Insurance Verification jobs near me - 313 jobs

Description Do you take pride in having exceptional communication skills? Are you comfortable providing noteworthy customer service and building relationships along the way? Your skills could be used to work hand in hand in assisting our customers. With this role, you will have the opportunity to help them through their automobile financing needs both over the phone and in person. If you are ready to make a difference, join an enthusiastic team and start a lifelong career, “Come Begin Your Story” as a Customer Service Representative! Professional Financial Services (PFS) has been purchasing retail installment contracts for new and used automobiles, trucks and motorcycles originated by franchise and independent vehicle dealers since 1995. We have branches in 12 different states. You'll know you are a successful Customer Service Representative when you: Provide outstanding customer service and problem resolution Perform collection activities on delinquent accounts Assist with insurance verifications Perform Welcome Calls Act as back up to our Administrative Assistant to receive loan payments and fund loans Perform Skip Tracking and other locate activities You could be a great addition as Customer Service Representative if you have: Previous customer service and/or collections experience A valid state driver's license, with an acceptable driver's record Access to a reliable automobile for work use Keep in mind that we provide: An EXCELLENT benefits bundle that includes medical insurance (minimal cost to the employee), dental, vision, life insurance, short-and long-term disability, profit sharing, 401k with company matching, and paid sick, holiday, and vacation time. Monthly Bonus Potential - You have the ability to earn a monthly bonus when your team meets your Company set goals! Community Service - As a company, we are pro-active members of the community. We make ongoing contributions to charities, local food banks, educational institutions and more. Growth Potential- We believe in fostering our employees' talents and providing a pathway for their individual career story. TOP-of-the-line training that includes hands-on training, online training, and new hire class orientation. We are committed to helping you build a solid foundation and do your job to the best of your abilities. Come Begin Your Story! Apply Today!

**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** The Case Manager extender works collaboratively with all interdisciplinary staff internal to OhioHealth and also external organizations to achieve timely, cost efficient and effective management of patient care. Primary responsibilities include but are not limited to: insurance verification, obtaining pre-authorization and data entry of patient information, triaging phone calls, and directing calls appropriately, status changes, entering initial and correcting inpatient room and bed charges and performing charge reconciliation. The case manager extender is well organized, highly motivated, customer service oriented and expresses good communication skills. May require weekends and holiday rotations. **Responsibilities And Duties:** 60% ASSURING APPROPRIATE PAYER AUTHORIZATION AND/OR PAYER REQUIREMENTS ARE IN PLACE FOR HOSPITAL PAYMENT. 1. Responsible for insurance verification. When necessary, obtains pre-authorization from insurance companies. Interacts with physician offices and other third parties to obtain all necessary paperwork. 2. Triage incoming calls within the phone processing benchmarks. Answers multi line phone system, screens calls for office/hospital associates, directing to appropriate office/hospital associate, and ensures appropriate phone coverage. 3. Communicate and document accurate and appropriate information to internal and external customers. Communicates with third party payers and sends appropriate clinical information for authorization of hospital stay. 4. Perform authorization data entry and coordination of services through proactive collaboration and communications with utilization management and care coordination team. 5. Monitor commercial payers accounts, to include but not limited to: attachment of requested dictation to claims, addition of diagnosis allowances and authorization numbers 6. Refer utilization management/clinical decisions beyond level of authority to care coordination/UM team and Manager/Director of UM team for review and decision. 7. Provides general office and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited to: faxing dictation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters for reports, patient record releases, Industrial C-9s, C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. 8. Researching, obtaining and completing required documents for the team. 9. Coordinating ancillary services according to policies 10. Facilitate communication between community agencies, care coordination and utilization management team. 1 1. Facilitates transfers of patients to alternative facilities 12. Attends staff meetings 13. Attends continuing in-house education seminars for further education as needed 30% PATIENT STATUS AND CHARGE RECONCILIATION 1. Responsibility for updating/correcting patient status for appropriate claim drop. 2. Perform charge entry to match appropriate patient status. 3. Review the charge reconciliation report daily to ensure that all room and bed charges are entered correctly on a patient. 4. Work in conjunction with the clinical, revenue and observation billers to correct or adjust any claims as directed by payer discussions. 10% ORGANIZATIONAL/OFFICE RESPONSIBILITIES 1. Sorts, distributes, and mails transcription as assigned 2. Orders and stocks office supplies. 3. Ensure office equipment, are clean and well-maintained. 4. Provides support to appropriate staff members as assigned **Minimum Qualifications:** High School or GED (Required) **Additional Job Description:** Associates degree, or three to five years related Experience and/or training, or equivalent combination of and Experience . Computer competency in Microsoft Word, Excel, and Outlook, with a strong aptitude to learn other programs as needed. Ability to manage multiple priorities. **Work Shift:** Day **Scheduled Weekly Hours :** 1 **Department** Transfer Center Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment **Remote Work Disclaimer:** Positions marked as remote are only eligible for work from **Ohio** .

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: $85,000/Year - $95,000/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

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.

Job DescriptionDescriptionThis is a REMOTE position. Our headquarters are based in Naperville, IL. Job Title: Operations Specialist Reports to: Head of National Operations We are seeking a highly organized, customer-service-oriented professional to join our growing national healthcare operations team. This individual will play a critical role in coordinating medical supplies, managing graft orders, and ensuring a seamless referral management process across 11 states supporting 50-75 field clinicians. The ideal candidate thrives in a fast-paced environment, is detail-driven, excels at problem-solving, and demonstrates exceptional communication and analytical skills. Key Responsibilities 1. Supply Management (Medical & Non-Clinical) Serve as the central point of contact for supply management across 11 states and 50-75 field clinicians. Conduct weekly supply reviews with each clinician, documenting requests and ensuring timely orders via the web-based ordering system. Source alternatives when items are unavailable - including substituting generic equivalents or ordering through alternate vendors such as Amazon, McKesson, or other approved suppliers. Maintain and update a centralized supply tracking spreadsheet, ensuring accurate inventory reconciliation. Perform cost analyses and usage reports using Excel (including pivot tables and filters). Ensure all supplies and grafts are ordered, tracked, and delivered within expected timelines while minimizing waste and cost. 2. Graft Ordering Coordination Review upcoming patient graft appointments in the EMR and generate a weekly list of scheduled cases. Coordinate with scheduling coordinators and field clinicians to confirm graft type, quantity, and shipping location. Cross-check new orders against previous shipments to manage existing inventory and reduce excess. Maintain detailed records of graft utilization, shipments, and returns. Be proactive and cost-conscious, continuously looking for opportunities to reduce redundancy and streamline processes. 3. Referral Monitoring & Customer Service Monitor the CarePort web-based referral platform for all 11 states to ensure timely review and response to new referrals. Triage and evaluate 25-85 daily referrals to ensure completeness, eligibility, and readiness for scheduling. Review and interpret insurance information (Medicare, Medicaid, commercial, and secondary payers) to verify patient eligibility. Communicate professionally and promptly with referring hospitals, clinicians, and internal teams, ensuring referrals are responded to within established turnaround times. Partner closely with Scheduling and Sales to ensure all qualified referrals are accepted and scheduled efficiently. Maintain accurate tracking and reporting metrics in shared databases or spreadsheets. Skills, Knowledge and Expertise Bachelor's degree preferred (Healthcare Administration, Business, or related field) or equivalent experience. Minimum 2-4 years of experience in healthcare operations, medical supply coordination, or patient referral management. Strong customer service orientation with excellent verbal and written communication skills. Proficiency in Microsoft Excel (pivot tables, VLOOKUP, sorting/filtering, and data analysis). Comfortable working with web-based systems and EMRs (CarePort experience preferred). Demonstrated ability to multi-task, prioritize, and respond rapidly to time-sensitive requests. Familiarity with medical terminology and insurance verification processes. Highly organized, detail-oriented, and cost-conscious in managing supplies and vendor relationships. Ideal Candidate Attributes A “can-do” attitude with exceptional responsiveness and follow-through. Analytical thinker who can spot trends, identify inefficiencies, and propose process improvements. Strong problem-solving skills - able to adapt quickly when supplies are unavailable or orders need escalation. A team player who thrives in a remote, fast-paced healthcare environment. BenefitsCompetitive compensation Robust health benefits package including premium health, dental and vision insurance. FSA, HSA Company sponsored Short and Long Term disability Company Sponsored Life Insurance 401k plan with generous company match Generous PTO policy with paid holidays and sick leave Ready to join a passionate team and make a difference in healthcare? We want to hear from you!

Are you looking for a fulfilling job opportunity to help serve people and the community? Come join a growing team that has a strong dedication to moving Mental Health in a positive direction. North Community Counseling is looking for someone with a lot of energy, that is self-driven, outgoing and positive to work with the agency. Seeking Front Desk Administrative Staff to provide support to one of our four mental health offices. The ideal candidate will have excellent communication skills and will enjoy working with people. This candidate will be well organized, punctual and take direction well. The position is responsible for answering phones, completing client intakes, collecting client information and insurance verification, checking in clients and scheduling clients in a community mental health setting. The ideal candidate will be self-motivated, able to work with minimal supervision and will have excellent phone and computer skills. They will be detail oriented, able to multi-task and take on additional duties when requested. The ideal candidate will have experience in medical, dental or mental health (or related setting) administrative support.

The Coordinator-Assessment, Intake and Referral for Behavioral Health critically assesses the treatment needs of patients, determines the appropriate level of care and secures patient account reimbursement by obtaining complex demographic, insurance and behavioral health clinical information. Additionally, identifies behavioral health services requiring insurance verification and initial insurance authorization for treatment and ensures required authorizations are in place. Communicates all pertinent collateral clinical information to the psychiatrist on call for services, then facilitates the communication/coordination with the unit charge nurse where the respective patient will be placed. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Oregon Regional Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: + Master's Degree in Clinical area such as Counseling, Psychology, Social Work, or Behavioral Health Rehab from an accredited school, or from a school in candidacy status. + 3 years of experience working within an Inpatient Acute Behavioral Health environment providing Behavioral Health/psychiatric assessments to patients, or equivalent experience providing similar assessment, intake and referral functions for acute psychiatry services. Preferred Qualifications: + 3 years of experience with payor established level of care criteria. + 3 years of Registrar and third party payor experience. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 396200 Company: Providence Jobs Job Category: Patient Services Job Function: Clinical Support Job Schedule: Part time Job Shift: Day Career Track: Clinical Support Department: 5016 RS SHARED BH INTAKE Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: On-site Pay Range: $33.63 - $52.22 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

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.

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.

Job DescriptionBenefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Office Assistant to join our team! We are seeking a dedicated and detail-oriented Medical Office Assistant to join our healthcare team. The ideal candidate will create patient charts, pre-populate charts, schedule appointments, and some scribing of notes, addressing insurance, completing prior authorizations, and interacting with physicians and facilities. Responsibilities Create patient charts within AdvancedMD. Pre-populate charts. Scribing of notes, inputting medications and diagnoses. Manage patient scheduling, including appointments and follow-ups. Maintain accurate patient records and ensure compliance with privacy regulations. Complete insurance verifications and obtain prior authorizations. Collaborate with healthcare providers (physicians and facilities) to ensure efficient workflow. Qualifications Proficient with all insurance (CPT, ICD-10, HCPS, etc). Excellent phone etiquette and communication skills. Experience with electronic medical records (EMR). Knowledge of medical terminology. Strong organizational skills with attention to detail to maintain accurate records. Work remote temporarily due to COVID-19.

**Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (************************************** - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical: Multiple plan options. + Dental: Delta Dental or reimbursement account for flexible coverage. + Vision: Affordable plan with national network. + Pre-Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** The Financial Counselor is responsible for promptly assisting patients with their financial clearance prior to, during, or after their treatment period. This position is responsible for obtaining and updating insurance, financial, and demographic information within the Epic environment. Courteously and professionally helps patients and/or their families understand and assist with options to cover their financial obligations including but not limited to: co-pays, deductibles, and co-insurance. In addition, the counselors may assist patients with Medicaid, Third Party eligibility and Charity Care applications and processing. Responsible for establishing payment plans and collecting true self-pay and self-pay residual balances as necessary. Responsible for assisting patients with ad-hoc financial issues as needed prior to, during and following their treatment at Mayo Clinic. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit's performance expectations. **Qualifications** High School Diploma or GED and 2+ years of relevant experience required OR Bachelor's degree required Ability to read and communicate effectively. Basic computer/keyboarding skills, intermediate mathematic competency. Good written and verbal communication skills. Knowledge of proper phone etiquette and phone handling skills.Position requires multiple years of experience in a health care setting involving customer service to become knowledgeable in practices involved in patient financial counseling and/or coordination of services related to insurance verification. Basic knowledge of self-pay collections, medical terminology, ICD10 knowledge, and a functional understanding of insurance is preferred. 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. Incumbent must be self-motivated, self-directed and highly organized who will promote a productive, collegial workplace and be a professional ambassador for Mayo Clinic. Ability to prioritize work and handle a variety of tasks simultaneously is necessary in this position. Belief in the mission and strong ethical conduct is essential. Must possess excellent interpersonal skills and have the ability to interact on a professional level with individuals from diverse backgrounds. Knowledge of and experience using an Epic RC/EMR system is preferred. Healthcare Financial Management Association (HFMA) Certification Preferred. ***This position is a 100% remote work. Individual may live anywhere in the US.** ****This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.** **Exemption Status** Nonexempt **Compensation Detail** $21.48 -$33.60 / hour **Benefits Eligible** Yes **Schedule** Full Time **Hours/Pay Period** 80 **Schedule Details** Monday - Friday 8:30am - 5:00 pm (CST) **International Assignment** No **Site Description** Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. (***************************************** **Equal Opportunity** All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" (**************************** . Mayo Clinic participates in E-Verify (******************************************************************************************** and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. **Recruiter** Ronnie Bartz **Equal opportunity** As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.

Meet knownwell, weight-inclusive healthcare for all. Join a dynamic company that is changing the way care is delivered for patients with obesity. knownwell is a weight-inclusive healthcare company offering metabolic health services, primary care, nutrition counseling and behavioral health services for anyone of any size. Our hybrid model allows for both in-clinic and virtual care to bring support to patients where and when they need it. To learn more about our recent Series A funding, led by Andreessen Horowitz, please check out this article. We are seeking a hands-on, patient-centered Team Lead to oversee our Patient Experience Coordinators. In this role, you will guide daily operations, coach team members, and ensure patients receive timely, accurate, and compassionate support. You will collaborate across teams to improve workflows and elevate the patient journey in a fast-paced healthcare start-up environment.Responsibilities Lead, mentor, and support Patient Experience Coordinators to meet service and performance standards. Provide coaching, conduct quality reviews, and support ongoing training and development. Manage daily operations, including staffing, call volume monitoring, and workflow coordination. Serve as the escalation point for complex patient concerns and ensure timely resolution. Ensure accuracy in registration, scheduling, insurance updates, and billing support. Partner with cross-functional teams to improve processes, tools, and the overall patient experience. Track key performance metrics and share insights to drive continuous improvement. Requirements 3+ years of experience in patient support, call center operations, or medical office administration. 1-2 years of leadership or coaching experience preferred. Strong communication, coaching, and problem-solving skills. Experience with scheduling, registration, insurance verification, and billing processes. Comfortable working with EHRs, and call center platforms. Highly organized, adaptable, and committed to a patient-first approach. Start-up or fast-growth healthcare experience is a plus. We offer a competitive salary, comprehensive benefits package, and the opportunity to be part of a purpose-driven organization that is dedicated to making a positive impact on the lives of patients. If you are an ambitious and experienced design leader who is passionate about transforming healthcare and creating meaningful change, we invite you to apply and join our dynamic team. knownwell, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

A Registered Nurse (RN) - Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. The RN works closely with physicians, nurse practitioners, and other healthcare professionals to deliver high-quality care to patients who do not require overnight hospitalization. This role involves performing assessments, administering treatments, educating patients, managing patient flow, and ensuring the smooth operation of the clinic while maintaining a compassionate and professional environment. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status. Triage patients based on the severity of their symptoms, and prioritize care according to clinical protocols. Document patient information accurately in electronic medical records (EMR) and communicate findings to the healthcare team. Clinical Procedures and Treatments: Administer prescribed medications and injections (e.g., vaccines, allergy shots, biologics) as ordered by the physician. Assist with minor medical procedures, such as wound care, dressing changes, venipuncture, and lab specimen collection. Perform routine diagnostic tests and screenings, including blood draws, EKGs, and urinalysis, as required by the clinic's specialties. Prepare patients for examinations and assist healthcare providers during procedures, ensuring patient comfort and safety. Patient Education: Educate patients and families about their conditions, treatment plans, medications, and self-care techniques. Provide information about preventive health measures, such as immunizations, screenings, and lifestyle changes (e.g., diet, exercise, smoking cessation). Teach patients how to manage chronic conditions like diabetes, hypertension, asthma, or heart disease through lifestyle modifications and proper medication adherence. Care Coordination: Collaborate with physicians, nurse practitioners, and other healthcare providers to develop and implement personalized care plans for patients. Schedule follow-up appointments, arrange referrals to specialists, and provide instructions for future care. Communicate with insurance companies regarding authorizations and referrals when necessary. Assist in managing patient flow by ensuring appointments are scheduled efficiently and that patients are seen in a timely manner. Documentation and Reporting: Maintain accurate and up-to-date medical records in compliance with clinic and regulatory standards, ensuring patient data is confidential and secure. Document all patient encounters, including assessments, treatments, outcomes, and follow-up instructions in the EMR. Report any concerns, adverse events, or complications to the healthcare team immediately, ensuring timely intervention and appropriate care. Administrative Support: Assist with patient intake, registration, and insurance verification as needed. Ensure clinic equipment is maintained, sterilized, and ready for use, and report any malfunctions or need for repairs. Support clinic staff with clerical duties, such as filing, organizing patient charts, and managing supply inventories. Assist with billing processes, ensuring that all relevant codes and documentation are provided for accurate insurance claims. Infection Control and Safety: Adhere to all clinic policies and procedures, including infection control protocols, to ensure a safe and clean environment for patients and staff. Educate patients on infection prevention and hygiene practices, especially when managing wounds or chronic conditions. Follow proper hand hygiene, sterilization, and PPE guidelines to prevent the spread of infection. Patient Advocacy: Act as a liaison between patients and the healthcare team, addressing concerns and ensuring that patients' needs are met in a timely manner. Advocate for patients by helping them understand their treatment options and make informed decisions about their healthcare. Ensure that patient rights, confidentiality, and dignity are maintained at all times.

Interviews each patient or representative in order to obtain complete and accurate demographic. Financial and insurance information and accurately enters all patient information into the registration system. Reads physicians orders to determine services requested and to assure order validity. Obtains new medical record numbers for all new patients. Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by patients third-party payor. Documents thorough explanatory notes on patient accounts, concerning any non-routine circumstances clarifying special billing processes. Re-verifies all information at time of registration process. Understands and applies company philosophy and objectives and Rehab and PAS policies and procedures, as related to assigned duties. Understands the outpatient registration processes. Works with IT/ EMR on troubleshooting Registration interface errors. Maintains a working knowledge of the process to verify insurance coverage and benefits. Assist in verifying benefits as needed and all patients end of year. Professional and knowledgeable communication to patient regarding benefits. Completes all revenue collection efforts according to company and PAS policy. Contacts patients prior to initial visit to discuss co-pay and/or self-pay arrangements. Collects the co-pay amount at each visit and provides a receipt to the patient. Balances collection log and receipts at end of each business We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (****************************************** Og4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (*********************************************************************************************** . To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: *************************************************** . Skills and Requirements Insurance verification, scheduling and patient registration experience. Must be able to work 100% remote. Customer Service experience. Epic experience. Handle high call volume. Healthcare scheduling Professionalism on the phone Preferred scheduling in imaging diagnostic.

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 • 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

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 using the Career worklet, please review this tip sheet. The Department of UHealth Connect has an exciting opportunity for a full-time Contact Center Associate 1 (Remote). The individual in this position is part of the UHealth Connect Contact center and will be responsible for supporting 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. Our department thrives on teamwork and collaboration, and we know our employees achieve the greatest results when they are working together for a common goal - to provide care for our patients. If you enjoy working in a collaborative environment, then we have a job for you! The Contact Center Representative 1 is responsible for scheduling and registering patients for appointments within the University of Miami Health System. Success in 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 within a convenient time frame. This position supports the medical school's vision, mission, goals and objectives by providing patient-centric access to our world-renowned medical care. * 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. MINIMUM QUALIFICATIONS * High School education required * Minimum 1 year of relevant experience in healthcare and/or customer service required. * Must be detail oriented and document information as required and accurately. * Excellent customer service, interpersonal, communications, critical thinking and problem-solving skills. * Computer literate (EPIC scheduling and registration application experience a plus). * Strong written and oral communication skills; bi-lingual a plus (Spanish, Creole). * Pleasant personality and speaking voice essential. KSA: * Ability to work under a high level of stress with time constrains while maintaining composure and sensitivity to each patient's individual situation. * Ability to work independently and multi-task in a high stress environment, including planning, prioritizing, organizing, coordinating, and troubleshooting. * Ability to interact and assist patients of all ages, cultural background and with special needs; with a passion for providing excellent service and care. * Ability to communicate effectively with physicians and professional staff. * Able to work in a team environment. Any appropriate combination of relevant education, experience and/or certifications may be considered. #LI-NN1 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. Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment. The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H2

Program Specialist REMOTE - Equipment Provided Pay Rate: $21/hr Schedule Ranges: Monday - Friday between 8:30am-8pm EST (must have full availability within these hours) 4 Month Contract Description: + The Program Specialist is responsible for serving as the customer's primary point of contact providing operational and reimbursement support to complex programs. + The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, and working with the appropriate parties to eliminate these obstructions for the customer. + Will be required to manage a high-volume of customer facing tasks daily or be responsible for quickly and accurately performing data entry in the program's tracking system. Job Duties: + Agents will support high inbound calls; previous inbound experience is required with familiarity with medical terminology a plus. + Agents will be handling 60-100 inbound calls per day. Average handle time per call is 6 minutes. + Calls will include enrollment status, medication shipment status, general patient inquiries, outreach for missing information. Safety/adverse event experience is preferred. + Agents will be be expected to have 100% call quality. + Heavy call volume expected from February to March. + The Program Specialist must be disciplined with the ability to speak with customers, sit and talk for long stretches. Top Skills Details insurance claim, call center, insurance verification, health care, insurance, patient access, medical terminology, patient registration, prior authorization, inbound call, administrative support, customer service, Medicare, Medicaid Additional Skills & Qualifications - Call Center Experience: (High Volume) At least 2 year of previous experience. - Customer Service: Minimum 2 years of experience in healthcare required. - Remote Work Experience: Proven ability to work effectively in a remote setting. - Computer/Technology Proficiency: Comfortable with using various software and technology tools. - Strong Communication Skills: Excellent verbal and written communication abilities. - Empathy and Patience: Ability to understand and address customer needs with compassion. - Attention to Detail: Strong focus on accuracy and thoroughness. - Independent Work: Capable of working independently with minimal supervision. Preferred experience in any of these areas: - Major medical experience - Buy and bill experience - Acquisition channel experience - Insurance benefits verification support Experience Level Intermediate Level #eastpriority25 Job Type & Location This is a Contract position based out of Richmond, VA. Pay and Benefits The pay range for this position is $21.00 - $21.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 19, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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.