Insurance Verification jobs near me - 381 jobs

Order Entry for new/refill medications. Respond to customer inquiries as necessary. Assist in other phases of computer operations including billing procedures Prior Authorizations Insurance Verifications Qualifications: * 5+ year of Prior Authorization pharmacy experience is Mandatory * Pharmacy Tech State Certification is Mandatory AND PTCB is Mandatory If you are Interested , Kindly give a call : ************** Job Type & Location This is a Contract position based out of Oklahoma City, OK. Pay and Benefits The pay range for this position is $18.00 - $20.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jan 30, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

Purpose The Intake Financial Clearance Specialist role belongs to the Revenue Cycle team and is responsible for coordinating all financial clearance activities by navigating all pre-registration (to include acquiring or validating patient demographic, insurance, and other required elements along with insurance verification activities), obtaining referral authorization, or precertification number(s). The role ensures timely access to care while maximizing reimbursement. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. This position reports to the Intake Financial Clearance Manager and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to insurance company representatives, patients, physicians, and practice staff. **This is a fully remote role** Responsibilities Monitors accounts routed to registration, referral and prior authorization work queues and clears work queues by obtaining all necessary patient and/or payer-specific financial clearance elements in accordance with established management guidelines. Maintains knowledge of and complies with insurance companies' requirements for obtaining prior authorizations/referrals and completes other activities to facilitate all aspects of financial clearance. Acts as subject matter experts in navigating payer policies to get the appropriate approvals (authorizations, pre-certs, referrals, for example) for the ordered services to proceed. The Intake Financial Clearance Specialist is an important part of the larger patient care team and helps clinicians understand what payer requirements are necessary for the widest possible patient access to services. Supports staff at all levels for hands-on help understanding and navigating financial clearance issues. Uses appropriate strategies to underscore the most efficient process to obtaining insurance verification, authorizations, and referrals, including online databases, electronic correspondence, faxes, and phone calls. Obtains and clearly documents all referral/prior authorizations for scheduled services Works collaboratively with primary care practices, specialty practices, referring physicians, primary care physicians, insurance carriers, patients, and any other parties to ensure that required managed care referrals and prior authorizations are obtained and appropriately recorded in the relevant systems. When it is determined that a valid referral does not exist, utilize computer-based tools, or contact the appropriate party to obtain/generate referral/authorization and related information. Record the referral/authorization in the practice management system. Contact physicians to obtain referral/authorization numbers. Perform follow-up activities indicated by relevant management reports. Collaborates with patients, providers, and departments to obtain all necessary information and payer permissions prior to patients' scheduled services. Communicates with patients, providers, and other departments such as Utilization Review to resolve any issues or problems with obtaining required referral/prior authorizations. Work collaboratively with the practices to resolve registration, insurance verification, referral, or authorization issue to the extent that these unresolved issues impact the ability to obtain a referral/authorization. Escalates accounts that have been denied or will not be financially cleared as outlined by department policy Accept registration updates from various intake points, including but not limited to those received via paper forms, internet registration forms, telephones located in practices and direct calls from patients. Ensure that all updated demographic and insurance information is accurately recorded in the appropriate registration systems for primary, secondary, and tertiary insurances. Review all registration and insurance information in systems and reconcile with information available from insurance carriers. For any insurance updates, utilize any available resources to validate the updated insurance information, insurance plan eligibility, primary care physician, subscriber information, employer information and appointment/visit information. Contact patients as necessary if clarifications or other follow-up is required, and at all times maintain sensitivity and a clear customer friendly approach. For self-pay patients or patients with unresolved insurance, and for financial counseling, refer patients Patient Financial Counseling. Maintains confidentiality of patient's financial and medical records; adheres to the State and Federal laws regulating collection in healthcare; adheres to enterprise and other regulatory confidentiality policies; and advises management of any potential compliance issues immediately. Demonstrates knowledge & skills necessary to provide level of customer experience as aligned with BMC management expectations. Demonstrates the ability to recognize situations that require escalation to the Supervisor. Establishes relationships and effectively collaborates with revenue cycle staff to support continuous improvement aligned with management expectations as outlined. Takes opportunity to know and learn other roles and processes and works together to assist with process improvement initiatives as directed. Consistently meets productivity and quality expectations to align performance with assigned roles and responsibilities. Handle telephone calls in a timely fashion, following applicable scripting and customer service standards. Appropriately manage all calls by either working with the customer or referring the call to the appropriate party. Communicate with all internal and external customers effectively and courteously. Maintain patient confidentiality, including but not limited to, compliance with HIPAA. Perform other related duties as assigned or required. Requirements Qualifications High School Diploma or GED required, Associates degree or higher preferred. 1-3 years patient registration and/or Insurance experience desirable. At least one year of experience must be in a customer service role General knowledge of healthcare terminology and CPT-ICD10 codes. Complete understanding of insurance is required. Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues. Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with patients, physicians, management, staff, and other customers. Able to communicate effectively in writing. Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view. Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail. Must be able to maintain strict confidentiality of all personal/health sensitive information. Ability to effectively handle challenging situations and to balance multiple priorities. Basic computer proficiency inclusive of ability to access, enter and interpret computerized data/information including proficiency in Microsoft Suite applications, specifically Excel, Word, Outlook and Zoom. Displays a thorough knowledge of various sections within the work unit to provide assistance and back-up coverage as directed. Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards as outlined by Management Salary & Benefits The estimated hiring salary range for this position is $22/hr - $24/hr. * The actual salary will be based on a variety of job-related factors, including geography, skills, education and experience. The range is a good faith estimate and may be modified in the future. This role is also eligible for a range of benefits including medical, dental and 401K retirement plan.

Schedule: Monday-Friday 8am-5pm Benefits include: 100% tuition assistance, wellness initiatives, generous paid time off, paid parental leave, Public Service Loan Forgiveness Program eligible employer, plus more. In addition to our many benefits and perks, UAB Medicine provides a variety of resources to support employees both personally and professionally. The Tech Support Analyst-Business Ops Support may serve as a mentor and first-pass escalation for other Business Operations Support staff members. Typical duties of the Business Operations Support Technical Support include good communication skills, both written and verbal, along with good active listening skills. Ability to work well in a team setting and a high level of understanding of the team's services and goals. The Business Operations Support Technical Support will be highly encouraged to complete the professional growth and competency program assigned to this position to develop the skills and knowledge to advance to the next appropriate job family level. Ambulatory Access Services encompasses medical record and encounter creation management to include registration, scheduling, insurance verification, pre-authorization, communication of patient responsibility, and other pre-arrival activities in both an ambulatory and hospital setting. Numerous regulatory requirements are included in all these processes and management is expected to monitor for compliance. Position Requirements: This position is 100% remote Employee must provide: • High speed internet access • Dedicated, secure and safe workspace • Noise-free environment EDUCATION AND EXPERIENCE: Required: High School diploma or equivalent. Minimum of three years' registration, insurance verification, authorizations or related experience. Preferred: Customer service or related experience. LICENSE, CERTIFICATION AND/OR REGISTRATION: Required: None TRAITS & SKILLS: Must be self-directed / self-motivated; must have excellent communication and possess outstanding customer service and interpersonal skills. Must be able to: (1) perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure; (2) accept responsibility for one's own work; (3) work independently; (4) recognize the rights and responsibilities of patient confidentiality; (5) convey empathy and compassion to those experiencing pain, physical or emotional distress and/or grief; (6) relate to others in a manner which creates a sense of teamwork and cooperation; (7) communicate effectively with people from every socioeconomic, cultural and educational background; (8) exhibit flexibility and cope effectively in an ever-changing, fast-paced healthcare environment; (9) perform effectively when confronted with emergency, critical, unusual or dangerous situations; (10) demonstrate the quality work ethic of doing the right thing the right way; and (11) maintain a customer focus and strive to satisfy the customer's perceived needs. UA Health Services Foundation (UAHSF) is proud to be an AA/EOE/M/F/Vet/Disabled employer.

The Senior Manager of Front-End RCM Operations leads the end-to-end patient access, financial clearance, coding, and charge entry functions with primary focus areas including insurance verification, medical necessity review, prior authorizations, patient financial communication, coding accuracy, and charge capture. This role ensures timely and accurate data entry, proper coding, compliant charge posting, and clean claim generation to minimize denials, accelerate reimbursement, and support an optimal patient experience. The leader drives team performance, optimizes workflows, implements policy and system enhancements, and collaborates cross-functionally across clinical, billing, and RCM departments to support organizational revenue goals. This is a remote position. Candidates must live in one of the states where we currently operate: MD, DE, VA, NJ, PA, FL, AL, GA, SC, and TX. Essential Duties and Responsibilities: * Establishes department goals focused on turnaround time, accuracy, first-pass approval rates, and clean claim rates. * Partners with Human Resources to develop staffing models, training plans, productivity standards, and KPI dashboards across all front-end, coding, and charge entry functions. * Promotes a performance-driven culture focused on accuracy, compliance, timeliness, and patient experience. * Partners with clinical leaders to ensure documentation completeness for timely payer review and accurate charge capture. * Oversees daily coding and charge entry operations to ensure timely, accurate, and compliant posting. * Ensures encounter forms, provider documentation, and clinical notes are complete and accurate for coding and charge posting. * Oversees coding workflows including CPT, ICD-10, and HCPCS accuracy in alignment with payer rules and compliance standards. * Collaborates with Providers, Coders, Billing, and Clinical teams to resolve coding discrepancies, missing charges, documentation gaps, and clearinghouse edits. * Monitors charge lag, coding turnaround time, reconciliation workflows, and missing charge queues to support clean claims and timely billing. * Develops and implement standardized SOPs, policies, and audit processes for front end, coding and charge entry. * Partners with Coding leadership (or serves as the coding lead where applicable) to ensure regulatory compliance and ongoing coder/provider education. * Works with IT and system administrators to optimize coding templates, charge entry workflows, automation tools, and system configurations. * Serves as the primary liaison for external vendors supporting eligibility, authorization, patient access, coding, or charge entry functions. * Leads vendor selection, onboarding, implementation, and ongoing performance evaluation. * Monitors vendor performance against SLAs and compliance standards. * Recommends optimizations to improve results, quality, and efficiency. * Oversees accuracy and timeliness of scheduling, demographic entry, insurance verification, benefit checks, and financial counseling. * Ensures prior authorizations are obtained for all required procedures and payers. * Collaborates with billing, coding, and collections to resolve front-end errors that impact claim submission and reimbursement. * Utilizes system tools (e.g., eligibility checks, authorization dashboards, charge capture worklists) to identify and correct data gaps. * Maintains compliance with federal and state regulations, industry standards, and payer policies. * Performs quality audits on registration accuracy, authorization documentation, coding accuracy, and charge posting. * Supports ongoing staff and provider education on coding rules, payer requirements, and documentation standards. * Tracks and report KPIs including registration accuracy, authorization turnaround time, coding accuracy, charge lag, POS collections, and eligibility denials. * Analyzes trends and collaborate with IT and RCM leadership to enhance workflows and system configurations. * Leads or participate in cross-functional revenue cycle improvement initiatives. * Provides data-driven insights to improve operational efficiency, coding compliance, and patient access metrics. * Checks and responds to work e-mail on a regular basis throughout the workday. * Participates in and complete all required trainings and in-services. * Other duties as assigned. Minimum Qualifications: * Bachelors degree in healthcare administration, business, or a related field of study WITH five (5) years of experience in Revenue Cycle Management with direct oversight of pre-certification, authorization, coding, or charge entry teams; OR an equivalent combination of education and/or experience. * Must have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook). * Must have strong, demonstrated experience with EHR/PM systems. * Must have excellent written and oral communication skills, including exceptional customer service. * Must be able to establish and maintain effective working relationships with doctors, clinical staff, other co-workers and the public. * Must be able to work individually as well as within a team. * Must be able to follow both verbal and written instructions. * Must be able to work a flexible schedule. * Must be able to respond with patience and understanding during stressful conditions related to patient health and emergent situations. * Must be able to multi-task and prioritize. * Must demonstrate extreme attention to detail. * Must possess strong organization skills. * Must be able to problem solve and use reasoning. * Must be able to meet predefined quality standards. * Must maintain and project a professional attitude and appearance at all time. * Must have a working knowledge of the healthcare field and medical specialty, as well as medical terminology. * Must possess strong leadership skills and be able to effectively manage and direct others. * All staff are expected to have a strong desire to provide excellent customer service; to comply with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance. Preferred Qualifications: * Experience with Athenahealth or similar EHR/PM systems * Coding Certification (e.g.: CPC, CCS, RHIT). * Experience managing third-party revenue cycle vendors. Driving/Travel: The employee must have reliable transportation. While the primary workplace may be closest to the employees home, work assignments could be in any of the Companys locations. Compensation and Benefits: * Pay Range: $105,000/Year - $115,000/year * PTO: Up to 120 hours in first year (pro-rated based on start date) * Holidays: 7 (New Years Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Day After Thanksgiving, Christmas Day) * Retirement: 401(k) with employer match * Health Benefits: Medical (single and family), Dental (single and family), Vision (single and family) * Other Company-Paid Benefits: Short-Term Disability, Long-Term Disability, Basic Life/AD&D, Employee Assistance Program * Other Voluntary Benefits: Voluntary Life, Accident, Critical Illness, Hospital Indemnity

**_What Customer Service Operations contributes to Cardinal Health_** Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution. **_Job Summary_** The Senior Coordinator, Prior Authorization is responsible for obtaining, documenting, and tracking payer approvals for durable medical equipment (DME) orders, including diabetes devices and other clinically prescribed supply categories (e.g., ostomy, urological, wound care). This role submits prior authorization requests through payer portals or via fax, and conducts phone-based follow-ups with payers and provider offices to secure timely approvals. The Senior Coordinator proactively manages upcoming expirations to prevent order delays, meets daily productivity targets, and adheres to quality, compliance, and HIPAA standards. **_Responsibilities_** + Review assigned accounts to determine prior authorization requirements by payer and product category. + Prepare and submit complete prior auth packets via payer portals, third-party platforms, or fax (including DWO/CMN, prescriptions, clinical notes, and other required documentation). + Conduct phone-based follow-ups with payers (and provider offices when needed) to confirm receipt, resolve issues, and obtain approval or referral numbers. + Log approvals accurately so orders can be released and shipped; correct rejected/pending decisions by addressing missing documentation or criteria. + Monitor upcoming prior auth expirations and initiate re-authorization early to prevent delays on new and reorder supply shipments + Prioritize work to give orders a "leg up" based on aging, SLA, and payer requirements. + Capture all actions, decisions, and documentation in the appropriate systems with complete, audit-ready notes. + Ensure secure handling of PHI and maintain full compliance with HIPAA, regulatory requirements, and company policy. + Promptly report suspected non-compliance or policy violations and attend required Compliance/HIPAA trainings. + Achieve daily throughput goals (accounts/records per day) across mixed work types (portal/web, fax, phone). + Meet standardized quality metrics through accurate documentation and adherence to process; participate in supervisor live-monitoring, QA reviews, and 1:1 coaching. + Share payer/process knowledge with teammates and support a strong team culture. + Adapt to changes in payer criteria, portals, and internal workflows; offer feedback to improve allocation, templates, and documentation standards. + Perform additional responsibilities or special projects as assigned. **_Qualifications_** + High School diploma, GED or equivalent work experience, preferred + 3-6 years of experience in healthcare payer-facing work such as prior authorization, insurance verification, medical documentation, revenue cycle, or claims, preferred + Proven ability to meet daily productivity targets and quality standards in a queue-based environment. + Strong phone skills and professional communication with payers and provider offices; comfortable with sustained phone work. + High attention to detail and accuracy when compiling documentation (DWO/CMN, prescriptions, clinical notes). + Self-motivated with strong time management; able to pace independently without inbound-call cadence. + Customer-centric mindset with a sense of urgency; capable of multitasking (working web/portal tasks while on calls). + Working knowledge of HIPAA and secure handling of PHI. + Experience with diabetes devices (CGMs, insulin pumps), and familiarity with ostomy, urological, and wound care product categories, preferred. + Knowledge of payer criteria for DME prior authorization, including common documentation requirements and medical necessity standards, preferred + Familiarity with payer portals and third-party platforms; experience with Grid or other work allocation tools, preferred. + Exposure to ICD-10/HCPCS coding and basic authorization/claims terminology, preferred, **_What is expected of you and others at this level_** + Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments + In-depth knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **Anticipated hourly range:** $16.75 per hour - $21.75 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 03/08/2026 *if interested in opportunity, please submit application as soon as possible. _The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._ \#LI-DP1 _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Job DescriptionIf you have a passion for helping others and enjoy interacting with the general public, FYZICAL, the leading physical therapy company in the country, has a Customer Service Representative opening in Gahanna, OH, that is a perfect fit for you! As the first and last person our amazing clients see when they enter and leave our cutting-edge facility, your role as Customer Service Representative is central to our daily operations. Here, you will join a champion team that works together to help grateful patients get back to the lives they love. We are committed to changing the PT industry by creating non-traditional, individualized treatment plans and want you along on that important journey. As part of the FYZICAL family, you can take advantage of advancement opportunities, state-of-the-art technology and grow your career under a practice leader who is fully invested in you. This excellent opportunity will not last long! Apply for FYZICAL's Customer Service Representative job opening today! Are you looking to join an innovative company where you can establish yourself and advance your career as part of a top-rated team? If so, you should consider our Customer Service Representative position in Gahanna, OH! We are an innovative physical therapy facility that bypasses traditional approaches to care. We work together, using the most modern technology and cutting-edge tools to provide our patients with the individualized care they need and deserve. As our Customer Service Representative, you will enjoy the easy flow of a supportive team that succeeds together. You also will have the chance to access our unparalleled continuing education opportunities, opening the door to further career growth. Start down your exciting career path today by applying for our Customer Service Representative job opening!Responsibilities Handle patient scheduling, appointments, multi-phone line Gather new patient data; keep track of all patient referrals Disseminate information to patients; act as a go-between for patients and physicians Send and keep a log of all reports sent to doctors Collect all payments; insurance verification Collect/open mail; distribute mail to proper areas/people Send benefits paperwork to billing companies Handle all scheduling and ensuing communication Answer phones, act as a patient liaison, answer any questions from potential or current patients Schedule patients; coordinate evaluations, re-evaluations, appointment reminders and cancellations Collect new patient intake information; track all clinic referrals Fax reports to physicians; keep a log of incoming reports Verify Insurance and track insurance-covered visits; take copayments Check mail; keep track of Explanation of Benefits sent from mail and fax to billing company Communicate with the office manager and clinicians about scheduling/patient arrival Required Skills High school diploma or equivalent Valid driver's license and reliable transportation Great communicator and multitasker, detail-oriented Positive attitude, good work ethic, integrity and empathetic toward people that are in pain H.S. graduate or GED certificate Up-to-date DL and a dependable vehicle Excellent at handling details, communicating and multitasking Great demeanor, strong integrity and compassion

Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Non-Exempt The individual in this role is a key member of the Registration management team responsible for assisting the Registration Supervisor in supervising day-to-day Registration activities during assigned hours and assisting in the communication of registration information to decentralized registration areas. The incumbent is a resource person providing education, guidance and direction to registration staff during assigned shift while also responsible for scheduling patients and completing registration functions including collecting/validating/updating the patient's comprehensive data set and documenting the registration system, completing electronic verification, identifying managed care issues and referring as appropriate for resolution, obtaining appropriate signatures to satisfy legal or health system requirements and completion of require forms including Medicare MSP, if required, completing financial education and finalization of financial resolution with patients, completing additional registration admission, discharge, transfer functions and resolving edit failures following established policies and procedures. These activities are completed following established policies and procedures, and in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct. Education Qualifications High School Diploma / GED Required Experience Qualifications 2 years Experience in a clinical healthcare setting such as physician's office or hospital relating to patient financial services, patient registration, patient scheduling or related healthcare experience . Required Skills and Abilities Working knowledge of basic medical terminology. (Required proficiency) Detailed knowledge of major third-party billing and contract. (Required proficiency) Keyboarding skill or typing skill of at least 30 wpm. (Preferred proficiency) Excellent interpersonal and Communication skills and the ability to exhibit patience. Sophisticated customer service skills. (Preferred proficiency) Analytical skills necessary for effective problem solving. (Preferred proficiency) Ability to handle multiple tasks and make independent decisions regarding work prioritization and coordination. (Preferred proficiency) What you will do Detailed understanding of all technical primary and secondary billing rules and policies and procedures for assigned third party payors and contracts. Understands the Medical and Clinical services provided by the organization. Screen registrations for sensitive diagnosis and obtain special release according to established hospital policy. Determine estimate of charges when appropriate and calculate patient liability for scheduled service. Identify insurance sources, collect and document detailed and accurate insurance information in a timely manner. Identify and complete Medicaid and charity screening, when applicable. Copy patient insurance cards and explain insurance benefits as appropriate. Complete electronic insurance verification for all participating payers using an electronic eligibility system. Collate all information and paperwork required for service department use. (Examples consist of armbands, consents, face sheets/data sheets, etc.). Explain patient information and obtain proper signatures as appropriate (i.e., advanced directives, patients rights, authorization for treatments). Collect, receipt, and document patient payments according to established procedures. Welcome all customers in a friendly manner and offer assistance by giving directions or escorting patients to service areas. Collect and verify the accuracy of patient demographic information with patient or family members at the time of registration. Collect and update the comprehensive data set and validate information with patient prior to patient arrival for services. Using information available, correctly identify patient's point of access, welcome patient and ensure patient is directed to the appropriate location in a timely manner. Negotiate financial resolution through proper sequencing of resolution options and patient's ability/willingness to pay. Following established guidelines, obtain appropriate signatures to satisfy legal or health system requirements and complete required forms including MSP screening. Assists with the revision or development of the department's internal documents, procedural manuals and forms, as requested. Consistently and accurately documents accounts with activities as needed in a timely manner. Obtain physician orders/instructions and contact physician office and/or other hospital department to resolve access issues as necessary. Identify managed care provisions and follows up with appropriate parties to resolve outstanding issues. Effectively functions as liaison between team, other team leaders, PFS management, physicians or other departments within the organization. Answers questions from other staff or clinic offices by phone or e-mail in a timely manner. Informs management of any known or suspected violations by other employees or suppliers. Complete scheduling of clinic appointments as applicable. Assists Supervisor in ensuring that staff establishes priorities to complete timely, appropriate and accurate patient registration during assigned times. Assists Supervisor in reviewing and maintaining appropriate policies and procedures. Effectively coordinates team input to department management related to the development, analysis and maintenance of departmental budget. Effectively coordinates team input to department management related to statistical analysis (work performance issues, quality improvement projects, etc. •Effectively assists individual team members with correct prioritization of work. Performs effectively under stressful conditions. Prepares, analyzes, and reports daily team activities. Assists team with problem solving. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Patient Facing Remote Work Capability On-Site; No Remote Scope No Supervisory Responsibility No Budget Responsibility Physical Demands Balancing: Occasionally 1-3 Hours Carrying: Occasionally 1-3 Hours Climbing (Ladders): Rarely less than 1 hour Climbing (Stairs): Rarely less than 1 hour Crawling: Rarely less than 1 hour Crouching: Rarely less than 1 hour Driving (Automatic): Rarely less than 1 hour Driving (Standard): Rarely less than 1 hour Eye/Hand/Foot Coordination: Frequently 3-5 Hours Feeling: Occasionally 1-3 Hours Grasping (Fine Motor): Frequently 3-5 Hours Grasping (Gross Hand): Frequently 3-5 Hours Handling: Frequently 3-5 Hours Hearing: Frequently 3-5 Hours Kneeling: Occasionally 1-3 Hours Lifting: Occasionally 1-3 Hours up to 20 lbs Operate Foot Controls: Rarely less than 1 hour Pulling: Occasionally 1-3 Hours up to 20 lbs Pushing: Occasionally 1-3 Hours up to 20 lbs Reaching (Forward): Occasionally 1-3 Hours up to 20 lbs Reaching (Overhead): Occasionally 1-3 Hours up to 20 lbs Repetitive Motions: Frequently 3-5 Hours Sitting: Frequently 3-5 Hours Standing: Occasionally 1-3 Hours Stooping: Occasionally 1-3 Hours Talking: Occasionally 1-3 Hours Walking: Occasionally 1-3 Hours Working Conditions Burn: Rarely less than 1 hour Chemical: Rarely less than 1 hour Combative Patients: Occasionally 1-3 Hours Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Explosive: Rarely less than 1 hour Extreme Temperatures: Rarely less than 1 hour Infectious Diseases: Occasionally 1-3 Hours Mechanical: Rarely less than 1 hour Needle Stick: Rarely less than 1 hour Noise/Sounds: Occasionally 1-3 Hours Other Atmospheric Conditions: Rarely less than 1 hour Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour Radiant Energy: Rarely less than 1 hour Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour Hazards (other): Rarely less than 1 hour Vibration: Rarely less than 1 hour Wet and/or Humid: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. What You Will Do Client Relationship Management: Serve as the primary point of contact for assigned Nextech clients, addressing inquiries and concerns proactively. Build and maintain strong relationships with healthcare providers and stakeholders. Conduct regular client meetings to review RCM performance, discuss challenges, and align on financial goals. Provide ongoing education to clients on RCM processes, industry trends, and regulatory changes. Revenue Cycle Performance & Optimization: Monitor and analyze key performance indicators (KPIs) such as Days Sales Outstanding (DSO), Denial Rates, AR Aging, and Net Collections. Identify trends and implement solutions to optimize revenue collection and minimize delays. Collaborate with internal billing, coding, and collections teams to ensure timely claims submission, payment posting, and follow-ups. Address payer issues, reimbursement challenges, and operational bottlenecks. Operational & Financial Oversight: Develop and execute action plans to improve financial outcomes for clients. Ensure compliance with industry regulations (HIPAA, CMS, payer policies) and best practices. Provide detailed reporting and insights on revenue cycle health. Partner with leadership to refine workflows and enhance efficiency. Issue Resolution & Process Improvement: Investigate and resolve client issues related to claims, payments, or system inefficiencies. Work cross-functionally with internal teams to drive process improvements. Identify automation and technology enhancements to streamline operations. Qualifications & Skills: Experience: 5+ years in revenue cycle management, medical billing, or healthcare account management. Education: Bachelor's degree in healthcare administration, Business, or equivalent years of professional experience. Technical Skills: Experience with Nextech EMR Software is a plus, payer portals, and reporting tools. Other RCM software experience also preferred (e.g., Nextgen, Athena, eClinicalWorks). Knowledge: Strong understanding of medical billing, coding (CPT, ICD-10), insurance verification, and reimbursement processes. Knowledge and familiarity with ProFee coding for ambulatory care practices. Soft Skills: Excellent communication, problem-solving, and customer service skills. Analytical Ability: Experience with financial reports, data analysis, and KPI tracking. People Oversight: 3+ years' experience in supervising staff and overseeing workflow functions. Ability to function well in a fast-paced and at times stressful environment. Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times. The salary range for this position is: $65,000 - $95,000. Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more. Salary Range$65,000-$95,000 USD Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.

We are seeking a financial clearance rep (FCR) to join our rehab services team! The FCR must be able to effectively articulate payor information in a manner such that therapists, patients and families gain a clear understanding of financial responsibilities.The FCR will be responsible for completing the insurance and benefits verification to determine the patient's benefit level for outpatient therapy services including physical, occupational, speech, cardiac, pulmonary, and hearing aids/audiology. They will obtain benefit levels, screen payor medical policies to determine if the scheduled procedure meets medical necessity guidelines, submit and manage referral and authorization requests/requirements when necessary, and/or ensure that pre-certification notification requirements are met per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with revenue cycle and clinical staff. The FCR makes the decision when and how to work with providers, clinical staff, insurance payors and other external sources to assist in obtaining healthcare benefits. * FTE 1.0, authorized for 80 hours per pay period. * Schedule: Monday-Friday, 8:30am - 5:00pm. * Remote position. * Full benefits such as medical, HSA, dental insurance, vision insurance, 403b, PTO, health & wellbeing resources, Health & Wellness funding, and more! M Health Fairview Rehabilitation offers a broad range of services that serve patients across 10 acute-care hospitals, 3 post-acute settings and 70 outpatient adult and pediatric therapy clinics. Consisting of Physical, Occupational and Speech Therapy as well as Audiology and Cardiac & Pulmonary Rehab, our therapists collaborate with colleagues in all medical settings and offer dozens of specialty programs. As an academic health system with residency and fellowship programs and a rehab-focused clinical quality team, we have a collaborative culture that is centered on learning with an emphasis on evidence based, patient-centered care. Rehab's continuing education program offers continuing education courses per year at no cost to employees. Responsibilities * Practice excellent telephone etiquette and active listening skills. * Identify insurances for all new patients that require information/notification from the site for new, continuing, and observation patients. * Document and track all communication with insurers, clinic staff, and patients. * Document each step taken in the process of acquiring benefits, prior authorization, or confirmation compensability determination. * Document pertinent information for therapist use in contacting insurance carrier if further authorization is necessary. * Enters referrals with all pertinent information into Epic referral entry. * Initiate process to establish company account for worker's compensation patients and all other insurances as needed. * Informs patients/clinic/caregiver of denials by insurance companies when pre-authorizing services. * Contact patients with insurance issues such as termed insurance. * Develop a list of key contacts at insurance companies and develop positive working relationships to facilitate ability to retro-authorize claims and increase reimbursement. * Assist in training new insurance staff * Acquire insurance referrals from PCC, if required by insurance. * Submit appeals to insurances for prior authorization, if needed. * Incorporate new changes in insurance verification and adapt to changes in volume of workload. Required Qualifications * 1 year experience in insurance verification/eligibility, financial securing, prior authorization, or related areas. * Experience with electronic health record software. Preferred Qualifications * Associate of Science * Vocational/Technical Training * Epic experience * Insurance/benefit verification experience * Referrals and/or prior authorization experience * Knowledge of medical terminology and clinical documentation review * 2 years of experience working insurance/benefit verification, financial securing, or related areas using an EHR in a healthcare organization * Knowledge of computer system applications, including Microsoft Office 365 Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Lead, Care Facilitator is dedicated to providing VIP customer service to every patient and customer who enters the center. Through adherence of established center guidelines and standards, the incumbent in this role is responsible for providing the best solutions and options for our patients in support of the overall center experience. He/she plays a vital role in ensuring that all of our patients and their family members have a pleasant and memorable experience every visit and with every interaction. The Lead, Care Facilitator is accountable for precisely entering patient data and setting up accounts, and for establishing and maintaining strong professional working relationships with internal work partners. This incumbent trains, guides and supports Care Facilitators to ensure organizational front desk standards are met and that they have the tools and resources they need to effectively perform their daily tasks. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: * Leads Care Facilitators in ensuring that the patient check-in process is customer-centric and seamless. Confirms that all intake procedures, guidelines and regulations are adhered to. * Greets and welcomes patients and families into the Center. * Serve as first point of contact and resolution for patient issues/concerns/disputes. * Prepares the center for patient/customer arrivals. Ensures it's clean, organized, sanitized and visually appealing. * Guides and supports Care Facilitators with HEDIS initiatives to ensure patients with gaps are appropriately scheduled. * Supports PCP scheduling by ensuring appropriate blocks are in place and double/over/under booking does not occur. Ensures scheduling gaps are attended to and closed in a timely manner. * Reviews ENS notifications and ensures patients receive follow up from their Care Team. * Examines medical release forms for accuracy and PCP sign off prior to release of medical records. Ensures the e-fax folder is routinely checked and that documents received are correctly uploaded and indexed. * Authorized to adjust patient charts with regard to co-payments. * Collects co-payments, reconciles charges and submits them to the Center Manager for deposit. * Prints Patient Check-in Board for billing. Prints CPA report and ensure missing items are followed up on. * Reviews phone messages to ensure proper and timely routing and follow-up. Ensures after hours messages from patients are recorded in the patient's medical record and followed up on by the appropriate discipline. * Troubleshoots Dashboard, phone, and computer issues. * Orders office and other needed supplies to ensure the Center is properly inventoried, stocked and maintained. Other responsibilities may include: * Fills in for Care Facilitator as needed for scheduled and unscheduled absences. * Supports the patient VIP experience by assisting with new patient paperwork and supporting New Patient Welcome and Tours. * Assists with Patient Education and Exercise Class activities as needed. * Distributes insurance verification list. * Reviews next day transportation list and confirm times. * Collects, sorts and distributes mail. * Sets up conference rooms for weekly PCP meetings. * Performs other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: * This is an intermediate level, customer service-focused position working directly with patients and their families in one of ChenMed's medical centers * Fundamental knowledge and understanding of standard medical office practices, procedures processes, functions, and techniques * Working knowledge of medical insurance and/or knowledge of electronic medical record EMR systems * Skilled in operating phones, personal computers, software and other basic IT systems * Outstanding verbal and written communication skills * Demonstrated strong listening skills * Good critical thinking skills, decisive judgment and the ability to work with minimal supervision * Ability to communicate with employees, patients and other individuals in a professional and courteous manner * Ability to effectively perform in a fast-paced environment * Detail-oriented to ensure accuracy of reports and data * Friendly, professional, courteous and positive disposition * Familiarity with Dashboard * Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software * Ability and willingness to travel locally, regionally and nationwide up to 10% of the time * Spoken and written fluency in English PAY RANGE: $20.2 - $28.83 Hourly The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions. EMPLOYEE BENEFITS ****************************************************** We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply #LI-Onsite

Job Description About Us Pinnacle Fertility is a leading fertility care platform dedicated to fulfilling dreams by building families. With a nationwide network of fertility clinics, we provide innovative technology, compassionate patient care, and comprehensive fertility treatment services, ensuring a seamless, high-touch experience for families on their path to parenthood. Learn more at ************************** About the Role The Financial Counselor plays a vital role in supporting patients through their fertility journey by guiding them through financial processes and ensuring a clear understanding of their financial obligations. This position is ideal for individuals who are customer service-minded, detail-oriented, and thrive in a fast-paced environment. As a Financial Counselor, you will work closely with patients and a multidisciplinary team to deliver compassionate care and a seamless financial experience. We are seeking a Financial Counselor to join our dedicated team at Pinnacle Fertility - Oregon. This is a full-time, remote position working Monday through Friday from 8:00 AM-5:00 PM Pacific Standard Time (PST). Key Responsibilities Maintain patient accounts by updating personal, financial, and insurance details. Monitor and manage billing and coding processes, ensuring accurate claim submissions, and compliance with regulations Obtain and enter referrals, authorizations, and predeterminations. Verify benefits/eligibility and determine procedure deposits. Review financial history, collect balances, and escalate unresolved issues. Submit daily charge entries for processing. Obtain waivers for patients without proper benefits or authorization Review loan programs with patients lacking insurance benefits. Serve as a liaison to resolve billing issues with the billing team. Collaborate with the clinical team to communicate accurate financial obligations. Assist with additional administrative tasks and projects as needed. Position Requirements Education & Experience: High school diploma required. 1-3 years of experience in a patient-facing front desk, insurance verification, or customer service. Minimum of 1 year of experience working in a fully remote capacity. Skills: Expertise in financial counseling, billing, coding, and insurance. Proficient in claims, authorizations, and collections, Strong multitasking, communication, and organizational skills. Ability to discuss financial matters clearly and empathetically. Flexibility: Must be able to work regular hours aligned with Pacific Standard Time (PST). Compensation & Benefits: Hourly Rate: $19.00 - $28.00 per hour (Final offer based on experience, skills, and qualifications). Benefits: Comprehensive healthcare, dental, vision, and life insurance. Additional perks include generous paid time off (PTO), paid holidays, and a retirement savings program. Detailed information on salary and benefits will be discussed during the interview process. Diversity & Inclusivity at Pinnacle Fertility At Pinnacle Fertility, we celebrate diversity and are committed to creating an inclusive environment for all team members. We are proud to be an equal-opportunity employer and encourage applicants from all backgrounds, abilities, and life experiences to apply.

Remote Medical Administrative Assistant / Patient Support Specialist Evolution Sports Group is a leading provider of sports medicine and rehabilitation services, dedicated to helping athletes of all levels reach their full potential. We provide cutting-edge treatments and personalized care to help our patients recover from injuries and return to their active lifestyles. Contract Details: This is a full-time, remote position with Evolution Sports Group. As a remote employee, you will have the flexibility to work from any location with a reliable internet connection. This contract is an excellent opportunity for those seeking a remote position in the healthcare industry. Job Description: We are seeking a highly organized and detail-oriented Remote Medical Administrative Assistant / Patient Support Specialist to join our team. In this role, you will be responsible for providing administrative support to our medical team and assisting with patient support services. Key Responsibilities: - Schedule and coordinate appointments for patients with our medical team - Collect and update patient information and medical records - Respond to patient inquiries and provide excellent customer service - Coordinate with insurance companies to verify coverage and submit claims - Maintain confidentiality of patient information and adhere to HIPAA regulations - Assist with billing and invoicing processes - Collaborate with the medical team to ensure efficient and effective patient care - Perform general administrative tasks such as data entry, filing, and organizing documents - Continuously update and maintain patient records and databases - Provide support to the medical team with any other tasks as needed Qualifications: - High school diploma or equivalent, associate or bachelor's degree in healthcare administration or related field preferred - Minimum of 1-2 years of experience in a medical administrative role - Knowledge of medical terminology and procedures - Proficient in Microsoft Office and electronic medical record systems - Excellent communication and interpersonal skills - Ability to multitask and prioritize tasks effectively - Strong attention to detail and accuracy - Experience with insurance verification and billing processes is a plus - Must be able to work independently and as part of a team in a remote setting Why Work with Us: At Evolution Sports Group, we value our employees and strive to create a positive and supportive work environment. As a remote employee, you will have the flexibility to work from any location and have a healthy work-life balance. We offer competitive compensation and benefits, as well as opportunities for growth and development within the company. If you are a motivated and organized individual with a passion for healthcare and helping others, we would love to hear from you. Join our team and make a difference in the lives of athletes and patients around the world. Apply now to become our Remote Medical Administrative Assistant / Patient Support Specialist! Package Details Compensation & Bonuses Competitive Pay Rate: $40-$60/hr based on experience and performance Paid Training: $40/hr for 1-week onboarding training Training Completion Bonus: $700 instant incentive after setup and training Work Schedule Flexible Scheduling: Choose Full-time (30-40 hrs/week) or Part-time (20 hrs/week) Options for morning, afternoon, or evening schedules No weekends required unless preferred Remote Work & Equipment 100% Remote Position - U.S.-based only Company-Provided Home Office Setup, including: High-performance laptop (Mac or Windows), Dual monitors, Printer/scanner, Headset + workstation accessories, Stipend for internet or electricity support Employee Benefits Package Paid Time Off (PTO) + Paid Sick Days Health, Dental & Vision Insurance Mental Health Support Access (virtual consultations) Paid Holidays 401(k) Retirement Savings Option (where applicable) Career Growth & Stability Guaranteed long-term placement with stable weekly hours Fast-track promotion opportunities every 3-6 months Company-sponsored certifications & skills training Internal mobility program - move into leadership, QA, HR, or project roles Extra Perks Monthly wellness allowance Employee recognition rewards Birthday stipend or digital gift card Annual performance review with salary increase potential

Our Company Amerita The Specialty Admission Coordinator is responsible for managing specialty medication referrals from receipt through insurance clearance to ensure timely and accurate patient access to therapy. This role serves as the key point of contact for benefit investigation, prior authorization, coordination with internal stakeholders (pharmacy and nursing staff) and financial counseling with patients. The coordinator plays a critical role in ensuring referrals meet payer requirements and in facilitating seamless communication between patients, providers, pharmacy staff and the sales team. Schedule: Monday - Friday 8:30am - 5:30pm We Offer: • Competitive Pay • Health, Dental, Vision & Life Insurance • Company-Paid Short & Long-Term Disability • Flexible Schedules & Paid Time Off • Tuition Reimbursement • Employee Discount Program & DailyPay • 401k • Pet Insurance Responsibilities Owns and manages the specialty referral from initial intake through insurance approval Conducts timely and accurate benefit investigation, verifying both medical and pharmacy benefits Identifies and confirms coverage criteria, co-pays, deductibles and prior authorization requirements Prepares and submits prior authorization requests to appropriate payers Maintains clear, timely communication with pharmacy teams, sales representatives and prescribers regarding the status of each referral and any outstanding information Coordinates and delivers financial counseling to patients, including explanation of out-of-pocket costs, financial assistance options and next steps Ensures all documentation complies with payer and regulatory requirements Updates referral records in real-time within computer system Collaborates with patient services and RCM teams to support a smooth transition to fulfillment Tracks and reports referral statuses, turnaround times and resolution outcomes to support process improvement Supervisory Responsibility: No Qualifications EDUCATION/EXPERIENCE • High school diploma or GED required; Associate's or Bachelor's degree preferred. • Minimum of 2 years of experience in a healthcare, specialty pharmacy, or insurance verification role. • Experience working with specialty medications, including benefit verification and prior authorization processes. • Experience in patient-facing roles is a plus, especially involving financial or benefit discussion. KNOWLEDGE/SKILLS/ABILITIES • Familiarity with payer portals. • Strong understanding of commercial, Medicare, and Medicaid insurance plans. • Proven track record of communicating effectively with internal and external stakeholders. • Desired: Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint. TRAVEL REQUIREMENTS Percentage of Travel: 0-25% **To perform this role will require constant sitting and typing on a keyboard with fingers, and occasional standing, and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs** About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit ****************** Follow us on Facebook, LinkedIn, and X. Salary Range USD $24.00 - $28.00 / Hour

The below Job Description is intended to describe the general nature and level of work being performed by associates assigned to this job. It is not an exhaustive list of responsibilities, and is subject to changes and exceptions at the discretion of senior management. JOB TITLE: Optometric Office Technician / Medical Office Administrator REPORTS TO: Store General Manager FLSA STATUS: Hourly; Non-Exempt POSITION PURPOSE: The major responsibility of the Optometric Office Technician is to assist the Managing Optometrist in the technical and administrative operation of an optometric practice. The position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. OPTOMETRIC OFFICE TECHNICIAN The Optometric Office Technician plays a key role in the optometric practice. Their duties may include the utilization of computerized medical office software, administrative office procedures, health insurance processing billing and transcription of medical reports. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care. ESSENTIAL DUTIES AND RESPONSIBILITIES: Clinical Duties Taking patient medical histories Preparing patients for examinations Administering tests prior to the eye exam Assisting doctors during examinations Assist with ordering glasses and contact lens supply Administrative Job Duties Greeting and directing patients Answering telephones Updating and maintaining Electronic Medical Records Obtaining insurance verification and authorization Adjust scheduling for priority patients Scheduling appointments Processing insurance claim forms Patient and insurance billing Optometric medical billing and coding Vision insurance billing and coding Accounts receivable and accounts payable Bookkeeping Selling glasses and contact lens supplies *The Clinical Skills can be learned on the job. No experience with clinical skills is necessary to apply. TRAVEL REQUIREMENTS: Occasional travel locally, within 15 mile radius. QUALIFICATIONS: Experience, Competencies and Education Must have at least 1-2 year teching experience within the last 2 years. Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships. Ability to manage priorities through adaptability, willingness to take calculated risks, and follow-up. Experience with personal computers preferred. Valid State Driver's License and State Minimum Insurance coverage. High school diploma or equivalent.

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. Manages, coordinates, and supervises the daily operations of enterprise scheduling and financial pre-services including insurance verification, calculating and communicating patient financial responsibility, and coordinating payment arrangements and screenings. This department ensures seamless patient access by coordinating appointment scheduling, verifying insurance, completing preregistration, and securing financial clearance prior to service. It plays a critical role in patient experience and in revenue cycle. Additionally, this position directs the development and attainment of departmental goals and objectives as it relates to the organizational strategic mission and initiatives. Ensures that all employee needs are met through coordination of team within the enterprise revenue cycle. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's degree in healthcare administration or related field and five (5) years' experience in multi-site scheduling, ambulatory operations management across diverse locations, or high-volume contact center environments. OR 2. High School Diploma and ten (10) years' experience in multi-site scheduling, ambulatory operations management across diverse locations, or high-volume contact center environments. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Masters degree in healthcare administration, health informatics, or related. 2. Certified Revenue Cycle Representative (CRCR) through HFMA. 3. Seven or more years experience in multi-site scheduling, ambulatory operations management across diverse locations, or high-volume contact center environments. EXPERIENCE: 1. Five (5) years of experience in healthcare scheduling. Preference for Epic certification Experience in registration, insurance verification, and estimate delivery. 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. Manage centralized scheduling for outpatient, inpatient, and ancillary services across all facilities. 2. Coordinate with clinical departments to optimize provider availability and appointment slots. Maximize schedule utilization 3. Ensure accurate documentation of appointment types, locations, and required preparations. 4. Partner with IT to optimize scheduling templates to allow for patient self-scheduling. 5. Evaluate and implement new technologies for scheduling. 6. Manage preregistration processes including insurance eligibility and benefit collection, calculation and communication of patient financial responsibility via estimates, and coordinating financial processes for payment plans and charity care screenings. 7. Monitor KPIs including scheduling lead time, scheduling utilization, preregistration completion, insurance accuracy, estimate accuracy, and patient financial conversations. 8. Sets solid analytical goals and directs team to achieve those goals using specific, targeted, data driven tactics. 9. Manages department personnel to ensure qualified work force. Ensure regular communication with team to ensure that employee needs are met and that the productivity and engagement of staff is maintained. 10. Works within budgeted expenses and participate in development and management of departmental budget. 12. Organizes and executes daily tasks in appropriate priority to achieve optimal productivity and efficiency, adjusting daily schedule as required to perform urgent assignments or special projects as assigned. 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. Ability to sit for long periods of time. 2. Ability to lift, push or pull 10-15 pounds. 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. Standard office environment SKILLS AND ABILITIES: 1. Financial, technical and professional skills. 2. Oral and written communication ability to effectively represent the department and Hospital in interactions with third party payers, patients, physicians and other departments. 3. Analytical and problem solving skills as well as the ability to work and communicate effectively with other departments. 4. Knowledge of local, State and Federal regulations pertaining to Hospital billing and collections. 5. Ability to perform a variety of duties, ranging from direct involvement in various projects to coordination and supervision of the activities of co-workers. 6. Knowledge of spreadsheet, word processing and office software applications. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 535 SYSTEM Centralized Clearance Center

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The University of Miami/UHealth Department of UHealth Connect has an exciting opportunity for a Full Time Contact Center Associate 2 to work remote. Core Job Summary The Contact Center Associate 2 supports functions that assist in creating and driving a culture of empathy, service excellence and delivery of patient centered care that impacts the patient experience across the UHealth System. The incumbent is possesses a high-level of proficiency with consistent levels of quality and productivity. In addition, the incumbent serves as a subject matter expert in their assigned areas of support, providing guidance to their peers and assisting in on the job training for new hires. This position involves the delivery of courteous and efficient service to patients, accurate documentation and verification of patient registration information, and professional and timely communications with physicians, medical staff, and administrators. This position requires the ability to utilize the EPIC scheduling system to search for appointments across multiple physicians, resources, specialties and sites while utilizing expertise in medical triage and understanding of government and commercial insurance requirements to ensure patients are scheduled with the appropriate provider timely. Core Responsibilities Delivers a high level of patient service, with consistent levels of quality and productivity. Assists in identifying trouble spots and problem patterns in the provision of care. Acts as a subject matter expert in support of their peers. Trains new agents in scheduling and registration requirements specific to their specialties. Schedules and registers patients for appointments within the UHealth System and provides general information about the UHealth System services to patients and community health care providers. Provides support to UHealth System departments and clinics for information inquiries and problem resolution. Maintains direct communication with providers and staff in the Medical Center and Satellite Offices. Department Specific Functions Provide general information about University of Miami Health System services to patients and community health care providers. Schedule and accurately complete full registration for patients requesting appointments with the UHealth system adhering to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately with attention to detail to ensure the highest quality standards. Initiate pre-registration process and coordinate with the Central Insurance Verification and Patient Access teams to assure pre-registration in the appropriate facility prior to the appointment. Ensure all demographic insurance information is accurate, complete and up to date on patient's screen. Verification of insurance information, verification of benefits and insurance referral information. Verification of private patient insurance information for same day appointments or by request. Adhere to standards provided by the HIPPA Privacy Office related to patient privacy and confidentiality. Assure ease of patient flow through medical care process. Complies with the written guidelines provided by the HIPPA Privacy Office related to patient privacy and confidentiality. Provide patients with all required information regarding appointments and payment policies (e.g. medical records, parking, cash policies, anticipated charges, required ancillary services, cancellation policy). Intervene as liaison/advocate for patients, physicians, and staff in facilitating ease of care. Assist in identifying trouble spots and problem patterns in the provision of care. Maintain a working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need. Maintain knowledge of insurance referral requirements to ensure access based on third party reimbursement criteria. Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements. Performs all above-mentioned tasks by paying attention to detail and providing excellent customer service skills with Patients, Physicians and other related members by following the Standard of Excellence and Accountability policy mandated by the University Of Miami Miller School Of Medicine. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary Core Qualifications High School diploma or equivalent Minimum 2 years of relevant experience General knowledge of office procedures and operations Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to maintain effective interpersonal relationships. Ability to recognize, analyze, and solve a variety of problems. Ability to lead, motivate, develop and train others. Ability to process and handle confidential information with discretion. Skill in completing assignments accurately and with attention to detail. Any relevant education, certifications and/or work experience may be considered. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

Patient Support Representative (Full-Time) Birmingham, AL MainStreet Family Care operates over 50 clinics across Alabama, Florida, Georgia, and North Carolina, with ambitious expansion plans. As a rapidly growing company aiming to double its size by 2024, MainStreet is dedicated to enhancing healthcare access in the Southeastern US. The ideal candidate excels in customer service, manages inbound calls efficiently, and thrives in a team setting. As the first point of contact for patients, you'll help shape our company's image by providing prompt, accurate assistance and facilitating financial transactions. Location Requirements: - Birmingham, AL 35203: Must reliably commute or plan to relocate before starting work; this is also a remote position Responsibilities: - Answer incoming calls and provide a welcoming first impression of the company - Respond promptly and courteously, following established policies and procedures - Properly triage calls according to company guidelines - Assist patients and responsible parties with account inquiries - Process patient payments and set up payment plans per billing policies - Verify patient insurance coverage and benefits - Manage emails and faxes via Outlook group email - Provide comprehensive administrative support including scanning, copying, and data entry - Prepare and submit medical records to insurers and other requesters - Support the Revenue Cycle Management department and undertake additional duties as assigned Schedule: This position follows a rotating 5/2 shift schedule: - Week 1: Monday, Tuesday, Friday, Saturday, Sunday - Week 2: Wednesday and Thursday - Weekday Shift: 8:30 AM - 8:30 PM - Weekend Shift: 1:30 PM - 9:30 PM Qualifications: - High School Diploma or GED required - Proficiency in Microsoft Office Suite required - One (1) year of professional office experience preferred - Strong verbal communication skills, especially over the phone - Knowledge of insurance verification processes preferred - Attention to detail and accuracy in data entry - Ability to work independently and collaboratively within a team Compensation and Benefits: - Starting salary of $18 / hr - Health, dental, and vision benefits - Supplemental insurance options - 401K retirement plan - Paid time off Next Steps in the Recruitment Process - If you are chosen to be moved forward in our recruitment process, the next steps will include: - Recruiter Phone Screening - Pre-Employment Assessment - Final Interview with Hiring Managers Join MainStreet Family Care and contribute to our mission of providing excellent patient support as part of a growing healthcare network. Apply today to be part of our dynamic team in Birmingham! Package Details

Front Desk Coordinator “Open Up” to A Whole New Dental Experience Imagine working in a place which delivers best in class patient care and focuses on putting every patient first, every visit. Our guiding principle is empathy, and we want you to join us on our mission to transform the dental experience. Our practice partners with North American Dental Group which provides us with the necessary support in order to fulfill our purpose of ensuring excellent patient care. Wondering how this shapes your job experience? We use our individuality and dental expertise to practice group dentistry and ensure that every patient leaves our office feeling satisfied. Do you have the drive and passion to help others improve their oral health in the way that we do? Come join our team- help us pioneer a new culture of dentistry. Smiling from Open to Close Monday through Saturday Responsibilities Skills Required to Make a Great “Impression” on Our Team Must be dependable and skilled in quality control when handling financial information, performing insurance verification, and preparing end of the day reports, always keeping our patients worry-free Performs clerical tasks such as sorting, opening, distributing mail, scanning, and photocopying. Answer phone calls and provide information to callers; greet visitors/patients; schedules, verifies, and confirms patient appointments. Explains procedures and/or services to patients using dental knowledge. Presents financial policies and arrangements to patients collect co-payments and verify insurance coverage as appropriate. Tracks appointments due to no-shows, cancellations, and late arrivals Qualifications So How Can You “Fill” This Role? High School Diploma or equivalent (Associate's degree preferred) 1-5 years of customer service, insurance, or dental experience preferred Knowledge of dental software, Microsoft Office programs, as well as ability to learn new programs as needed “Brace” Yourself… It only Gets Better Competitive paid time off for full-time and part-time team members which increases as you grow in your career with us Comprehensive benefits package, including 401k Constant opportunities for career growth and continuing education An exciting atmosphere that allows for freedom and individuality - enabling our team to always strive to do the best for our patients Equal Opportunity Employer We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ancestry, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, or any other characteristic protected by law. #NADG3 We can recommend jobs specifically for you! Click here to get started.

[We show compassion to heal minds.] Legion is a pioneering, tech-enabled psychiatry network focused on delivering world-class outpatient care. Our providers-the most talented PMHNPs in the country-are passionate about expanding mental health care access for those with insurance. Our innovative model combines the stability of a traditional hospital position with the flexibility of a private practice. We prioritize our clinicians' well-being and professional growth, offering a competitive compensation package and fostering a vibrant, collaborative culture. Quality and patient experience are paramount to us. This means recruiting exceptional providers, championing evidence-based protocols, and displaying compassion in every patient interaction. Our exceptional PMHNPs operate with clinical autonomy, supported by experienced psychiatrists. Our vision is to pioneer a new era of mental health by delivering world-class psychiatry. We believe in a future where every patient can access the compassionate psychiatric care they need, regardless of the insurance they have. About the role: We are looking for a clinically excellent and patient-centered psychiatric-mental health nurse practitioner. Ideal candidates will embrace our vision of expanding access to world-class psychiatric care by embracing technology and serving patients across all insurance types. Benefits: Flexibility: Set your own schedule for optimal work-life balance. Work from Home: See patients from the comfort of your home via telehealth. Significant Administrative Support: Focus on patient care, not on patient scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Clinical Autonomy: We hire the most skilled providers and trust them to do what's best for patients. Patient Acquisition: Unlike with a private practice, we'll work to fill your schedule, so you don't have to do your own marketing. Physician Supervision: We provide your collaborating psychiatrist and fully cover the costs. Competitive Pay: We compensate our providers at market-leading rates, reflecting your experience and performance. Weekly Pay: We pay our providers every week for immediate financial benefit and planning ease. Legal Protection: We provide full malpractice insurance coverage. Technical Support: We cover the costs for you to have best-in-class EHR and e-Prescribe tools. Credentialing Support: We handle all aspects and costs of credentialing with a large number of insurance plans, including commercial, ACA, and government, ensuring your legal and effective authorization within insurance networks. Commitment to Quality Care: Psychiatric intakes are 1 hour, and follow-ups are 30 minutes (as they should be). Tools for Responsible Prescribing: We have rigorous, evidence-based protocols and provide objective diagnostic tools to ensure responsible and ethical prescriptions of controlled substances. Community of Clinical Excellence: You will work alongside the most talented PMHNPs and psychiatrists in the world. Our current PMHNPs have trained at prestigious institutions, including Vanderbilt, UT Austin, Johns Hopkins, Columbia, NYU, and UTHealth Houston. Opportunities for Professional Growth: As we expand, we intend to promote clinical leadership from the best of our active providers. Culture of Excellence through Innovation: Actively participate in ushering in a new era of mental health care through superior clinical care and technology. Licensure Coverage: We'll reimburse you for all fees associated with getting licensed in other states as required by Legion. Resources: We provide premium subscriptions to resources such as UpToDate and Carlat. Exclusive Events: Engage with your colleagues through exclusive in-person and virtual events. Responsibilities Excellent Patient Care: Evaluate and treat patients with conditions like depression, anxiety, ADHD, insomnia, PTSD, and bipolar disorder. Perform comprehensive psychiatric assessments, including mental health, medical history, and risk analysis. Use novel evidence-based treatments. Compassionate Care Culture: Promote an environment of compassion, respect, and empathy in patient interactions and care approaches. Holistic Treatment: Create and execute tailored treatment plans, combining medication and brief psychotherapy, in teamwork with other mental health and medical professionals. Innovation in Treatment: Explore and integrate new therapeutic techniques and technologies to enhance patient outcomes and care efficiency. Professional Growth: Participate in case reviews with peers and physicians to enhance clinical skills and foster ongoing learning. Qualifications Active, unrestricted license as a Psychiatric Mental Health Nurse Practitioner (PMHNP) in Texas. Active, unrestricted DEA license in Texas. Board certification as a PMHNP (ANCC). Residency in Texas. At least 1 year of professional experience practicing as a PMHNP. Commitment to a minimum 1-year tenure with our team. Comfort providing care remotely via telehealth. Strong clinical assessment, diagnostic, and medication management skills. Excellent communication and interpersonal skills. Comfort using technology and electronic health record systems. Commitment to providing patient-centered, compassionate care. Additional Information Location: This role is predominantly remote, with the potential for future in-person consultations. Job type: Part-time and full-time positions are available. Members of our clinical and business advisory board include: Madhukar Trivedi, M.D. [Psychiatrist; Professor of Psychiatry and Distinguished Chair in Mental Health at UT Southwestern] Alexander Ruvalcaba, M.D. [Psychiatrist; Physician Executive at MultiCare Behavioral Health Network] Jon Kole, M.D. [Psychiatrist; Medical Director at Headspace] Liberty Eberly, D.O. [Psychiatrist; Co-Founder and Former Chief Medical Officer at innova Tel Telepsychiatry] John Lusins, M.D. [Psychiatrist; Founder and President at South Texas Mental Health Associates] Samir Malik [ex-Founder at Genoa Telepsychiatry, Founder at firsthand] Andrew Thompson [National COO at Pediatric Associates]