Specialist jobs at St. Luke's Health System - 3397 jobs
Nursing Professional Development Specialist NEX
Akron Children's Hospital 4.8
Akron, OH jobs
Covering Pain Center, Sedation, and Radiology Part Time 20 hours/week Dayshift onsite NPD coverage of procedural areas: Pain Center, Sedation and Radiology (including Vascular Access and Interventional Radiology)
The Nursing Professional Development (NPD) Specialist is responsible for enhancing the professional growth and development of nursing staff through educational programs, training sessions, and continuous learning opportunities. The NPD Specialist will collaborate with nursing leadership to identify educational needs, develop curricula, and implement strategies to improve nursing practice and patient care outcomes.
Responsibilities:
• The NPD specialist advances the profession by contributing to the professional development of others, supporting collaborative relationships and supporting life-long learning.
• Uses the educational design process to bridge the knowledge, skills and practice gaps identified through needs assessment.
• Influences the inter-professional practice and learning environments, the NPD specialty, and the profession of nursing and healthcare through collaboration with leadership in planning and decision making to achieve desired results.
• Actively works to transform processes at all levels through inspiration, initiation, adoption and sustainment of and adaptation to change using project management and improvement processes.
• Promotes the generation and dissemination of new knowledge and the use of evidence to advance NPD practice, guide clinical practice and improve patient care.
• Actively supports, promotes, and demonstrates nursing professional development as a nursing practice specialty through promotion of research, EBP, and QI.
• Supports the transitions of nurses and other healthcare team members across learning and practice environments, roles and professional stages.
• Other duties as required.
Other information:
Technical Expertise
Experience in project management with interdisciplinary team is preferred.
Experience in data analysis and presentations is preferred.
Experience working with all levels within an organization is required.
Experience in healthcare is required.
Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience
Education: Master's degree in nursing or related field or BSN and in process of attaining master's degree in nursing or related field. Completion of Nurse Education track of MSN program is preferred.
Certification: Registered Nurse licensure is required; BLS certification is required; PALS certification may be required by area of service. Professional Nursing certification preferred.
Years of relevant experience: Minimum 3 years required.
Years of experience supervising: None.
Part Time
FTE: 0.500000
Status: Onsite
$43k-65k yearly est. 17d ago
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Maternity Care Authorization Specialist (Hybrid Potential)
Christian Healthcare Ministries 4.1
Barberton, OH jobs
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
$31k-35k yearly est. 1d ago
Operations Specialist Fertilizer Trading
DHD Consulting 4.3
Houston, TX jobs
About the job Operations Specialist Fertilizer Trading About the Role: We are searching for a detail-oriented and proactive individual who can manage and execute end-to-end trade operations for our Fertilizer Trading team. The operations specialist should feel comfortable communicating with internal and external partners to manage a variety of tasks, such as sales/system data management, shipping documents preparation, and logistics scheduling. The ideal candidate is a natural coordinator, bilingual in English & Korean, and with a strong sense of ownership.
Key Responsibilities:
- Shipping documentation handling: upon receipt of shipping notices and documents from shipper and/or freight forwarder cross check against purchase orders in the system and work on revision as needed
- Payment process: processing of various types of payments such as imported merchandise, freight, inland trucking, duty to US Custom and other direct costs.
- Folder/Journal management: all transactions and payment related documents for all shipments must be timely filed and managed.
- Managing activities related to trading between different regions and/or countries.
- Logistics coordination for smooth operation matching up purchases with sales
- Communication with customers and follow up on request accordingly
- Purchase/Sales data input to ERP(SAP) system
- Credit management for customers
- Custom clearance preparation: submission of shipping documents to custom broker for correction and timely entry filing. Harmonized tariff schedules must be checked and verified with custom broker
and other resources as well as other information that goes on duty entries.
- Perform all other functions requested that are within the scope of this job as deemed necessary or
appropriate by manager.
- Other duties as assigned
Ideal Candidate Profile:
- Strong and clear communication skills, both written and verbal
- Bilingual in English & Korean(conversational)
- High attention to detail and accuracy in handling data and documents
- Sense of ownership and accountability in managing responsibilities
- Prior experience in commodities, trading, logistics, or similar operational roles
- Familiarity with trading systems and ERP software is a plus
- Organized, reliable, and able to work effectively in a fast-paced environment
$53k-87k yearly est. 4d ago
Neurosurgery Scheduling Specialist
The University of Texas Southwestern Medical Center 4.8
Dallas, TX jobs
A prestigious medical center in Dallas is seeking a Surgery Scheduler to provide advanced scheduling for surgical procedures. The ideal candidate will have a High School Diploma, with exposure to physician billing and surgery scheduling, and at least 5 years of experience in a medical office environment. This role involves coordinating with surgeons, obtaining necessary pre-certifications, and ensuring proper scheduling practices. Competitive benefits are offered, emphasizing growth, teamwork, and excellence in patient care.
#J-18808-Ljbffr
$35k-43k yearly est. 4d ago
Mobility Specialist - Physical Therapy - Full Time
Guthrie 3.3
Sayre, PA jobs
In collaboration with Rehabilitation and Nursing, and under the direction of Rehabilitation, the Mobility Specialist provides mobility to promote maximum function based on AM-PAC Mobility Score and Johns Hopkins Highest Level of Mobility (JH-HLM) goal score.
Education, License, & Cert:
High school Graduate/GED and must be knowledgeable in use of computers.
Prefer successful completion of a CNA training course or currently enrolled in a licensed nurse program or successfully completed a fundamentals of nursing course, or has had experience in the field of Therapy or previously completed internal training for a care partner role or mobility specialist
Experience:
Experience desired but not necessary
Licenses & Certifications:
None required
School Education:
High School Grad or Equivalent
Essential functions:
Participates in the mobility of all patients based on AM-PAC Mobility Score and JH-HLM Goal Score
Openly communicates individual patient progress so all members of the healthcare team are involved and aware of the patient's level of function
Collaborate with RN staff prior to mobilizing patient to ensure patient is medically stable for activity.
Incorporates proper safe patient handling skills such as body mechanics for safe lifting, turning and positioning of patients
Ensure all appropriate patients are out of bed daily utilizing the necessary equipment based on the patients current level of function
Assist therapy team as a second set of hands during sessions when warranted
Other Duties:
Maintain a clean and safe environment for mobilization of the patient
Demonstrate the ability to accept other non-routine work assignments as appropriate
Maintain PAR level of Safe Patient Handling Equipment on the nursing unit
Attend Monthly Rehab staff meetings as appropriate
About Us
Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you'll find staff members who have committed themselves to serving the community.
The Guthrie Clinic is an Equal Opportunity Employer.
The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.
$98k-122k yearly est. 2d ago
Clearance Specialist
Soleo Health, Inc. 3.9
Frisco, TX jobs
Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Soleo Health Perks:
Competitive Wages
401(k) with a Match
Referral Bonus
Paid Time Off
Great Company Culture
Annual Merit Based Increases
No Weekends or Holidays
Paid Parental Leave Options
Affordable Medical, Dental, & Vision Insurance Plans
Company Paid Disability & Basic Life Insurance
HSA & FSA (including dependent care) Options
Education Assistance Program
This Position:
The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include:
Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc
Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including
Reviewing and obtaining clinical documents for submission purposes
Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed
Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations
Generate new patient start of care paperwork
Schedule:
Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time
Weekend On-call once monthly
Must have experience with Acute Infusion for Prior authorization/Benefits Verification
Requirements
High school diploma or equivalent
At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met
Ability to work in a fast-paced environment
Knowledge of HIPAA regulations
Basic level skill in Microsoft Excel & Word
Knowledge of CPR+ preferred
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring
Salary Description
$23.00-$27.00 per hour
$23-27 hourly 1d ago
Senior Neurosurgery Scheduling Specialist
Houston Methodist 4.5
Houston, TX jobs
A leading healthcare provider in Houston is seeking a Senior Scheduler to manage appointment scheduling for complex services. The role involves clear communication with patients and medical staff, ensuring timely access to healthcare services, and training new staff members. Candidates should have a high school diploma and relevant experience in medical scheduling or a call center environment. This position offers opportunities for personal growth and a dynamic team environment.
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$28k-32k yearly est. 1d ago
Clinical Reimbursement Specialist CRS
Laurel Health Care Company Careers 4.7
Westerville, OH jobs
Are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Healthcare as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our Columbus, Ohio and surrounding facilities. If you love teaching and communicating with other nurses, this is a great role for you!
The successful applicant will have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations.
Benefits:
Competitive pay.
Medical, dental, and vision insurance.
401K with matching funds.
Life Insurance.
Employee discounts.
Tuition Reimbursement.
Student Loan Reimbursement.
Responsibilities:
Ensure the RAI process is complete and assessments are complete.
Audit Completion of MDS, CAA's and care plans within regulated time frames.
Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review.
Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff.
Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning.
Requirements:
Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required.
Knowledge of regulatory standards and compliance requirements.
Registered Nurse RN in the state.
50% travel with some overnight stays possible.
Ciena Healthcare:
We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
$33k-41k yearly est. 18h ago
Transport Operations Center Specialist (Full-time, Evening and Overnight)
Penn Medicine 4.3
Lancaster, PA jobs
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Entity: Lancaster General Hospital
Location: Lancaster General Hospital - 555 N Duke St, Lancaster, PA 17602
Hours: Two week rotating schedule with every other weekend. Week One: Three 12 Hour Shifts, Week Two: Three 8 Hour Shifts and One 12 Hour Shift
Schedule:Week One: Sunday (11:00 AM - 11:00 PM), Monday (3:00 PM - 3:00 AM), Thursday (3:00 PM - 3:00 AM); Week Two: Wednesday (3:00 PM - 11:00 PM), Thursday (3:00 PM - 11:00 PM), Friday (11:00 AM - 11:00 PM), Saturday (3:00 PM - 11:00 PM)
Summary:
+ Coordination of patient incoming and outgoing transfers and transports, outgoing Discharges, intra departmental patient transfers between LGH entities, coordination with clinical departments across Penn Medicine Lancaster General Health (LGH).
Responsibilities:
+ Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties:
+ Receive Pre hospital emergency medical reports and share pertinent clinical information with emergency department clinical staff Emergency Department Charge Nurse.
+ Receive Medical command calls and ensure timely connection with appropriate medical command provider.
+ Coordinate outgoing patient transports ensuring efficiency, accuracy and with adherence to standard work.
+ Communication to clinical areas upon EMS arrival for transports- Proactive approach to ensuring patient readiness prior to transports.
+ Coordinates Helicopter landings at LGH.
+ Updates established PA Medic with Hospital overcrowding and divert status alerts.
+ Receives emergency clinical alert calls from LGH Suburban Outpatient Pavillion.
+ Coordination center for intra Penn Medicine transfers in conjunction with the established Penn medicine transfer center.
+ Coordinates EMS response call for Perinatal emergency code alerts.
+ Coordinates and communicates with Duke Street and or Women's and Babies hospital supervisor as needed, IE informing of MCI events, Communicating about Divert and or Overcrowding status.
+ Communication with local emergency responders if internal incident exceeds internal capabilities, collaboration with emergency management team at LGH and or with Incident command structure when activated - HICS Standards.
+ Maintain Taxi Voucher utilization.
Credentials:
+ EMT (Preferred)
Education or Equivalent Experience:
+ H.S. Diploma/GED (Required)
+ Experience with scheduling, experience with coordination activities, familiar with basic medical nomenclature, experience with multi- tasking, strong organizational skills, strong interpersonal skills, closed loop communication. (Preferred)
+ Experience with pre hospital, transport coordination, preferred but not required, ancillary healthcare experience preferred but not required, knowledge of healthcare medical terminology. (Preferred)
+ Associate of Arts or Science (Preferred)
+ Bachelor of Arts or Science (Preferred)
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
REQNUMBER: 286141
$27k-31k yearly est. 4d ago
Street Team Specialist
Health Federation of Philadelphia 4.1
Philadelphia, PA jobs
Equal Opportunity Employer The mission of the Health Federation of Philadelphia is to promote community health by advancing access to high-quality, integrated, comprehensive health and human services. We believe in and are firmly committed to equal employment opportunity for employees and applicants. We do not discriminate on the basis of race, color, national or ethnic origin, ancestry, age, religion, disability, sex or gender, gender identity and/or expression, sexual orientation, military or veteran status. This commitment applies to all aspects of the Health Federation of Philadelphia's employment practices, including recruiting, hiring, training, and promotion
JOB SUMMARY
The Street Team will be tasked with increasing harm reduction resources and training in neighborhoods that have been most affected by overdose crisis, particularly North and Southwest Philadelphia. The people filling these positions will work in the field five days per week in zip codes 19121, 19132, 19141, 19144, 19140, 19139 and 19133 (subject to changed based on data) to distribute harm reduction resources and educational materials about the overdose crisis in the city. Street Team staff will interact directly with people in active addiction, people who use substances recreationally, people who are unhoused, as well as people who may have a stigmatizing view of substance use. The Street Team Specialist is a core member of the Community Engagement Program within the Division of Substance Use Prevention and Harm Reduction at the Philadelphia Department of Public Health and will be expected to work collaboratively within and across programs. People from the zip codes of focus, as well as people with lived experience and/or returning citizens are highly encouraged to apply.
JOB SPECIFICATIONS
Responsibilities/Duties
Under the supervision of the Community Engagement Program Manager, the Community Engagement Specialist will perform the following essential job functions:
Engage in direct outreach efforts to contract community members in designated Philadelphia neighborhoods.
Focus outreach activities within the priority zip codes: 19121, 19132, 19141, 19144, 19140, 19139 and 19133.
Engage directly with people using substances, people experiencing homelessness and their communities.
Follow and maintain safety protocols and procedures for street team to ensure safe and effective community outreach operations.
Build trust and rapport within priority communities to increase access to harm reduction resources.
Provide and educate individuals on the proper use of Naloxone, fentanyl testing strips and other harm reduction supplies.
Maintain accurate records of distributed supplies, interactions and referrals in compliance with program reporting requirements.
Collaborate with the Community Engagement Program at tabling events, special events and/or Narcan training request.
Support public health emergency response, including outreach and harm reduction activities during cold- and heat-related weather emergencies.
A valid driver's license is required. This position requires regular operations of a departmental vehicle to perform job related duties.
Other duties as assigned.
EDUCATION: Completion of high school or equivalent degree and 3+ years community organizing and/or harm reduction work.
SKILLS/EXPERIENCE
Knowledge of substance use is highly required.
Knowledge of the impact of drug use and overdose on communities of color in Philadelphia.
Sensitivity to and experience working with ethnically, culturally, socioeconomically, and sexually diverse individuals, communities, agencies, and organizations.
Excellent oral communication skills.
Ability to analyze and think critically to apply reasonable judgment and problem-solving skills.
Excellent interpersonal skills and ability to build relationships and collaborate effectively with stakeholders from diverse backgrounds. Experience working with health and prevention services agencies.
Excellent organizational skills.
Ability to work as part of a team, to prioritize and handle multiple tasks, and to work independently in a high-pressure environment.
Ability to establish and maintain effective relationships with people contacted in the course of work.
Knowledge of neighborhoods in Southwest, West, Northwest or North Philadelphia or adjacent neighborhoods.
Work Environment: 90% Field Work, 10% Office Work. This position also requires extensive time in the field interacting with and linking clients to care.
Position Type and Work Schedule: Full time position, typical hours are Monday through Friday 8:30 am to 5:00 pm. This position also requires flexibility to work on weekends and schedules will be adjusted accordingly to flex hours.
Travel: Local travel to multiple sites several times per week, as needed.
Physical Demands: Ability to transport materials; walking for an extensive distance.
Salary: $25 per hour
Benefits: Our employees are our most valuable resource, so we offer a competitive and comprehensive benefits package, which can include:
Medical with vision benefits
Dental insurance
Flexible spending accounts
Life, AD&D and long-term care insurance
Short- and long-term disability insurance
403(b) Retirement Plan, with a company contribution
Paid time off including vacation, sick, personal and holiday
Employee Assistance Program
Eligibility and participation are handled consistently with the plan documents and HFP policy.
DISCLAIMER
The Health Federation reserves the right to modify, interpret, or apply this in any way the Company desires. The above statements are intended to describe the general nature and level of work being performed by an employee assigned to this position. This in no way implies that these are the only duties, including essential duties, responsibilities and/or skills to be performed by the employee occupying this position. This job description is not an employment contract, implied, or otherwise. The employment relationship remains "at will." The aforementioned job requirements are subject to change to reasonably accommodate qualified disabled individuals.
The Health Federation of Philadelphia (HFP) is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or preference, marital status or any classification protected by federal, state or local law.
$25 hourly 4d ago
Patient Account Specialist
La Rabida Children's Hospital 4.2
Chicago, IL jobs
La Rabida Children's Hospital provides specialized, family-centered health care to children with medically complex conditions, disabilities, and chronic illness. Through expertise, compassion, and advocacy we help children and their families reach their fullest potential, regardless of their ability to pay.
Our not-for-profit hospital, licensed for 49 beds, helps transition children from neonatal or pediatric intensive care to home, by providing medical, rehabilitative and developmental care, and by training families to continue treatments and manage the necessary equipment in the home. La Rabida also provides extensive rehabilitation for those recovering from wounds or burns and treatment for exacerbations of chronic conditions.
The hospital's enhanced pediatric patient-centered medical home provides primary care to children with complex medical conditions and their siblings. Children with medical homes elsewhere come to La Rabida for specialty services. La Rabida offers a wide range of specialty services provided to children with sickle cell disease, diabetes, and many others. Children are supported in their emotional and developmental growth, particularly in cases where such growth has been interrupted by accident or disease.
Finally, La Rabida provides forensic and treatment services for children exposed to abuse and neglect, comprehensive assessments for youth in care, early intervention for children between 0 and 3 years of age. Care coordination services for medically complex children are also provided for those who are covered by a health plan and receive care from providers in Cook County
Job Description
We are seeking a detail-oriented and efficient Patient Account Specialist to join our healthcare organization in Chicago, United States. In this role, you will be responsible for managing patient accounts, ensuring accurate billing, and resolving financial inquiries to maintain a smooth revenue cycle.
Process and manage patient accounts, including billing, collections, and payment posting
Verify insurance coverage and obtain necessary pre-authorizations for medical procedures
Analyze and resolve claim denials and rejections in a timely manner
Communicate with patients, insurance companies, and healthcare providers to address billing inquiries and discrepancies
Maintain accurate patient financial records and update account information in the Electronic Health Record (EHR) system
Collaborate with other departments to ensure proper documentation and coding for billing purposes
Generate and review financial reports to identify trends and areas for improvement
Assist in the development and implementation of policies and procedures to enhance revenue cycle efficiency
Ensure compliance with healthcare regulations, including HIPAA, in all financial transactions and communications
Qualifications
2-3 years of experience in patient accounting, medical billing, or a related healthcare finance role
Proficiency in medical billing and coding practices
Strong knowledge of healthcare revenue cycle management
Experience with Electronic Health Record (EHR) systems and Microsoft Office Suite
Excellent attention to detail and ability to manage multiple priorities efficiently
Strong verbal and written communication skills for interacting with patients, insurance representatives, and healthcare professionals
Problem-solving skills and ability to analyze complex financial data
Customer service orientation with a professional and supportive demeanor
Bachelor's degree in Healthcare Administration, Business Administration, or related field (preferred)
Certified Revenue Cycle Representative (CRCR) or similar certification (preferred)
Familiarity with healthcare industry regulations, particularly HIPAA
Understanding of insurance claim processes and medical terminology
Additional Information
All your information will be kept confidential according to EEO guidelines.
La Rabida is a place unlike any other. We understand the needs of families with children dealing with the most serious or complicated of conditions. With teams of the best healthcare providers in Chicago, we give continuous, comprehensive care, education, and support, helping families face their unique obstacles head-on.
La Rabida Children's Hospital is very proud to be an Equal Employment Opportunity Employer.
$51k-70k yearly est. 3d ago
Billing Specialist
Spooner Medical Administrators, Inc. 2.7
Westlake, OH jobs
Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker.
The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices.
Essential Functions
Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information.
Perform fee bill audits according to established procedures and guidelines.
Data enter fee fills accurately for electronic transmission.
Adhere to established billing performance requirements.
Review electronic response to transmitted bills and make modifications accordingly.
Respond to telephone inquiries from customers regarding bill payment status.
Participate in continuous improvement activities and other duties as assigned.
Supervision Received
Reports to the Billing Supervisor
Experience and Education Required
Medical billing certification or at least 2 years of experience working in the medical billing field
Data entry experience
Additional Skills Needed
Effective written and verbal communication
Detail oriented
Strong organizational ability
Basic computer literacy skills
Working Environment
The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.
$28k-33k yearly est. 2d ago
Residential Support Specialist
Trinity Health Corporation 4.3
Pittsburgh, PA jobs
As a Residential Support Specialist with Pittsburgh Mercy, you will play a crucial role in supporting individuals with intellectual and developmental disabilities to live fulfilling and independent lives. Your primary responsibility will be to create a supportive and inclusive environment, fostering the growth and well-being of residents under your care. Through compassionate care, personalized assistance, and collaboration with the interdisciplinary team, you will contribute to enhancing the quality of life for individuals with intellectual and developmental disabilities.
What You Will Do:
* Individualized Care: Provide personalized support to residents, developing and implementing care plans tailored to their unique needs and preferences.
* Daily Living Assistance: Assist residents with activities of daily living, including personal hygiene, meal preparation, medication administration, and other essential tasks, promoting independence and self-sufficiency.
* Behavioral Support: Implement behavioral support plans in collaboration with the team, utilizing positive reinforcement and effective communication techniques to manage challenging behaviors and promote a calm and supportive living environment.
* Community Integration: Facilitate community engagement and integration for residents by organizing and participating in recreational activities, outings, and social events, fostering a sense of belonging and connection.
* Interdisciplinary Collaboration: Work closely with the interdisciplinary team, including healthcare professionals, therapists, and support staff, to ensure a holistic and person-centered approach to care. Communicate effectively to share insights, observations, and updates on residents' progress and challenges, contributing to a comprehensive and collaborative care environment.
Minimum Qualifications:
* High School Diploma OR Equivalent
* Valid Driver License and ability to drive an organization vehicle
* Access to transportation travel locally
* Act 33/34/73 Clearances
* Pre-Employment Drug Screen, Physical/TB
* Must successfully pass Department of Public Welfare Medication Training within 90 days of employment
Position Highlights and Benefits:
* Benefits start Day 1 of employment!
* Medical, Dental, Vision, Life Insurance, 403B, PTO, Paid Holiday Days, and more!!
Schedule: This is a Non-Exempt (hourly) position
* Monday & Tuesday and Friday-Sunday: 3pm-10:30pm
About Pittsburgh Mercy
We're a community-based health and human services organization using person-centered care to treat our area's most vulnerable populations. We work with families in settings that are safe and familiar to them, and view them as equal partners when planning, developing, and monitoring care.
Our mission is to be a compassionate, transforming presence within our communities. We reach out to offer help - and hope - to people who are experiencing: Mental illness and substance abuse, Physical health needs, Intellectual disabilities, and Traumatic events or circumstances, including homelessness + abuse
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$28k-31k yearly est. 7d ago
Residential Support Specialist
Trinity Health Corporation 4.3
Pittsburgh, PA jobs
At Pittsburgh Mercy, we empower individuals with intellectual and developmental disabilities to live fulfilling, independent lives. As a Residential Support Specialist, you'll provide compassionate, person-centered care in a supportive home setting.
What You'll Do
* Personalized Support: Create and follow individualized care plans tailored to each resident's needs and goals.
* Daily Living Assistance: Support with hygiene, meals, medication, and household tasks-promoting independence.
* Behavioral Support: Use positive strategies to maintain a calm, respectful environment.
* Community Engagement: Plan and join outings and activities that build connection and inclusion.
* Team Collaboration: Partner with healthcare staff to ensure coordinated, holistic care.
Minimum Qualifications
* High School Diploma or equivalent
* Valid driver's license & reliable transportation
* Ability to pass required clearances and screenings
* Complete Medication Training within 90 days of hire
Why Join Pittsburgh Mercy?
Position Highlights & Benefits
* Benefits Start Day One: Medical, Dental, Vision, Life Insurance, 403(b)
* Generous PTO & Holidays
* Supportive Team: Work in a mission-driven, inclusive environment
About Pittsburgh Mercy
We're a community-based health and human services organization serving individuals and families facing mental illness, substance use, physical health challenges, intellectual disabilities, and trauma. Our mission: to be a compassionate, transformational presence in the communities we serve.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
$28k-31k yearly est. 7d ago
Scheduling Specialist Remote after training
Radiology Partners 4.3
Chesterfield, MO jobs
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling Activities
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and team members
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only
(10%) Insurance Activities
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Other Tasks and Projects as Assigned
Bilingual Sales & Enrollment Client Specialist - Remote (Spanish)
Thriveworks, clinician-founded and led, is a leading mental health provider of therapy and psychiatry. We offer in-person and online care, with 340+ offices and 2,200 clinicians across the US. In 2007, our Founder, AJ Centore, PhD, called 40 fellow clinicians and reached 40 voicemails - quickly learning that the counseling experience was subpar for both clients and clinicians. A year later, in 2008, he launched Thriveworks and set out to make therapy work better for everyone. Thriveworks offers mental health services to individuals of all ages, from adults to teens to children, helping them with their unique individual and relationship challenges.
About the Job
Our Center of Excellence is built on a culture of service excellence. Everyone can benefit from working with a skilled therapist, counselor, or life coach, and we strive to ensure that people all across the country have that very opportunity. The role of Enrollment Specialist at Thriveworks is a sales and full-time remote position, and is responsible for actively managing a pipeline of prospective clients seeking mental health services. The ideal candidate excels in a fast-paced, mission-driven environment, demonstrating exceptional communication, attention to detail, and adaptability. We have a lot of people reaching out for support, and it's our job to help them feel heard, explain what Thriveworks offers, and match them with the right service. You'll walk them through the scheduling process and make sure they feel comfortable, informed, and excited about getting started with their first appointment.
Responsibilities
Manage high-volume inbound and outbound client interactions using platforms such as Salesforce, NICE, and ThriveSupport.
Prospecting new leads, handling inbound calls, and conducting outbound outreach to support referral programs and engage prospective clients.
Handle 50+ calls daily while maintaining a high standard of organization and follow-through.
Meet or exceed key performance indicators (KPIs), including client conversion rates, intake targets, quality assurance (QA) standards, and schedule adherence.
Ensure clients are a strong fit for services by aligning their needs with appropriate offerings
Address and escalate client concerns to other departments and leadership, and follow up as necessary to ensure satisfactory resolution.
Work collaboratively in a fast-paced and ever-changing team environment.
Additional duties requested by Supervisor/Manager.
Compensation:
The base salary starts at $43,118 ($20.73/Hr).
In addition to the base salary, Enrollment Specialists have the opportunity to earn $0 - $30,000+ in commission annually, based on performance and achievement of goals.
Requirements:
Sales/Customer Service and Call Center experience is required, experience in the mental health field is preferred.
Bachelor's degree or a minimum of 2 years of inside sales experience within a digital health or similar sales environment (handling both inbound and outbound leads).
High proficiency in Google Suite (Docs, Sheets, Gmail, etc.) and CRM platforms, particularly Salesforce.
Must be fluent in Spanish
Must have a designated, quiet workspace to maintain client confidentiality and adhere to HIPAA compliance standards.
Excellent verbal and written communication skills, with the ability to engage a diverse range of clientele professionally and empathetically.
Work hours: Monday-Friday, 8:00 AM to 9:30 PM EST; Saturday & Sunday, 8:00 AM to 6:00 PM EST (subject to change).
This is an FT position with benefits, ranging between 32 - 40 hours per week, depending on the business needs.
Shift Bid opportunities are available (every 6 months) based on performance.
Internal candidates must be currently in good standing in their current role.
Benefits:
Competitive compensation + commission opportunities
401(k) with employer match
Medical, Dental, Vision, Life Insurance
Paid time off and holidays
Employee Assistance Program (EAP)
Professional growth and advancement opportunities
This is a remote, sedentary role that requires extended periods of sitting and working on a computer. Frequent typing and use of a standard keyboard and mouse are required.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified to bring your unique perspective to our team.
Interested in joining Team Thriveworks? We're thrilled to meet you!
With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:
Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address.
Our interviews will take place over Google Meet (not Microsoft Teams or Zoom)
We will never ask you to purchase or send us equipment.
If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns.
Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.
By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
$43.1k yearly Auto-Apply 21d ago
Scheduling Specialist
Radiology Partners 4.3
Portland, OR jobs
RAYUS now offers DailyPay! Work today, get paid today!
is $18.28-$24.78 based on direct and relevant experience.
RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be rresponsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling Activities
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and team members
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only
(10%) Insurance Activities
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Other Tasks and Projects as Assigned
$33k-38k yearly est. 3d ago
Scheduling Specialist
Radiology Partners 4.3
McKinney, TX jobs
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments.
This is a part time position working between 20-29 hours/week.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and staff
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only)
(10%) Insurance
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Completes other tasks as assigned
$26k-31k yearly est. 3d ago
Scheduling Specialist
Radiology Partners 4.3
Mansfield, TX jobs
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments.
This is a full-time position working 40 hours per week; shifts are Monday through Wednesday and Friday, 10:30am - 6:30pm and Saturday, 8:00am - 4:30pm.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(85%) Scheduling Activities
Answers phones and handles calls in a professional and timely manner
Maintains positive interactions at all times with patients, referring offices and team members
Schedules patient examinations according to existing company policy
Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately
Ensures all patient data is entered into information systems completely and accurately
Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment
Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction
Maintains an up-to-date and accurate database on all current and potential referring physicians
Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices
Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave)
Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only
(10%) Insurance Activities
Pre-certifies all exams with patient's insurance company as required
Verifies insurance for same day add-ons
Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment
(5%) Other Tasks and Projects as Assigned
$26k-31k yearly est. 3d ago
Hospice Business Devel Specialist
ATEX Healthcare 3.8
San Antonio, TX jobs
GENERAL PURPOSE:
The Business Development Specialist (BDS) is responsible for assisting in planning, developing, and implementing the agency marketing programs, which includes community education, non-remunerative solicitation of patients and/or patronage, and advertising. The business development specialist is responsible to the Regional Director of Business Development.
QUALIFICATIONS:
Bachelor's degree in marketing preferred, high school or equivalent required with business development experience.
At least one (1) year marketing or administrative experience in a health care setting.
Knowledge of home health care services and managed care plans.
Basic computer skills.
Excellent speaking and writing ability.
ESSENTIAL JOB FUNCTIONS:
Plans, develops, and implements marketing plan, upon approval of the Regional Director of Business Development.
Plans and conducts community awareness activities which inform physicians, health care workers, and patients (current and prospective) of agency programs and capabilities.
Conducts non-remunerative efforts to obtain new referrals from physicians, and hospital discharge planners.
Prepares community relation activity reports as directed by the Regional Director of Business Development.
Performs pre-discharge hospital assessments, coordinates required treatment plan of care.
Designs agency information and marketing literature and tools for use in the marketing program.
Coordinates media exposure of the agency to include public service announcements, and advertisements. Assists in the promotion of disease management programs.
Attends community business functions to gain exposure for the agency.
Sets and meets job related goals.
Identifies self-learning needs and utilizes educational programs to assist in learning.
Contributes to and participates in team and individual efforts to improve the quality of service.
Assists with health plan contracting activities.
Speaks effectively before groups of customers and employees of the organization.
Complies with Agency policies on attendance/punctuality.
Perform other duties, as assigned.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.