Insurance Eligibility jobs near me - 78 jobs

Job Description Primary Job Functions[1]: Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third-party payer requirements/on-line eligibility systems. Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for patients. Follows up with internal departments, physician offices, patients and third-party payers to complete the pre-certification process. Identifies out of pocket amounts (i.e., copay, deductible, co-insurance), determining the correct coordination of benefits, identifying if a replacement or supplemental plan exists, identifying termed coverage, and identifying if the patient's plan is considered out of network coverage. Collaborates with internal departments to provide account status updates, including expected out of pocket amounts, coordinate the resolution of issues, and appeal denied authorizations. Ensures services have prior authorizations and updates patients on their preauthorization status. Coordinates peer to peer review if required by insurance. Notifies ordering providers if authorization/certification is denied. May need to coordinate scheduling of patient appointments, diagnostic and/or specialty appointments, tests and/or procedures. Maintains files for referral and insurance information, and enters referrals into the system. Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Runs system-generated reports to verify insurance verification/authorization is being done timely prior to the patient's date of service; verifies the insurance benefits and eligibility either by phone or online for every patient that is scheduled Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary. May need to respond to patient inquiries about their insurance benefits. Assists physician's office staff with any insurance benefit questions and educate them on any changes to the insurance companies' verification/pre-certification process for the facility. Ensures insurance information is verified and entered into the billing system. Works with Billing Department to assure all insurance information is entered so claims are not denied. May help research any claim issues. Other duties as assigned. Secondary Job Functions: Attend meetings and training sessions Maintain confidentiality of patient and financial information by utilizing HIPAA guidelines and regulations Adheres to all Federal, State, and Local laws and regulations as well as policies set forth by Ohio Gastroenterology Group Inc and its related parties Knowledge, Skills and Abilities Knowledge of third-party payers and prior-authorization requirements Understanding of basic medical terminology and procedures Proficient use of office equipment, such as copier and fax machine, phones, etc. Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, payer websites, physician practice management, and electronic medical records systems. High attention to detail and the ability to multi-task. Strong time management skills Ability to work independently with minimal supervision and to manage multiple priorities. Strong written and verbal communication skills Ability to effectively communicate with a variety of people under stressful circumstances. Neat appearance, professional demeanor and pleasant voice Fluent in English Credentials and Experience Must have high school diploma or equivalent One (1) year of experience and relevant knowledge of revenue cycle functions, insurance eligibility, or prior authorization in a healthcare setting preferred • Experience with eClinicalWorks a plus Physical Demands Must be able to bend over (frequent), climb stairs (frequent), sit (frequent), stand (frequent), stoop (frequent), walk (frequent) and type on keyboard (frequent). Work Environment Minimal medical office exposure that may require contact with adult patients Office workstation environment with numerous employees [1] Critical features of this job are described under this heading. They may be subject to change at any time due to reasonable accommodation or other reasons,

Job Description Experienced Dental Business Assistant - Magnolia Dental (Canal Winchester, OH) Full-Time | Competitive Pay | Supportive Team Environment Magnolia Dental at Canal Winchester is seeking a skilled and experienced Business Team Member to join our dynamic dental practice. As a key part of our front office team, you will play a vital role in delivering a seamless and welcoming experience for our patients while supporting the daily administrative operations of the office. We are looking for a dependable, organized professional with at least one year of dental office experience who thrives in a fast-paced, patient-centered environment. Office location: 6160 Gender Rd, Canal Winchester, OH 43110 Website: ******************************************************* Hours: Mondays: 7a-4p Tuesdays: 8a-5p Wednesdays: 8a-5p Thursdays: 8a-5p Fridays: 7a-2p Key Responsibilities Serve as the first point of contact for patients with a warm, professional demeanor Manage appointment scheduling, confirmations, and rescheduling to optimize the daily schedule Answer phones, handle patient inquiries, and direct calls appropriately Verify insurance eligibility, update patient records, and coordinate with billing for claims processing Process payments, manage co-pays, and ensure collection of account balances Maintain accurate and confidential patient information in compliance with HIPAA Collaborate with clinical staff to ensure efficient workflow and exceptional patient care Address patient concerns with empathy and effective problem-solving Present and close treatment plans, ensuring the patient has an understanding of care needed Qualifications High school diploma or equivalent required Minimum of 1 year of dental office experience is required Experience with dental management software (such as Dentrix, Eaglesoft, or Open Dental)- office utilizes Dentrix Ascend Strong organizational skills with attention to detail Excellent interpersonal and communication skills Ability to multitask and streamline workflow Professional, positive attitude and a team-first mindset What We Offer Competitive compensation Comprehensive benefits (for full-time employees), including health insurance and paid time off Ongoing training and opportunities for career growth A positive, inclusive, and collaborative team culture A modern office environment with a strong community presence At Magnolia Dental, we believe in delivering outstanding care through teamwork, compassion, and professionalism. If you're an experienced dental professional looking to grow with a practice that values both its patients and team members, we'd love to meet you! Apply today and join a practice where you can make a difference every day. Magnolia Dental is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive workplace.

Description Ardelyx is a publicly traded commercial biopharmaceutical company founded with a mission to discover, develop and commercialize innovative first-in-class medicines that meet significant unmet medical needs. Ardelyx has two commercial products approved in the United States, IBSRELA (tenapanor) and XPHOZAH (tenapanor). Ardelyx has agreements for the development and commercialization of tenapanor outside of the U.S. Kyowa Kirin commercializes PHOZEVEL (tenapanor) for hyperphosphatemia in Japan. A New Drug Application for tenapanor for hyperphosphatemia has been approved in China with Fosun Pharma. Knight Therapeutics commercializes IBSRELA in Canada. The Senior Director, Patient Services will be responsible for leading Ardelyx's patient services hub for our portfolio of products. The ideal candidate brings both strategic and operational leadership. S/he will be responsible for designing, enhancing, optimizing, and executing an exceptional end-to-end patient and provider experience related to the access to and reimbursement of our products, IBSRELA & XPHOZAH. This individual will manage and oversee the Ardelyx patient access and affordability programs including hub operations, prior authorization electronic solutions, co-pay programs, and operationalizing patient assistance programs. This position reports to the Senior Vice President, Market Access & Patient Services. Responsibilities: Provide strategic vision, leadership, and day-to-day oversight for patient services function (including internal team and vendor relationships) Ensure a seamless patient journey and customer experience considering the end-to-end prescription process (from initial Rx experience all the way through patient retention) Support the implementation of patient access programs (i.e., business rule development, team training, workflow mapping, etc.) Manage, coach, and grow a team of managers (internal and vendor-based employees) Set clear performance expectations and drive accountability for performance with both vendors and team members through KPIs and SLAs, as well as compliance with key regulatory requirements (e.g., HIPAA, state privacy laws) Collaborate seamlessly with key teams throughout the organization to communicate and optimize processes (e.g., payer, trade/distribution, sales, field reimbursement, brand, finance, legal/compliance) Provide subject matter expertise on all patient services related topics by serving as a resource to all stakeholders (i.e. field sales team, prescribers, patients, marketing, etc.). Escalate any concerns to the appropriate parties where applicable Ensure the tight integration of program development and continuous improvement of reimbursement hub operational processes and systems to deliver exceptional customer experience. Qualifications: B.A/B.S., advanced degree within business or healthcare strongly preferred (e.g., PharmD, MHA or MBA), with 12 - 15 years of experience within Patient Access Services (other backgrounds with related experience in reimbursement support, market access, or healthcare will be considered) or equivalent experience 5+ years of supervisory or managerial experience required, including managing remote teams and external vendors Demonstrated track record of improving patient experience metrics and operational KPIs using data and lean/process improvement methods Strong functional knowledge of health insurance and benefits (i.e. Medicare Part B/D, commercial and Medicaid) including insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and bridge programs Extensive knowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations In depth knowledge of pharmaceutical manufacturer compliance requirements and patient confidentiality (HIPAA regulations) Strong analytical skills with the proven ability to effectively analyze data to determine trends and inform strategy Excellent communication, change management, and vendor oversight skills Willingness to travel up to 30% of time within the U.S. The anticipated annualized base pay range for this full-time position is $251,000-$307,000. Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers. Actual base pay will be determined based on a variety of factors, including years of relevant experience, training, qualifications, and internal equity. The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements. Ardelyx also offers a robust benefits package to employees, including a 401(k) plan with generous employer match, 12 weeks of paid parental leave, up to 12 weeks of living organ and bone marrow leave, equity incentive plans, health plans (medical, prescription drug, dental, and vision), life insurance and disability, flexible time off, annual Winter Holiday shut down, and at least 11 paid holidays. Ardelyx is an equal opportunity employer.

At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in mental healthcare. Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our team! LifeStance Health Values Belonging: We cultivate a space where everyone can show up as their authentic self. Empathy: We seek out diverse perspectives and listen to learn without judgment. Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it. One Team: We realize our full potential when we work together towards our shared purpose. Benefits As a full-time employee of LifeStance Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program. ROLE OVERVIEW The Intake Coordinator plays a vital role in assisting new patients to establish care with a LifeStance provider. This position is responsible for scheduling initial assessments, collecting necessary demographic, verifying insurance eligibility, and managing referrals and clinical history to appropriately match patients with the most suitable providers. The Intake Coordinator facilitates the initial stages of client engagement and must possess excellent interpersonal skills. Hours: 8:30 am - 5:00 pm PST Monday - Friday Compensation: $20/hour RESPONSIBILITIES Intake Department Interactions: Efficiently handle communications via phone (inbound and outbound), email, voicemail, faxes, and chat. Identify and communicate patient trends and feedback, including scheduling barriers to Intake. Interact with Practice Operations team as necessary to ensure proper patient matching. New Patient Assistance: Conduct thorough intake assessments to understand patient needs and match them with the most appropriate provider. Schedule initial appointments promptly and accurately with detail outlining patients' needs including talk therapy and/or medication management. Collect patient insurance information and run eligibility ensuring in-network benefits for matched provider. Obtain and verify patient clinical history, demographic details, insurance information, and eligibility. Collect credit card for file and maintain compliance. Assist new patients with portal setup and new patient paperwork. Process and manage referral paperwork efficiently. Other: Ensure all patient interactions and transactions are accurately documented in the Electronic Health Record (EHR) system. Proactively contact referral source, patient, and/or provider office to obtain additional information that is required to complete verification of benefits and/or prior authorizations. Contact existing patients to initiate new services based on internal and external referrals. Assist new patient with any questions regarding new patient appointments or referrals. Professionally and calmly assist with incoming emergency calls as appropriate and follow crisis call protocols. Perform additional tasks and responsibilities as assigned by management to support the overall efficiency of the intake department. Adhere to all relevant policies, regulations, and compliance standards throughout the intake process including HIPAA and PCI. COMPETENCIES & SKILLS Adaptability: Quickly learn and adapt to the intake department's processes and technology, including Electronic Health Record (EHR) systems, appointment scheduling tools, and contact center systems. Communication Skills: Strong verbal and written communication skills to interact effectively with patients, providers, and referral sources. Organizational Skills: Excellent organizational skills with the ability to manage multiple tasks and priorities simultaneously. Customer Service: A patient-centric approach with a strong commitment to providing exceptional customer service. empathy and compassion. Problem-Solving: Ability to handle complex situations and make informed decisions to resolve issues efficiently. Detailed Oriented: Demonstrates meticulous attention to detail, ensuring accuracy and completeness in all tasks. Team Player: Collaborative attitude with the ability to work well in a team-oriented environment. SKILLS & EXPERIENCE High school diploma or equivalent required; Bachelor's degree preferred. 2+ years of experience in a contact center environment and/or healthcare environment. Strong computer proficiency with knowledge of Microsoft Office, Internet, and Email. Prior experience working with Electronic Health Record systems (EHRs), preferred. Clear understanding of insurance-related terminology. Fluency in English is required; fluency in Spanish preferred. Quiet, distraction free, dedicated HIPAA compliant workspace in your remote office with high-speed hard-wired internet access. Must be able to multi-task and prioritize work in a fast-paced work environment. PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, stand, bend, talk and hear. The employee is frequently required to walk. The employee must be able to lift and/or move objects up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus. LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Learn more about Diversity, Equity and Inclusion at LifeStance.

Performs regular maintenance and repairs on equipment and machinery to ensure optimal functionality and safety. Job Description: Essential Functions: Conducts regular inspections of equipment and systems to identify and resolve issues before they become major problems. Performs routine maintenance tasks, such as lubrication, cleaning, and filter replacement, to keep equipment running smoothly. Troubleshoots and diagnoses equipment malfunctions, using diagnostic tools and techniques to identify the root cause of the problem. Repairs or replaces faulty components, such as motors, bearings, and valves, to restore equipment to working order. Maintains accurate records of maintenance activities, including work orders, parts used, and time spent on each task. Collaborates with other technicians and engineers to develop and implement preventive maintenance programs that minimize downtime and maximize equipment reliability. Education Requirement: High School Diploma or equivalent, required. Licensure Requirement: Valid Ohio driver's license and proof of auto insurance as required by hospital policy and position-specific requirements. Must pass motor vehicle background inspection, insurance eligibility, driving qualifications, and training set forth by Nationwide Children's Hospital and maintain qualification of insurance guidelines. Certifications: EPA certification, preferred. State of Ohio Brazing certification, preferred. Skills: Excellent customer service and communication skills. Must be able to understand complicated technical instructions, have the ability to understand and perform tasks from oral and written instructions. Experience: Four years of related experience in two or more related crafts, required. Physical Requirements: OCCASIONALLY: Cold Temperatures, Computer skills, Driving motor vehicles (work required) *additional testing may be required, Electricity, Flexing/extending of neck, Fume /Gases /Vapors, Hot Temperatures, Loud Noises, Pushing / Pulling: 0-25 lbs, Pushing / Pulling: 100 lbs or greater with assistance, Pushing / Pulling: 26-40 lbs, Pushing / Pulling: 41-60 lbs, Pushing / Pulling: 61-100 lbs, Reaching above shoulder, Repetitive hand/arm use, Sitting, Working at Heights, Working Outdoors FREQUENTLY: Audible speech, Bend/twist, Climb stairs/ladder, Color vision, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Lifting / Carrying: 21-40 lbs, Lifting / Carrying: 41-60 lbs, Lifting / Carrying: 61-100 lbs, Machinery, Peripheral vision, Power Tools, Seeing - Far/near, Squat/kneel, Walking CONTINUOUSLY: Decision Making, Interpreting Data, Problem solving, Standing Additional Physical Requirements performed but not listed above: May lift up to 150 pounds occasionally "The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

The Client Services Call Center is Whitman-Walker Health's centralized patient interfacing department responsible for assisting patients in the medical, dental, behavioral health, and other areas across the health center with accessing care. This role facilitates accessing care by utilizing telephonic, text, email, and telephone encounters. Role Specific Primary Essential Duties: Register patients. Sends patient forms using email and DocuSign, attaches received forms, and updates the electronic medical record system Schedule and reschedule patients' various types of appointments in the electronic medical record system. Utilizes dental software when scheduling dental appointments Upload documents to patient charts. Labels all uploaded documents in the electronic medical records system. Must have knowledge of call center tasks, as during times of low call volume, will be responsible for handling other types of calls. Informs patients of items required for their appointment. Confirms patient demographic information and insurance when scheduling an appointment. Updates information in electronic medical records Verify medical insurance commercial coverage and update electronic medical records. Sends TE to verify medical commercial insurance coverage not obtainable via the website. Communicate with other departments to verify non-medical commercial insurance coverage. Update public coverage in electronic medical records in accordance with the Insurance Eligibility function. Sends TE to verify public coverage when needed. Performs claim data for all appointments scheduled by the call center representative. Provides information about Whitman-Walker services and services available in the community. Assists patients and non-patients who contact the call center via phone, text, email, or written communication. Answer all incoming calls in the Call Center queues. Informs the patient of balance and mechanisms to make payment. Collects payment for co-pays and balances, and posts payments. Informs patients of No-Show policy in a compassionate manner. Offers solutions to include advocating with the provider and rescheduling. Facilitates providing patient-requested documents and information. Notifies patients that the provider is not available for their appointment. Performs claim data when an appointment is scheduled. Verify insurance is active using the IE button in eCW when performing claim data. Orders ASL and language interpreters when appointments are scheduled. Routes callers and messages to Whitman-Walker staff or departments. Provides patient portal access and directions on activating and using the patient portal, and assists patients in resetting their portal password. Education and Experience Required An associate degree or 2 years of equivalent work experience required. Written and oral fluency in Spanish or Amharic required 1-3 years of experience in a health care or call center preferred. Fluency in medical terminology preferred. 1 year of experience working with people living with HIV or issues related to HIV care preferred. Working Conditions: Working conditions for this position are normal for an office environment. Individuals may be required to work evenings and/or weekends and at organizational events. Individuals will be required to work from home during inclement weather. Whitman-Walker is an equal employment opportunity employer and does not discriminate against applicants, its employees, or former employees based on race, color, religion, gender, marital status, sexual orientation, national origin, age, disability, veteran status, or gender identity. For accommodation in the application process, please contact Human Resources.

Job DescriptionDescription: We are currently seeking an experienced and certified Medical Biller & Coder to join our dynamic remote team. The ideal candidate will have a strong understanding of CPT, ICD-10, and HCPCS coding systems, billing practices, insurance follow-up, and compliance guidelines across multiple specialties. Responsibilities: Review and accurately assign diagnosis and procedure codes for medical services. Submit and follow up on claims to commercial payers, Medicare, and Medicaid. Verify insurance eligibility and obtain authorizations as needed. Resolve claim rejections, denials, and appeals in a timely manner. Communicate with providers and staff regarding coding queries and billing concerns. Maintain confidentiality and comply with HIPAA regulations. Requirements: Requirements: Minimum 2 years of medical billing and coding experience. Active certification (CPC, CCS, or equivalent) required. Experience with EHR/EMR systems and billing software (e.g., Athena, Kareo, eClinicalWorks, etc.). Strong knowledge of coding guidelines and insurance payer requirements. Ability to work independently with excellent attention to detail. Reliable internet connection and secure remote work setup. Preferred: Experience with multiple specialties (e.g., Family Medicine, Mental Health, Internal Medicine). Familiarity with credentialing processes and RCM.

Reproductive Medicine Associates of Michigan (RMA of Michigan) is seeking a dedicated and empathetic Fertility Financial Counselor to join our team. In this pivotal role, you will guide patients through the financial aspects of their fertility journey, ensuring they feel supported and informed every step of the way. Since 2006, RMA of Michigan has been a trusted leader in fertility care, helping bring over 5,000 babies into the world. Our commitment to personalized treatment plans, advanced reproductive technologies, and compassionate care has made us a beacon of hope for families across Michigan and beyond. This is a remote position; however, candidates must reside in or near the Detroit Metro Area to allow for occasional in-person meetings or training. Key Responsibilities Patient Guidance: Provide clear and compassionate explanations of insurance coverage, treatment costs, and financial options to patients. Financial Management: Prepare and review treatment quotes and IVF cost packages with accuracy and transparency. Insurance Verification: Verify insurance eligibility, copays, deductibles, and coverage details. Payment Collection: Collect payments for fertility services and manage patient financial accounts. Team Collaboration: Work closely with billing, coding, and clinical teams to ensure seamless coordination and accurate information. Qualifications 2-4 years of experience in a medical business office or similar setting. 2-4 years of direct customer service experience, ideally in a healthcare environment. Strong knowledge of healthcare billing, insurance benefits, and payer remittance advice. Exceptional communication skills and a commitment to delivering excellent patient service. Experience in fertility, OB/GYN, dermatology, or plastic surgery is a plus. Why Join RMA of Michigan? Competitive Compensation: We offer a competitive salary and benefits package. Work-Life Balance: Enjoy generous paid time off to support your personal and professional life. Retirement Planning: Benefit from a 401(k) plan with employer match. Impactful Work: Be part of a team that makes a real difference in people's lives by helping them achieve their dreams of parenthood. If you're passionate about helping individuals navigate the financial aspects of fertility care and want to be part of a collaborative, patient-centered team, we invite you to apply. For more information about our clinic and services, please visit our website: *************

Job Description With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you! Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees. Not only do we offer aggressive compensation and benefit packages, but we offer a culture that is unsurpassed! Job Summary: The Front Office Receptionist will be responsible for accurate and timely patient registration utilizing medical systems. This individual will utilize facility medical necessity tool to verify appropriate patient insurance coverage. This work will need to be performed according to established policies and procedures. The associate will provide exceptional customer service to physicians, patients, family members and all other medical professionals. Essential Duties and Responsibilities: Welcomes patients and visitors by greeting them in person or on the telephone, answering or referring inquiries. Notes patient arrival in Practice Management System (EMR). Identifies patients by date of birth and name in computer system and creates new account if patient is not in the system. Prepares necessary patient paperwork prior to patient's appointment. Calls “No Show” appointments to reschedule, makes appropriate notations in Practice Management System and sends letters to patients when necessary. Optimizes patient satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone and comforts patients by anticipating their anxieties and answering their questions. Helps in emergency situations by quickly responding to patients in distress by using good reasoning and judgment. Reviews Practice Management System (EMR) for information that needs to be updated. Works with patients to obtain updated information and accurately enters information in Practice Management System (EMR). Identifies payer sources, verifies insurance eligibility, financial status and assigns correct payor type. Verifies if prior authorization from insurance is required; notifies Billing Department, if required. Responsible for keeping the reception area clean and organized. Obtains revenue by recording and updating financial information, recording and collecting patient copays and/or balances at check in/out. Protects patients' rights by maintaining confidentiality of personal and financial information. Maintains operations by following policies and procedures, and reports changes as needed. Contributes to team effort by accomplishing related results, as needed. Routinely demonstrates superior customer service skills. Answers the telephone in a timely and polite manner. Communicates with patients, visitors, providers, and team members in a courteous, professional, cooperative and mature manner. Other duties as assigned by Practice Manager or Area Practice Manager. Requirements High School Diploma required; Associates Degree preferred 1 year customer service experience in health care office preferred Benefits Benefits of joining Qualderm Partners: Competitive Pay - Attractive compensation to reward your hard work Comprehensive Health Coverage - Includes Medical, Dental, and Vision plans to keep you covered Generous 401(k) Plan - Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting Paid Time Off (PTO) - Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year Company-Paid Life Insurance - Peace of mind with basic life coverage, with the option for additional plans Disability Protection - Short-term and long-term disability coverage to protect you in unexpected circumstances Additional Wellness Plans - Accident, critical illness, and identity theft protection plans for extra security Employee Assistance Program (EAP) - Access confidential support for personal or work-related challenges Exclusive Employee Discounts - Save on products and services with special discounts just for you Referral Bonus Program - Earn bonuses by referring qualified candidates to join the team QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full-time basis. Compensation Range: $17.43 - $22.86 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.

P. R. Financial is an independent marketing organization (IMO) in the financial services industry; specifically in the insurance marketplace. We serve clients by acting as their independent advisor and broker for products in life insurance, health insurance, retirement, annuities, Medicare, senior benefits, and more. P. R. Financial is remaking the industry for agents by agents. Each agent owns their book of business. We would love for you to join us! Our approach is simple. We believe in our people, we provide them a platform, we train them how to be amazing, mentor them into maturity, and cheer them on the way to becoming our partners. We want partners, not employees. Apply today! Job Responsibilities: Evaluate new customers' insurance needs, insurance risk, existing coverage, long-term goals, and financial status through consultations to create a tailored experience that exceeds expectations. Provide warm and professional customer service while onboarding new clients and maintain existing clients, including booking appointments, inquiry response, insurance eligibility, claim submissions, questions concerning billing, and insurance policies. Ensure all paperwork is up to date while maintaining records and bookkeeping. Job Qualifications: Great interpersonal, communication, leadership, and management skills Must be 18 years or older Active driver's license Must be coachable, detail-oriented, and a team player. Possesses outstanding interpersonal and communication skills. An active Life Health insurance license is a strong bonus but not required. Previous customer service preferred Job Type: Full-time Pay: $71,078.00 - $155,108.00 per year Benefits: Flexible schedule Work from home

$3,000 SIGN-ON BONUS FOR NEW NCH EMPLOYEES!! Schedule: Day/Evening - Monday - Friday 8-10-hour shifts between program hours 8am - 8pm; program is currently open on holidays that fall on weekdays Nationwide Children's Hospital is a recognized leader in behavioral and mental health care, advancing the field through research, innovative interventions, strategic initiatives, and comprehensive treatment options. Nationwide Children's Hospital - a place to be proud. Valid Ohio driver's license and proof of auto insurance is required by hospital policy. Must pass a motor vehicle background inspection, insurance eligibility, driving qualifications and training set forth by Nationwide Children's Hospital and must maintain qualification of insurance guidelines. (Create Job Requisition Event) Summary: Provides emotional support, education, and resources to caregivers of children experiencing behavioral and mental health crises. Job Description: Essential Functions: Provides emotional support and connection with caregivers through appropriate self-disclosure and guidance. Models positive coping, communication, and advocacy skills to encourage hope and decrease isolation. Supports crisis intervention and de-escalation services for families in acute crisis situations, reducing mental health stigma and encouraging family-centered care. Assists and educates caregivers in navigating the behavioral health system and accessing educational, mental health, developmental disability, and other resources for their child. Identifies needs and goals of caregivers and families and supports positive approaches and methods to address them. Collaborates with multidisciplinary teams and organizations within NCH and the community to support families in building relationships and accessing resources. Maintains accurate documentation and completes necessary administrative tasks outlined by program. Education Requirement: High School Graduate or equivalent, required Certifications: Certification as a Family Peer Supporter within 3 months of hire, required. Skills: Knowledge of Family-Centered Care principles and resources, required Demonstrated emotional intelligence and interpersonal skills. Demonstrates effective communication skills to assist caregivers in communicating needs to treatment providers. Experience: Firsthand experience as a parent or guardian caring for a child with a mental health diagnosis and navigating the mental health system, required. Physical Requirements: OCCASIONALLY: Decision Making, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Loud Noises, Problem solving FREQUENTLY: Computer skills, Flexing/extending of neck, Hand use: grasping, gripping, turning, Repetitive hand/arm use, Sitting, Standing, Walking CONTINUOUSLY: Audible speech, Hearing acuity, Seeing - Far/near "The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

About us Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopause, with long-term preventive care and condition management. Our model delivers 24/7 multispecialty care to address the medical, behavioral, and social factors that most significantly impact outcomes for women and children. We partner with payers, employers, and providers to expand access to quality healthcare across the system. Role Description Your North Star: Build and scale a world-class Member Support organization from the ground up that acts as the compassionate first line of defense for our patients. In this role, you will sit within the Market Operations organization and own the strategic vision for Member Support outside of clinical care. Your mandate includes defining the organizational structure, overseeing the implementation of the support technology stack, and driving operational excellence. You will establish rigorous performance standards, utilizing data to manage SLAs and optimize CSAT and NPS, ensuring a high-quality, measurable member experience. Key Responsibilities: Build the Foundation: Design and execute the strategic vision for the Member Support function, taking it from a concept to a fully operational department. This includes assessing current internal capabilities structuring workflows to support best in class member support. Team Leadership: Build and scale a world-class support organization. Define the long-term talent strategy, recruit for key positions, and mentor the team to foster a cohesive culture of empathy, urgency, and problem-solving. Tech Stack Implementation: Lead the selection, configuration, and implementation of our support infrastructure as well as evaluate existing tools like Zendesk. Leverage experience with similar systems to architect workflows. Process Development: Oversee the creation and documentation of comprehensive Standard Operating Procedures (SOPs) for patient inquiries, ensuring consistency in how we handle eligibility checks, scheduling, and general questions. Cross-Functional Collaboration: Partner closely with Clinical Operations, Product, and Engineering to ensure patient feedback loops are closed and that support workflows integrate seamlessly with clinical care pathways. Data & Analytics: Define key performance indicators (KPIs) such as response time, resolution time, and CSAT/NPS. Build dashboards to monitor team performance and identify trends in patient needs. Who you are 7+ years of experience in Customer Support or Member Experience contact center environment, with at least 3+ years in a leadership role. A Builder & a Coach: You have experience building teams from the ground up but are equally comfortable inheriting, coaching, and upskilling existing team members shifting into new roles. Tech-Savvy: You have hands-on experience implementing and optimizing support ticketing systems. Specific experience implementing and customizing Zendesk is a strong plus. Healthcare Background: You understand the complexities of the US healthcare system (insurance eligibility, referrals, HIPAA compliance) and bring a patient-first mindset to every interaction. Data-Driven: You are proficient in using data to make decisions, capacity plan, and drive operational efficiency. Collaborative: You have a track record of working cross-functionally with clinical teams, product managers, and operators. Why you should join our team By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the patients we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it. We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first. We also offer: Competitive healthcare benefits Generous equity compensation Unlimited vacation Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship) At Pomelo, we are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status. Our salary ranges are based on paying competitively for our company's size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Pomelo Care. In accordance with New York City, Colorado, California, and other applicable laws, Pomelo Care is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is $155,000 - $185,000. We expect most candidates to fall in the middle of the range. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash. Potential Fraud Warning Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information. Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending ******************. If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at ********************** to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.

As a Medical Assistant with Northwest Allied Physicians in Tucson, AZ, you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Medical Assistant supports patient care by performing clinical and administrative tasks under the supervision of a medical provider. This role assists with medical procedures, maintains exam rooms, facilitates patient intake, and ensures efficient clinic operations while providing excellent service to patients and staff. Essential Functions Assists providers with non-invasive medical procedures, such as taking vital signs and preparing patients for exams. Prepares and cleans exam rooms before patient visits and clinical procedures. Performs patient intake duties, including reporting test results, phone triage, and documenting medical information as directed by licensed personnel or providers. Reviews and maintains daily logs and documentation. Supports administrative duties, including pre-registering patients, scheduling appointments, coordinating referrals, verifying insurance eligibility, and managing clinic communications. Maintains an organized workload while providing prompt, courteous, and efficient service to providers, patients, and visitors. Monitors and requisitions supplies and equipment to ensure appropriate inventory levels and functionality. Educates patients on medications, diets, and other health-related topics, addressing questions to ensure understanding. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications Completion of Medical Assistant program from an accredited school preferred 0-1 years of experience in a medical practice setting or completion of externship program required Knowledge, Skills and Abilities Knowledge of medical office procedures and patient care techniques. Basic proficiency in computer applications such as Microsoft Office and medical record systems. Strong interpersonal skills with the ability to provide exceptional service to patients and staff. Understanding of medical terminology and infection control practices. Effective time management, organizational, and multitasking skills. Critical thinking abilities to analyze situations and develop appropriate solutions. Ability to maintain confidentiality and handle sensitive information. Licenses and Certifications BCLS - Basic Life Support issued by American Heart Association (AHA) or American Red Cross (ARC) or American Safety and Health Institute (ASHI) required This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for an employer.

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. This position will be responsible for development, design of training programs, special projects, quality assurance, and compliance training. Administer proficiency tests. Involvement with testing and installation of system upgrades. This position will be responsible for conducting training classes, course development with appropriate materials, and coordination and planning of new and refresher training courses. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or equivalent. EXPERIENCE: 1. Two (2) years' experience in revenue cycle (patient financial services/patient access). PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelors in Business, Education, or Health Care related field. EXPERIENCE: 1. One (1) year experience in Training/Organizational Development or employee training activities. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Provides education and training for revenue cycle operations applications throughout the healthcare organization. 2. Demonstrates thorough knowledge of hospital scheduling and patient access systems, patient accounting, and quality monitors. 3. Maintains comprehensive knowledge of 3rd party billing requirements and reimbursement principles. 4. Coordinates and provides appropriate training of new employees and re-training for current employees to assure appropriate to assure appropriate revenue cycle processing and patient experience including patient registration, schedule management, insurance eligibility, and Point of Service Collections 5. Generates schedules and educational tracking records for on-going employee education. 6. Provides education to all staff responsible for patient access and patient accounting processing activities throughout the organization. 7. Ability to coordinate and schedule on-the-job training with employees and management staff along with new and refresher programs. 8. Delivers training using lecture, demonstration, case studies, simulation, practical experience, and other interactive methods. 9. Coordinates education and training sessions with skill assessments with ongoing quality and productivity monitoring. 10. Follows a training plan in coordination with a plan for testing system applications with IT. 11. Administers competency assessment and skills checklist. 12. Collaborates with Revenue Cycle Trainer in determining the continuing education and professional growth needs of staff 13. Utilizes appropriate training materials for education and team building techniques. 14. Participates in development of employee performance capabilities and provides input into the performance management process. 15. Routinely Monitors Quality and Productivity. 16. Participates in revenue cycle management quality audit and reports back findings and recommendations. 17. Routinely informs appropriate management of problems and concerns relating to staff training and or quality of work. 18. Participated in design of training curriculum and methods to improvement effectiveness. 19. Maintains current knowledge of performance improvement processes as it applies to healthcare. 20. Attends courses in PI activities, system design, technical training, statistical analysis and other appropriate health related educational courses. 21. Participates in meeting the objectives of the work unit and goals of the department. 22. Promotes and contributes positively to the teamwork of the department by assisting co-workers, contributing ideas and problem-solving with co-workers as observed by supervisor. 23. Participates in performance improvement through planning and implementing change and maintaining and improving productivity through attendance and participation in staff meetings, committees, tasks forces, cross-functional groups, projects and discussion with hospital and medical staff as observed by supervisor. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Frequent walking, standing, stooping, kneeling, reaching, pushing, lifting, grasping and feeling are necessary body movements utilized in performing duties through the work shift. 2. Ability to stand for long periods of time. 3. Must be able to sit for extended periods of time. 4. Visual acuity must be within normal range. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Office type environment. SKILLS AND ABILITIES: 1. Good oral and written communication skills. 2. Ability to problem solve and make appropriate decisions. 3. Demonstrated ability to produce course outlines and handout materials. 4. Ability to use personal computers including knowledge of Microsoft Office products. 5. Knowledge of adult learning principles and educational theory. 6. Must have an excellent working knowledge in all areas of the patient access positions and a solid understanding of their role in the entire revenue cycle. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 535 SYSTEM Centralized Clearance Center

ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit ********************************************* PURPOSE Under general supervision, serves as an initial point of contact in appointments. Books patient appointments utilizing computer. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization. ESSENTIAL FUNCTIONS Works in appointments and is responsible for booking patient appointments utilizing computer system. When booking appointments, also confirms and/or makes any changes to demographic information and notifies patient of account balance. Adheres to scheduling protocols for multiple locations and specialties. Verifies insurance eligibility by using online resources, Medifax, etc. Screens and directs incoming calls as needed. Confirms in advance patient appointments. Runs reschedule reports and books rescheduled appointments as necessary. Ensures report is accurate and current. Verifies scheduling accuracy of MyChart appointments. Books follow up appointments. Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct. Works holiday shift(s) as required by Company policy. Regular and dependable attendance. Follows the core competencies set forth by the Company, which are available for review on CMSweb. OTHER DUTIES AND RESPONSIBILITIES Runs wait list report and distributes as directed. Performs other duties as assigned. QUALIFICATIONS Education and Experience Required: High school diploma or GED. Experience using a PC in a Windows environment. Preferred: Experience working in a medical setting. Experience working in customer service. Bilingual English/Spanish. Knowledge, Skills and Abilities Excellent verbal and written documentation and communication skills. Knowledge of medical terminology. Excellent interpersonal and problem solve skills. Ability to manage competing priorities. Ability to align own actions with those of other team members committed to common goals. Excellent customer service skills. Excellent computer and keyboarding skills, including familiarity with Windows. Ability to work in a team environment. Ability to engage others, listen and adapt response to meet others' needs. Ability to perform job duties in a professional manner at all times. Ability to understand, recall, and communicate, factual information. Ability to understand, recall, and apply oral and/or written instructions or other information. Ability to organize thoughts and ideas into understandable terminology. Work Schedule: Monday - Friday 8AM - 5PM. Remote Opportunity once in person training is completed.

Valid Ohio driver's license and proof of auto insurance is required by hospital policy. Must pass a motor vehicle background inspection, insurance eligibility, driving qualifications and training set forth by Nationwide Children's Hospital and must maintain qualification of insurance guidelines. (Create Job Requisition Event) Summary: Assists in providing clinical veterinary care for laboratory animals and technical support for research protocols. May be required to work weekends and holidays on a rotational basis. Job Description: Essential Functions: Participates in animal health assessments and monitoring, including physical examinations or sample collections, and reports results to research and veterinary staff. Provides daily veterinary and husbandry care for laboratory animals and assists in the maintenance of husbandry supplies, equipment, and facilities. Assists with the training and mentoring of husbandry staff and technician team members. Supports the provision of proper care and treatment during procedures and research. Provides technical support and training to research staff. Documents and maintains accurate and timely animal clinical case records and research data. Assists in facility audits, ensuring inspection readiness and compliance with animal welfare regulations and institutional policies. Supports preparation for triennial AAALAC accreditation. Education Requirement: Associate's Degree in veterinary technology or equivalent, required. Bachelor's Degree in Biology, Animal Sciences, or other relevant field, preferred. Licensure Requirement: Valid Ohio driver's license and proof of auto insurance as required by hospital policy and position-specific requirements. Must pass motor vehicle background inspection, insurance eligibility, driving qualifications, and training set forth by Nationwide Children's Hospital and maintain qualification of insurance guidelines. Certifications: ALAT or LAT certification, preferred. Skills: Working knowledgeoffederal animal welfare regulations and AAALAC accreditation standards. Working knowledge of animal technician safety precautions. Strong written and verbal communication skills. Experience: One year of veterinary technology or laboratory animal experience, required. Physical Requirements: OCCASIONALLY: Bend/twist, Biohazard waste, Blood and/or Bodily Fluids, Chemicals/Medications, Climb stairs/ladder, Communicable Diseases and/or Pathogens, Computer skills, Driving motor vehicles (work required) *additional testing may be required, Flexing/extending of neck, Fume /Gases /Vapors, Hand use: grasping, gripping, turning, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Lifting / Carrying: 21-40 lbs, Lifting / Carrying: 41-60 lbs, Lifting / Carrying: 61-100 lbs, Machinery, Patient Equipment, Pushing / Pulling: 0-25 lbs, Pushing / Pulling: 100 lbs or greater with assistance, Pushing / Pulling: 26-40 lbs, Pushing / Pulling: 41-60 lbs, Pushing / Pulling: 61-100 lbs, Reaching above shoulder, Repetitive hand/arm use, Squat/kneel FREQUENTLY: Decision Making, Interpreting Data, Problem solving, Sitting, Walking CONTINUOUSLY: Audible speech, Color vision, Depth perception, Hearing acuity, Peripheral vision, Seeing - Far/near, Standing "The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

Patient Call Center Representative Summary: The Patient Call Center Representative (bilingual in Spanish preferred) supports patients contacting CHOICE Healthcare Service for patient care related inquiries. This includes new patients who would like to establish care or existing patients with specific or general care needs. This position provides best-in-class customer service and communications via multiple channels and platforms and serves as back-up support for clinic calls and other tasks as assigned. Position is 100% remote and we provide equipment and ongoing support. Hours of Operations: Monday-Friday 9:30am - 6:00pm PST Seeking candidates that live in Pacific and Mountain time zones (CO, NV, NM or AZ - no exeptions) Salary - $18.00 - $19.00 hr (Depending on Experience) At CHOICE Healthcare Services, our mission is to provide everyone access to the healthcare they need. CHOICE is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities. What we provide to you as a CHOICE teammate: Care for your wellbeing and work-life balance Professional and personal growth Experienced leadership support Fun and supportive team dynamic with events and celebrations Comprehensive benefit package Responsibilities Essential Duties and Responsibilities: include the following. Other duties may be assigned. Answer high volume of incoming calls and place outbound calls using established service standards, phone/email/chat etiquette, and communications scripts, and respond to patient inquiries as they relate to healthcare services. Act as primary point of contact for patients via phone, email and chat systems demonstrating high levels of comprehensive customer service as a Brand Ambassador to nurture and build long-lasting relationships built on trust and exceptional customer service. Determine how best to handle the phone calls, emails, and chat messages, and take necessary action with the goal to convert calls to scheduled appointments for CHOICE clinics. Review insurance eligibility for applicable callers when scheduling appointments or communicate with the virtual benefits team to verify eligibility as appropriate per protocol. Verify that all information is accurate and updated at each patient contact point. Contact and schedule referral patients with high levels of comprehensive customer service and follow-up with referral partners as appropriate to maintain positive relationships and efficient patient information transfer. Document in patient management system and shared tracking files the results of contact. Maintain strict patient/client confidentiality at all times. Direct contacts (non-patient care-related communications) to the appropriate person or department. Qualifications Education and/or Experience: High School diploma or equivalent Bilingual in Spanish, preferred 1+ years of customer service experience, preferably in a call center environment

Work From HomeWork From Home Work From Home, Indiana 46544 The Certified Coding Specialist upholds the critical responsibilities of reviewing electronic medical record (EMR) documentation, and applying ICD and CPT codes, per official coding guidelines, with a specific focus on professional primary care and urgent care visits. The position services as a subject matter expert to providers and staff for questions and updates related to coding. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Review and audit EMR content, charts, CPT procedure codes, ICD diagnosis codes, and documentation to ensure accuracy and standard; provide corrective action if needed. Review MWV, TCM and CCM visits to ensure billing follows Medicare and coding guidelines. Verify insurance eligibility and update electronic medical record registration as appropriate. Demonstrates a thorough knowledge of coding guidelines, medical terminology, and anatomy/physiology, and payer specific coding guidelines. Communicate electronically with the provider and/or staff for documentation or clarification to support codes, and communicate concerns to the manager. QUALIFICATIONS High School Diploma/GED - Required Associate's Degree Health Information Management - Preferred 1 year of hands-on ICD-10 coding experience in a professional healthcare setting (not solely coursework or software training) - Preferred Highly detail-oriented with a commitment to accuracy - Required CPC, CCS, or CCA coding certification - Required TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Certified Coding Specialist $20.06-$26.81INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

Scheduled Hours40Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records, and claims, contacts insurance companies and/or collection agencies as well as other related duties to expedite payments from various payers for physician services.Job Description Primary Duties & Responsibilities: Performs insurance follow-up billing and collection duties on various financial classifications to ensure timely and accurate payment of physician charges. Reviews patient accounts to verify the accuracy of information including insurance, eligibility, invoice resolution, correspondence, remittances, requests for additional information, or other appropriate handling. Utilizes Epic, system tools, and payer websites for claim submission, claim status, attachments, eligibility, and authorization/referral inquiry. Makes collection calls to insurance companies and/or patients to ensure timely payment of claims. Contacts insurance companies regarding posting payments and collection agencies regarding payment reports. Supports customer service unit in answering billing and collection questions. Assists with training new staff. Consistently meets the Quality Assurance (QA) and meaningful efficiency standards of working invoices each day and follows best practices for one-touch resolution as established within the department. Interacts with management and staff members to discuss issues. May act as Team Lead. Assists with special projects. Performs other duties as assigned by the supervisor and/or manager. Working Conditions: Job Location/Working Conditions: Normal office environment. Physical Effort: Typically sitting at desk or table. Repetitive wrist, hand or finger movement (PC typing). Equipment: Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Billing Or Insurance (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position.More About This JobWashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles.Preferred Qualifications Education: Associate degree Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Claims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone CommunicationsGradeC08-HSalary Range$20.57 - $30.84 / HourlyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.Pre-Employment ScreeningAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: ****************************** EEO StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.