Insurance Benefits jobs near me - 69 jobs

Job Description We're looking for a passionate Full-Time Financial Case Manager to join our team! ) Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, and mental health issues. We put behavioral health front and center, providing assistance to people with substance abuse issues, addictions and mental health concerns. With facilities in various regions of the U.S., we have been furthering this mission since our inception, applying our advanced approach to patient care. Every facility in the Advanced Recovery Systems network strives to provide the highest quality of care, using evidence-based therapeutic models that really work. Our goal is to help men and women live healthy, happy lives without the burden of substance abuse or mental illness. The Financial Case Manager's primary responsibility is to provide financial counseling to patients and families, including insurance benefit education, responding to financial inquiries, and collecting and processing co-pays and deductibles in accordance with ARS policies and procedures. In addition, the role supports Case Management functions by ensuring compliance with State and Federal guidelines, participating in discharge planning, completing discharge needs assessments, coordinating aftercare services and appointments, and collaborating with the treatment team, payors, and facility leadership to support continuity of care. Works effectively with the facility leadership team to ensure success of the facility by completing the following: Core Job Duties: Serve as the primary financial counselor for patients, providing education on insurance benefits, financial responsibility, billing policies, and payment options. Verify and validate patient insurance benefits and financial responsibility by first reviewing the UR Daily Census column to assess the daily status of insurance coverage, followed by checks in approved payer portals (e.g., InstaMed, NaviNet, Availity, or other designated systems), and conducting live payor calls as needed for inactive, unclear, or unresolved coverage. Collect private pay fees, co-pays, and insurance deductibles within 72 hours of admission for inpatient and outpatient clients, in accordance with the “Collection of Patient Responsibility” policy. Ensure completion and signature of all required financial and admission-related documentation within 72 hours of admission, including but not limited to billing acknowledgments, payment plans, advance repayment agreements, coordination of benefits, authorized claims representative forms, and the initial Case Management Discharge Plan (CMDP). Facilitate payment arrangements and advance repayment agreements when co-pays or deductibles are not immediately collectible and notify leadership as needed. Collaborate with the Admissions/RCM team to resolve collection barriers and secure (at minimum) agreed-upon payments at the time of admission. Maintain accurate, timely documentation of all financial transactions, co-pay and deductible activity, and payment arrangements within the electronic medical record. Work closely with Facility Leadership (Site CEO) and Aftercare Manager to ensure consistent financial processes and patient support. Maintain open communication with the multidisciplinary treatment team regarding financial considerations that may impact treatment engagement or discharge planning. Requirements Bachelors' Degree in health-related field, Finance/Accounting or Medical Management office experience preferred. Minimum high school diploma. Minimum one- or two-years' experience, preferred experience in the medical, behavioral healthcare or financial field. Familiar with community resources and proficient in providing, discussing, and resolving financial issues and policies. Benefits Benefits begin on the 1st day of the month following date of hire. Pay: Starting salary $23/hr, based on experience. Paid Time Off: Up to 2 weeks of paid time off per year plus sick pay & holiday pay Retirement: 401K + match Insurance: Health, Vision, Dental, Life & Telemedicine MDLive. Matching HSA - up to $1500 a year contribution from the company to your HSA . Employee Referral Bonus you can earn up to $4,000 Travel Concierge, LifeMart Employee Discounts, Health Advocate, EAP Program Enjoy discounted meal benefits as part of your comprehensive employee package The Company complies with state and federal nondiscrimination laws and policies that prohibit discrimination based on age, color, disability, national origin, race, religion, or sex. It is unlawful to retaliate against individuals or groups based on the basis of their participation in a complaint of discrimination or on the basis of their opposition to discriminatory practices/EEO We are proud to be a drug-free workplace. #recoveryhotjobs

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

Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America. We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands. Established in 2021, Independence Pet Holdings is a corporate holding company that manages a diverse and broad portfolio of modern pet health brands and services, including insurance, pet education, lost recovery services, and more throughout North America. We believe pet insurance is more than a financial product and build solutions to simplify the pet parenting journey and help improve the well-being of pets. As a leading authority in the pet category, we operate with a full stack of resources, capital, and services to support pet parents. Our multi-brand and omni-channel approach include our own insurance carrier, insurance brands and partner brands. PetPartners, a subsidiary of IPH, is an ensemble of seasoned industry experts who are working to strip away all the complexities that don't add real value to pet insurance coverage. We're delivering solutions that make it easy for employers to offer this sought-after benefit in a way that's painless and worry-free - a truly one-of-a-kind approach to pet insurance. Job Summary PetPartners is seeking a remote Business Development Executive - Regional for our East region, to be responsible for driving growth and identifying new business opportunities for PetPartners, Inc. in the East region. As an IC you will be responsible for prospecting, pipeline development, and building relationships with benefits brokers and consultants to sell pet insurance as a worksite benefit. The BDE will focus on selling products and services to customers and will then transition accounts to a Relationship Manager for ongoing maintenance and service. This position is ideal for a true hunter, passionate about expanding our market presence. Job Location: Remote Main Responsibilities: Responsible for development of new accounts and/or generating new business from existing accounts. Pursues sales leads and visits customer sites within assigned territory defined by geographic areas. Executes sales strategy, identifies new opportunities/leads, and generates sales reports. Achieves assigned sales goals by selling directly to employer groups and through insurance brokers, consultants, and benefit administration companies. Compiles RFP's and RFI's that are relevant to the needs of the customer. Responsible for keeping up to date on industry trends and competitive offerings and communicating to the business. Attends trade shows, exhibitions, and company meetings, as required. Tailors' sales presentations to customers to enhance their understanding of pet insurance. Performs other duties and responsibilities as assigned. Basic Qualifications: 6 years' group voluntary insurance benefits, sales, and/or relevant experience Bachelor's Degree or equivalent work experience (One-year relevant experience is equivalent to one-year college) Licenses/Certifications: Must hold and maintain: Resident State Property & Casualty License, or must obtain within 60-90 days of hire; AND Non-Resident Property & Casualty License for all US States, or must obtain within 60-90 days of hire Other: 40% up to 70% travel required within territory, based on the needs of the business Must have a valid driver's license from state of residency Must have and maintain vehicle insurance on transportation used for travel to customer sites #PPI #LI-remote All of our jobs come with great benefits including healthcare, parental leave and opportunities for career advancements. Some offerings are dependent upon the location of where you work and can include the following: Comprehensive full medical, dental and vision Insurance Basic Life Insurance at no cost to the employee Company paid short-term and long-term disability 12 weeks of 100% paid Parental Leave Health Savings Account (HSA) Flexible Spending Accounts (FSA) Retirement savings plan Personal Paid Time Off Paid holidays and company-wide Wellness Day off Paid time off to volunteer at nonprofit organizations Pet friendly office environment Commuter Benefits Group Pet Insurance On the job training and skills development Employee Assistance Program (EAP)

We are seeking a dedicated and proactive Human Resources Specialist to join our dynamic HR team. As a Human Resources Specialist, you will play a pivotal role in supporting the HR department with various administrative tasks and initiatives. Your attention to detail, excellent communication skills, strong organizational abilities and technological aptitude will contribute to the smooth functioning of our HR operations. If you are a motivated individual who thrives in a supportive team environment and is passionate about contributing to the success of the HR team, we encourage you to apply! This position is open until filled. Applications are being reviewed as they are received. This position is anticipated to work 30 hours per week. This position supports a fast-paced HR Office that serves a workforce of approximately 850 full-time, part-time and seasonal staff. Work requires initiative, independent judgment and decision-making combined with the ability to work efficiently using multiple software platforms. Daily tasks include work with highly sensitive and confidential information such as recruitment, insurance benefits, FMLA, plus public records retention and requests. Work also involves a high level of contact with department heads, staff members, and the general public.Employee works under the direction of the Human Resources Manager. Assignments are generally received in the form of desired objectives; however, the incumbent is expected to complete assignments independently and without detailed review. Work is reviewed through meetings and performance appraisals. * Assists with recruitment and hiring of new employees; corresponds with applicants. * Maintains records and files, ensuring accuracy and confidentiality in compliance with company policies and legal regulations. * Creates correspondence, reports, memorandums, and other communications often containing sensitive or confidential information. * Responds readily to oral instructions; prepares policies, forms, and other documents; composes and types correspondence, notices, and other material. * Maintains benefits data and other employment records; works with department heads on various projects; completes surveys and reports. * Assists citizens, council members, and other callers; responds to various inquiries and provides information of services and functions; receives and handles complaints from a variety of sources. * Performs related duties as required. * Graduation from high school; some college, business experience and/or HR training preferred. * Proficiency in Microsoft Office Suite, GSuite, and the ability to navigate efficiently between multiple HR and Payroll software platforms to perform data entry and extract routine reports. * Exhibit thorough knowledge of professional office practices and procedures and the ability to make responsible decisions in accordance with established policies and procedures. * Strong ability to create professional correspondence on complex matters and to perform complex office management details without assistance. * Ability to establish and maintain effective working relationships with other employees, officials, and the public, and to deal with public relations problems courteously and tactfully. * Ability to abide by confidentiality requirements. * Ability to communicate effectively, both orally and in writing. * Exhibit thorough knowledge of business English, spelling, and arithmetic. * Knowledge of general municipal agency operations and organization preferred. * Customer-service orientation and the ability to interact positively with employees at all levels. Statement on Diversity, Equity, and Inclusion: At the City of Westerville, we share a commitment to a diverse, inclusive and equitable community. Each member of our organization is responsible and accountable for serving and empowering all people both in our organization and community. The City ensures that service is accessible, responsive and inclusive for a thriving, sustainable and connected Westerville.

The Claims Operations Supervisor will be responsible for various facets of the Clerical, Prompt Pay and Disability departments, including inventory management of responsible departments. Provide guidance and direction to team members, as well as implement workflows, as needed. Primary contact for handling and prioritizing any questions and issues from other departments and is responsible for staff management including training, development, coaching, quarterly and annual reviews. ESSENTIAL FUNCTIONS Lead employees to meet department expectations for productivity, quality, and goal accomplishment. Work closely with Manager to provide staff continued training and coaching initiatives. Conduct one on one coaching and development sessions with team, collaborate with Manager on any areas of development. Efficient and effective inventory management. Identify ways to streamline and improve efficiency of workflows to ensure quality standards are not compromised and best practices are utilized. Work with department Manager, Recruiter and Human Resources to interview, select & hire an appropriate number of employees. Maintain employee work schedules including assignments and training. Monitor all reports within department to ensure work is being handled timely and accurately. Conduct weekly meetings with assigned team members to ensure tasks and projects are completed on time. Ensure continuing efforts are made to cross train team members. Work with department manager to identify and handle issues proactively. Supporting other projects or tasks as assigned by management. Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent. Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed. Actively engage, coach, counsel and provide timely, and constructive performance feedback. Performs other related duties as assigned. EDUCATION Bachelor's degree of equivalent work experience required. EXPERIENCE AND SKILLS Minimum of 1-2 years in a leadership/ supervisory role. Minimum of 3 years of group health insurance, benefits experience, and administrative skill required. Intermediate level work experience with Microsoft Office Suite software applications. The ability to easily learn other software and systems. Be able write professional business correspondence and procedures. POSITION COMPETENCIES Accountability Communication Action Oriented Timely Decision Making Building Relationships/Shaping Culture Customer Focus PHYSICAL DEMANDS This is a standard desk role - long periods of sitting and working on a computer are required. WORK ENVIRONMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!

The Remote Inside Sales Rep increases revenue by responding to/initiating incoming/outgoing potential customer inquiries, while using company resources, policies, and procedures to provide complete, accurate data. uses appropriate technologies and follows processes in accordance with company standards to ensure patient and physician contact is handled with accuracy and operational effectiveness JOB FUNCTIONS Establishes customer contact by initiating followup outbound calls and receiving inbound return calls Promotes products and facilitates customer needs to utilize company's products or services by adequately assessing customer qualification, thoroughly explaining product/services benefits, and assisting with facilitating physician communication as necessary Resolves customer concerns by providing appropriate information regarding products and services Records customer information and maintains database by obtaining, entering, and verifying required data Ensures quality service by following departmental and company policies, procedures, and standards, as well as adhering to compliance policies, procedures, and standards Facilitates sales process by communicating/sharing information with appropriate internal and external contacts Completes and ensures accurate validation of insurance benefits Provides customer followup as required Contributes to departmental objectives by accomplishing required contact and sales results, with the ability to track and report progress of sales results

Full-time Description For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers' compensation, Veterans Affairs, and out-of-state Medicaid. At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, “Our teammates are the foundation of our success.” United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time. We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor. We are seeking an Appeals Specialist to join our growing team. As an Appeals Specialist, you will be exposed to the complex reimbursement methodology between hospitals and insurance companies. Appeals Specialists work closely with assigned project teams on the specialized retrospective recovery process. You will be exposed to the revenue cycle process and various provider clients and systems. Key Responsiblies Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims. Investigate and coordinate insurance benefits for insurance claims across multiple service lines. Obtain claim status via the telephone, internet, and/or fax. Review and understand eligibility of benefits. Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment. Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers. Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned. Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary. Identify contractual and administrative adjustments. Work independently or as a member of a team to accomplish goals. Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility. Follow established organization guidelines to perform job functions while staying abreast to changes in policies. Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol. Uphold confidentiality regarding protected health information and adhere to HIPPA regulation. Interact with all levels of staff. Cross train in multiple areas and perform all other duties as assigned by management. Requirements Active listening Ability to multi-task Exceptional phone etiquette Strong written and oral communication skills Effective documentation skills Strong organizational skills Service orientation Reading comprehension Critical thinking Social perceptiveness Time management and reliable attendance Fast learner Education and Experience High School Diploma or equivalent Bachelor's degree preferred, or equivalent combination of education, training, and experience 2 or more years of experience of hospital billing, insurance follow-up, denials, or appeals preferred Remote work experience preferred Benefits At Aspirion we invest in our employees by offering unlimited opportunities for advancement, a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, and incentive programs. The US base pay range for this position starts at $19.00 hourly. Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered. In addition to base salary, a competitive benefits package is offered. AAP/EEO Statement Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to. Please note that this position is contingent upon the successful completion of a pre-employment drug screening and background check. These steps are part of our standard hiring process to ensure a safe and compliant workplace.

You're Not Just “Front Desk.” You're the Face of the Clinic and Part of our Team! Patient Care Coordinator | Cornerstone Physical Therapy-Canal Winchester If you're the kind of person who lights up a room, loves helping people, and can keep a busy day organized without getting rattled…this role is for you. At Cornerstone, we're a PT-owned private practice built on exceptional service, outcomes, and a team culture that actually feels like a team. We hire the best....because patients notice the difference. The #1 thing we're looking for You don't need a perfect resume. We want someone who is: personable, computer savvy, a quick learner, and highly coachable. If you can learn fast, follow systems, and contribute to clinic success...you'll thrive here! Job Description What you'll do: You'll be the point person for the non-clinical patient experience...making every visit smooth from start to finish: Welcome patients and create a “they know my name” experience Answer phones with confidence and warmth Schedule visits electronically and keep the day flowing Verify insurance benefits and confirm patient info (personal + financial) Maintain charts and EMR accuracy Handle patient payments (collect/post/deposit) Support clinic operations: faxing, filing, misc. tasks as needed Qualifications What “great” looks like here Patients feel taken care of from the moment they walk in You catch details before they become problems You communicate clearly and stay calm when it's busy You take ownership, help teammates, and keep things moving What helps (but isn't required) Medical front office experience preferred (1+ year is a plus) Comfortable with Microsoft Word/Excel EMR/medical software experience is helpful Additional Information What you'll get: Comprehensive benefits (medical, dental, vision, 401k) PTO + paid holidays Employee Assistance Program (EAP) Employee discounts + additional company perks that support work-life balance The anticipated base salary range for this position is $17.00- $18.00 . Salary is based on various factors, including relevant experience, knowledge, skills, other job-related qualifications, and geography.

DEPARTMENT OF CHILD SAFETY The Arizona Department of Child Safety (DCS) is a social and human services agency whose mission is to successfully partner with families, caregivers, and the community to strengthen families, ensure safety, and achieve permanency for all Arizona's children through prevention, services, and support. Health Program Manager 2 Job Location: COMPREHENSIVE HEALTH PLAN 3003 N Central Ave Phoenix, AZ 85012 Posting Details: Salary: $29.4778 HRLY/$61,313.82 Salary Grade: 21 Closing Date: February 8, 2026 Job Summary: This position coordinates and performs care management duties in relation to the Department's System of Care program (SOC); a statewide, integrated (physical health and behavioral health) health care management system within the Department of Child Safety Comprehensive Health Plan (DCS CHP). This position also identifies and initiates opportunities to enhance quality in providers and provider network in pursuit of the Arizona Twelve Principles for children involved with AZ Department of Child Safety. Job Duties: Performs Care Management activities for children involved DCS with complex physical and health care presentations which includes technical assistance and advocacy for systems of physical and behavioral health care delivery and DCS processes (i.e. Courts, Caregivers). Documents efforts. Serves as a field accountability partner to DCS CHP's managed care organization (MCO) partner in child-specific and system related functions to improve health care outcomes for children in care including, but not limited to, Child and Family Team (CFT) fidelity, care coordination and other performance management activities. Develops and maintains professional relationships among system stakeholders with efforts focused toward identifying child-specific and system oriented enhancements to improve health care to children served by DCS. Maintains up-to-date knowledge of Arizona Health Care Cost Containment System (AHCCCS), DCS and DCS CHP policies and procedures and participates in data-driven performance management to advise quality and network activities. Participates in activities beyond regular work hours on a rotational basis; handle incoming telephonic inquiries from members, providers, caregivers and DCS staff during off hours. Other duties as assigned as related to the position. Knowledge, Skills & Abilities (KSAs): Knowledge of: Applicable laws and regulations, government (Medicare, Medicaid, Supplemental Security Income (SSI), and Social Security Disability Insurance (SSDI) and insurance benefits including AHCCCS Medical Policy and Contractors Operations Manuals New regulations on federal, state and local levels as well as practice guidelines and standards of practice Skills in: Assessing, determining, and evaluating appropriate disposition and making independent judgments based on critical thinking skills and expertise Professional behavior, promoting cooperation and team building Communicating effectively and professionally using all modalities i.e. technology, written letter, and verbal with both providers and caregivers in a way that is both clear and concise Ability to: Maintain and manage caseloads working independently with minimal direction Anticipate and organize work flow Work with a high volume caseload, deal effectively with rapidly changing priorities Follow through on responsibilities Selective Preference(s): N/A Pre-Employment Requirements: Requires the possession of and ability to retain a current, valid state-issued driver's license appropriate to the assignment. Employees who drive on state business are subject to driver's license record checks, must maintain acceptable driving records and must complete any driver training (see Arizona Administrative Code R2-10-207.11). Employees may be required to use their own transportation as well as maintain valid motor vehicle insurance and current Arizona vehicle registration. Mileage may be reimbursed, if applicable. (Arizona Administrative Code Revised 1/29/2020) Bachelors degree in counseling, social work, psychology, or related field and at least two years of health care advocacy through the child and family team process, developmental or physical health providers or systems including managed care or child welfare system required. The ability to secure and maintain clearance from the DCS Central Registry. If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver's License Requirements. All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify). Benefits: The State of Arizona provides an excellent comprehensive benefits package including: Affordable medical, dental, life, and short-term disability insurance plans Top-ranked retirement and long-term disability plans 10 paid holidays per year Vacation time accrued at 4:00 hours bi-weekly for the first 3 years Sick time accrued at 3:42 hours bi-weekly Deferred compensation plan Wellness plans By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion. Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page Retirement: Positions in this classification participate in the Arizona State Retirement System (ASRS). Enrollment eligibility will become effective after 27 weeks of employment. Contact Us: Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by contacting ************ or by email at *************. Requests should be made as early as possible to allow time to arrange the accommodation. Should you have any further questions regarding the interview process you can reach out to a member of our recruitment team at ************ or by email at ********************. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

The Financial Counselor serves as a patient advocate by delivering clear and accurate information about a patient's financial obligations in relation to their oncology visits and/or treatment. This position requires a strong knowledge of social work and advanced understanding of managed care processes to help the patients navigate their financial obligations. The Financial Counselor will work directly with uninsured and underinsured patients (sometimes face to face) to provide guidance and coordination to seek financial resources available. In addition, they will work with patients to understand their current insurance benefits, as well as guide them to other resources such as patient assistance agencies that aid patients with substantiated financial needs. This position will work closely with the intake center and managed care coordinator staff. The position will also work closely with social workers in the clinics and serve as a member of the patients' overall care process. Function/Duties of Position Financial Counseling Guide patients and their families in both English and Spanish through the financial process by working directly with them to understand the financial obligations related to their care. Work directly with uninsured or underinsured patients both in person and over the phone to provide guidance and coordination to seek financial resources available prior to scheduling in both English and Spanish. Discuss application process with patients and assists to transfer to OHSU Registration or Patient Financial Services as appropriate. Research other patient assistance programs to assist with costs of care. Assist with questions about billing policies, billing statements, and denial/appeals. Help with understanding insurance benefits and obligations. Assistance with completing important paperwork for patient assistance programs, if applicable. Guidance through the appeals process if denial of coverage occurs. Review accounts for potential financial assistance candidates. Coordinates with other applicable staff within Patient Financial Services for uninsured patients who may be eligible for Medicaid or other funding. Patient Services Using various social work techniques, screens patient's financial needs from a psycho/social aspect and determines current/anticipated impact and concern. Works directly with patients and family in both English and Spanish to provide information related to financial expectations. Delivers this information with compassion. Advocates on behalf of patients to care team to determine visits and treatment based on the patient's financial situation. Facilitates the coordination of follow up on requested financial assistance and/or other resources. Works closely with social workers in clinic and clinical team to present update on patient's financial situation. At all times must exemplify high quality customer service in both English and Spanish to both external customers as well as internal customers that meet or exceed the service standards set by OHSU. Other duties as assigned. Required Qualifications Bachelor's degree in Social Work, Education or a related field. Three years of experience which shows a knowledge of casework methods and techniques. Knowledge, Skills, and Abilities knowledge of medical and insurance terminology and Medicaid/Medicare. Knowledge of the implications of the effect of illness, injury and/or disability on patients and their families. In depth knowledge of insurance requirements needed, forms, and understanding of out of network payers, secondary networks, non-local, national insurances. Strong written and verbal communication skills to communicate with patients, caregivers, insurance plan representatives, and hospital leadership. Certificate of successful completion in Spanish language, issued by OHSU Translation and Interpreter Services Department's current process. Preferred Qualifications Master's degree in Social Work or related field. In depth knowledge of financial counseling process and patient financial assistance program qualification. Two years of social service work experience providing supportive counseling to clients. Additional Details Remote work. Occasional meetings in OHSU clinic locations. Monday - Friday, day shift hours, variable between 7:30am - 5:30pm depending on department needs. Benefits Healthcare for full-time employees covered 100% and 88% for dependents. $50K of term life insurance provided at no cost to the employee. Two separate above market pension plans to choose from. Vacation - up to 200 hours per year dependent on length of service. Sick Leave - up to 96 hours per year. 9 paid holidays per year. Substantial Tri-Met and C-Tran discounts. Employee Assistance Program. Childcare service discounts. Tuition reimbursement. Employee discounts to local and major businesses. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.

MedAllergy is seeking an Allergy Treatment Coordinator. Qualified candidates are medical assistants or LPNs with at least 2-3 years of direct patient care experience in a practice setting. Allergy experience is preferred but not required. Ideal candidates are confident, reliable, self starters who thrive working in an independent environment. Duties include administration of allergy skin testing, intradermal testing, mixing of immunotherapy and administration of weekly allergy injections. We are looking for the best of the best. If you are confident with excellent communication skills, and a real people person who enjoys working in a semi-autonomous setting, this may be the position for you! We are specifically looking for someone to be able to work in the clinics 12 hours a week giving allergy shots and also have availability to work from home 10-15 hours a week verifying insurance benefits. Compensation: $18-22 per hour

Insight Global is hiring for a Remote Care Manager to support our micro clinic operations in Raleigh, NC. You will work in a virtual setting with providers, paramedics, and patients to partner in the care continuum process. You will lead the clinical onboarding of new contracts, handle referrals & authorizations, and ensure seamless communication with all stakeholders. Responsibilities will include: · Develop and monitor care plans in collaboration with multiple providers, adjusting as needed · Follow up on interventions to prevent unnecessary ER visits and hospital admissions · Serve as the primary liaison between patients, families, and healthcare staff to ensure seamless communication · Navigate multiple healthcare platforms including EHRs, payer portals, billing software, and patient messaging systems · Ensure timely and accurate documentation across systems to support care continuity and compliance · Verify provider participation, coverage, and pre-authorization requirements with insurance administrators and healthcare facilities · Optimize client contracts and referral workflows to enhance scalability and efficiency in care coordination · Schedule and manage appointments, follow-ups, and referrals to specialists and services · Educate patients on conditions, medications, and treatment plans to promote understanding and adherence · Track patient progress and address barriers to treatment plan compliance We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements · RN Licensure or Paramedic Licensure in North Carolina · Minimum of 3 years of experience in care coordination (care or case management) · Strong knowledge of insurance benefits, prior authorizations, and referral management · Proficiency with EMR/EHR systems, payer portals, and standard office software (60% of role) · Strong communicational & organizational skills - ability to work efficiently with a team

Who We Are ™ Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company's extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. For more information about Enovis, please visit *************** What You'll Do At Enovis™ we pay attention to the details. We embrace collaboration with our partners and patients, and take pride in the pursuit of scientific excellence - with the goal of transforming medical technology as we know it. Because that's how we change the lives of patients for the better. And that's how we create better together. Why work at Enovis? See for yourself. As a key member of Healthcare Solutions, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes. Job Title: Client Service Associate Reports To: Client Success Manager Location: Remote, USA preferably PST or MST Business Unit Description: From automation software, inventory management, real-time insurance benefits verification to various DME billing programs, a partnership with Enovis Healthcare Solutions offers unmatched expertise and customization Job Title/High-Level Position Summary: Client Service Associates (CSA) collaborate with various internal and external departments and customers to provide product and service information and support for Enovis software applications and resolve emerging problems customers might face. This position will work to ensure new and existing customers on the Company's software and applications are successful by implementing policies and procedures that ensure customer satisfaction and retention. CSAs work in concert with the Field Implementation Team, Product Team, Development Team and Area Directors to build and maintain customer relationships and ensure customer success with Enovis. Key Responsibilities: Provides remote support to internal and external customers via ticketing, Live Chat (messaging), email, or phone to resolve issues and ensure all customer interactions are thoroughly documented in system. Responds promptly to inquiries and complaints and ensures tickets are worked efficiently to resolve issues promptly. Evaluates and Identifies trends with customers on enhancements, needs, or issues within the hardware, software, and mobile applications, collecting customer feedback, providing supporting data, and reporting on trends where appropriate. Serves as application and company ambassador in building sustainable relationships, as well as education and guidance for customers through their journey. Provides accurate, valid, and complete information to customers by conducting research and exhaustive troubleshooting to ensure proper resolution using the methods and tools provided. Independently evaluates risk of customer churn and proactively assesses customer needs to promote and educate on available offerings within the Company's application(s) to achieve successful outcomes and customer retention. Develops and maintains a thorough knowledge of internal systems, software, and applications. Creates and maintains knowledge base articles, training documents, process maps, and technical documentation for internal and external customers. Trains internal and external customers and internal business units on best practices. Assists with functions related to customer contracting and customer invoicing processes, including, but not limited to, the following: creating, sending, and managing storage of software contracts and SOWs, escalating contract changes to designated legal team members, compiling data required for invoicing, entering invoices into Oracle, reporting/escalating issues, and managing contract data in Salesforce. Acts as a Subject Matter Expert (SME) in a designated area or application and assists in driving and managing specific tasks including, but not limited to, the following: creating and managing training and troubleshooting documentation for internal and external teams, attending and participating in designated meetings, presenting status and updates in team meetings, serving as second-level escalation for tickets or issues regarding designated area or application assigned. Demonstrates commitment to the Enovis Compliance & Ethics Program, the Enovis Code of Conduct, the Enovis Sales and Marketing Code of Conduct, the AdvaMed Code of Ethics, and all supporting and applicable regulations, policies, and procedures. Adheres to all internal Corporate Compliance guidelines, OIG, government healthcare regulations, regulatory policies and procedures, and privacy and security standards in accordance with government agencies, including HIPAA requirements. Treats Protected Health Information (PHI) with the strictest confidentiality in accordance with HIPAA standards. Acquires a basic understanding of the field to include regulatory compliance issues and adhere to these guidelines. Other duties as assigned. Minimum Basic Qualifications: Minimum of 3 years of experience as a Field Service Representative or equivalent position in a medical/healthcare setting, managing a DME program, required. Minimum of 3 years of experience in patient care. Experience handling patient inquiries and complaints. High School Diploma or GED required. Travel Requirements: Must be able to travel up to 15% of the time. Typical work-related travel assignments range 1-5 days, and as such overnight, out-of-town stays may be required. Desired Characteristics: Working knowledge of MotionMD software preferred. Agile Project Management certification, Certified Scrum Master certification, or any Project Management certifications a plus. “Creating better together”. It's the Enovis purpose, and it's what drives us and empowers us every day on a global scale. We know that the power to create better - for our customers, our team members, and our shareholders - begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes. What does creating better together mean to us at Enovis? Discover the “why” behind our purpose, values and behaviors: Our Enovis Purpose, Values and Behaviors on Vimeo We offer a comprehensive benefits package that includes: Medical Insurance Dental Insurance Vision Insurance Spending and Savings Accounts 401(k) Plan Vacation, Sick Leave, and Holidays Income Protection Plans Discounted Insurance Rates Legal Services ABOUT ENOVIS Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent, and innovation, the company's extensive range of products, services, and integrated technologies fuels active lifestyles in orthopedics and beyond. Visit ************** to learn more. EQUAL EMPLOYMENT OPPORTUNITY Enovis provides equal employment opportunities based on merit, experience, and other work-related criteria without regard to race, color, ethnicity, religion, national origin, sex, age, pregnancy, disability, veteran status, or any other status protected by applicable law. We also strive to provide reasonable accommodation to employees' beliefs and practices that do not conflict with Enovis policies and applicable law. We value the unique contributions that every employee brings to their role with Enovis. Join us in creating better together. EOE AA M/F/VET/Disability Statement All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, religion, color, national origin, sex, protected veteran status, disability, or any other basis protected by federal, state or local laws.

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today! Job Details This associate will be responsible for initiating, researching, completing, submitting, and tracking Patient Services Program applications for assigned facilities. The incumbent is responsible for conducting benefit verification and completing necessary third-party prior authorizations, reimbursement activities, patient assistance, and copay program enrollments. They may also coordinate refill calls, perform documented adherence activities and coordinate dispensing for specialty medications, high-cost prescriptions, and/or infusion medications for both the pharmacy and medical benefit. This role requires proactive interaction with facility staff, patients, payers, and patient assistance programs (PAP). May need to adjust work schedule to support customers in different time zones. Hours: 8:00 AM to 4:30 PM PST Location: Remote, PST preferred Responsibilities: Performs patient onboarding, benefit verification, prior authorization, financial assistance and appeals processes, as needed, on behalf of patients and their physician to facilitate the process between the doctors' office and pharmacy to triage and streamline prescription fulfillment. Provides above services for a health system's ambulatory pharmacy, specialty pharmacy and/or outpatient infusion center environment, as requested. Interacts with patients and providers to obtain insurance benefits and patient information needed to request prior authorizations so that medications and other services rendered are reimbursed by payer. Ensure patient-specific reimbursement related information is obtained and available for review and for tracking of replacement product, including maintenance of files and documentation for PAP application submissions. Obtains appropriate signatures and documentation for completed PAP applications prior to submission of the application to the respective PAP. Completes patient adherence activities that may include notification of upcoming refills, coordination, tracking, and confirmation of prescription delivery. Works within health system's electronic medical record system and other applicable systems (i.e., IndiCare™) to support workflow management and to document activities (i.e., retrieve information needed to deliver services, communicate status, and document outcome). Provides integrated services to the health system and its component parts to increase prescription capture rate, ensure timely delivery of infusion medications to be infused in the hospital setting, improve patient outcomes and reduce readmissions. Resolves barriers proactively that may affect reimbursement at assigned facilities and provides detailed updates to the Patient Access Management team Establish business relationships with assigned clinic staff, pharmacy, and hospital contacts, keeping them informed of significant changes in site-specific recovery potential based on changes to PAPs. Readily assists on special projects within job scope to improve reimbursement optimization when requested by management. Communicates patient and provider feedback to PHS management to enhance process improvement to enhance continuity of care. Interfaces appropriately with assigned key account associates with information relevant to additional products and services provided by Cencora and its subsidiaries. Demonstrates flexibility and adapts to changes in payer, pharmacy and patient assistance program processes and requirements. Provides temporary coverage to support clients and patients in the event of onsite resource absences. Performs related duties as assigned Education: This position requires broad training in fields such as Medical Office Administration, Social Work, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar vocations generally obtained through completion of a 2-year Associate Degree, technical vocational training, or equivalent combination of experience and education. Bachelor's degree program preferred. 2+ years of directly related or relevant experience Pharmacy Technician Certification Board (PTCB) certification is required.Must have at least 3 years of prior authorization experience. CPhT is perferred. Knowledge and Skills: Ability to communicate effectively both orally and in writing. Strong organizational skills; attention to detail Ability to work quickly and accurately under time and volume constraints. Ability to be proactive and tenaciously seek solutions under minimum supervision to improve customer satisfaction. Demonstrated competence in Microsoft Excel and Word Strong analytical skills Strong interpersonal skills Familiarity with insurance/claims processing, pharmaceutical products, services, software, and drug interactions What Cencora offers We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit ************************************** Full time Salary Range*$43,700 - 62,480 *This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range. Equal Employment Opportunity Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law. The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call ************ or email ****************. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned . Affiliated Companies:Affiliated Companies: Value Apothecaries Inc

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Outpatient Care Manager, Social Worker (OP CM SW) is responsible for providing Social Work and care management services to out-patients and their families (occasional in-patients) as directed by the policies and procedures of the entity and Outpatient Care Management Department. The OP CM SW provides professionally established methods of assessing a patient's unique bio-psychosocial status, assists patients and families in resolving problem areas, and connects them with appropriate community resources and services. Responsible for the psychosocial component of patient care as it relates to medical stability and wellness, the OP CM SW collaborates with both health care and community partners to address social determinants of health and promote self-management of care needs. The OP CM SW also collaborates with the Outpatient Care Manager RN, Community Health Worker and extender staff as needed to address the social needs of the medically complex patient.JOB DUTIES AND RESPONSIBILITIES: Provides assessment, care planning and intervention to patients and caregivers, including psychosocial and resource evaluation and planning, advocacy, as well as crisis intervention as appropriate. Provides counseling directed toward helping patients/caregivers cope with and understand the relationship between physical functioning, illness and the consequent social/emotional impact and adjustments required. Consults with providers, nurses and other members of the health care team to facilitate interdisciplinary care and address effective continuum of care coordination. Investigates insurance benefits as well as community resources to provide and facilitate appropriate referrals based on patient/caregiver agreement. Organizes individual patient care meetings with internal and, as necessary, external multidisciplinary team members and the patient/caregiver to evaluate progress and to identify and resolve problems that may interfere with a positive patient outcome. Provides patient/caregiver and/or care team education as needed as it relates to government mandates/laws. Proactively collaborates with patient/caregiver, care team members, and community partners as necessary to address bio-psychosocial needs to ensure efficient and effective continuity of care, utilization of resources and to avoid unnecessary hospitalizations. Ensures appropriate clinical and patient care documentation in patient charts, completes reports and other requested/required patient documentation as needed, and maintains required statistical documentation for the department's management information system. Functions autonomously under the Organization and Departmental policies and procedures and in compliance with the NASW Code of Ethics. Acts as a liaison to community agencies, health institutions, etc., to address systems issues affecting patient outcomes by serving, as able, in community groups and organizations. Demonstrates competency in the assessment, range of treatment, knowledge of growth and development and communication appropriate to the age of the patient treated. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for one to two hours at a time, stand for two to three hours at a time, walk on all surfaces for up to five hours per day, and climb stairs. Must be capable of driving a car. Fingering and handling objects frequently. Occasionally firmly grasp, twist and turn objects with hands and fingers. May be required to lift, carry, push, and/or pull objects weighing up to 25 pounds. Occasionally stoops, bends, squats, kneels and reaches above shoulder level. Must have the ability to hear as it relates to normal conversations and high and low frequencies and to see as it relates to general and peripheral vision. Must have the ability to touch as related to telephone and computer keyboard. EDUCATION: Master's degree in Social Work from an educational institution accredited by the National Council on Social Work Education (NCSWE) preferred. LICENSURE / CERTIFICATION: State licensure for MSW in PA and NJ preferred.State licensure for MSW in NJ required if working in NJ.TRAINING AND EXPERIENCE: MSW with minimum of two (2) years' experience in medical social work case management or other experience as related to site of service preferred or as above. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

Transforming the lives of those affected by severe mental illness At Amae Health, we are dedicated to helping the 15.4 million Americans living with severe mental illness (SMI) lead stable, meaningful lives, while ending the cycle of repeat hospitalizations. In partnership with some of the nation's top academic medical centers we've pioneered an innovative outpatient care model that combines compassionate, in-person psychiatric care with comprehensive wraparound support. Our integrated care teams - including psychiatrists, therapists, primary care physicians, health coaches, and peer support specialists - work together to treat the whole person via a unique model, addressing physical, mental, and social needs in unison. By caring for every aspect of our patients' well-being, we help them not just survive, but truly thrive. Amae Health is a Series B venture-backed Public Benefit Corporation dedicated to becoming the nation's center of excellence for individuals living with severe mental illness (SMI). Backed by top-tier venture capital firms and strategic healthcare investors, we collaborate with prestigious health systems including NewYork-Presbyterian and Cedars-Sinai, underscoring our commitment to fundamentally transforming mental health care delivery at scale. We're Hiring! Amae Health is seeking a Member Financial Services Analyst to support our mission of delivering world-class, whole-person care for adults living with serious mental illness. This is a full-time remote role, with working hours aligned to Pacific Time. The Opportunity: As we continue to grow our ability to care for individuals living with severe mental illness (SMI) the teams that support our work are expanding as well. We are excited to hire a patient-centric Member Financial Services Analyst who will be at the center of how we ensure that patients can access care, while supporting our providers who are delivering that care. Reporting to the Admissions Team Lead, you will function as part of a dynamic team that is optimizing for excellent member service and streamlined revenue cycle operations. it. If you are excited to work at a fast-growing, multi-state behavioral healthcare organization that is at the intersection of healthcare operations and client services, where no two days look the same, we'd love to hear from you! What you will work on: Own and manage the member-facing phone line, delivering compassionate, timely, and solutions-oriented support. Manage expedient and accurate Verifications of Benefits (VOBs) to ensure members can access care without delay. Collaborate and strategize cross-functionally with our member growth team to streamline onboarding and ensure a seamless member experience. Oversight, monitoring, and management of the Prior Authorization Process, ensuring timely submission of authorization requests. Supports member billing, collections, and payment posting processes in compliance with organizational policies and applicable regulations. Bring a bias to action and high EQ, balancing detail-oriented execution with the ability to calmly navigate change, ambiguity, and unexpected challenges. Be part of a culture that values adaptability, resilience, and continuous improvement. What You'll Have: 3+ years of experience working within insurance benefits, billing procedures, and prior authorization processes. SMI/BH experience preferred. Experience using commercial insurance payor portals required; Medicare and Medicaid experience highly preferred. Experience in an externally facing role, ideally working directly with patients, comfort with phone based work required. Solid communicator who can translate complex payer or process issues into clear action steps across teams. High EQ and service orientation, you build trust quickly with colleagues, partners, and patients. Adaptable and resilient, you thrive in fast-moving, ambiguous environments. Organized and detail-driven, you can manage multi-step processes without dropping details. Experience with process optimization and compliance management. What We Provide: Health Insurance: Comprehensive medical, dental & vision plans Employee Assistance Program 401(k) FSA & HSA savings programs Short & long-term disability Pre-tax commuter assistance program Paid time off Parental Leave - 12 weeks for birth and non birth parent 11 company holidays Amae Health is committed to fair and equitable compensation practices. Base salary range for this role is $63,000-$86,000 per year based on a full-time schedule. Actual compensation packages are based on several factors that are unique to each candidate. These factors include, but are not limited to, job related knowledge and skill set, depth of experience, certifications, degrees, licensures, and specific work location. More About Amae: 'Amae', pronounced ‘Ah-mai', is a Japanese concept meaning the need to be in good favor with, and the ability to depend on, the people around oneself. It reflects our core belief that a strong support system is essential to build people up, strengthen their will to carry on and even to thrive in life. This mentality applies across our whole company - from the patients we serve to the team we're building. We're a Public Benefit Corporation (PBC) that provides outpatient psychiatric and primary care health services through value-based care arrangements. Our model's success is predicated upon achieving outcomes for our patients, not on the volume of services provided. Amae Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply.

Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors . This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. This position is primarily remote, candidates must reside in the Tri-State area (New York, New Jersey, or Connecticut). Note: There may be occasional requirements to visit the New York or New Jersey office for training, meetings, and other business needs. Opportunity to grow as part of a Revenue Cycle Career Ladder! Job Summary: The Self-Pay Collections Specialist II is responsible for follow-up work on Self Pay account balances. Responsibilities include handling of inbound calls generated by an auto-dialer to secure payment, establish payment arrangements and/or obtain updated patient information. The Self-Pay Collections Specialist II must always exhibit professional and courteous behavior during communications. Job Responsibilities: Collect full payment from patient or guarantor. Apply payments collected over the phone to each date of service. Establish payment arrangements and document terms in billing system. Handle customer inquiries, disputes and complaints. Escalate to supervisor or higher management as needed Obtain insurance, demographic, guarantor information and update patient profile as well as bill third party payers as appropriate. Clearly document in system summary of work. Evaluate the patient s ability to pay for services. Create payment arrangements via cash, check, credit card or payment plan as appropriate. Utilize Epic estimator tool to provide estimates and collect upfront payments, deductible and copays. Obtain insurance information, check eligibility for active coverage and update patient accounts accordingly. Determine coverage for planned clinical services and calculate patient expected out of pocket expenses. Answer and return phone calls and other general office tasks. Perform other job duties as required. Job Qualifications: High school graduate or GED certificate is required. A minimum of 1 years experience in a physician billing or third-party payer environment. Candidate must demonstrate a strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner. Must demonstrate an understanding of contracts, insurance benefits, exclusions and other billing requirements as well as claim forms, HMOs, PPOs, Medicare, Medicaid and compliance program regulations. Candidate must demonstrate the ability to understand and navigate the payer adjudication process. Must demonstrate effective communication skills both verbally and written. Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.) Patient financial and practice management system experience in Epic and or other of electronic billing systems is preferred. Knowledge of medical terminology is preferred. Previous call center experience and/or claims experience is preferred. Previous experience in an academic healthcare setting is preferred. Hourly Rate Ranges: $23.69 - $32.00 Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education. 61st Street Service Corporation At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle. We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.

Raleigh General Hospital Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Raleigh General Hospital is a 300 bed facility caring for nearly 13,000 patients each year with over 50,000 being treated in our emergency room. We offer a wide range of surgical services as well as specialty programs including Cardiac CTA, Digital Mammography, and Trauma Services. Where We Are: Beckley is an ideal place to live and boasts many scenic, cultural, and recreational opportunities. From restaurants and breweries to art galleries and unique attractions, Beckley is an outdoor playground with something for all tastes. Why Choose Us: · Health (Medical, Dental, Vision) and 401K Benefits for full-time employees · Competitive Paid Time Off / Extended Illness Bank package for full-time employees · Employee Assistance Program - mental, physical, and financial wellness assistance · Educational assistance and tuition assistance for qualified applicants · Professional development opportunities and CE assistance · And much more… JOB SUMMARY The LPN is responsible for providing nursing care consistent with the goals and philosophy of Raleigh General Hospital. The LPN is required to provide professional nursing care and assists in the delivery of health care management for patients. This position requires strong clinical and critical thinking skills. The LPN must be able to multi-task in a very fast paced environment. May be required to help cover other areas as needed. ESSENTIAL FUNCTIONS a. Responsible for assisting the healthcare provider in providing direct patient care which includes, but is not limited to i. Equipment preparation, assistance and completion of medical treatments, exams, and medical procedures as directed and supervised by the provider. ii. Obtaining and updating the patient's medical history, medication lists, vital signs, height, weight, visual acuity and determining patient's chief complaint. iii. Scheduling of appointments and procedures as ordered by provider. iv. Responsible for prescription refills as authorized by provider. v. Obtains insurance pre-authorizations as required for testing and scheduled procedures. b. Maintains a clean and safe environment in accordance with the policies and procedures of the clinic. c. Administers prescribed oral, inhalation, intramuscular and subcutaneous injections as ordered by the healthcare provider in accordance with clinic policy and procedure requirements. d. Must complete safety instructional programs. Follow and enforce accepted safety practices for patients, and hospital. e. Must report all incidents, hazards, drug interactions, and initiate appropriate action. f. Must complete assigned job duties within appropriate working hours. It is the responsibility of the employee to manage their time wisely JOB REQUIREMENTS Required Skills Behavioral Requirements a. Must possess excellent interpersonal skills, a positive attitude, willingness to learn, ability to speak clearly, communicate instructions in both oral and written forms. b. Demonstrate the ability to work with patients, families, physicians, mid-level providers, peers, and administrative staff in a tactful and professional manner. c. All employees are required to deliver quality care by providing excellent customer service and participate within a team centered approach toward patient care. d. Must maintain a positive impression of Raleigh General Hospital at all times. Technical Requirements a. Demonstrate knowledge of ICD-10, CPT codes, insurance benefits and healthcare backgrounds. b. Must display proficiency in EMR, order entry and other clinic and hospital systems. c. Significant working knowledge of computers, telephones, copy and fax machines. d. Athena and Meditech experience preferred. Must be able to work independently with minimal supervision. Must be able to prioritize and organize work areas. Certifications: Basic Life Support (BLS) - - to be obtained within 30 days Required Licenses Job Description Report Current licensure by WV State LPN Board or a multi-state license. EEOC Statement: Raleigh General Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law. Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

The Stop Loss Manager is responsible for managing the day-to-day operations of the Stop Loss department. This position will work closely with the Director, Stop Loss to establish and meet expectations and business goals. The Manager will focus on innovation, ensuring audit metrics are kept, tracking stop loss claim filings, reimbursements, and advance funding claims to ensure the department is running in an efficient and thorough manner. Ensuring all administrative, organizational, and auditing functions are maintained by the team. ESSENTIAL FUNCTIONS Manages the day-to-day operational functions to include, workflow management, staffing needs, systems, procedures, and reporting. Proactively addresses critical issues and identifies ways to streamline and improve efficiency of work Monitor all claim filings, including both specific and aggregate. Collaborate cross departmentally to ensure business objectives and performance standards are met. Assesses current processes and procedures for innovative opportunities amongst teams. Design and implement policies and procedures most efficient to corporate directives and strategy. Ensure all define processes and quality standards are followed. Foster a sense of urgency and commitment to achieve goals Ability to troubleshoot daily issues that arise throughout each team. Maintain direct report assignments, performance management and relative goals. Perform weekly audits of specific claims to ensure all claims were filed correctly and all reimbursements have been received. Coordinate reprocessing of claims according to carrier negotiations Request reporting for mid-year takeover stop loss policies Responsible for the filing of aggregate claims and securing reimbursements. Assist with making claim adjustments for claims paid in a current contract but should be applied to a prior contract. Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent. Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed. Actively engage, coach, counsel and provide timely, and constructive performance feedback. Work on special projects, duties or tasks as assigned. EDUCATION Bachelor's degree or relevant work experience required EXPERIENCE AND SKILLS At least 5 years stop loss experience required, either at a TPA or stop loss carrier. At least 3 years at a supervisory level and possess successfully demonstrated leadership competencies required. Intermediate level work experience with Microsoft Office, Word, Excel, and Power Point software applications required Group Health Insurance/Benefits experience preferred Excellent written and verbal communication skills POSITION COMPETENCIES Accountability Communication Action Oriented Timely Decision Making Building Relationships/Shaping Culture Customer Focus PHYSICAL DEMANDS • This is a standard desk role - long periods of sitting and working on a computer are required. WORK ENVIRONMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.