Supervisor, patient access work from home jobs - 525 jobs
Lead Zuora Billing and Revenue Consultant Remote - US
Twilio 4.5
Remote job
Lead Application Engineer, Zuora Billing and Revenue
Remote - US
Who we are
At Twilio, we're shaping the future of communications, all from the comfort of our homes. We deliver innovative solutions to hundreds of thousands of businesses and empower millions of developers worldwide to craft personalized customer experiences.
Our dedication to remote-first work, and strong culture of connection and global inclusion means that no matter your location, you're part of a vibrant team with diverse experiences making a global impact each day. As we continue to revolutionize how the world interacts, we're acquiring new skills and experiences that make work feel truly rewarding. Your career at Twilio is in your hands.
See yourself at Twilio
Join the team as Twilio's next Lead Application Engineer, Zuora Billing & Revenue
About the job
This position is needed to join our Enterprise Application Development and Operations team. This role will focus on leading, designing, architecting, configuration, development, and testing of Zuora Billing and Revenue-specifically within the Invoice-to-Cash (I2C) and Revenue areas-to support key functions across Finance, Billing, Accounts Receivable (AR), Revenue Recognition and Accounting.
The ideal candidate is a self-starter with a strong analytical mindset, exceptional communication skills, and should be able to lead and conduct design workshops with the business, build a prototype of the system for demos before the start of the development phase. The candidate will partner closely with cross-functional teams including Global Accounting and Billing to drive automation, scalability, and innovation across Twilio's I2C landscape.
Responsibilities
In this role, you'll:
Lead a design, configuration, development, and testing of Zuora solutions focused on Billing, AR, Cash Application, and Revenue processes.
Conduct business workshops to gather and analyze requirements and translate them into effective Zuora solutions.
Partner with process owners to define and benchmark operational KPI and to develop/deliver KPI dashboards and reports by using Zuora object queries and data queries etc
Create system prototypes and demos to validate solutions with stakeholders before development begins.
Lead cross-functional requirement sessions to elicit, document and analyze business requirements and functional specifications. Includes identifying unspoken or conflicting requirements and challenging the norm.
Collaborate with Finance, Billing, and Revenue teams to ensure accurate implementation of business processes.
Integrate Zuora Billing and Revenue with multiple upstream usage systems and downstream accounting platforms like Oracle Fusion, Highradius, Monkey, Salesforce, etc
Perform checks and monitoring the critical processes in production instances and proactively identify the issues and fix them
Make sure team is performing regular KLO operations and stakeholders support with daily activities, Financial close, reconciliations etc
Support QAR, Audit and SOX compliance.
Mentor and lead junior consultants in the team to enable them to make project deliverables.
Qualifications
Twilio values diverse experiences from all kinds of industries, and we encourage everyone who meets the required qualifications to apply. If your career is just starting or hasn't followed a traditional path, don't let that stop you from considering Twilio. We are always looking for people who will bring something new to the table!
Required:
Strong hands-on experience in Zuora Billing and Revenue modules including Product and customer master data management in Zuora
Demonstrated ability to lead the end-to-end implementation lifecycle-from requirements gathering through to testing and deployment.
Solid understanding of Billing and revenue workflows, including integrations with usage load via Mediation, taxation and Invoice presentment
Experience working closely with finance and accounting stakeholders in global organizations.
Excellent interpersonal, verbal, and written communication skills.
Strong time management and organizational skills; able to manage multiple initiatives in parallel.
Should have a good knowledge of change management, Agile methodologies.
Certifications in Zuora Billing and Revenue implementations
Location
This role will be remote, but is not eligible to be hired in San Francisco, CA, Oakland, CA, San Jose, CA, or the surrounding areas.
Travel
We prioritize connection and opportunities to build relationships with our customers and each other. For this role, you may be required to travel occasionally to participate in project or team in-person meetings.
What We Offer
Working at Twilio offers many benefits, including competitive pay, generous time off, ample parental and wellness leave, healthcare, a retirement savings program, and much more. Offerings vary by location.
Compensation
The successful candidate's starting salary will be determined based on permissible, non-discriminatory factors such as skills, experience, and geographic location.
Applications for this role will be accepted on an ongoing basis.
Twilio thinks big. Do you?
We like to solve problems, take initiative, pitch in when needed, and are always up for trying new things. That\'s why we seek out colleagues who embody our values - something we call Twilio Magic. Additionally, we empower employees to build positive change in their communities by supporting their volunteering and donation efforts.
So, if you\'re ready to unleash your full potential, do your best work, and be the best version of yourself, apply now! If this role isn\'t what you\'re looking for, please consider other open positions.
Twilio is proud to be an equal opportunity employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Additionally, Twilio participates in the E-Verify program in certain locations, as required by law.
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$76k-102k yearly est. 2d ago
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Patient Access Representative
Insight Global
Remote job
One of our top clients is looking for a team of PatientAccess Representatives within a call center environment in Beverly Hills, CA! This person will be responsible for handling about 50+ calls per day for multiple specialty offices across Southern California. This position is fully on-site for 2 - 4 months, then fully remote.
Required Skills & Experience
HS Diploma
2+ years healthcare call center experience (with an average call time of 5 minutes or less on calls)
Proficient with scheduling appointments through an EHR software
2+ years experience scheduling patient appointments for multiple physicians in one practice
40+ WPM typing speed
Experience handling multiple phone lines
Nice to Have Skills & Experience
Proficient in EPIC
Experience verifying insurances
Basic experience with Excel and standard workbooks
Experience in either pain management, dermatology, Neurology, Endocrinology, Rheumatology, or Nephrology.
Responsibilities Include:
Answering phones, triaging patients, providing directions/parking instructions, contacting clinic facility to notify if a patient is running late, scheduling and rescheduling patients' appointments, verifying insurances, and assisting with referrals/follow up care.
This position is on-site until fully trained and passing multiple assessments (typically around 2-4 months of working on-site - depending on performance) where it will then go remote.
$33k-42k yearly est. 3d ago
Access Coordinator (Remote)
Northwestern University 4.6
Remote job
Department: AccessibleNU Salary/Grade: EXS/6 The Access Coordinator position serves as a subject matter expert on the academic and on-campus housing ADA reasonable accommodation request process for students. The Access Coordinator role is a remote position. Utilizing a thorough and timely process, daily functions include meeting with students with disabilities, reviewing medical and supplemental documentation, evaluating and determining requests for accommodations, and creating and maintaining case notes. The role collaborates with other ANU staff, coordinates with faculty, academic department leaders, and other campus liaisons, and leads campus trainings and outreach events. The Access Coordinator position ensures institutional compliance with federal, state, and local disability regulations.
Pay Range: The salary range for the AccessibleNUAccess Coordinator position is $68,500 - $70,000 depending on experience, skills, and internal equity.
About AccessibleNU: AccessibleNU (ANU) is responsible for the academic and on-campus housing accommodation determination and coordination process for students with disabilities. Northwestern University recognizes disability as an essential aspect of our campus, and as such, we actively collaborate with faculty, staff, and students to achieve access goals.
Mission: AccessibleNU supports and empowers students with disabilities by collaborating with the Northwestern community to ensure full participation in the academic learning environment.
Principal Accountabilities:
* Maintains a full caseload of students and provides ongoing support for undergraduate, graduate, professional, and online students.
* Reviews and processes incoming accommodation requests, ensuring a prompt, thorough, and equitable response to each request:
* Interprets disability documentation including medical, educational, and/or psychological assessments. Conducts accommodation meetings to gather additional information. Cross-analysis to determine reasonable accommodations.
* Ensures accommodation determinations align with ANU process and procedures, the Americans with Disabilities Act (as amended), Sections 504 and 508 of the Rehabilitation Act, state and local disability regulations, the Fair Housing Act, relevant caselaw and legal guidance, and University policies and procedures.
* Generates creative and practical solutions to address current and emerging needs, including accommodations for students in off-site placements such as clinical settings, internships, practicums, and experiential learning environments.
* Uses office database (AIM) to maintain student files including: sending accommodation emails, maintaining confidential documentation, scheduling appointments, case noting, and documenting communications with students and university personnel regarding the accommodation process.
* Engages with faculty, academic department leaders, and staff to facilitate difficult conversations and coordinate and implement complex accommodations (e.g. flexibility with attendance and deadlines, classroom relocation, furniture placement, clinical arrangements, qualifying exam accommodations, adjustments to program requirements, etc.) while upholding essential course and programmatic requirements and/or technical standards.
* Provides consultation services, information meetings, presentations, trainings, outreach events, and programming with respect to University disability accommodation processes, definitions, perspectives, implications, applications of professional research, and local, state, and federal laws as requested.
* Participates in developing and implementing strategic planning goals, objectives, and assessments as requested.
* Participates, leads, and attends AccessibleNU or University based working groups, committees, events, or other division-wide activities as requested.
* Performs back-up functions such as front desk duties and test proctoring/coordinating.
* Assists ANU leadership team with overall unit functional areas.
* Will perform other duties as assigned.
Minimum Qualifications:
Education and Experience:
* Bachelor's degree in higher education administration, rehabilitation counseling, social work, psychology, or related field
* Minimum of one (1) year related experience in the postsecondary environment, working directly with students with various disabilities; similar experience with students outside the postsecondary setting and/or a combination of training and experience may be considered
* Knowledge of the ADAAA, Section 504, Section 508 and its application to accommodation determination
* Familiarity with the complexities of medical documentation and its alignment with accommodation determination, including the interpretation of test results such as the WAIS, Woodcock Johnson, and other diagnostics within the DSM-V.
Skills:
* Ability to problem solve, collaborate, mediate conflict, and negotiate in challenging situations
* Highly developed facilitation skills to foster a welcoming environment for students
* Highly developed communication skills to build and promote collaborative partnerships with faculty and administration
* Ability to adapt to and openness to change
* Ability to independently manage time in a fast-paced environment
* Ability to exercise independent judgement related to the impact of the disability, how it relates to classroom and housing access, and the legal aspects involved
* Ability to work both independently and in team settings
Preferred Qualifications:
* Master's degree in higher education administration, rehabilitation counseling, social work, psychology, or related field
* Prior case management work with undergraduate, graduate, professional, and online students with disabilities
* Proficiency with a range of assistive technologies and adaptive equipment and their application
* Demonstrated experience determining clinical and/or offsite accommodations using programmatic technical standards
* Working Conditions: The Access Coordinator role is a remote position. Employees must have access to reliable internet. Note: Access Coordinators who are local to the Chicagoland area are required to come to the Evanston or Chicago campus on occasion for division and office events and meetings, on-boarding and trainings, presentations, and accommodation coordination. Will require limited evening and weekend availability.
Benefits: At Northwestern, we are proud to provide meaningful, competitive, high-quality health care plans, retirement benefits, tuition discounts and more! Visit us at *************************************************** to learn more.
Work-Life and Wellness: Northwestern offers comprehensive programs and services to help you and your family navigate life's challenges and opportunities, and adopt and maintain healthy lifestyles. We support flexible work arrangements where possible and programs to help you locate and pay for quality, affordable childcare and senior/adult care. Visit us at ************************************************************* to learn more.
Professional Growth and Development: Northwestern supports employee career development in all circumstances whether your workspace is on campus or at home. If you're interested in developing your professional potential or continuing your formal education, we offer a variety of tools and resources. Visit us at *************************************************** to learn more.
Northwestern University is an Equal Opportunity Employer and does not discriminate on the basis of protected characteristics, including disability and veteran status. View Northwestern's non-discrimination statement. Job applicants who wish to request an accommodation in the application or hiring process should contact the Office of Civil Rights and Title IX Compliance. View additional information on the accommodations process.
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$68.5k-70k yearly 35d ago
Patient Access Manager - Remote
Avanos Medical, Inc. 4.2
Remote job
Job Title: PatientAccess Manager - Remote Job Country: United States (US) Here at Avanos Medical, we passionately believe in three things: * Making a difference in our products, services and offers, never ceasing to fight for groundbreaking solutions in everything we do;
* Making a difference in how we work and collaborate, constantly nurturing our nimble culture of innovation;
* Having an impact on the healthcare challenges we all face, and the lives of people and communities around the world.
At Avanos you will find an environment that strives to be independent and different, one that supports and inspires you to excel and to help change what medical devices can deliver, now and in the future.
Avanos is a medical device company focused on delivering clinically superior breakthrough solutions that will help patients get back to the things that matter. We are committed to creating the next generation of innovative healthcare solutions which will address our most important healthcare needs, such as reducing the use of opioids while helping patients move from surgery to recovery. Headquartered in Alpharetta, Georgia, we develop, manufacture and market recognized brands in more than 90 countries. Avanos Medical is traded on the New York Stock Exchange under the ticker symbol AVNS. For more information, visit ***************
Essential Duties and Responsibilities:
The PatientAccess Manager is part of the Market Access, Reimbursement, and Medical Policy (MA&R) team. The MA&R team supports internal and external customers navigate through reimbursement nuances and barriers, the facilitation of authorizations and appeals, and collaborates with key opinion leaders, Specialty Societies, Government organizations, and payer decision makers to influence coverage via policy change in efforts to increase access to Avanos products. This role will primarily focus on the Avanos Pain Management and Recovery product portfolios, radiofrequency ablation products.
The PatientAccess Manager is a subject matter expert who will be directly responsible for development, oversight, and management of the Avanos PatientAccess Program and team, and strategic initiatives in efforts to optimize access to Avanos Medical's Pain Management and Recovery portfolio products.
Key Responsibilities:
* Develops, implements, and manages the Avanos PatientAccess Program and team members; including but not limited to program operations and processes to ensure superior support is provided, processes are followed, and compliance is maintained.
* Hires and manages direct reports, including but not limited to performance reviews, time-off requests; ensuring superior support is provided, processes are followed, compliance is maintained, and direct reports are able to function in a productive, accurate, and efficient manner.
* Is an expert level resource to provide on-the-job training for new hires, ongoing training, guidance, mentoring, and support to direct reports to resolve complex patientaccess issues and advance knowledge, foster career growth and expand team capabilities.
* Performs frequent internal reviews and audits to ensure program operations remain aligned with strategic initiatives and direct reports are performing effectively as defined in program process and procedures documents, monitors case assignments to assess productivity, hiring needs, and serves as a back-up to ensure adequate staffing is available for all operations under the PatientAccess Program.
* Provides expert level acumen and support on patientaccess program processes and initiatives to support internal and external customers. Serves as the primary source of contact for addressing issues more complex than others serving on the PatientAccess team may be required to know in an accurate, consistent, timely and compliant manner.
* Analyzes program outcomes and recognizes trends/issues that hinder patientaccess, crafts strategic and tactical recommendations, and implements initiatives to adapt the program operations based on changing payer processes and requirements and to improve program outcomes and efficiency; including but not limited to program resources and collateral, processes, and procedures, as well as training documents and plans.
* Fosters a strong alliance with the MA&R Team in the identification applicable market access, reimbursement, and payer coverage changes and/or trends at the customer, regional, and national levels that may impact patientaccess to Avanos products. Partners in the development and pull-through of strategic initiatives in efforts to increase access and neutralize barriers to Avanos products.
* Aids in the development, preparation, and presentation of educational materials regarding patientaccess and program outcomes (e.g., training, workshops, and presentations).
* Establishes professional relationships and maintains an effective communication network with the internal and external customer at multiple levels.
* Participates in the operations of the Avanos PatientAccess Program as needed; including but not limited to data entry, preparing, and facilitating appeals, collecting necessary documentation to fulfill payer requirements, and processing payer determinations.
* Demonstrates uncompromised ethics while helping others understand legal and regulatory parameters related to patientaccess and adheres to Corporate Compliance programs and successfully participates in training and continuing education programs.
* Performs other duties and projects as required/needed.
Your qualifications
Required:
* Bachelors degree
* Minimum of 3 years' experience within patientaccess, medical benefits, health insurance standards and authorization processes, and reimbursement with a comprehensive understanding of obtaining patientaccess of procedures across government and private payer environments specific to surgical procedure(s), and/or medical device(s), and/or DME, and/or biologic(s).
* Minimum of 2 years' experience with direct oversight and management of the operations of a patientaccess program and team with a successful record of managing direct reports.
* Advanced, in-depth knowledge of medical benefits, insurance standards, pre- service insurance authorization processes and requirements for reimbursement from government and private payers and ability to locate and interpret payer pre-service review requirements, policies, coverage determination making processes, etc.
* Experience with educational presentations to external and internal customers with exemplary ability to provide superior support to internal and external customers and to expertly navigate through challenging situations.
* Collaborative work ethic, exemplary leadership skills, excellent project and time management and communication (written and verbal) skills.
* Proficient in using Microsoft PowerPoint, Excel, Windows, and Microsoft Office. Experience with data visualization software (e.g., Tableau) and CRM applications (e.g., Salesforce.com) or aptitude to learn such tools. General ability to learn and acclimate to new systems.
* Working knowledge of compliance and regulatory mandates in medical device/technology environments; including but not limited to HIPAA, HITECH, ADVAMED, and Federal Statutes.
Travel: Less than 10%
The statements above are intended to describe the general nature and level of work performed by employees assigned to this classification. Statements are not intended to be construed as an exhaustive list of all duties, responsibilities and skills required for this position.
Salary Range:
The anticipated average base pay range for this position is $130,000.00 - $150,000.00. In addition, this role is eligible for an attractive incentive compensation program and benefits. In specific locations, the pay range may vary from the base posted.
#LI-Remote
Avanos Medical is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity or any other characteristic protected by law.
IMPORTANT: If you are a current employee of Avanos or a current Avanos Contractor, please
$130k-150k yearly 4d ago
Patient Access Manager - New England
Arcutis Biotherapeutics
Remote job
The PatientAccess Manager (PAM) - New England, will be responsible for supporting and maintaining patient support services that maximize access to our product for patients to whom it has been prescribed. The PAM will execute pre-defined strategies to address patientaccess needs and support the identification of access barriers through this work. The PAM will also play a customer-facing role and work closely with our Directors of National Accounts (DNAs) and the field sales team to support the needs of healthcare providers and patients as it relates to the post-prescription access to ZORYVE. The PAM will work with their leadership, Marketing, Medical, Compliance, and other colleagues to identify, design, revise, and roll out patientaccess materials as needed or improve existing materials. This will be a remote position located in the New England Region, and the candidate would ideally be in or near Boston, MA or Connecticut.
Roles & Responsibilities
* Execute Arcutis patient support programs, after the prescription has been written. Activities may include helping to identify and provide information to help resolve issues with payers and/or the pharmacy.
* Liaise with medical offices and targeted pharmacies as necessary to educate and train on ZORYVE, ZORYVE Direct, and answer questions as appropriate to keep the patient journey on-track.
* Review and provide oversight of the patient prescription journey.
* Serve as the primary point of contact for field sales regarding patientaccess questions/issues.
* Report weekly changes in patient status, overall trends, successes, or roadblocks; suggest and execute appropriate, compliant action in response.
* Monitor status of the prescription drug coverage process by partnering with pharmacies to triage, troubleshoot and resolve initial and ongoing issues (step-edits, prior authorizations, denials, appeals, medical exceptions, and reauthorizations.
* Abide by reasonable and lawful healthcare provider confidentiality and or safety requirements, as applicable.
* Engage with Market Access team, and Regional Sales Directors (RSDs) to ensure current and accurate communication on the status of the patient journey.
* Willingness and ability to travel long and short distances domestically to visit provider offices, pharmacies to attend customer meetings, industry conferences, and other regional meetings or events where customers will be present in order to answer customer questions around patientaccess and payer coverage. (Up to 50% travel, depending on location).
* Willingness and ability to manage virtual interactions with healthcare providers, pharmacies, and internal cross-functional partners.
* Partner with Arcutis Safety and Pharmacovigilance to report adverse events and product complaints through documented process.
* Become familiar with and abide by Arcutis' policies and standard operating procedures.
* Building internal, cross-functional relationships with Arcutis' business units as needed, including but not limited to Marketing, Sales, Medical Affairs, Compliance, and other business units, as necessary.
* Collaborate on the development and maintenance of PAM training content, including messaging for field interactions.
* Building external relationships with pharmacies,patients, healthcare providers, medical office staff, and caregivers.
* Other related functions or duties which may be assigned from time to time in Arcutis' sole discretion.
Education & Licenses and Experience
* Bachelor's degree or equivalent experience in the healthcare field required; advanced degree preferred.
* 3-5 years of healthcare or pharmaceutical experience; 1-2 years of field sales, field reimbursement management, and customer facing experience.
Competencies & Skills
* Strong track record of success in the pharmaceutical industry; experience in product support, and pharmacy benefits. Experience in dermatology is preferred.
* Robust knowledge of pharmacy access dynamics.
* Ability to manage a case-load independently.
* Ability to exercise good judgment and demonstration of successful working relationships with patients, healthcare providers, third party vendors, and other stakeholders.
* Experience working closely with field organizations, serving programs to support healthcare providers and their patients.
* Self-starter who can thrive in a competitive and fast-paced or high-pressure environment, who is able to effectively prioritize, balance multiple tasks, and work independently.
* Keeps current, and develops deeper and broader experience, in own functional area.
* Is open to and actively solicits feedback on performance and skill development needs.
* Demonstrates appreciation for diversity of perspectives and approaches among peers.
* Understanding of U.S. biopharmaceutical Regulatory/Legal review process and Compliance landscape.
* Collaboration & Teamwork.
* Exceptional communication skills, with the demonstrated ability to communicate effectively with diverse internal and external customers.
Why Join Us?
Arcutis is a pioneering medical dermatology company dedicated to revolutionizing the treatment of serious skin diseases and our pipeline is one of the more robust and exiting in the industry. Our vision is to revitalize the standard of care for dermatological diseases and conditions through novel therapies that simplify disease management for physicians and patients. We are focused on filling the innovation gap in medical dermatology drug development by applying our deep clinical, product development and commercial expertise in dermatology to develop best-in-class therapies against biologically validated targets. Arcutis is uniquely positioned to become the preeminent innovation-driven medical dermatology company, and we are looking for top talent to join our team. We are nimble, collaborative, and passionate about achieving our mission!
This job description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.
Arcutis is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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$54k-92k yearly est. 15d ago
Senior Billing and Revenue Analyst
Eclinical Solutions 4.4
Remote job
eClinical Solutions helps life sciences organizations around the world accelerate clinical development initiatives with expert data services and the elluminate Clinical Data Cloud - the foundation of digital trials. Together, the elluminate platform and digital data services give clients self-service access to all their data from one centralized location plus advanced analytics that help them make smarter, faster business decisions.
You will make an impact:
The Senior Revenue and Billing Analyst is responsible for overseeing and optimizing billing and revenue operations within NetSuite, ensuring invoices and revenue recognition align with customer contracts, company policies, and applicable accounting standards. This role partners closely with Project Management, Operations, and Finance to support accurate, timely, compliant, and scalable financial reporting.
This position is expected to leverage NetSuite automation, reporting, and approved AI-enabled tools to improve efficiency, accuracy, and insight across billing and revenue processes while maintaining strong accounting judgment and internal controls.
Accelerate your skills and career within a fast-growing company while impacting the future of healthcare.
Your day to day:
Develop, maintain, and optimize billing and revenue recognition rules for client services and licensing contracts in accordance with ASC 606, configured and maintained within NetSuite.
Prepare, review, and issue customer invoices across multiple billing models, including time and materials, fixed fee, unit-based, milestone-based, percentage of completion, and subscription-based arrangements.
Perform detailed contract reviews to ensure billing terms, performance obligations, and revenue schedules are accurately reflected in NetSuite.
Reconcile contract financials, including amounts billed to date, deferred and recognized revenue, remaining contract balances, and phase-level tracking as required.
Support month-end close activities, contract closeouts, third-party pass-through cost reconciliation, and internal and external audits.
Leverage NetSuite saved searches, SuiteAnalytics, and reporting tools to analyze billing and revenue data, identify trends, variances, and potential issues.
Utilize approved AI-enabled productivity and analytics tools (e.g., NetSuite analytics enhancements, Microsoft Copilot) to support reconciliations, variance analysis, forecasting, and reporting, validating all outputs for accuracy and compliance.
Identify opportunities to streamline or automate billing and revenue workflows through NetSuite configuration, system enhancements, and AI-supported process improvements.
Collaborate with Accounts Receivable, Project Management, Operations, Finance Systems, and other stakeholders to resolve billing inquiries, discrepancies, and process gaps.
Other duties as assigned
Take the first step towards your dream career. Here is what we are looking for in this role.
Qualifications:
Bachelor's Degree in Accounting, Finance, or related field or equivalent experience
5+ years of experience in billing, revenue, and contract accounting in a professional services and/or SaaS environment preferred
Strong knowledge of revenue recognition principles under ASC 606.
Advanced proficiency in NetSuite ERP, including billing, revenue recognition, saved searches, and reporting; experience with NetSuite SuiteProjectsPro (formerly OpenAir) preferred.
Advanced proficiency in Microsoft Excel; experience using analytics, automation, or AI-enabled tools in a finance or accounting environment preferred.
Highly detail-oriented with strong analytical, organizational, and communication skills.
Accelerate your skills and career within a fast-growing company while impacting the future of healthcare. We have shared our story, now we look forward to learning yours!
eClinical is a winner of the 2023 Top Workplaces USA national award! We have also received numerous Culture Excellence Awards celebrating our exceptional company vision, values, and employee experience. See all the details here: ******************************************************
eClinical Solutions is a people first organization. Our inclusive culture values the contribution that diversity brings to our business. We celebrate individual experiences that connect us and that inspire innovation in our community. Our team seeks out opportunities to learn, grow and continuously improve. Bring your authentic self, you are welcome here!
We are proud to be an equal opportunity employer that values diversity. Our management team is committed to the principle that employment decisions are based on qualifications, merit, culture fit and business need.
Pay Range
US Pay Ranges $75,000-$120,000 USD
$75k-120k yearly Auto-Apply 7d ago
Sr. Coordinator, Access and Patient Support
Cardinal Health 4.4
Remote job
Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
What Individualized Care contributes to Cardinal Health
Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services,patientaccess support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs,patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before. With all services centralized in our custom-designed facility outside of Dallas, Texas, Sonexus Health helps manufacturers rethink how far their products can go.
Responsibilities
The Case Manager supports patientaccess to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits (pharmacy and medical benefits), and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
Investigate and resolve patient/physician inquiries and concerns in a timely manner
Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
Proactive follow-up with various contacts to ensure patientaccess to therapy
Demonstrate superior customer support talents
Prioritize multiple, concurrent assignments and work with a sense of urgency
Must communicate clearly and effectively in both a written and verbal format
Must demonstrate a superior willingness to help external and internal customers
Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable)
Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
Must self-audit intake activities to ensure accuracy and efficiency for the program
Make outbound calls to patient and/or provider to discuss any missing information as applicable
Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
Documentation must be clear and accurate and stored in the appropriate sections of the database
Must track any payer/plan issues and report any changes, updates, or trends to management
Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome
Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
Support team with call overflow and intake when needed
Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
Qualifications
3-6 years of experience preferred
High School Diploma, GED or technical certification in related field or equivalent experience, preferred
What is expected of you and others at this level
Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
In-depth knowledge in technical or specialty area
Applies advanced skills to resolve complex problems independently
May modify process to resolve situations
Works independently within established procedures; may receive general guidance on new assignments
May provide general guidance or technical assistance to less experienced team members
TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second)
Upload speed of 5Mbps (megabyte per second)
Ping Rate Maximum of 30ms (milliseconds)
Hardwired to the router
Surge protector with Network Line Protection for CAH issued equipment
Anticipated hourly range: $21.40 per hour - $30.60 per hour
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with my FlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close: 3/5/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
To read and review this privacy notice click
here
$21.4-30.6 hourly Auto-Apply 15d ago
Supervisor Billing Services - SLTC
Matrixcare 4.2
Remote job
Supervisor - SNF & LTC
We are looking to hire an experienced Revenue Cycle person to serve our Sr. Living and Skilled Nursing customers. We are seeking a high caliber individual interested in pursuing a rewarding career with a dynamic software company. The Consultant is responsible for providing quality Revenue Cycle assistance to MatrixCare customers to support their operations while growing the partnership. This consultant must exercise accountability and professionalism in maintaining the high level of service our customers deserve. This role reports to the Manager of Billing Operations.
Responsibilities:
• The Lead is responsible for staff performing Revenue Cycle activities to ensure a consistent and positive customer experience.
• Primary responsibility will be to establish, enhance and ensure adherence to industry best practices and Key Performance Indicators (KPI's) Sr. Living and Skilled Nursing revenue cycle management. These KPI's include but are not limited to A/R % by age, bad debt, denied claims, and payment processing.
• This position is responsible for overall management of Team Leads and A/R Managers; this includes payroll, process management and improvement, HR related functions, and capacity planning.
• This role manages supporting tools for day-to-day operations including, but not limited to clearinghouses, receipts reporting for invoicing (Smartsheet), etc.
• This role will support implementation activities and responsible for onboarding new clients to RCM services.
• This position supports all performance management functions in supporting managers and other supervisors.
• If applicable, the RCM consultant will assist with the customer experience as it relates to service questions, system access and process development.
• This role will support staff using the department's operational policies, guidelines and code of ethical standards which include respect, diversity, and integrity.
Qualifications:
• Minimum of three years of progressive Sr. Living and Skilled Nursing revenue cycle process.
• Bachelor's degree in business administration, healthcare management, healthcare administration or related field preferred.
• Must have the capacity to relate to people in a manner to win confidence and establish rapport.
• An exceptional attention to detail and strong detail orientation is required.
• Demonstrated knowledge of Sr Living & Skilled Nursing, with expertise in the area of revenue cycle management.
• Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement.
• Exceptional interpersonal skills, proven success in complex and ambiguous environments.
• Prior experience working with Medicare rules, regulations, billing codes (preferred)
• Familiar with EMR and Clearinghouse functionality - MatrixCare and Change HealthCare / Inovalon preferred.
• Ability to work independent, must be organized and able to multitask.
• Strong written and verbal communication skills
• Maintain a professional demeanor, courteous and flexible at all times.
• Embraces change and can thrive in such an environment.
• Willingness and ability to work effectively with members of other departments.
We are shaping the future at ResMed, and we recognize the need to build on and broaden our existing skills and continue to attract and retain the world's best talent. We work hard to offer holistic benefits packages, provide flexible work arrangements, cultivate a workforce culture that allows employees to grow personally and professionally, and deliver competitive salaries to our team members. Employees scheduled to work 30 or more hours per week are eligible for benefits. This position qualifies for the following benefits package: comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance. Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members.
Individual pay decisions are based on a variety of factors, such as the candidate's geographic work location, relevant qualifications, work experience, and skills.
At ResMed, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current base range for this position is: $77,000 - $96,000
For remote positions located outside of the US, pay will be determined based the candidate's geographic work location, relevant qualifications, work experience, and skills.
Joining us is more than saying “yes” to making the world a healthier place. It's discovering a career that's challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.
$77k-96k yearly Auto-Apply 36d ago
Sr Epic Professional Billing Application Analyst - Remote
Fairview Health Services 4.2
Remote job
The Sr Epic Professional Billing Application Analyst role will provide technical expertise and leadership, including configuring, documenting, testing, modifying and maintaining software applications. Apply specific applications and technology expertise to the specification and design development process. Lead the creation of system and operating documentation. Support all issues that arise within the specific application area. Job functions include configuring applications by translating the business requirements into software specifications.
This position is remote and requires on call rotation 1 week after hours and weekends every 14-16 weeks. Roughly 4 times per year.
Responsibilities
* Utilize expertise to design new and existing applications. Configure code, test and troubleshoot existing programs. Analyze end user data and business needs to assure user-orientation and optimal program/system performance.
* Proactively initiates and participates in IT workflow definition and monitoring of processes including 1) Incident and Problem Management, 2) IT Service Request and Task Management, 3) Change Control Management and 4) IT Project Management.
* Accurately and efficiently works to provide application workflow and functional analysis, build and configuration, unit and integrated testing, and plans for transition to application ongoing support. Understands workflows with the objective to meet business needs.
* Effectively unit test all code and programs prior to releasing them to the quality assurance (QA) team. Resolve all unit test issues in a timely manner. Collaborate with the QA team to identify test cases and create/mine test data to enable a thorough test of all deliverables. Respond to all inquiries and issues in a timely manner as the developed code/program moves through the testing process and ultimately into production. Provide implementation/production support as required.
* Evaluate and understand dependencies between applications to understand if making a change in one application would have a negative impact in another application. Use knowledge of assigned application(s) to help resolve issues and drive optimal business solutions.
* Maintain up-to-date application knowledge and understanding of how the business uses the applications in their workflows. Partner with the business to gather requirements and goals to drive optimal solutions.
* Evaluate, troubleshoot and lead root-cause analysis for production issues and system failures; determine corrective action and improvements to prevent recurrence. Provide implementation/production support as required.
* Proactively provide subject matter expertise regarding assigned application(s) to other members of the technology and business teams to ensure quality and minimize impact on other applications and business processes.
* Coach and mentor staff regarding technology, methodologies and standards. Proactively share knowledge and collaborate with IT teams to ensure quick and effective responses to customer needs. Maintain up-to-date business domain knowledge and technical skills in software development technologies and methodologies.
* Pro-actively participates in creating and implementing improvements to achieve clinical, satisfaction and/or efficiency outcomes.
* Provides ongoing operational system support and resolves escalated issues. Interacts with vendors on problem determination, resolution, issue tracking, upgrades and fixes.
* Participates in after-hours support as determined by IT Leadership
* Patient Centered: Provide services centered on the needs and safety of our patients and families.
Required Qualifications
* Bachelor's degree or combination of education and related work experience
* Epic Professional Billing Certification and 5 years of IT Epic PB application experience
* Strong understanding of the Software Development Life-Cycle (SDLC)
* Demonstrated analytical critical thinking skills for process development or problem resolution
* Demonstrated working knowledge and expertise of healthcare processes and application system coordination
* Demonstrated knowledge of database structure and working practice of reporting techniques and tools
Preferred Qualifications
* Bachelor's degree in IT field
* Experience within the Healthcare Industry
* Certifications and experience relative to the role
* Epic Certification in Hospital Billing / PB Claims / HB Claims would be ideal.
Benefit Overview
Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: *****************************************************
Compensation Disclaimer
The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement
EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
$50k-68k yearly est. Auto-Apply 32d ago
Professional Billing Coding Supervisor (Remote)
Trumed
Remote job
If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.
Please log into my WORKDAY to search for positions and apply.
Professional Billing Coding Supervisor (Remote)101 Truman Medical CenterJob LocationWork From Home-City Tax ExemptLees Summit, MissouriDepartmentCorporate Professional BillingPosition TypeFull time Work Schedule8:00AM - 4:30PMHours Per Week40Job Description
The Coding Supervisor plays a vital role in achieving departmental operational goals and objectives by providing guidance, management and oversight of the Revenue Cycle coding staff. This dynamic role involves ensuring quality checks, conducting training sessions at the coder and provider level, facilitates the onboarding process with new hires and analyzes, updates and supports the systems used by the coding group. With a focus on enhancing efficiency and compliance, the Coding Supervisor collaborates closely with the Lead Coder and communicates regularly with the Director of Professional Revenue Cycle.
Minimum Requirements
Bachelor's degree or equivalent in education and experience.
Two or more coding certifications, i.e. CPC or CPMA, and must maintain active certifications for continued employment.
Five years comprehensive medical record coding, of high level CPT/HCPCs & ICD-9/10, for multi-specialty Physician's services, including experience in an academic teaching health care organization - candidates with demonstrated abilities/skills at this level without the full years of experience can be considered.
Demonstrated ability and experience identifying documentation improvement opportunities.
Knowledge of insurance company, third-party and government reimbursement programs; i.e. Medicare, Medicaid, MC+, etc.
Knowledge of medical insurance billing and collection.
Extensive knowledge with CPT, ICD 9/10 , and HCPCS coding and medical terminology in multiple physician practice specialties.
Fluency with Medical terminology, anatomy and physiology.
Knowledge of medical information systems for physician billing.
Demonstrated proficiency in use of computer hardware and software systems, programs and devices.
Expert level knowledge of Medicare rules and Local Carrier Determination (LCD) and national Correct Coding Initiative (NCCI) edits and proper procedure code sequencing
Competence in physician and staff education, including proficiency in presentation preparation and delivery.
Ability to effectively communicate verbally and written with all levels of staff.
Detail oriented.
Ability to work independently and in a team environment
Preferred Qualifications
One year supervisory experience
$46k-68k yearly est. Auto-Apply 60d+ ago
Senior Billing Supervisor
Contact Government Services, LLC
Remote job
Senior Billing SupervisorEmployment Type: Full-Time, Mid-LevelDepartment: Financial CGS is seeking a Senior Billing Specialist to join our team supporting our mission. This position will entail a wide range of duties including being responsible for the effective hands-on coordination and management of the e-billing and payment cycle workflow related to payment posting, charge corrections, monthly reconciling of payments to bank deposits for the Firm's offices and other duties as assigned.
CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Ensures accurate observance of e-billing requirements and processes.- Prepares monthly, semi-monthly and ad-hoc billing reports for internal and external clients.- Ensures timely invoice submission to clients, based on established timelines.- Creates and distributes ad hoc operational and billing reports to management as requested.- Works with Controller and Accounting Department to identify, review and recommend changes to automate or enhance timeliness, accuracy, and efficiency of billing processes.- Supports internal and external auditors as requested.- Supervises e-billing and receivables staff.- Evaluates e-billing and receivables staff skill levels, recommends any necessary training/changes.- Provides feedback to staff performance appraisals, develops performance management objectives to address concerns, drives engagement and retention; participates in team hiring and separation decisions.- Delegates assignments and projects to staff as appropriate
Qualifications:- Demonstrated ability to work well, be influential and articulate initiatives, projects, results, and analyses to senior leadership and staff, including presenting ideas in a clear, succinct manner.- High attention to detail, outstanding organizational skills and the ability to manage time effectively.- Excellent interpersonal and communication skills (oral and written), professional demeanor and presentation.- Analytical with strong problem-solving skills, takes initiative and uses good judgment, excellent follow-up skills.- Work efficiently with the ability to multi-task and set priorities while maintaining and delivering the highest quality work product accurately.- Position also requires the ability to work under pressure to meet strict deadlines, adapt to a fast paced high pressure environment to achieve business goals and objectives.- Ability to work both independently and as part of a cross-functional, collaborative team. - Bachelor's Degree or equivalent experience in Accounting, Finance, or related field preferred.- Five years of legal billing/receivables experience and in-depth knowledge of accounting principles and billing software; Advanced experience in e-billing.- Two years of supervisory experience in similar role and ability to assume a leadership role.- Advanced knowledge of MS Applications to include Excel, Outlook, and Access.
Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems.
For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and delivering the best quality to our consumers mending those relations for years to come.
We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays
Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Join our team and become part of government innovation!Explore additional job opportunities with CGS on our Job Board:**************************************** more information about CGS please visit: ************************** or contact:Email: *******************
#CJ
$46k-68k yearly est. Auto-Apply 60d+ ago
Clinical Patient Access Specialist (MA, LPN, or EMT required) - Corporate Call Center
Saint Elizabeth Medical Center 3.8
Remote job
Job Type:
Regular
Scheduled Hours:
40 Reports to the Clinical PatientAccess Manager or PatientAccess Manager, the Clinical PatientAccess Specialist II is primarily responsible for relaying reviewed normal, expected, or abnormal results to patients. The Clinical PatientAccess Specialist II will successfully manage large amounts of inbound calls while ensuring all pertinent medical information and care needs for patients are identified, documented, and communicated to the provider. The Clinical PatientAccess Specialist II is always responsible for creating a positive impression with patients, family members and other callers.
Job Description:
Job Title: Clinical PatientAccess Specialist- Call Center (MA, LPN EMT Required)
BENEFITS:
Work from Home Opportunity after training (Equipment Provided)
Paid Time Off
Medical, Dental, and Vision
403b with Match
Opportunity for Growth
DUTIES AND RESPONSIBILITIES:
Understand and uphold SEP's Mission, Vision, and Values.
Comply with all applicable laws and regulations.
Comply with all applicable laws and regulations.
Comply with scheduling of patients and release of medical information processes to stay compliant with OSHA/CLIA/HIPAA.
Accurate documentation in the EMR.
Provide instructions and results to patients under directions of the providers.
Communicates as needed with offices about any patient concerns/issues related to results.
Schedules appointments for patients based on the criteria outlined in the office scheduling preference cards and/or decision trees
Maintains an effective working relationship with team members, members of medical practice and leadership.
Verifies and updates all patient demographic and insurance information.
Provide information and communicate effectively to resolve issues with patients, providers, other associates, management and insurance companies.
Advises patients of outstanding balances.
Ensures accurate and timely distribution of patient requests.
Advises patients of outstanding balances.
Ensures accurate and timely distribution of patient requests
Works with central billing office and physicians/clinicians as needed in a timely manner on all requests.
Other duties and responsibilities as assigned.
EDUCATION:
Minimum: Active certification or license of LPN, CMA, RMA, EMT.
YEARS OF EXPERIENCE:
Minimum: One year of experience in area of certification in a clinical setting.
LICENSES AND CERTIFICATIONS:
An approved credential such as LPN, CMA, RMA, EMT.
FLSA Status:
Non-Exempt
Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other.
St. Elizabeth Physicians is an equal opportunity employer and will not discriminate on the basis of race, color, sex, religion, national origin, ancestry, disability, age or any other characteristic that is protected by state or federal law.
$30k-33k yearly est. Auto-Apply 7d ago
Patient Access Representative (REMOTE)
Aveanna Healthcare
Remote job
Salary:$17.00 - $18.00 per hour Details Pay: $17-$18/HR Fully Remote/ Equipment Provided As a PatientAccess Respresentative with Aveanna, you'll be responsible for:
* Proactively requesting and obtaining prescriptions and authorizations from medical offices and insurance companies for a set portfolio of patients.
* Contact physicians, practice staff, payer representatives and patients on a daily basis to review scheduled services and to ensure complete and accurate information is documented.
Looking to work for a compassionate company that cares deeply for their patients? You've found us! Here at Aveanna we are dedicated to bringing new possibilities and new hope to those we serve.Come join our team of caring and talented team members!
Position Hours are based off of Central Time Zone (M-F/ 8-5pm CST). Candidates located in these states will be prioritized for consideration.
Essential Job Functions
* Send prescription and authorization requests to medical offices and insurance companies for renewals and prescription/insurance changes
* Follow up with medical offices and insurance companies as needed to ensure requests are received in timely manner
* Resolve patient, medical office and insurance company questions and concerns regarding Certificate of Medical Necessity (CMN) and/or Participating Provider (PAR)
* Re-verify monthly patient eligibility for continued services
* Meet daily, monthly and quarterly metrics and goals set by management
* Ensure work being performed meets internal and external compliance requirements
Position Qualifications
* High school diploma or GED
* Two years in a related administrative/customer service role; healthcare or medical office
Preferences
* Associates Degree in medical office management, medical insurance, or medial coding.
* Insurance authorization and/or precertification. Knowledge of home health, DME and Enteral nutrition products
* Medical Billing and Coding Certification
Other Skills/Abilities
* Proficient in Microsoft suite of products including Outlook, Word and Excel.
* Strong basic math and accounting skills.
* Strong critical thinking and problem solving skills.
* Must possess a strong sense of urgency and attention to detail.
* Excellent written and verbal communication skills.
* Proven ability to work independently at times and within a team.
* Ability to adapt to change.
* Demonstrated ability to prioritize multiple tasks to meet deadlines.
* Demonstrated ability to interact in a collaborative manner with other departments and teams.
Other Duties
* Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. 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.
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
$17-18 hourly 5d ago
Patient Access Representative
Mercy Hospitals East Communities 4.1
Remote job
Find your calling at Mercy!The PatientAccess Representative is often the first point of contact for our patients and therefore must represent Mercy with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and Mercy Service Standards.
The PatientAccess Representative will facilitate all components of the patient's entrance into any Mercy facility. This may include scheduling, registration, benefit verification, pre-certification and financial clearance including pre-visit collection. The PatientAccess Representative will be responsible for ensuring that the most accurate patient data is obtained and populated into the patient record. This co-worker must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and accreditation agencies.Position Details:
Experience and Education Requirements:
1-3 years clerical experience and customer service experience preferred. Experience with medical terminology and insurance plans preferred. High School diploma required; some college helpful.
Minimum skills, knowledge and ability requirements:
- Ability to communicate effectively both orally and in writing, excellent telephone etiquette required.
- Ability to establish and maintain positive working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies.
- Strong organizational skills; attention to detail.
- Ability to work under stress, meet deadlines and perform all daily assignments with a high level of accuracy.
- Knowledgeable and experienced with various computers systems; Ability to use a 10-key calculator and computer keyboard.
Physical Requirements:
• Position requires the ability to push, pull, and/or lift 50 lbs on a regular basis.
• Position requires prolonged standing and walking during each shift.
• Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties.
Why Mercy?
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
Financial Clearance Assoc 1, Remote,PatientAccess Bus. Office, FT, 08:30A-5P-155882Description The incumbent will be responsible for obtaining and verifying necessary demographic and insurance information, including authorization/referrals/notifications (diagnostic, surgical, therapy, admissions/observations, and other procedures/treatments). Responsible for scheduling patients' appointments/procedures (initial, follow-up, and/or add-on), as applicable. This position requires the incumbent to be in a call center type environment and responsible for meeting individual quality metrics (e.g., productivity, accuracy, customer service QA, etc.). Responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Maintaining knowledge of insurance requirements, Baptist Health South Florida (BHSF) pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members.Qualifications Degrees:
High School,Cert,GED,Trn,Exper.
Additional Qualifications:
Complete and successfully pass the PatientAccess training course. Ability to work in a high volume, fast-paced work environment. Ability to perform basic mathematical calculations. Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills . Desired: Basic knowledge of medical and insurance terminology. Experience with computer applications (e.g., Microsoft Office, knowledge of EMR applications, etc.) and accurate typing skills. Knowledge of regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines. Bilingual English, Spanish/Creole.
Minimum Required Experience:
Less than 1 year Job CorporatePrimary Location RemoteOrganization CorporateSchedule Full-time Job Posting Jan 15, 2026, 5:00:00 AMUnposting Date Ongoing Pay Grade T21EOE, including disability/vets Refer a friend for this job Tell us about a friend who might be interested in this job. All privacy rights will be protected.Refer a friend
$30k-37k yearly est. Auto-Apply 4d ago
Patient Engagement Specialist (Remote; Northeast or Florida preference)
Rightmove Health
Remote job
RightMove, powered by the Hospital for Special Surgery (HSS), is a fast-growing digital health startup delivering best-in-class musculoskeletal (MSK) care through a value-based, virtual model. Backed by the #1 orthopedic hospital in the world, RightMove combines world-class physical therapists, proven clinical expertise, and modern technology to improve outcomes and reduce unnecessary healthcare costs.
Role Overview
The Patient Engagement Specialist is a frontline role responsible for connecting eligible members and referred patients to RightMove's virtual MSK care. This role serves as the first point of contact for patients and will support outreach, education, eligibility verification, and scheduling of initial clinical evaluations.
As an early-stage startup, we are looking for someone who is adaptable,patient-focused, and excited to help build and refine processes while delivering excellent patient experience.
Key Responsibilities
Conduct outbound phone outreach to eligible members and referred patients
Answer inbound calls and respond to patient questions about RightMove services
Educate patients on available care options and next steps
Verify eligibility and schedule initial evaluations
Accurately document all patient interactions in CRM systems
Escalate or route complex issues to appropriate internal teams
Identify opportunities to improve workflows, outreach effectiveness, and patient experience
Day-to-Day
Make outbound calls to introduce RightMove services
Support referred patients through onboarding and scheduling
Provide real-time patient support via inbound calls
Maintain accurate, compliant documentation
Operate in accordance with HIPAA and all applicable compliance requirements
Qualifications
Required:
High school diploma or GED (associate degree preferred)
1-3 years of experience in healthcare customer service,patient engagement, scheduling, or call center environments
Strong verbal communication skills and comfort with phone-based outreach
Ability to explain healthcare services clearly and compassionately
Experience using CRM, scheduling, or documentation tools
Strong organization, attention to detail, and ability to multitask
Preferred:
Experience in telehealth, digital health, MSK care, or physical therapy
Familiarity with insurance eligibility and benefit navigation
Bilingual (Spanish/English) a plus
What Success Looks Like
Patients feel informed, supported, and confident in starting care
High conversion from outreach to scheduled evaluations
Accurate documentation and compliant workflows
Willingness to adapt, solve problems, and grow with a fast-moving startup
$30k-37k yearly est. Auto-Apply 6d ago
Patient Access Specialist
Health Note
Remote job
PatientAccess Specialist - Healthcare AI
Health Note is reimagining the front door of healthcare with AI. Our digital assistants automate patientaccess work from the first phone call through scheduling, intake, and documentation, so clinical teams can focus on care instead of administration.
We build AI agents that answer calls, book appointments, manage intake, and route patients directly into EHRs. Our customers are health systems that need their access operations to work accurately and at scale.
About the Role
We are hiring a PatientAccess Specialist to bring real-world clinic and call center experience into how our AI works. You have spent time in patientaccess, scheduling, or front-desk operations, ideally across multiple clinic locations. You understand where workflows break, where staff get stuck, and where patients get frustrated.
You will work closely with engineering and product partners to translate real operational reality into workflows our AI can safely and accurately handle. This role sits at the intersection of healthcare operations and systems design.
What You'll Do
Translate patientaccess and front-desk workflows into clear, testable logic for AI scheduling and intake agents.
Map real call flows, check-in processes, and escalation paths, including edge cases.
Partner with engineering to validate AI behavior, tone, and failure handling.
Identify recurring operational pain points and recommend where automation helps and where humans should stay involved.
Contribute to internal and customer-facing documentation and workflow guidance.
Gather feedback from real usage and help refine workflows over time.
What You Bring
3 to 5 years of experience in healthcare operations, such as patientaccess, call center work, or leading front-desk teams in a multi-location clinic.
Strong understanding of scheduling, registration, and intake workflows.
Familiarity with systems like Epic Cadence, Five9, NICE, Genesys, or similar tools.
Ability to explain operational processes clearly and practically.
Curiosity about how technology and automation can improve healthcare operations.
Comfort working cross-functionally in a fast-moving environment.
Bonus Points
Experience with process improvement, QA, or staff training in patientaccess or front-desk settings.
Exposure to healthtech or AI-enabled workflow tools.
Interest in growing toward systems, operations design, or product-adjacent work.
Benefits
Health, dental, and vision insurance with generous company subsidies
Life and disability insurance
401(k) with company match
Flexible PTO and company-paid holidays
Paid parental leave
Fully remote work within the U.S
Company-provided laptop
$30k-37k yearly est. 35d ago
Patient Access Rep, Remote, Ortho. F/T
Amberwell Health
Remote job
The PatientAccess Rep arranges for the efficient and orderly registration of outpatients and assists with inpatients, ensures that accurate patient information is collected, verifies insurance benefits and eligibility. Ensures all incoming telephone calls are promptly and courteously answered and routed to the correct extension within the Hospital. Greets all visitors to the Hospital promptly and courteously. Directing visitors to appropriate areas, or obtaining for those whom need a wheelchair, etc. Participates in the upfront collection process of co-pays, co-insurance, deductibles and discounts. Arranges for patients to speak with Financial Counselor if needed.
The Lead PatientAccess Rep will also be responsible for supporting the Patient Financial Services department by handling other assigned duties as assigned by the PFS Manager. The Team Lead is responsible for coordinating daily operations and serves as the main point of contact for all PatientAccess Reps as well as assist the PFS Manager with leadership responsibilities. The Team Lead will work with the PFS Manager to create and implement new workflows, best practices and seek continuous opportunities for process improvements. The Team Lead is also a subject matter expert on all policies and procedures as well as a super user for MediTech.
ABOUT AMBERWELL HEALTH:
Amberwell Health is a healthcare system dedicated to improving the health and wellness of the communities we serve, providing compassionate healthcare with clinical excellence. Amberwell locations include several complete care facilities that provide a full spectrum of patient care services including inpatient, surgical, orthopedic, maternal, health at home, emergency care services. In addition, Amberwell clinic locations offer primary care and specialty care services. Amberwell Health supports service lines and locations across the system with a range of support services including radiology, laboratory, cardiopulmonary, rehabilitation therapy, occupational health, infusion, nutrition, pharmacy, administrative services, and many other specialty services.
AMBERWELL CULTURE:
Amazing Amberwell employees are at the heart of a workplace focused on competencies with our cultural values. Excellence in healthcare is expected and our patients deserve nothing less. Our culture competencies range from warm greetings in the hall to providing patients with “wow” experiences in each department. At Amberwell, we go beyond excellence to provide the unexpected.
At Amberwell, you will find a professional environment that values consistency, collaboration, and patient-first decision making. Servant leadership is both modeled and mentored, with a focus on regular appreciation. Amberwell employees enjoy many appreciation events and activities to help them know just how important they are to our organization, our patients, and our communities.
To learn more about Amberwell Health, our affiliated organizations, and available career opportunities, visit careers.amberwellhealth.org.
Qualifications
Education
High School or GED
Experience
Excellent customer Service experience required
Skills
Organizational
Verbal
Interpersonal
Customer Relations
Mathematical
Analytical
Grammar/Spelling
Read/Comprehend written instructions
Follow verbal instructions
Knowledge of Microsoft Products
Operate 10-key calculator
Knowledge of Medical Terminology
Mental and Emotional Requirements
Manage stress appropriately
Make decisions under pressure
Manage anger/fear/hostility/violence of others appropriately
Handle multiple priorities
Work alone
Working Conditions
Exposure to potential electrical shock
CRT (computer) monitor
Physical Requirements
Sedentary work- Prolonged periods of sitting and exert up to 10 lbs. of force occasionally.
Stand for 1 hour per day
Sit for 6-7 hours per day
Walk for 1 hour per day
Perform repetitive tasks/motions
Distinguish colors
Hear alarms/telephone/tape recorder/normal speaking voice
Have good manual dexterity
Have good eye/hand/foot coordination
Have clarity of vision: Mid (>20=-
$30k-38k yearly est. 9d ago
Patient Access Specialist - REMOTE
Patient Accounting Service Center, LLC
Remote job
Job Description
This role involves assisting patients with insurance verification, scheduling clinical services, and ensuring pre-registration requirements are met, with a pay rate of $16/hr and eligibility for quarterly bonuses. Responsibilities include maintaining patient information, securing authorizations, ensuring accurate scheduling, and assisting with financial responsibilities. Prior experience in patientaccess or healthcare is preferred. GetixHealth offers comprehensive benefits, including health coverage, life insurance, 401(k), and paid time off.
*** Must be able to type a minimum of 35 words per minute (WPM). A typing assessment will be administered during the interview process.***
Key Responsibilities:
Insurance Verification & Documentation: Capture and verify patient demographics, insurance details (policy numbers, co-pays, deductibles), and benefits eligibility. Secure necessary pre-certifications and authorizations from insurance companies and physician offices.
Scheduling: Accurately schedule clinical services, ensuring available times are identified and patient demographic and insurance details are confirmed.
Customer Service: Maintain a professional and helpful relationship with patients, providing support with financial responsibilities and pre-registration requirements.
Data Entry & Systems Management: Accurately input patient and insurance data into appropriate systems, including procedure/diagnosis codes and authorization details.
Compliance: Ensure adherence to HIPAA guidelines and organizational policies regarding patient information and financial responsibilities.
Patient Financial Support: Assist patients in understanding their financial responsibilities and help guide them through the billing and payment processes.
Team Collaboration: Work closely with internal teams to meet registration goals and minimize errors in scheduling and billing.
Qualifications:
Education: High School Diploma or GED required. An Associate or Bachelor's degree in Business, Financial/Healthcare fields is preferred.
Experience: Minimum of 1 year in patientaccess, financial services, or healthcare-related roles. 2-3 years of experience preferred.
Skills:
Proficiency in medical terminology and insurance protocols.
Strong communication skills (oral and written).
Ability to multitask in a fast-paced environment and meet deadlines.
Experience with hospital billing requirements and documentation processes.
Knowledge of Protected Health Information (PHI) and HIPAA.
Ability to work in a team environment and adapt to flexible schedules.
Bilingual skills are a plus.
About GetixHealth:
Founded in 1992, GetixHealth has grown into a leading provider of healthcare revenue cycle management services, with offices across the United States and India. We work with healthcare organizations to optimize their financial performance, offering solutions that enhance efficiency and profitability. Our team of 1,800 dedicated professionals delivers exceptional patient care, compliance, and cutting-edge technology to help clients succeed. With a relentless commitment to patient satisfaction, we ensure that every step of the revenue cycle is streamlined and patient centered.
Benefits & Incentives:
Comprehensive Health Coverage: Enjoy medical, dental, and vision plans available starting after 90 days of full-time employment.
Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
401(k) Plan: Eligible to participate in the company's 401(k) plan after 6 months of continuous service.
Paid Time Off (PTO): Start accruing PTO from your very first day of employment.
Flexible Benefits: Customize your benefits package to fit your personal and family needs.
GetixHealth is an equal opportunity employer and participates in E-Verify.
$16 hourly 14d ago
Patient Access Representative (Remote)
Midwaretech
Remote job
This is the Remote Job
PatientAccess Representative duties and responsibilities
To excel as a PatientAccess Representative, a strong candidate needs to balance a variety of duties in a fast-paced environment. Their main responsibility is to greet and assist patients, and provide exceptional customer service in person and on the phone. Some PatientAccess Representative job duties include:
Checking patients in and out when they arrive for medical appointments
Answering the phone to address patient inquiries and scheduling appointments
Documenting insurance information, personal information, payment methods and other important patient information
Updating patient files and appointment information accurately
Communicating information and important details to other medical care staff
Contacting insurance companies regarding coverage, preapprovals, billing and other issues
Processing payments from patients and handling billing issues between patients and insurance companies
Managing various types of paperwork and other clerical duties