographic footprint Epic, Paragon, Sorian, etc. Collaborate with key internal and external stakeholders to develop strategies for meeting system related procurement and inventory goals Partner with key external suppliers to assess and implement pharmacy supply chain improvement opportunities Utilize formal process improvement techniques including Six Sigma, Quality Management, and Lean Thinking principles to improve operations including inventory management, purchasing/receiving, and distribution functions e. g. P&T related formulary standardization including identifying preferred NDCs and super-orderable s Serve as key customer liaison for pharmacy procurement issues and projects, reports and presentations to senior system leaders including Pharmacy, Finance, Supply Chain and Vendors VHA/novation, AmerisourceBergen, EXP, Safecor, Med Count etc. 20% Sourcing Compliance Evaluate processes/workflows/databases to establish/execute strategies for mitigating organizational risk associated with state/federal regulatory requirements including SBOP, DEA, FDA, DSCSA, 340B, USP 797/800 , TJC accreditation standards, safety considerations/recalls, contract compliance requirements and product pedigree/chain of custody/fiscal integrity considerations Oversee system wide processes and strategies for medication handling to assure continued success in revenue integrity and assuring utilization initiative compliance in systems supporting core operations for all locations within OhioHealth's geographic footprint Epic, Paragon, Sorian, etc. Complete daily perpetual inventory database maintenance including 810 processing/invoice matching, purchasing/receiving, drug catalog maintenance, and other 340B related activities. Maintains accreditation requirements, appropriate licensure and assures compliance with appropriate regulations and standards of care and quality JCAHO, OSHA, CLI a and State of Ohio, Federal local requirements as well as internal and external regulatory procedures. The major duties/ responsibilities and listed above are not intended to be all-inclusive of the duties, responsibilities and to be performed by associates in this job. Associate is expected to all perform other duties as requested by supervisor. **Minimum Qualifications:** Bachelor's Degree (Required) **Additional Job Description:** Degree in Business Administration, Healthcare/Finance/Supply Chain related field or 3 - 5 years Experience in business administration, healthcare, finance or supply chain role. Strong data analysis and analytical skills. Project management related skills. Excellent computer skills, Microsoft Suite of products, financial and inventory management systems. Knowledge of inventory management theory and practices; Process improvement methodologies. Proven professional customer service and training skills. Expert in sourcing clinical and non-clinical services and supplies. Excellent communication and problem resolution skills. Experience with or knowledge of accounts payable, contracting, inventory, data integrity and receiving processes. Pharmacy/Healthcare Supply Chain Services knowledge with a good understanding of the procurement cycle, pharmacy operations, healthcare services, supplies terminology and a broad understanding of a multi-hospital system or IDN. 5 -7 Years of Experience with increasing responsibility focusing on pharmacy operations and inventory analysis. Prior inventory management Experience . **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** OPG Clinical Excellence 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
    $28k-32k yearly est. 13d ago
  • Specialist - Research-Fixed Term

    MSU Careers Details 3.8company rating

    Remote job

    The Education Policy Innovation Collaborative (EPIC) at Michigan State University (MSU) is seeking a research specialist to join EPIC leadership to work on externally-funded multi-year projects. EPIC is a policy lab located within the College of Education. EPIC partners with state and local education leaders to produce rigorous and objective multi-method research with consequence that strengthens evidence-based decision-making for practice and policy in Michigan, with implications for historically underserved students throughout the country. The research specialist will join the EPIC team in a leadership role to work on one or more externally-funded EPIC research projects. The EPIC team includes Dr. Madeline Mavrogordato, Faculty Director, Emily Mohr, Managing Director, Dr. Tara Kilbride, Associate Director, postdoctoral researchers, research staff, affiliated faculty, and doctoral students. Duties for the research specialist will include some or all of the following: Leading center-wide, partner-driven research projects that examine the impact of policies and programs using large-scale longitudinal administrative data from the State of Michigan, as well as survey and interview data collected by EPIC Acting as a representative of EPIC and MSU to research partners at state agencies, local school districts, and education organizations. Providing expertise in quantitative methodologies that includes substantial experience conducting statistical/econometric analysis and quasi-experimental design using panel data in STATA Writing, editing, and guiding the development of clear and concise publications, including manuscripts for academic journal articles, stakeholder-facing research reports and policy briefs, and presentation materials appropriate for both academic and general audiences. Providing oversight, mentoring, training, and professional development to other EPIC researchers; Responding to ad hoc data and analysis requests, both internal and external Representing EPIC by fielding media requests and conducting interviews. Giving presentations to academic and policy stakeholder audiences. Assisting with the development of grant proposals Producing data summaries, tables and visualizations. Other duties as appropriate based on the specific interests and expertise of the selected candidate. The research specialist will oversee doctoral research assistants and collaborate with EPIC staff to ensure all research products are timely, accurate, and actionable. We are seeking a person who is excited to be a member of a dynamic and motivated group, and who is driven by a desire to produce both rigorous and policy-relevant research aimed at driving improvements for Michigan students. The position, which includes benefits, is a fixed term annual, 100% time position beginning January 5, 2026 with the potential for annual renewals in the College of Education. Equal Employment Opportunity Statement All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, age, disability or protected veteran status. Required Degree Doctorate -Education, public policy, economics, statistics, social science or a similar field Minimum Requirements A Ph.D. in education, public policy, economics, statistics, social science or a similar field Significant expertise with STATA statistical software. Expertise in standard econometric models and techniques. Experience with large-scale quantitative data management and analysis. Experience planning and executing quality assurance on complex analyses using large-scale data sets. Demonstrated knowledge and interest in partner-orientated education research. Extreme attention to detail and strong organizational skills. Proficiency in Microsoft Office Suite products. Ability to manage multiple projects and competing priorities with little supervision, as well as maintain flexibility. Excellent interpersonal, verbal, and written communication skills. Desired Qualifications Research project management experience, including developing and maintaining project timelines with contingency plans, supervising and coordinating the work of others and ensuring project deliverables are met to a high standard for quality and accuracy. Experience with data collection and analysis activities across a large team. Experience presenting research products to a wide variety of audiences. Required Application Materials Interested candidates should send: 1) a letter of application stating qualifications for and reasons for interest in this position; 2) current resume or curriculum vitae; 3) the names and contact information for three references, 4) a writing sample produced for an academic audience, 5) a research product designed for a research partner (e.g., policymaker, practitioner) audience. Special Instructions Questions can be directed to Emily Mohr at emohr@msu.edu. Review of Applications Begins On 10/24/2025 Remote Work Statement MSU strives to provide a flexible work environment and this position has been designated as remote-friendly. Remote-friendly means some or all of the duties can be performed remotely as mutually agreed upon. Website https://epicedpolicy.org/ MSU Statement Michigan State University has been advancing the common good with uncommon will for more than 160 years. One of the top research universities in the world, MSU pushes the boundaries of discovery and forges enduring partnerships to solve the most pressing global challenges while providing life-changing opportunities to a diverse and inclusive academic community through more than 200 programs of study in 17 degree-granting colleges.
    $53k-80k yearly est. 60d+ ago
  • HIM Coding Educator - Outpatient

    Maricopa Integrated Health System 4.4company rating

    Remote job

    Under the direction of the Health Information Management (HIM) Supervisor of Coding Education, the HIM Coding Educator - Outpatient provides training, education, and mentoring to the outpatient coding team and outpatient CDI team for coding education. You will work with business owners to define, plan, implement, and evaluate the training required to ensure smooth change management for coding operations, revenue cycle, and affected areas. This role is responsible for evaluating and delivering comprehensive training and education programs related to the end-user#s needs. # The HIM Coding Educator # Outpatient provides onsite and/or virtual support for trainees and is a knowledge resource for all staff. You will collect and coordinate data collection by performing coding quality chart reviews, ensuring the reviews meet government, regulatory, and coding guidelines/standards. You are responsible for delivering the results of these chart reviews with reports that can be used to make informed business decisions that are accurate, relevant, and error-free. # Annual Salary Range: $63,169.60 - $93,184.00 This position is a remote position.# # Qualifications Education: Requires an associate degree in health information management or a related field or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.# A bachelor#s degree in health information management or related field is preferred. Experience: â€'â€'â€'â€'Must have a minimum of five (5) years of progressively responsible healthcare acute care coding involving outpatient facility coding experience, demonstrating a strong understanding of the required knowledge, skills, and abilities.# Must have Level 1 Trauma coding experience, coding experience in a teaching hospital, and Electronic Health Record experience. Prefer Burn coding experience and/or experience providing classroom, on-site, and/or virtual training. Specialized Training: ICD-10, ICD-10 PCS, and CPT Coding and auditing experience are required. Prefer formal training in 3M products/ Epic/Auditing/CDI/Revenue Cycle. Certification/Licensure: Requires certification as a CCS, CCS-P, CPC, CPC-H, CPC-P, CIC, or COC. Preferred dual certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT). Knowledge, Skills, and Abilities: Requires extensive knowledge and experience in outpatient facility coding and auditing and the subject area for which they evaluate, report, and provide training. Must demonstrate knowledge of HIPAA privacy and security regulations as evidenced by appropriate handling of Protected Health Information (PHI), promoting confidentiality, and using discretion when handling patient and various hospital departments# information. Must be able to follow all Federal and State regulations, as well as all Valleywise Health policies and procedures. Requires a basic understanding of all functions performed by the Coding and Revenue Cycle Teams. Requires strong computer skills in all areas of healthcare applications, technology, education, and automated systems, as well as Microsoft Products, Epic, PwC SMART, and 3M software.#This includes the ability to adapt to multiple client systems simultaneously. Requires a basic understanding of the standard tools, workflow processes, and/or procedures and concepts used in implementing, designing, and delivering training programs and materials. Prefer an understanding of healthcare business and software and a strong ability to translate administrative and operating requirements into clear, specific, and actionable curricula and then implement and teach those curriculums. Must demonstrate effective listening, facilitation, and presentation skills. Must possess excellent interpersonal and communication skills, both verbally and in writing, including knowledge of basic grammar, spelling, and punctuation. Must be flexible, detail-oriented, highly collaborative, and positively influence others. The ability to work in a team environment, as well as independently, while being willing to take ownership of responsibilities, being quality conscious, and being able to manage time effectively and adapt to change. Must be able to continuously listen, react, and suggest ways to complement or assist the work of others. Requires the ability to read, write, and speak effectively in English. Under the direction of the Health Information Management (HIM) Supervisor of Coding Education, the HIM Coding Educator - Outpatient provides training, education, and mentoring to the outpatient coding team and outpatient CDI team for coding education. You will work with business owners to define, plan, implement, and evaluate the training required to ensure smooth change management for coding operations, revenue cycle, and affected areas. This role is responsible for evaluating and delivering comprehensive training and education programs related to the end-user's needs. The HIM Coding Educator - Outpatient provides onsite and/or virtual support for trainees and is a knowledge resource for all staff. You will collect and coordinate data collection by performing coding quality chart reviews, ensuring the reviews meet government, regulatory, and coding guidelines/standards. You are responsible for delivering the results of these chart reviews with reports that can be used to make informed business decisions that are accurate, relevant, and error-free. Annual Salary Range: $63,169.60 - $93,184.00 This position is a remote position. Qualifications Education: * Requires an associate degree in health information management or a related field or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work. * A bachelor's degree in health information management or related field is preferred. Experience: * â€'â€'â€'â€'Must have a minimum of five (5) years of progressively responsible healthcare acute care coding involving outpatient facility coding experience, demonstrating a strong understanding of the required knowledge, skills, and abilities. * Must have Level 1 Trauma coding experience, coding experience in a teaching hospital, and Electronic Health Record experience. * Prefer Burn coding experience and/or experience providing classroom, on-site, and/or virtual training. Specialized Training: * ICD-10, ICD-10 PCS, and CPT Coding and auditing experience are required. * Prefer formal training in 3M products/ Epic/Auditing/CDI/Revenue Cycle. Certification/Licensure: * Requires certification as a CCS, CCS-P, CPC, CPC-H, CPC-P, CIC, or COC. * Preferred dual certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT). Knowledge, Skills, and Abilities: * Requires extensive knowledge and experience in outpatient facility coding and auditing and the subject area for which they evaluate, report, and provide training. * Must demonstrate knowledge of HIPAA privacy and security regulations as evidenced by appropriate handling of Protected Health Information (PHI), promoting confidentiality, and using discretion when handling patient and various hospital departments' information. * Must be able to follow all Federal and State regulations, as well as all Valleywise Health policies and procedures. * Requires a basic understanding of all functions performed by the Coding and Revenue Cycle Teams. * Requires strong computer skills in all areas of healthcare applications, technology, education, and automated systems, as well as Microsoft Products, Epic, PwC SMART, and 3M software. This includes the ability to adapt to multiple client systems simultaneously. * Requires a basic understanding of the standard tools, workflow processes, and/or procedures and concepts used in implementing, designing, and delivering training programs and materials. * Prefer an understanding of healthcare business and software and a strong ability to translate administrative and operating requirements into clear, specific, and actionable curricula and then implement and teach those curriculums. * Must demonstrate effective listening, facilitation, and presentation skills. * Must possess excellent interpersonal and communication skills, both verbally and in writing, including knowledge of basic grammar, spelling, and punctuation. * Must be flexible, detail-oriented, highly collaborative, and positively influence others. * The ability to work in a team environment, as well as independently, while being willing to take ownership of responsibilities, being quality conscious, and being able to manage time effectively and adapt to change. * Must be able to continuously listen, react, and suggest ways to complement or assist the work of others. * Requires the ability to read, write, and speak effectively in English.
    $63.2k-93.2k yearly 45d ago
  • Epic Prelude Consultant

    Onpoint Search Consultants 4.2company rating

    Remote job

    What you will find ... 100% REMOTE (12+ months) PTO days + 401K (3% auto contribution) top ranked hospital in the U.S. What you will do ... Epic Prelude build Hospital & ED Registration Document build Navigators Admission workflows Wish list ... 5+ years of Epic Prelude build REQUIRED: Epic Prelude certification REQUIRED: align with core PST hours Hospital & ED Registration Document build & Navigators Admission workflows
    $97k-123k yearly est. 3d ago
  • Payment Posting Manager - Remote

    Blue Cloud Pediatric Surgery Centers

    Remote job

    NOW HIRING PAYMENT POSTER MANAGER - REMOTE, FULL TIME OUR VISION & VALUES At Blue Cloud, it's our vision to be the leader in safety and quality for pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision. 1. We cheerfully work hard 2. We are individually empathetic 3. We keep our commitments The Payment Posting Manager (Central Billing Office - CBO) is a revenue cycle management (RCM) leadership position responsible for the day-to-day management of all payment posting functions, ensuring the timely and accurate recording of all payments and adjustments to patient accounts. This role ensures the accuracy, timeliness, and integrity of Blue Cloud's financials by managing and optimizing electronic and manual posting workflows, reconciling daily deposits, addressing underpayments, overpayments, credit balances and refunds, provider payment allocation, and managing unapplied or suspense accounts. The CBO Manager, Payment Posting Operations is key to ensuring accurate patient balances and providing timely data for A/R follow-up. YOU WILL Essential Functions (Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions). * Operational Oversight: Manage a fast-growing payment posting team, ensuring optimal teammember utilization and productivity for staff that is compliant with all state, federal and Blue Cloudregulations and policies * Strategic Leadership: Drive innovation and automation of payment posting processes inclusive of EFT/ERA enrollment expansion, Open Dental and third-party system capabilities and AI solutions. * Daily Reconciliation: Ensure 100% daily reconciliation of all posted payments (EFTs, paper checks, credit cards) against bank deposits and general ledger accounts. * Posting Accuracy: Manage the processing and posting of electronic remittance advices (ERAs) and manual Explanation of Benefits (EOBs), ensuring proper application of contractual adjustments, patient payments, and write-offs. * Credit Balances & Refunds: Develop and refine credit balance and refund management procedures to ensure compliance with federal and state requirements and optimize patient and family experience * Compliance & Auditing: Ensure Blue Cloud is capturing revenue and billing in adherence to federal, state, and payer-specific regulations and lead internal audits to maintain compliance. Adheres to and reinforces coding, billing, collections and payment posting internal controls and auditing protocols to optimize net revenue capture and reimbursement in a compliant manner. * Performance, Reporting, & Analytics: Manage and provide recurring quantified detail for key revenue cycle performance and staff productivity metrics, key performance indicators, and productivity standards and create data visualization and reporting to highlight opportunities, variance and risk and optimize team performance. * Team Development: Recruit, train, mentor, and manage a team to perform all payment posting processes for all Blue Cloud facilities. Provide continuing education and professional development to maximize retention and career progression of team members and leaders. * Growth Partnership: Aid executive leadership and development teams with revenue modeling, sensitivity analysis, and forecasting to optimize growth strategy, pro forma accuracy, and ROI for all de novo and M&A activity. YOU HAVE * Experience: Minimum of 4 years of experience in healthcare payment posting, accounting, or bookkeeping, with at least 1 year in a supervisory role. ASC or multi-specialty experience is a plus. * Certifications: HFMA's Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or Certified Professional Coder (CPC) preferred. Skills: * Demonstrated leadership progression in payment posting space and expertise in reading and interpreting EOBs, ERAs, and familiarity with various payer denial and adjustment codes. Experience managing payments spanning anesthesia, professional and facility fees is a plus. * Demonstrated utilization and optimization of payment posting workflows, functionality and reporting in EMR and PAS solutions (e.g., Epic, Cerner, Allscripts, HST Pathways, SIS Complete). Experience using Open Dental is a plus. * Proficiency in Microsoft Excel, Power BI, and data analysis tools and demonstrated ability to develop executive-facing work products that outline performance, risk, and opportunities to optimize payment capture. * Excellent problem-solving, leadership, and communication skills. * Ability to manage multiple priorities in a fast-paced environment. Compliance & Company Policies * Must maintain strict confidentiality in accordance with HIPAA and company policies. * Ensure all revenue cycle activities align with federal and state compliance regulations BENEFITS * Work with a passionate, dedicated, and talented team in a growing organization committed to doing good * Health insurance, Flexible Spending and Health Savings Accounts, disability coverage and additional voluntary plans * 401k plan, including company match * Paid Time Off * No on call, no holidays, no weekends This is a remote position with opportunity available in Arizona, Texas, Delaware, Idaho, West Virginia, Kansas, Maryland, Michigan, Nevada, North Carolina, Penn, Tennessee, Missouri Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the associate for this job. Duties, responsibilities and activities may change at any time with or without notice. Physical Demands The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. While performing the duties of this job, the associate is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. This position requires intermittent physical activity, including standing, walking, bending, kneeling, stooping and crouching as well as lifting. Blue Cloud is an equal opportunity employer. Consistent with applicable law, all qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, read more about requesting accommodations. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
    $29k-38k yearly est. 11d ago
  • Patient Resource Representative ( Remote)

    Valley Medical Center 3.8company rating

    Remote job

    The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. This salary range may be inclusive of several career levels at Valley Medical Center and will be narrowed during the interview process based on several factors, including (but not limited to) the candidate's experience, qualifications, location, and internal equity. TITLE: Patient Resource Representative JOB OVERVIEW: The Patient Resource Representative position is responsible for scheduling, pre-registration, insurance verification, estimates, collecting payments over the phone, and inbound and outbound call handling for Primary and Specialty Clinics supported by the Patient Resource Center. This includes call handling for specialized access programs: Accountable Care Network Contracts Hotline Call Handling, MyChart Scheduling, and Outbound dialing for Referral Epic Workqueues. DEPARTMNT: Patient Resource Center WORK HOURS: As assigned REPORTSTO: Supervisor, Patient Resource Center PREREQUISITES: * High School Graduate or equivalent (G.E.D.) preferred. * Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. * Demonstrates basic skills in keyboarding (35 wpm) * Computer experience in a windows-based environment. * Excellent communication skills including verbal, written, and listening. * Excellent customer service skills. * Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: * Ability to function effectively and interact positively with patients, peers and providers at all times. * Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. * Ability to provide verbal and written instructions. * Demonstrates understanding and adherence to compliance standards. * Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: * Ability to communicate effectively in verbal and written form. * Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. * Ability to maintain a calm and professional demeanor during every interaction. * Ability to interact tactfully and show empathy. * Ability to communicate and work effectively with the physical and emotional development of all age groups. * Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. * Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. * Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. * Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent * Ability to organize and prioritize work. * Ability to multitask while successfully utilizing varying computer tools and software packages, including: * Utilize multiple monitors in facilitation of workflow management. * Scanning and electronic faxing capabilities * Electronic Medical Records * Telephone software systems * Microsoft Office Programs * Ability to successfully navigate and utilize the Microsoft office suite programs. * Ability to work in a fast-paced environment while handling a high volume of inbound calls. * Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. * Ability to speak, spell and utilize appropriate grammar and sentence structure. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: See Generic for Administrative Partner. PERFORMANCE RESPONSIBILITIES: * Generic Job Functions: See Generic Job Description for Administrative Partner. * Essential Responsibilities and Competencies: * In-depth knowledge of VMC's mission, vision, and service offerings. * Demonstrates all expectations outlined in the VMC Caregiver Commitment throughout every interaction with patients, customers, and staff. * Delivers excellent customer service throughout each interaction: * Provides first call resolution, whenever possible. * Acknowledge if patient is upset and de-escalate using key words and providing options for resolution. * Identify and assess patients' needs to determine the best action for each patient. This is done through active listening and asking questions to determine the best path forward. * A knowledgeable resource for patient/customers that works to build confidence and trust in the VMC health care system. * Schedules appointments in Epic by following scheduling guidelines and utilizing tools and resources to accurately appoint patient. * Generates patient estimates and follows Point of Service (POS) Collection Guidelines to determine patient liability on or before time of service. Accepts payment on accounts with Patient Financial Responsibility (PFR) as well as any outstanding balances, documents information in HIS and provides a receipt for the amount paid. * Strives to meet patients access needs for timeliness and provider, whenever possible. * Applies VMC registration standards to ensure patient records are accurate and up to date. * Ensures accurate and complete insurance registration through the scheduling process, including verifies insurance eligibility or updates that may be needed. * Reviews registration work queue for incomplete work and resolves errors prior to patient arrival at the clinic. * Utilizes protocols to identify when clinical escalation is needed based on the symptoms that patients report when calling. * Takes accurate and complete messages for clinic providers, staff, and management. * Relays information in alignment with protocols and provides guidance in alignment with patient's needs. * Routes calls to appropriate clinics, support services, or community resource when needed. * Coordinates resources when needed for patients, such as interpreter services, transportation or connecting with other resources needed for our patient to be successful in obtaining the care they need. * Identifies, researches, and resolves patient questions and inquiries about their care and VMC. * Inbound call handling for our specialized access programs * A.C.N. Hotline Call handling * Knowledge of contractual requirements for VMC's Accountable Care Network contracts and facilitates care in a way that meets contractual obligations. * Applies all workflows and protocols when scheduling for patients that call the A.C.N. Hotline * Completes scheduling patients for all departments the PRC supports. * Facilitates scheduling for all clinics not supported by the PRC. * Completes registration and transfer call to clinic staff to schedule. * Completes the MyChart Scheduling process for appointment requests and direct scheduled appointments. * Utilizes and applies protocols as outlined for MyChart scheduling * Meet defined targets for MyChart message turnaround time. * Outbound dialing for patient worklists * Utilizes patient worklists to identify patients that require outbound dialing. * Outbound dialing for referral work queues. * Utilizes referral work queue to identify patients that have an active/authorized referral in the system and reaches out to complete scheduling process. * Schedules per department protocols * Updates the referral in alignment with the defined workflow. * Receives, distributes, and responds to mail for work area. * Monitor office supplies and equipment, keeping person responsible for ordering updated. * Other duties as assigned. Created: 1/25 Grade: OPEIUC FLSA: NE CC: 8318 #LI-Remote Job Qualifications: PREREQUISITES: 1. High School Graduate or equivalent (G.E.D.) preferred. 2. Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. 3. Demonstrates basic skills in keyboarding (35 wpm) 4. Computer experience in a windows-based environment. 5. Excellent communication skills including verbal, written, and listening. 6. Excellent customer service skills. 7. Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: 1. Ability to function effectively and interact positively with patients, peers and providers at all times. 2. Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. 3. Ability to provide verbal and written instructions. 4. Demonstrates understanding and adherence to compliance standards. 5. Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: a. Ability to communicate effectively in verbal and written form. b. Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. c. Ability to maintain a calm and professional demeanor during every interaction. d. Ability to interact tactfully and show empathy. e. Ability to communicate and work effectively with the physical and emotional development of all age groups. 6. Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. 7. Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. 8. Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. 9. Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent 10. Ability to organize and prioritize work. 11. Ability to multitask while successfully utilizing varying computer tools and software packages, including: a. Utilize multiple monitors in facilitation of workflow management. b. Scanning and electronic faxing capabilities c. Electronic Medical Records d. Telephone software systems e. Microsoft Office Programs 12. Ability to successfully navigate and utilize the Microsoft office suite programs. 13. Ability to work in a fast-paced environment while handling a high volume of inbound calls. 14. Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. 15. Ability to speak, spell and utilize appropriate grammar and sentence structure.
    $36k-40k yearly est. 11d ago
  • Medical Scribe

    Talent Source

    Remote job

    We are seeking a detail-oriented and dedicated Medical Scribe to join our remote healthcare support team. In this role, you will be responsible for accurately documenting patient encounters, medical histories, and physician notes in real time. Your work will help physicians focus on patient care by ensuring high-quality documentation and efficient record-keeping. If you have excellent listening skills, a passion for healthcare, and thrive in a fast-paced environment, we would love to hear from you! Key Responsibilities: Real-Time Documentation: Accurately transcribe physician-patient encounters, medical histories, and treatment plans into electronic health records (EHR). Chart Preparation: Assist in preparing patient charts before consultations, ensuring all relevant medical information is available. Medical Terminology Usage: Apply knowledge of medical terminology and abbreviations to ensure clear and precise documentation. Patient Records Management: Update, organize, and maintain patient records with accuracy and confidentiality. Collaboration: Work closely with physicians and other healthcare staff to ensure proper documentation of care provided. Follow-Up Support: Assist in entering orders for labs, imaging, and prescriptions under physician direction. Data Accuracy: Ensure completeness, accuracy, and compliance of medical records with healthcare standards and regulations. Efficiency Support: Help streamline physician workflow by handling clerical and documentation tasks. Confidentiality: Maintain strict HIPAA compliance and protect patient privacy at all times. Continuous Learning: Stay updated on medical practices, terminology, and system updates to improve efficiency. Skills & Qualifications: Experience: At least 1 year of experience as a medical scribe, medical transcriptionist, or similar role (preferred but not required). Education: Background in healthcare, life sciences, nursing, or pre-med studies is an advantage. Technical Proficiency: Familiarity with EHR systems (e.g., Epic, Cerner) and strong computer/typing skills. Medical Knowledge: Understanding of medical terminology, anatomy, and clinical procedures. Listening & Attention to Detail: Excellent active listening skills with the ability to document accurately in real time. Communication Skills: Strong written and verbal communication abilities. Time Management: Ability to handle fast-paced environments and manage multiple tasks efficiently. Confidentiality: Strong commitment to maintaining patient confidentiality and adhering to HIPAA regulations. Adaptability: Comfortable working with different specialties and adjusting to physician preferences. Self-Motivation: Independent, reliable, and proactive in a remote work setting. Benefits: Remote Work Flexibility: Work from home with flexible hours, supporting physicians across different time zones. Competitive Compensation: Fair hourly pay or salary, with opportunities for performance-based bonuses. Career Growth: Gain valuable clinical exposure for those pursuing careers in medicine or healthcare. Training & Development: Comprehensive training provided in medical documentation and EHR systems. Supportive Team: Be part of a collaborative healthcare support team that values accuracy and professionalism.
    $26k-34k yearly est. 60d+ ago
  • Senior Manager, Healthcare Privacy and Compliance

    Pharmaceutical Strategies Group 3.8company rating

    Remote job

    Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” - people who know what they want and aren't afraid to make it happen. Headquartered in San Francisco and founded in 2007, our company has over 3,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees. Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your next career? Then consider joining our amazing team! JOB OVERVIEW: The primary objective of the Senior Manager, Healthcare Privacy and Compliance is to strategically lead and continuously enhance the organization's healthcare privacy and compliance program, ensuring all operations adhere to the highest regulatory and ethical standards. This role is responsible for proactively managing compliance risks, fostering a culture of accountability and data security, and collaborating with key stakeholders across and outside the organization to maintain effective compliance practices. The Senior Manager, Healthcare Privacy and Compliance must be a strategic, analytical, and technically proficient leader with deep expertise in healthcare data privacy and compliance. This person should be detail-oriented, and self-motivated, with strong communication skills and the ability to collaborate effectively across diverse teams. This position will work closely with executive leadership as well as with the compliance committee, business unit leaders, IT and security teams, and internal departments such as HR, legal, and operations. Additionally, they will engage employees and contractors through training and compliance initiatives and interact with external stakeholders including regulatory authorities and clients. LOCATION: This position is 100% remote WHAT YOU'LL DO: PRIMARY OBJECTIVES: Lead the development, implementation, and continuous improvement of a comprehensive healthcare privacy and compliance program. Ensure all organizational operations meet and exceed regulatory, governance, and client standards, including HIPAA, HITRUST, SOC2, and Medicare/Medicaid requirements. Proactively identify and mitigate compliance risks across the enterprise. Foster a culture of accountability, data security, and ethical practices throughout the organization. Collaborate with executive leadership, business unit leaders, IT and security teams, internal departments, employees, contractors, and external stakeholders to ensure effective compliance management. Promote compliance awareness and provide training to all relevant parties. RESPONSIBILITIES Lead the design, implementation, and ongoing enhancement of a comprehensive healthcare privacy and compliance program, ensuring all divisions consistently meet or exceed regulatory, governance, and client standards, including HIPAA, HITRUST, SOC2, and Medicare/Medicaid requirements. Develop, update, and enforce policies, procedures, and monitoring activities to guarantee compliance with all relevant regulations and contractual obligations, proactively adapting to changes in the regulatory landscape. Oversee and continuously improve the auditing program, including planning audits, gathering and analyzing evidence, identifying deficiencies, and driving the implementation of corrective actions to strengthen compliance posture. Serve as a trusted advisor to business units, providing expert guidance on certifications, regulatory requirements, and best practices for healthcare data privacy and security. Chair and manage the compliance committee for relevant business units, facilitating cross-functional collaboration and ensuring alignment on compliance objectives and initiatives. Continuously monitor, assess, and document compliance risks across the organization, maintaining a dynamic risk register and prioritizing mitigation strategies to address vulnerabilities and emerging threats. Coordinate with internal teams to develop and execute comprehensive risk mitigation plans, ensuring timely resolution of compliance issues and fostering a proactive risk management culture. Develop, maintain, and execute an incident response plan for compliance breaches, collaborating with relevant teams to investigate, report, and remediate incidents in accordance with regulatory requirements. Design and deliver engaging training programs for employees and contractors, promoting compliance awareness, best practices, and the importance of data security throughout the organization. Maintain accurate, up-to-date records, reports, and documentation related to all compliance activities, preparing and submitting detailed compliance reports to senior management and regulatory authorities as required. Establish and track performance measures, goals, and reporting methodologies to evaluate and improve the effectiveness and productivity of compliance initiatives. Collaborate with business units to ensure business continuity planning is fully aligned with compliance and regulatory requirements, supporting organizational resilience and preparedness. Lead the timely and thorough completion of security risk assessments for current and prospective clients, ensuring all client engagements adhere to the highest standards of privacy and compliance. WHAT YOU'LL BRING: Candidate must have a minimum of 5 years of experience leading healthcare data compliance initiatives with multiple cross functional stakeholders - Deep understanding of implementing and assessing controls in complex environments. Strong knowledge of HIPAA, HITRUST, SOC2 and other relevant regulatory standards. Strong written and verbal communication skills. Strong analytical, problem-solving, and communication skills. Exceptional attention to detail and a commitment to upholding the highest ethical standards. Ability to collaborate and coordinate effectively with cross-functional teams and communicate compliance requirements clearly. Diverse security and IT background with knowledge in multiple areas including policy, IT service management, networking, infrastructure, application development and information security-related standards and initiatives. Self-motivated; able to work with minimal supervision. COMPENSATION: The national average salary for this role is $120,000 - $150,000.00 in base pay and exclusive of any bonuses or benefits. The base pay offered will be determined based on your experience, skills, training, certifications and education, while also considering internal equity and market data. WHY EPIC: EPIC has over 60 offices and 3,000 employees nationwide - and we're growing! It's a great time to join the team and be a part of this growth. We offer: Generous Paid Time off Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave Generous employee referral bonus program of $1,500 per hired referral Employee recognition programs for demonstrating EPIC's values plus additional employee recognition awards and programs (and trips!) Employee Resource Groups: Women's Coalition, EPIC Veterans Group Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC! EPIC Gives Back - Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation We're in the top 10 of property/casualty agencies according to “Insurance Journal” To learn more about EPIC, visit our Careers Page: ************************************************ EPIC embraces diversity in all its various forms-whether it be diversity of thought, background, race, religion, gender, skills or experience. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard. It is our belief that diversity drives innovation and that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients. California Applicants - View your privacy rights at: ******************************************************************************************* Massachusetts G.L.c. 149 section 19B (b) requires the following statement: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. #LI-MS2 #LI-Remote #PSG
    $120k-150k yearly Auto-Apply 14d ago
  • ETL Architect - Snowflake and SSIS Experience

    Northeast Georgia Health System 4.8company rating

    Remote job

    Job Category: Administrative & Clerical Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. ETL Architect is a high-level business intelligence professional that is a key part of the Data and Analytics Team and will be generally responsible for the dimensional model design, end to end ETL architecture design, ETL development, and implementation of data models and development of the Data Migration and Data Warehousing solutions. The ETL Architect is also responsible for requirements analysis, source data profiling, identifying data quality issues, designing transformation logic to address data quality issues, experienced with the concepts and/or implementation of metadata data capture, data lineage, master data management and reference data management. The ETL architect designs for data warehouse/data mart solutions should include appropriate staging databases to handle change data capture on the source data, error handling and audit balance control mechanisms. The ETL Architect will have extensive interaction with operational team members and leadership, and will be tasked with analysis of business data and analytics requirements, and the transformation of those requirements into analytics solutions. Working with customers and Management to determine priorities as well mentoring of other team members on ETL concepts and strategies is also an integral role of the position. Working with Infrastructure and DBA team members, ETL Architect is also responsible for keeping the ETL Environments updated periodically to the latest version of the ETL software. Minimum Job Qualifications Licensure or other certifications: Epic Revenue or Clinical Data Model or Cogito Project Manager Certificate required (must be obtained within 6 months of date of hire). Educational Requirements: Bachelors Degree in Computer Science or related field. In lieu of Bachelor's Degree related experience in the field, 11 years progressively responsible, professional job specific work experience and an equivalent combination of education and training that provides the required knowledge, skills and abilities, combined with demonstrated professional growth and achievement. Minimum Experience: A minimum of seven (7) years experience as a various BI and other analytic reporting software applications with strong preference for EPIC, SQL, and Crystal Report Writing. Prior experience providing production level support and/or development in business intelligence (BI)/enterprise data warehouse (EDW) environments. Other: Preferred Job Qualifications Preferred Licensure or other certifications: Preferred Educational Requirements: Preferred Experience: Experience in database development and management tasks such as creating indexes, functions, stored procedures, creating databases, file groups, users, configuring permissions and assigning roles to users. Working knowledge of data warehouse concepts, enterprise data management, modeling techniques and ability to create solutions, participate in strategy discussions and review them with customer as well as project stakeholders. Other: Job Specific and Unique Knowledge, Skills and Abilities Strong analytical and interpersonal skills; demonstrated ability to work with management and customers; proven ability to work independently or as a team member; strong problem solving and troubleshooting skills; initiative in enhancing system productivity, functionality, and performance. Advanced understanding of Data Migration/Data Warehousing/Data Mart delivery life cycle, from requirements definition to creating source to target mapping documents with transformation rules, Error handling design, data quality, design audit Balance control mechanisms to be able to automate jobs, notify proactively failures, write test cases and create templates to document all aspects of the projects throughout the lifecycle. Strong experience with concepts of data profiling, identifying and measuring data quality issues, advanced experience with Master data and reference data management techniques to eliminate hard coding within the ETL processes/jobs. Excellent communication (written, verbal and presentation) and people-facing skills, Proven ability to maintain positive peer, customer relationships, interacting positively and productively with teams across organizational lines. Demonstrates skills in leadership, critical thinking, and consensus and relationship building. Ability to review, re-engineer and/or tune legacy SQL queries and/or ETL jobs/processes to make them run efficiently and within a load window. Must be able to function in dynamic environment subject to changes in schedules and priorities, working on multiple projects/ issues concurrently. Responsibilities may require evening and weekend work in response to needs of the systems supported. Experience in estimation, specification gathering, review code/designs, general planning for execution, monitoring and control. Hands-on with ability to design, re-design (schemas, data models, entity relationships etc.), and probe and guide developers. Possess a solid understanding of data warehousing concepts, including relational and multidimensional modeling. Experience in designing, building, testing, executing and performance tuning of ETL and reporting applications, including automation of ETL jobs for recurring imports; fluent in Microsoft SQL. Experience in designing and developing database objects, tables, stored procedures, views, and triggers. Essential Tasks and Responsibilities Designs end to end ETL architecture for Data Migration, Data Warehousing or Data Mart Solutions using Microsoft SSIS tool. Ensure all ETL Jobs have adequate error handling and audit balance control mechanisms implemented to enable automation. Stands up a DW/ETL Center of Excellence to document and enforce best practices, standards, naming conventions etc. Creates a checklist to review all solutions developed to ensure adherence to the CoE standards. Mentors and trains staff to hold periodic CoE meetings. Implement a reference data management system using tools like Microsoft Master Data Management Services to eliminate hardcoding in ETL jobs. Maintains a service oriented approach with customers, providing follow up and responding to issues/ concerns in a timely manner. Answer staff and client questions in person, via email and via phone. Provide after-hours on-call support on a scheduled basis. Responsible for ensuring service level agreement adherence. Works with staff to adhere to department/organization policies and procedures, compliance and regulatory agency requirements. Works with leaders in IT as well as operations to identify data from other source systems to form richer data sets, including the capture of derived data to address gaps in source system repositories. Promotes and utilizes the data request and development process, including the development of an understanding of a data request, assessment of the appropriate tool to be used to provide the data, creation of a requirements document in partnership with the operational stakeholder and application analyst, development of the data extract and validation of the extract by the operational stakeholder to ensure quality, timeliness and accountability. Participates in and contributes to the data governance program - specifically, validating data lineage, capturing metadata for all existing and any newly developed assets (ETL Jobs), profile various data sources and address data quality issues, work with source system owners to reduce upstream data entry errors. Assists with all upgrade, update or enhancement efforts associated with the ETL tool. In partnership with the Manager of Business Intelligence and Analytics, serves as a mentor and advisor to the BI technical resources and other analysts and provides general project management skills to produce BI views that address customer's needs. Builds and maintains SQL scripts, indexes and complex queries for data analysis and extraction. Troubleshoots problems regarding the databases, applications, and development tools. Assists with the development and implementation of new data sources into the data warehouse or determine ways to be able to utilize data in other systems to support data and analytics for the organization. Conducts or coordinate tests to ensure that intelligence is consistent with defined needs. Responsible for data collection/extraction and developing methods for database design and validation reports. Prepares and maintains key documents and technical specifications for new and existing solutions. Documents specifications for business intelligence or information technology (IT) reports, dashboards, or other outputs. In collaboration with other team members and leadership, supports the evaluation, adoption and implementation of new methods, tools and technologies in order to meet current gaps in the organization-wide data and analytics infrastructure. Works closely with end-users to identify and explain data and reporting discrepancies. Prepares and maintains key documents and technical specifications for new and existing solutions. Provides solution design, perform reviews and participate strategic discussions. Provides application analysis and data modeling design to collect data or to extract data from various disparate systems. Monitors incident management queue. Efficiently troubleshoot, resolve, report and close active issues. Works on additional assignments as delegated by management. Physical Demands Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time Weight Carried: Up to 20 lbs, Occasionally 0-30% of time Vision: Moderate, Frequently 31-65% of time Kneeling/Stooping/Bending: Occasionally 0-30% Standing/Walking: Frequently 31-65% Pushing/Pulling: Occasionally 0-30% Intensity of Work: Occasionally 0-30% Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
    $91k-119k yearly est. Auto-Apply 2d ago
  • Revenue Cycle Manager (IRCM)

    Inlandrcm

    Remote job

    The Revenue Cycle Manager is a full time Remote position working Monday-Friday day shift. Ideal candidate will be in the Spokane, WA area The Revenue Cycle Manager is responsible for the oversight and leadership of assigned revenue cycle staff, which may include medical billers, coders, customer service representatives, payment posters, or other revenue cyle roles. This position ensures timely and accurate claim processing, monitors team performance against defined metrics, and supports operational efficiency across the revenue cycle. The Revenue Cycle Manager collaborates with clients and internal departments to maintain service quality, regulatory compliance, and financial performance. This role is also accountable for mentoring team members, managing day-to-day operations, and contributing to the achievement of departmental and organizational objectives aligned with InlandRCM's strategic goals. Key responsibilities: Leadership & Operations Lead and supervise assigned revenue cycle staff to ensure efficient operations and high-quality work. Monitor team performance against key performance indicators (KPIs) which may include days in A/R, denial rates, cash collection and other identified KPI as appropriate for the team(s). Identify and resolve workflow and process bottlenecks that impact billing performance or client satisfaction. Promote accountability and foster a culture of collaboration, transparency, and continuous improvement. Contribute to planning and execution of departmental goals aligned with organizational strategy. Team Development Provide ongoing coaching, feedback, and support to develop staff competencies and support career growth. Participate in hiring, onboarding, and training of new team members. Conduct regular performance reviews and ensure team members meet productivity and quality standards. Support a team culture that reflects InlandRCM's values and commitment to client service. Client & Cross-Functional Collaboration Serve as a point of contact for clients as needed, ensuring consistent communication, service satisfaction, and issue resolution. Collaborate with leadership and other departments (e.g., coding, enrollment, payment posting, IT) to coordinate services and improve integration of workflows. Contribute to client onboarding, staff assignment, and service ramp-up planning. Compliance & Quality Ensure team adherence to payer rules, HIPAA regulations, and industry standards. Maintain awareness of regulatory and payer changes impacting revenue cycle operations. Partner with compliance and coding resources to ensure accuracy and regulatory alignment in all billing practices. Process Improvement & Reporting Analyze operational data to identify trends, issues, and opportunities for improved outcomes. Implement process changes that improve efficiency, reduce errors, or enhance client results. Provide routine reporting to senior leadership on team performance, KPIs, and progress toward goals. Skills Proven leadership skills with the ability to mentor, motivate, and manage high-performing teams. Strong knowledge of healthcare revenue cycle operations, including billing, coding, and payer requirements. Excellent communication skills with the ability to engage internal teams and clients effectively. Strong analytical and problem-solving skills, with the ability to make data-driven decisions and perform root cause analysis of revenue leakage. Ability to manage multiple priorities and deadlines in a fast-paced environment. High attention to detail and commitment to quality. Qualifications Education: Bachelor's degree in Business Administration, Healthcare Administration, Accounting, Finance, or related field, or equivalent work experience. Experience: 5+ years of experience in revenue cycle management, billing, or healthcare operations required. Experience supervising or managing teams is strongly preferred. Experience with EMRs (Epic, Cerner, Meditech, CPSI) and payer portals required. Certifications: At least one revenue cycle certification (CRCP, AAHAM, AAPC, HFMA, or AHIMA) required or obtained within 6 months of hire. Two certifications preferred. Technology Skills: Proficiency with Microsoft Office products (Outlook, Word, Excel, PowerPoint, Access), Internet, Intranet, ReQlogic, ConnectWise, WorkDay. EMR/Insurance Portal Use; This role requires in-depth knowledge and ability to navigate EMR's like Epic, Cerner, Meditech and CPSI, as well as proficient navigation of payer portals and websites to obtain all claim information necessary. Background Check: Must be able to pass a background check required by RCW 43.43.830-840 to work with children under the age of 16, developmentally disabled persons or vulnerable adults To comply with provisions set forth in Sections 1128 and 1156 of the Social Security Act, all new employees of Inland Imaging Business Associates will be checked against the LIST OF EXCLUDED INDIVIDUALS provided by the Department of Health & Human Services, Office of the Inspector General (OIG). Employees must not be included on this list. Drug Test: Eligible employees must be able to pass a post-offer, pre-employment drug test Nuvodia/Inland is an EEO employer...
    $71k-104k yearly est. Auto-Apply 60d+ ago
  • Seasonal Guest Experience Coordinator

    The Escape Game 3.4company rating

    Remote job

    Compensation: * $16.50/hour starting pay. * Monthly personal performance bonuses of up to $700 available. Note all bonuses are taxed. Role: Our Hospitality Experts are our guest's first point of contact with The Escape Game! They are responsible and empowered to exceed guest expectations through epic hospitality over the phone, chat, and in email communications. They will seek to create The Escape Game super fans by providing an exceptional guest experience that results in positive word of mouth. They will work to solve guest problems, accommodate guest needs, talk guests through concerns and ultimately generate bookings for The Escape Game. Expected Weekly Hours: 30-45 hours per week Expected Schedule: Flexible availability, including nights, weekends, and holidays. Seasonal Dates of Work: As early as 10/21/2025, but will end on 1/17/2026. Responsibilities: * Work to meet the incoming demand of calls, chats and emails so we can serve every single guest. * Delivering unique forms of hospitality to every single guest by creating personal connections in every interaction. * Being a The Escape Game brand ambassador: enthusiastically explaining our games. * Remove barriers between our guests and their first/next experience at The Escape Game. * Create epic guest moments that generate positive word of mouth and brand perception. * Communicating with The Escape Game Store locations nationwide, professionally and politely. * Creatively solve guest challenges as needed. Requirements & Expectations: * Flexible availability, including nights, weekends, and holidays * Obsession with delivering 5-star hospitality to guests * Genuine love for serving others * Flexible, humble, and teachable * Ability to function both creatively and administratively * Exceptional communication skills * High capacity for creative problem solving * Ability to multitask * Energetic, friendly, and patient Remote Specific Expectations: * Work remotely from locations that are quiet, with good wifi and are generally private due to the information that could be on your screen while on the clock. * Your home is the preferred place of work. If you need to work outside of your home for some reason, communication should be sent for approval to your direct leader at least 24 hours in advance. Approvals can be made with less time if there are emergencies (power outage, etc) * Be in a professional setting & remember professionalism when working remotely and participating on video calls. (not laying down or on a couch, or in pajamas, attending to family, etc.) TEG shirts are appropriate and business casual tops when on video meetings. * Share your location via Gchat by informing the team & your direct leader of meal breaks or "brb" breaks to take 5-10 mins for restroom breaks or brain breaks. * Use the TEG laptop sent to you for all TEG related work. * Be on camera for video calls and meeting with the your team and other HQ teams.
    $16.5 hourly 18d ago

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