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Specialist jobs at TeamBuilders Counseling Services

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  • Clinical Technology Specialist

    Fortec Medical 4.2company rating

    Sacramento, CA jobs

    ForTec†Medical†is an industry leader, dedicated to improving patient health. Our Mission is to improve patient health and healthcare by delivering innovative surgical technologies on demand. ForTecâ€TMs commitment to excellence, integrity, and positive culture defines our organization. Join us in shaping the future of healthcare while growing your career in a supportive, mission-focused environment. What We Offer: At ForTec, caring for others starts with caring for our team. Thatâ€TMs why our benefits go beyond the basics: Paid Time Off: Company paid holidays, a floating holiday, and generous paid time off.Health & Wellness Support: Medical, dental, vision, short- and long-term disability, life insurance, critical illness insurance, accidental injury insurance, and a Health and Wellness Program.Future Planning: 401(k) with company match, annual profit-sharing opportunities, and free financial advising resources.Extras That Matter: Free Teladoc account, employee assistance programs, and uniforms for field team members. Employee referral bonuses, tenure milestone awards, holiday bonuses, and performance-based recognition and reward opportunities. Remember to check your CV before applying Also, ensure you read through all the requirements related to this role. As a Clinical Technology Specialist, you will play a vital role in ensuring the successful use of advanced, innovative surgical technologies. We offer comprehensive training to equip you with the skills and confidence to thrive in your role. Primary Responsibilities: Set up and operate surgical technologies to provide technical equipment guidance as needed to surgeons and staff before and during surgery Perform preoperative checklists, sterilization, equipment calibrations, and complete necessary documentation Load and transport surgical technologies to healthcare facilities. Driving is an everyday responsibility of this role with occasional overnight travel Practice safe vehicle operations, safe workplace practices, and laser safety techniques Meet customer needs, provide exceptional customer service, and foster strong, professional relationships with both ForTec team members and healthcare partners Requirements: Must be able to work a flexible schedule with early mornings, evening cases, and occasional weekend coverage or overnight travel Professional demeanor and strong team-oriented mindset Must be able to meet the credentialing requirements of assigned medical facilities, which include client-required immunizations Basic computer/smartphone proficiency High School diploma or equivalent Must hold a valid U.S. driverâ€TMs license with no major violations Ability to push, pull, and manipulate medical equipment over 50 pounds Ability to frequently bend, stoop, sit, and stand for long periods of time What You Need to Be Successful: Ability to work independently Self-starter with excellent problem-solving abilities Outstanding communication and customer service skills Strong organizational skills with a high attention to detail Preferred Background: If you have prior medical, EMT, Surgical Technologist, or military experience, your background can provide a smooth transition into the clinical technology specialist role. If you have experience working long days, unpredictable schedules, early mornings, and are eager to learn, we will train you! Wage Range: $25 - $28 an hour depending on experience Join ForTec Medical â€" make YOUR impact today! All your information will be kept confidential according to EEO guidelines. The Company is an equal opportunity employer. As such, we provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, citizenship, ethnicity, national origin, age, disability, pregnancy, genetic information, sexual orientation, status as a member of the United States armed forces, veteran status, or any other protected characteristic in accordance with applicable federal, state, and local laws. xevrcyc PandoLogic. Keywords: Student Transition Coordinator, Location: Sacramento, CA - 95811
    $25-28 hourly 1d ago
  • Client Engagement Specialist - Woodward

    Tricore Reference Laboratories 4.6company rating

    Albuquerque, NM jobs

    Schedule: Monday - Friday 0930-1800 with weekends, holidays, on-call, and other shifts as needed Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest. ESSENTIAL FUNCTIONS: 1. After training period, show proficiency and have documented competency with various applications, websites and functions. 2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module. 3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc. 4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators. 5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore. 6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year. 7. Perform other assigned duties to meet the customer s requirements with direction of leadership. The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified. General Requirements: Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service. Be able to articulate with customers and have persuasion, negotiating and retention skills. Ability to be empathetic and exercise key listening skills. Work effectively in a team environment, contributing to the success of the call center and organization. Achieves personal metrics and goals set forth by the organization. Work on a schedule that is set in advance for all functions, lunches and breaks. Attends training as required and is expected to be punctual. Accurate and fast typing required. Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required. Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications. Will be learning laboratory terminology in Clinical and Anatomic Pathology. If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application Minimum Qualifications: MINIMUM EDUCATION: High school diploma or equivalent. OTHER REQUIREMENTS: A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes). PREFERENCES: Associate s degree in related field preferred. Completion of appropriate medical certificate training program. Knowledge of laboratory tests/medical terminology Proficient computer skills and ability to use multiple applications simultaneously. Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below: CLIENT ENGAGEMENT SPECIALIST I Meet one of the following: Six (6) months experience in a clinical laboratory or medical setting. Six (6) months customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST II Meet one of the following: One (1) year relevant experience at TriCore. Two (2) years relevant experience in a clinical laboratory or medical setting. Three (3) years customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST III Meet one of the following: Two (2) years relevant experience at TriCore Three (3) years relevant experience in a clinical laboratory or medical setting Four (4) years customer service experience or equivalent combination of education and experience TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
    $45k-66k yearly est. 60d+ ago
  • Client Engagement Specialist - Woodward

    Tricore Reference Laboratories 4.6company rating

    Albuquerque, NM jobs

    Schedule: Monday-Friday 8:30am-5pm and other shifts as needed Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest. ESSENTIAL FUNCTIONS: 1. After training period, show proficiency and have documented competency with various applications, websites and functions. 2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module. 3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc. 4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators. 5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore. 6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year. 7. Perform other assigned duties to meet the customer s requirements with direction of leadership. The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified. General Requirements: Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service. Be able to articulate with customers and have persuasion, negotiating and retention skills. Ability to be empathetic and exercise key listening skills. Work effectively in a team environment, contributing to the success of the call center and organization. Achieves personal metrics and goals set forth by the organization. Work on a schedule that is set in advance for all functions, lunches and breaks. Attends training as required and is expected to be punctual. Accurate and fast typing required. Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required. Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications. Will be learning laboratory terminology in Clinical and Anatomic Pathology. If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application Minimum Qualifications: MINIMUM EDUCATION: High school diploma or equivalent. OTHER REQUIREMENTS: A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes). PREFERENCES: Associate s degree in related field preferred. Completion of appropriate medical certificate training program. Knowledge of laboratory tests/medical terminology Proficient computer skills and ability to use multiple applications simultaneously. Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below: CLIENT ENGAGEMENT SPECIALIST I Meet one of the following: Six (6) months experience in a clinical laboratory or medical setting. Six (6) months customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST II Meet one of the following: One (1) year relevant experience at TriCore. Two (2) years relevant experience in a clinical laboratory or medical setting. Three (3) years customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST III Meet one of the following: Two (2) years relevant experience at TriCore Three (3) years relevant experience in a clinical laboratory or medical setting Four (4) years customer service experience or equivalent combination of education and experience TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
    $45k-66k yearly est. 60d+ ago
  • Client Engagement Specialist - Woodward

    Tricore Reference Laboratories 4.6company rating

    Albuquerque, NM jobs

    Schedule: Monday - Friday 0830-1700 with weekends, holidays, on-call, and other shifts as needed. Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest. ESSENTIAL FUNCTIONS: 1. After training period, show proficiency and have documented competency with various applications, websites and functions. 2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module. 3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc. 4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators. 5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore. 6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year. 7. Perform other assigned duties to meet the customer s requirements with direction of leadership. The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified. General Requirements: Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service. Be able to articulate with customers and have persuasion, negotiating and retention skills. Ability to be empathetic and exercise key listening skills. Work effectively in a team environment, contributing to the success of the call center and organization. Achieves personal metrics and goals set forth by the organization. Work on a schedule that is set in advance for all functions, lunches and breaks. Attends training as required and is expected to be punctual. Accurate and fast typing required. Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required. Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications. Will be learning laboratory terminology in Clinical and Anatomic Pathology. If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application Minimum Qualifications: MINIMUM EDUCATION: High school diploma or equivalent. OTHER REQUIREMENTS: A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes). PREFERENCES: Associate s degree in related field preferred. Completion of appropriate medical certificate training program. Knowledge of laboratory tests/medical terminology Proficient computer skills and ability to use multiple applications simultaneously. Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below: CLIENT ENGAGEMENT SPECIALIST I Meet one of the following: Six (6) months experience in a clinical laboratory or medical setting. Six (6) months customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST II Meet one of the following: One (1) year relevant experience at TriCore. Two (2) years relevant experience in a clinical laboratory or medical setting. Three (3) years customer service experience. Post high school education and/or experience may be substituted one for the other. CLIENT ENGAGEMENT SPECIALIST III Meet one of the following: Two (2) years relevant experience at TriCore Three (3) years relevant experience in a clinical laboratory or medical setting Four (4) years customer service experience or equivalent combination of education and experience TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
    $45k-66k yearly est. 30d ago
  • Client Engagement Specialist

    Phil 4.6company rating

    San Francisco, CA jobs

    Founded in 2015, PHIL is a Series D health-tech startup that is building a platform that interfaces between doctors, pharmacies, and patients to streamline the process of patients receiving prescriptions. This is a complex, archaic industry, and we've set out to change that. PHIL's B2B2C platform provides an end-to-end prescription management and delivery service. Our robust platform connects patients, prescribers, pharmacies, and manufacturers, enabling easy and affordable access to medicine. Through its digital stakeholder experiences, patient access services, market access solutions, and distribution models, pharma manufacturers can deliver affordable and timely therapy access to patients, resulting in more patients staying on their treatment plans longer. Consequently, pharma manufacturers are enabled for more innovation. The team at PHIL is a group of like-minded individuals from varying backgrounds, passionate about creating a new and innovative healthcare platform that is focused on patient experience and overall human wellbeing. Ready to join our team of mission-driven, analytical, and passionate people? Keep reading! Position Overview PHIL is seeking a Client Engagement Specialist to play a vital role in ensuring timely prescription processing and supporting positive patient and customer outcomes. In this role, you will review and resolve prescription-level issues, collaborate with cross-functional teams, and provide direct support to manufacturer partners through email, ticketing systems, and client meetings. Reporting to the Client Engagement leadership team, you will be responsible for managing tickets, building strong client relationships, and delivering exceptional service through timely communication, clear reporting, and proactive education. Responsibilities: Review and resolve script-level tickets to ensure proper processes are followed; correct and reprocess as needed. Monitor and manage the support ticket queue to ensure timely resolution of incoming issues. Serve as the first-line point of contact for manufacturer partners, providing real-time updates and proactive support via phone, email, and virtual meetings. Contact internal and external stakeholders to move scripts forward in the processing workflow. Lead and participate in client operational meetings to address escalations, share updates, and resolve challenges. Identify and escalate high-risk scripts and troubleshoot problems in collaboration with internal teams. Partner with Client Engagement leadership to evaluate processes, identify efficiencies, and drive scalable improvements. Support onboarding and training of internal stakeholders and new employees to ensure workflow consistency. Accurately document customer interactions, issues, and resolutions in CRM and ticketing systems. Collaborate with Client Engagement leadership to evaluate and improve existing processes and procedures. Identify scalable process improvements to drive efficiency and standardization. Provide feedback on recurring issues and suggest updates to support documentation, FAQs, or internal workflows. Represent the Client Engagement team in both internal and external meetings, including client discovery sessions and cross-functional initiatives, to ensure alignment, share insights, and advocate for customer needs. Support other functions to address the needs of the business and customers as needed Qualifications: Bachelor's degree or equivalent experience. Active Pharmacy Technician license required in the state of residence. Minimum 2+ years of client-facing support experience in healthcare or technology, with strong communication and problem-solving skills. Demonstrated ability to collaborate cross-functionally to resolve script-level and client-level issues efficiently. Strong analytical thinking with the ability to identify patterns and root causes in workflows. Excellent written and verbal communication skills, with a focus on clarity, empathy, and professionalism. Adaptable and proactive problem-solver with a collaborative, team-first mindset. Background in pharmacy or healthcare operations preferred. Experience with Lean, Six Sigma, or other process improvement methodologies (preferred). Prior experience as a pharmacy technician, including use of proprietary systems to process prescriptions (preferred). Benefits Ground floor opportunity with one of the fastest-growing startups in health-tech Fully remote working environment Competitive compensation (commensurate with experience) Full benefits (medical, dental, vision) 401(k) contribution opportunity PHIL Inc. is an equal-opportunity employer.
    $48k-79k yearly est. Auto-Apply 60d+ ago
  • ERSEA Specialist

    Foothill Family 3.1company rating

    Pomona, CA jobs

    Bilingual differential for qualified candidates. Processes pre-enrollment applications, including eligibility determination, for the Early Head Start program. The ERSEA Specialist compiles and runs reports, surveys, and other program documentation. ESSENTIAL DUTIES AND RESPONSIBILITIES Supports and promotes the mission of the Agency: Foothill Family empowers children and families on their journey to achieve personal success. Processes pre-enrollment paperwork with new or walk-in clients; processes referrals, verifies program eligibility, collaborates with referral sources and child care subsidy programs. Links waitlisted applicants with appropriate child care subsidy agencies and support families to acquire child care subsidies before enrollment. Conducts phone and in-person interviews with clients to determine program eligibility, including but not limited to, parent enrollment orientations at all EHS and Partnership sites Secures information such as medical, psychological, and social factors contributing to client's situation to determine selection criteria points using program guidelines. Provide educational materials on health requirements including immunization schedule to applicants and provide resources and linkage for children to be up to date on the health requirements before enrollment. Provides clients with community resources based on client needs disclosed in the interview process. Uses judgment to determine when to consult with supervisor and/or Content Area Experts (e.g, Mental Health) about any clients who may have high needs. Follows up with waitlisted applicants to update status, especially concerning subsidies. Provides support and information to child care partners throughout the contractual relationship including but not limited to enrollment, teacher-child ratio, and subsidy related information. Works as a team and engages in on-going and consistent communication with other staff. Assists with collecting and monitoring Community Care Partnership (CCP) daily attendance. Maintains pending call lists, waitlists and other reports as needed. Enters and updates client data into the program database. Compiles and runs reports, surveys, and other program documentation. Participates in Community Outreach events and program recruitment. Provides care or services to minors or comes into contact with minors as part of their job duties. Provides services relating to the administration of public funds or benefits, including eligibility for public funds or public benefits. Travels between Foothill Family and Child Care Partner sites for training, meetings, and other in-person interactions. Attends in-person meetings and events at various locations within the Los Angeles County and surrounding areas. Displays sensitivity to the service population's cultural and socioeconomic characteristics. Assists in translating for clients receiving services as needed. Types memos, letters, and other program correspondence. Translates written material in to appropriate languages for our clients. Effectively represents the Agency in interactions with partners, parents and other clientele. Performs work in a safe manner at all times and ensures that other individuals do not put themselves or others at risk. SECONDARY DUTIES Provides facilities support as needed (e.g., front desk coverage, meeting/training set up, answering and transferring calls, checking-in clients, greeting visitors). POSITION REQUIREMENTS High school diploma or general education degree (GED); with some college preferred. Expertise in business, administrative practices. Computer literate; word processing, spreadsheets and data entry Bilingual in Spanish required. Detail oriented; high level of accuracy. Good oral and written communication skills Excellent people skills. Organized; ability to manage several tasks simultaneously. Flexible and enthusiastic; demonstrates initiative. Valid CA Driver's License and maintains insurability on the Agency's auto liability policy (including a minimum of 2 years driving experience after receiving license) and maintains the California state required auto insurance liability limits OR maintains reliable transportation to attend all appointments and meetings as required in the position. Must not be excluded, suspended, debarred or otherwise made ineligible on the Federal, State or County Sanctions lists. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    $51k-82k yearly est. Auto-Apply 60d+ ago
  • Patient Account Specialist - PFS Billing Services

    Scripps Health 4.3company rating

    San Diego, CA jobs

    Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers. This is a Full Time (80 hours every pay period) benefited position, Monday-Friday for day shift. Over time additional hours when needed. Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide. As a Patient Account Specialist, you will be supporting the Billing Services department at our 4S Ranch Business Services location. This role is essential in managing a high volume of hospital Government Insurance/Billing documents, while also performing follow up actions to gather accurate information needed from patients, payers and providers. The ideal candidate is one who thrives in a fast-paced environment and has a passion for insurance and medical claims. As a Patient Account Specialist, you will be responsible for the following: * Responsible for working aged reports and credit balances on a regular basis set by department guidelines. * Follows-up with insurance carriers timely on unpaid claims until claims are paid or only self-pay balance remains. Does not have claims written off for timely filing. * Processes rejections by either making accounts self-pay and generating a letter of rejection to patient or correct any billing error and resubmitting claims to insurance carriers. * Keeps updated on all billing requirements and changes for all insurance types. * Responsible for responding to all inquiries, billing denials, other correspondence and phone requests in an efficient, timely, and effective manner. Secures needed medical documentation required or requested by insurances. * Works with HIM staff to ensure that complete diagnosis/procedure codes and modifiers are reported to insurance carriers as required. * Working directly with the insurance company, healthcare provider, liable third parties, and patient to get a claim processed and paid * Works to help maintain Accounts Receivable (AR) days at or near target level set by the Hospital Senior Team. * Supporting continuous improvement of organization processes and personal knowledge and skills, and maintaining and protecting confidential information * Providing excellent customer service through cooperative working relationships, and meeting productivity and quality standards. #LI-JS1 Required Education/Experience/Specialized Skills: * Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements. * Knowledge of Medical Terminology and Medicare Compliance. * Familiarity with HIPAA privacy requirements for patient information. * Basic understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes. * Ability to multitask and stay organized. * Good verbal and written communication skills. * Detail oriented and ability to prioritize work. * Requires a moderate level of interpersonal, problem solving, and analytic skills. * Knowledgeable on insurance and reimbursement process. * Ability to establish/maintain cooperative working relationships with staff, Medical Staff and providers. Preferred Education/Experience/Specialized Skills: * Two years of patient accounts experience in a healthcare setting. * Working knowledge of healthcare EPIC software preferred. * Minimum two year experience billing Medicare, Medicaid, Blue Cross and Commercial insurance preferred, three or more years desired. * Knowledge in Excel, Word and basic computer functions such as saving documents, sharing documents * Demonstrate strong computer skills required. (Education may be substituted for experience in some areas.) * Demonstrate knowledge of accounts receivable practices, payer billing and reimbursement procedures and practices. * Working knowledge of hospital UB04, CPT-4, HCPCS, ICD-10 and Revenue codes. * Proficient in institutional insurance billing guidelines using 837I X12 Version 005010X279A1 transactions. At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $25.40-$33.15/hour
    $25.4-33.2 hourly 23d ago
  • Client Success Specialist (Temporary Part-Time) [Hourly Base + Incentive]

    My Senior Health Plan 4.5company rating

    San Diego, CA jobs

    My Senior Health Plan, a leader in the Medicare B2C space for nearly 20 years, is looking for a motivated and energetic Client Success Specialist to join our growing team in La Jolla, CA. If you have a strong background in customer service and are passionate about making a difference in the lives of seniors, we want to hear from you! Job Summary: As a Client Success Specialist, you'll be the go-to support for our clients and internal teams, ensuring a smooth and professional experience from start to finish. Job Duties and Responsibilities: Communicate with clients via phone and email in a courteous, professional, and timely manner. Manage inbound and outbound calls utilizing an auto-dialer system. Qualify potential leads and transfer them to the appropriate sales team members. Accurately enter and maintain client information within our CRM. Prepare and distribute client welcome kits and related materials. Process insurance applications and conduct verification calls as required. Monitor and follow up on application statuses with both carriers and clients. Assist in post-sale client support to ensure satisfaction and retention. Perform a variety of administrative tasks, including scanning, filing, and data entry. Provide backup support to other administrative functions as needed. Requirements: High school diploma or GED with a minimum of 3 years of administrative experience, or a bachelor's degree with at least 2 years of relevant experience. Job stability and tenure in previous roles. Strong phone presence with a friendly and professional demeanor. Excellent organizational, interpersonal, and written/verbal communication skills. Proven ability to multitask, prioritize responsibilities, and manage time effectively in a fast-paced environment. Collaborative team player with a proactive mindset and a strong desire to learn and grow. Proficient in Microsoft Office and internet research/navigation. Familiarity with CRM systems and a genuine passion for providing exceptional client service. Working Conditions: Stationary role, operating a computer and office equipment. Light lifting (up to 25 lbs.). Office environment with occasional movement within the workspace. Part-time 16-24 hours/week. Temporary until 12/31/2025, with the potential to transition to a permanent role 1/1/2026. Why Join Us? Competitive hourly base pay with an annual performance-based bonus. Paid sick time Positive work environment with growth opportunities. Paid parking in La Jolla, CA. No cold calls, all warm leads. Ready to make a difference? If you're a driven professional looking to grow your career while helping Medicare-eligible individuals, apply today to join My Senior Health Plan's mission-driven team! My Senior Health Plan is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, religious creed, gender, sexual orientation, gender identity, gender expression, transgender, pregnancy, marital status, national origin, ancestry, citizenship status, age, disability, protected Veteran Status, genetics or any other characteristic protected by applicable federal, state, or local law. *All offers of employment are contingent upon successfully passing a pre-employment drug test and background check. My Senior Health Plan.com Inc. participates in E-Verify. AI Use Disclosure To make our hiring process smooth and efficient, we use tools like BambooHR (application tracking), Hireflix (on-demand interviews), and Calendly (scheduling), and TestGorilla (skills assessments). These tools help us stay organized, but all applications and results are carefully reviewed by real people. AI supports our process, it doesn't replace human judgment. We also take steps to reduce potential bias in the tools we use, so every candidate is considered fairly.
    $30k-37k yearly est. 55d ago
  • Scheduling Specialist - Ophthalmology - Torrey Pines

    Scripps Health 4.3company rating

    San Diego, CA jobs

    Caring for San Diegans since 1924, Scripps Clinic is San Diego's first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record. This is a non-benefitted Casual/Per-Diem position with a varied day shift, located at our Scripps Clinic in Torrey Pines. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Clinic - Torrey Pines as a Scheduling Specialist in the Ophthalmology department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: * Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. * Responding to customer billing and payment inquires as needed. * Mentoring and training staff on departmental procedures. * Accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. * Accurately documenting patient to provider communication, assessing urgency and escalating as appropriate. May manage the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. * Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns. Required Qualifications: * Must possess excellent mathematical skills and ability to handle monies. * Excellent communication and customer service skills. * Strong organizational and analytical skills; innovative with ability to identify and solve problems. Able to adapt, prioritize and meet deadlines. * Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required. Preferred Qualifications: * 2 or more years of experience in a customer service or healthcare/medical office environment. * Previous scheduling experience. * Experience with Epic. At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $26.16-$34.65/hour
    $26.2-34.7 hourly 7d ago
  • Patient Account Specialist - PFS Billing Services

    Scripps Health 4.3company rating

    San Diego, CA jobs

    Required Education/Experience/Specialized Skills: Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements. Knowledge of Medical Terminology and Medicare Compliance. Familiarity with HIPAA privacy requirements for patient information. Basic understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes. Ability to multitask and stay organized. Good verbal and written communication skills. Detail oriented and ability to prioritize work. Requires a moderate level of interpersonal, problem solving, and analytic skills. Knowledgeable on insurance and reimbursement process. Ability to establish/maintain cooperative working relationships with staff, Medical Staff and providers. Preferred Education/Experience/Specialized Skills: Two years of patient accounts experience in a healthcare setting. Working knowledge of healthcare EPIC software preferred. Minimum two year experience billing Medicare, Medicaid, Blue Cross and Commercial insurance preferred, three or more years desired. Knowledge in Excel, Word and basic computer functions such as saving documents, sharing documents Demonstrate strong computer skills required. (Education may be substituted for experience in some areas.) Demonstrate knowledge of accounts receivable practices, payer billing and reimbursement procedures and practices. Working knowledge of hospital UB04, CPT-4, HCPCS, ICD-10 and Revenue codes. Proficient in institutional insurance billing guidelines using 837I X12 Version 005010X279A1 transactions. This is a Full Time (80 hours every pay period) benefited position, Monday-Friday for day shift. Over time additional hours when needed. Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide. As a Patient Account Specialist, you will be supporting the Billing Services department at our 4S Ranch Business Services location. This role is essential in managing a high volume of hospital Government Insurance/Billing documents, while also performing follow up actions to gather accurate information needed from patients, payers and providers. The ideal candidate is one who thrives in a fast-paced environment and has a passion for insurance and medical claims. As a Patient Account Specialist, you will be responsible for the following: Responsible for working aged reports and credit balances on a regular basis set by department guidelines. Follows-up with insurance carriers timely on unpaid claims until claims are paid or only self-pay balance remains. Does not have claims written off for timely filing. Processes rejections by either making accounts self-pay and generating a letter of rejection to patient or correct any billing error and resubmitting claims to insurance carriers. Keeps updated on all billing requirements and changes for all insurance types. Responsible for responding to all inquiries, billing denials, other correspondence and phone requests in an efficient, timely, and effective manner. Secures needed medical documentation required or requested by insurances. Works with HIM staff to ensure that complete diagnosis/procedure codes and modifiers are reported to insurance carriers as required. Working directly with the insurance company, healthcare provider, liable third parties, and patient to get a claim processed and paid Works to help maintain Accounts Receivable (AR) days at or near target level set by the Hospital Senior Team. Supporting continuous improvement of organization processes and personal knowledge and skills, and maintaining and protecting confidential information Providing excellent customer service through cooperative working relationships, and meeting productivity and quality standards. #LI-JS1
    $33k-43k yearly est. Auto-Apply 22d ago
  • Scheduling Specialist

    Memorial Care Health System 4.3company rating

    Long Beach, CA jobs

    Scheduling Specialist - (MEM009356) Description Title: Scheduling SpecialistLocation: Orange, CADepartment: OB Strategy - Douglas ParkStatus: Full-time Shift: Days (8hr shifts) On-ste Pay Range: $22. 50/hr - $31. 57/hr MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork. Position Summary:Coordinate all patient care functions utilizing the five (5) Simply Better steps with every patient and teammember interaction for surgical services that include: scheduling office visits, procedure(s) at external/internal locations and obtaining needed information/documentation for patient to meet the requirements for surgical services. Essential Functions and Responsibilities of the Job:1. Must have the ability, skill-set, qualifications, education, and licensure (if applicable) for all the responsibilities required for position. 2. Must excel in communication (written & verbal), customer service and can work independently or as part of a team. 3. Must excel in prioritization, organization and multi-tasking while demonstrating attention to detail and follow though. 4. Can problem solve to logical conclusion, demonstrate initiative and is responsible. 5. Coordinate authorizations for patient referrals and treatment. 6. Coordinate schedules for procedural & surgical procedures with clinic, surgical centers, hospitals and patients. 7. Inform patient(s) about care they will receive and schedule appropriate visit within needed time frame and requirements. 8. Be at work and be on time9. Maintains a working knowledge of departmental standard operating policy & procedures/standard work10. Interact in a positive and constructive manner. 11. Prioritize and multitask*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more. . . Check out our MemorialCare Benefits for more information about our Benefits and Rewards. Qualifications Experience· Minimum one (1) year experience in medical field (Medical Assistant, Customer ServiceRepresentative, Front Office Assistant, or other) in ambulatory care preferred. · Prior medical office experience preferred. · Must have a minimum of 1 year of customer service in any field and have worked with computers. Education· High School graduate or equivalent required. · Strong knowledge of Medical Terminology preferred· Current AHA BLS for Healthcare Provider required Primary Location: United States-California-Long BeachJob: Admitting, Registration, SchedOrganization: MemorialCare Medical FoundationSchedule: Full-time Employee Status: RegularJob Level: StaffJob Posting: Nov 26, 2025, 5:04:14 AMWork Schedule: 8/40 work shift hours Shift: Day JobDepartment Name: OB Strategy - Douglas Park
    $22.5-31.6 hourly Auto-Apply 9d ago
  • HB Revenue Cycle Business Specialist II/ Patient Account Services / Full-Time

    Christus Health 4.6company rating

    Santa Fe, NM jobs

    Responsible for performing billing, collections and reimbursement services of claims and duties of the hospital business office. In doing so, ensures that all claims billed and collected meet all government-mandated procedures for Integrity and Compliance. Requirements EDUCATION: HS Diploma or equivalency required CERTIFICATION/LICENSES: None required SKILLS: Must have good verbal and written communication skills in order to present and explain information to internal and external customers Ability to write letters using proper English, grammar, spelling, vocabulary, and punctuation Must have practical experience with Adobe, Word, Excel and Microsoft Outlook applications. Also, any other computer applications related to the work (document imaging systems, Organizational Share Point, Revenue Cycle systems) Must have ability to make independent decisions that are generally guided by established procedures. Must have a desire to learn ethical and compliant business practices. Must be able to handle sensitive, stressful and confidential situations and account information. Must have excellent keyboarding and 10-key skill-set. Must have knowledge to perform functions requiring the use of the Internet. Willingness and ability to learn new task. Understanding of alternative Business Office financial resources Ability to provide information and/or recommendations related to sources of recovery Knowledge of general hospital A/R accounts GENERAL/ORGANIZATIONAL COMPETENCIES: Quality/Compliance: Achieves a standard of excellence with work processes and outcomes, honoring Organizational policies and all regulatory requirements. Customer focus: Strives for high customer satisfaction, going out of our way to be helpful and pleasant, making it as easy as possible on the patient, family member or customer rather than our department or organization. Safety Mindset: Promptly reports or corrects any unsafe condition. Records/reports the need for service maintenance or repair of equipment and removes any faulty equipment from service. Communication: Balances listening and talking, speaking and writing clearly and accurately, influencing others, keeping others informed. Collegiality: Is helpful, respectful, approachable and team oriented, building strong working relationships and a positive work environment. Initiative: Takes ownership of the work, doing what is needed without being asked, following through Efficiency: Plans, manages time well, is on time, is cost conscious, and thinks of better ways to do things. Coach-ability: Is receptive to feedback, demonstrates a willingness to learn, and embraces continuous improvement. Demonstrates an ability to work in a collaborative manner. Diversity: Acknowledges and respects cultural diversity in all interactions. EXPERIENCE: Two years of experience preferred in any of the following: Medicare, Medicaid and/or Commercial Insurance billing, collections, payment and reimbursement verification and/or refunds. College education in business and/or accounting may substitute for experience on a year for year basis up to two years. NATURE OF SUPERVISION: Responsible to: Manager, Business Office ENVIRONMENT: -Bloodborne pathogen: A Works in a clean, well-lighted smoke free environment. PHYSICAL REQUIREMENTS: Long periods of sitting, walking. Must be flexible in work schedule. Subject to stressful situations. Extended use of video display terminal and keyboard utilizing sound ergonomic principles. May be required to push, pull or lift up to 20 pounds.
    $42k-62k yearly est. 16h ago
  • Hospitality Specialist

    Families and Youth 3.5company rating

    Las Cruces, NM jobs

    Hospitality Specialist (Main Office) Families and Youth Innovations Plus (FYI+) Position: Full-Time; Hourly/Non-Exempt Hourly Rate: $15.00 - $18.50 (3 levels based on experience and education) Reports to: Sabrina Madrid Department: Resource & Referral Job Summary The Front Desk Staff (Hospitality Specialist) provides support as the primary greeter, front desk attendant, customer service agent, and administrative support person. As the key greeter of staff, participants, families, and the community, this position is responsible for providing a safe, warm, welcoming, and affirming experience. Additionally, this role facilitates and coordinates centralized scheduling functions. Competencies: Planning and Organizing Attention to Detail Problem Solving Information Management Diversity and Inclusion Fostering Communication Professionalism What you'll Do: Greet guests, manage their inquiries and direct them to the appropriate person according to their needs Provide exceptional customer service to all scheduled and walk-in appointments Manage time effectively to prioritize urgent situations and people's needs and to complete tasks by deadlines Process correspondence to other agencies, staff and clients in accordance with the policies and procedures related to confidentiality (HIPAA and other policies). Verify information collected from clients and other sources for accuracy and completeness. Input verified information pertaining to intake and appointment scheduling into appropriate fields of spreadsheets or computer record systems Receipt and distribute incoming and outgoing mail Perform clerical and administrative support duties as necessary Provides office support functions such as refilling copier or 'light cleaning' tasks as assigned What you'll Need: High School Diploma or GED Familiarity with office organization techniques High degree of multi-tasking and time management capability Excellent written and verbal communication skills Integrity and professionalism Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint), Adobe Acrobat, and Social Media web platforms or knowledge of some of these programs and ability to learn others Bilingual Preferred Compensation & Benefits: Competitive salary commensurate with experience, comprehensive benefits package, professional development opportunities. Benefits Compensation include health, dental, life insurance, short term and long term disability, supplement plans 403(b), PTO, and 14 paid holidays
    $15-18.5 hourly 11d ago
  • Bilingual Scheduling Specialist

    American Vision Partners 4.1company rating

    Salinas, CA jobs

    Company Intro At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas - including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees! Overview As a Bilingual Scheduling Specialist, you'll be the first touch with our patients and create memorable experiences for all of our patients, providers, and team members. A “patient first approach” is key to success and our Scheduling Specialists play a key role in effectively and compassionately guiding patients and scheduling appointments. Responsibilities In a call center environment, display the ability to service patient needs while actively accepting inbound calls with a focus on customer service Use professional communication etiquette, while servicing patient needs based on appointment availability and nearest location. Minimum goal achievement based on monthly review of various metrics and expected requirements. Works with internal partners and clinics on a timely basis to help support and coordinate the needs of our patients. Focused and open to learning new skills to take on various roles based on business need Qualifications High School diploma or equivalent Ability to navigate custom computer software and internal systems - NextGen experience a plus! Experience in Medical Office including Insurance Knowledge highly desirable Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment Excellent verbal and written communication skills; with the ability to show empathy and active listening skills Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism Bilingual in Spanish is required Benefits & Perks Your health, happiness and your future matters! At Vantage Eye Center, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!
    $43k-68k yearly est. Auto-Apply 50d ago
  • Scheduling Specialist - Ophthalmology - Torrey Pines

    Scripps Health 4.3company rating

    San Diego, CA jobs

    Required Qualifications: Must possess excellent mathematical skills and ability to handle monies. Excellent communication and customer service skills. Strong organizational and analytical skills; innovative with ability to identify and solve problems. Able to adapt, prioritize and meet deadlines. Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required. Preferred Qualifications: 2 or more years of experience in a customer service or healthcare/medical office environment. Previous scheduling experience. Experience with Epic. This is a non-benefitted Casual/Per-Diem position with a varied day shift, located at our Scripps Clinic in Torrey Pines. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Clinic - Torrey Pines as a Scheduling Specialist in the Ophthalmology department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Responding to customer billing and payment inquires as needed. Mentoring and training staff on departmental procedures. Accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. Accurately documenting patient to provider communication, assessing urgency and escalating as appropriate. May manage the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns.
    $41k-50k yearly est. Auto-Apply 6d ago
  • Care Coordinator, Authorization Scheduling Specialist - Atrium Health Poplar Tent

    Advocate Aurora Health 3.7company rating

    Concord, CA jobs

    Department: 39741 GCMG Musculoskeletal Administration: Corporate - Referrals Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: MONDAY-FRIDAY 8AM-5PM Pay Range $20.40 - $30.60 Major Responsibilities: * Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems. * Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations. * Collaborates with patient financial services to coordinate patient's financial resources and responsibilities including advanced beneficiary notice (ADN), as needed. * Educates patients, staff and providers regarding authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance changes or trends. * Maintains knowledge of and reference materials of Medicare, Medicaid and third-party payer requirements, guidelines and policies. Remains up-to-date on insurance plans requiring pre-authorization. * Notifies patient accounts staff, scheduling and registration staff, and financial counselors of insurance coverage lapses and self-pay patient status. * Educates staff on insurance changes, trends and prior authorization requirements. * Maintains and updates files for insurance information and a list of current accepted insurance plans. Licensure, Registration, and/or Certification Required: * None Required. Education Required: * High School Graduate. Experience Required: * Typically requires 1 year of experience in customer service that includes experiences in patient accounts, third- party payer plans, accounts receivable/collection processes, and medical clinic processes and/or workflow. Knowledge, Skills & Abilities Required: * Knowledge of third-party payers and pre-authorization requirements. * Understanding of basic human anatomy, medical terminology and procedures for application in the patient pre-certification / authorization processes. * Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, physician practice management and electronic medical records systems. * Strong analytical, prioritization and organizational skills. * Ability to work independently with minimal supervision and to manage multiple priorities. * Exceptional customer service and interpersonal skills. * Must have the ability to effectively communicate with a variety of people under stressful circumstances. Physical Requirements and Working Conditions: * Exposed to a normal medical office environment. * Sits the majority of the workday. * Must be able to lift up to 10 lbs. occasionally. * Operates all equipment necessary to perform the job. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation * Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training * Premium pay such as shift, on call, and more based on a teammate's job * Incentive pay for select positions * Opportunity for annual increases based on performance Benefits and more * Paid Time Off programs * Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability * Flexible Spending Accounts for eligible health care and dependent care expenses * Family benefits such as adoption assistance and paid parental leave * Defined contribution retirement plans with employer match and other financial wellness programs * Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $20.4-30.6 hourly 6d ago
  • Call Center Specialist

    Korean Community Services, Inc. 3.6company rating

    Anaheim, CA jobs

    Are you passionate about making a meaningful impact on community health? We're seeking a dedicated Call Center Specialist to join our dynamic team. As a Call Center Specialist at KCS, you'll play a pivotal role in delivering exceptional patient care by managing calls, scheduling appointments, providing compassionate support, and ensuring seamless communication across departments-all while upholding HIPAA standards. KCS COMPENSATION AND BENEFITS * Medical, Dental, Vision, and Life Insurance * Vacation, Holiday, and Sick Leave Pay * 401(k) Retirement Plan * Long- and Short-Term Disability Insurance * Flexible Spending Account * Employee Assistance Program KCS is an Equal Opportunity Employer and does not discriminate on the basis of race, ethnicity, religion, gender, age, physical disability, and sexual orientation. KCS participates in E-Verify to confirm the employment eligibility of all new hires. As part of our hiring process, we will verify your eligibility to work in the United States using E-Verify. MINIMUM REQUIREMENTS * Bilingual in Chinese/Korean/Spanish preferred * Ability to work in a fast-paced environment, and to multi-task * Excellent interpersonal, verbal, written communication skills * Proficient in Microsoft Office Suite (Excel, Word, SharePoint, Outlook, and other required software) * Ability to recognize and maintain confidentiality of information as appropriate The duties of this position will include: * Promptly answer all incoming calls and route to appropriate staff. * Schedule, reschedule, and cancel patient appointments, ensuring accurate data entry and efficient use of clinic resources. * Remind patients of their appointments and update patient demographics as needed. * Registers all patients per registration protocols over the phone. * Provide information about the health center's services, programs, and operation hours to callers. * Explain and promote available services by consulting, gathering information, and evaluating patient needs. * Work closely with other departments on appointment scheduling to ensure smooth patient flow and reduce patient wait time. * Handle patient inquiries and concerns with empathy and professionalism, consulting managers when necessary. * Maintain confidentiality and comply with all HIPAA regulations regarding patient information. * Respond to patient inquiries, requests, disputes, and route to the appropriate department or staff. * Document call interactions, outcomes, and follow-up actions within the electronic health record (EHR) system. * Fulfill other duties and responsibilities as needed and assigned. KCS MISSION STATEMENT To provide client centered, culturally inclusive, expert care to directly improve the well-being of underserved communities and individuals through healthcare, social services, and community programs. ABOUT KCS At KCS Health Center, we're more than just a clinic - we're a community-driven force dedicated to transforming lives. Located in the heart of Orange County, our non-profit organization is committed to providing top-tier healthcare, social services, and community programs to the underserved population. We believe in delivering expert care with compassion, respect, and inclusivity at the forefront. THANK YOU FOR CONSIDERING KCS! KCS appreciates you looking at us for a possible next step in your career - as well as offering an opportunity to make a true impact on the greater good. We look forward to speaking with you soon and perhaps welcoming you to our team! Job Type: Full-time Pay: $23.00 - $25.00 per hour Benefits: * 401(k) * 401(k) matching * Dental insurance * Health insurance * Paid time off * Vision insurance Work Location: In person
    $23-25 hourly 2d ago
  • Patient Collections Specialist

    Pacific Medical 3.7company rating

    Tracy, CA jobs

    Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate non-remote opportunity to join our growing company. We are currently seeking a full-time (M-F 8:00 am-5:00 pm) Patient Collections Specialist for our Tracy, CA office. These individuals will be responsible for the following: Job Responsibilities: · Contact patients/guarantors to secure payment for services provided based on an aging report with balances. · Contact patients when credit card payments are declined. · Follow up with refund requests. · Document all calls and actions are taken in the appropriate systems. Sets next work date if follow-up is needed. · Confirms/updates with patient/guarantor insurance and patient demographics information. Makes appropriate changes and submits/re-submits claims as indicated. · Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented. · Document all patient complaints/disputes and forward them to the appropriate person for follow-up. · Perform other duties as needed. Qualifications/Skills: · Must excel in interpersonal communication, customer service and be able to work both independently and as part of a team. · Must excel in organizational skills. · Must possess strong attention to detail and follow-through skills. · Education, Training, and Experience Required: - High School graduate or equivalent. - Must type 25-45 words per minute. Hourly Rate Pay Range: $17.00 to $19.00 · Annual Range ($35,360 to $39,520) O/T Rate Pay Range: $25.50 to $28.50 · Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375.00 - $14,250.00) · Note: Abundance of O/T Available Bonus Opportunity Team Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up to $6k per year) Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up $6k per year) Total Compensation Opportunity Examples: Annual Base Pay: $41,735.00 (Estimate incl. 5 hrs O/T per week, Low-range Team and Profit Bonus after 3 months) Annual Mid-Range Pay: $54,315.00 (Estimate incl. 5 hrs O/T per week, Mid-range Team and Profit Bonus) Annual Top Pay: $57,895.00 (Estimate incl. 5 hrs O/T per week, Max Team and Profit bonus) All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning. Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off) Holidays: 10 paid holidays per year Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance. Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.
    $35.4k-39.5k yearly Auto-Apply 48d ago
  • Business Loan Specialist

    Coalition for Responsible Community Development 3.9company rating

    Los Angeles, CA jobs

    Under the direction of the Director of Economic Development and/or manager, the Business Loan Specialist provides business loan packaging and business consulting and training in business finance to micro enterprises and small business owners leading to job creation. ESSENTIAL DUTIES & RESPONSIBILITIES Provide business consulting to business owners, on a one-on-one or in small groups, in the areas of business and financial planning and general business practices that will result in economic impact within realistic timeframes and resources. Assist businesses by preparing loan packages for various financing sources including bank and credit union loans, SBA's, 7a and microloan programs. To direct businesses to appropriate business resources and refer to alternative financing programs such as CDFI Export, Community Advantage and state loan guarantee programs. Assist client in gathering documentation application requirements, and preparing financial projections, as needed. Analyze credit reports, business plans and tax returns to assess loan feasibility. Develop and conduct training programs in the area of financing for small businesses. Prepare and submit report, as required. Coordinate and build relationships with the SBA, State and Banks to ensure successful facilitation of the loan funding process, which includes tracking and on-going client support. Assist in the development of partnerships with other service providers to increase services to small business clients. Development and presentation of business finance workshops Represent the SELA BSC within the community to public and private entities. Engage in marketing and community and outreach activities. Assist the Director/Manager in other areas as needed. Support strategic priorities and goals established in CRCD's 5-year strategic plan. Uphold CRCD's Mission/Vision and 5 Year Strategic Plan. Requirements Five (5) years of professional experience in loan packaging, preferably alternative capital loans Bilingual (Spanish) a plus Experience in working with small businesses from diverse cultural backgrounds. Knowledge of business planning, general business practices and business financing a must Ability to Develop pro forma statements, cash flows and credit analysis. Reliable, flexible team player who works well with minimal supervision, who has a good work ethic, and an ability to set and maintain personal boundaries. Ability to strategically utilize time and resources to manage priorities, timelines, deadlines, and details under pressure, with accuracy, and to a high level of proficiency. Must display professional and appropriate email etiquette Comfortable in a fast-paced, changing environment and the ability to modify actions, direction or approach to changing situations and expectations in a respectful and professional manner. Extensive knowledge of various funding sources a must Experience in working with economic development program, a plus. BA in Business Administration or relevant field Working knowledge of MS Office Aptitude in decision-making and problem-solving Reliable transportation, valid driver license, and car insurance as required by law, as appropriate. Willing to travel to multiple locations in Southeast LA Ability to occasionally work after office hours and/or weekends, if necessary Proficient in Microsoft Office (Excel, Word, Power Point) Familiarity with CRM platforms and cloud-based software applications Ability to provide quality customer service and demonstrate a commitment to professionalism and client satisfaction. Proficient written and oral communication skills BENEFITS CRCD is in the top 10% for excellent benefits for non-profits with an array of benefits available including: 14 Paid Holidays On-Demand training memberships to bolster professional development Dental/Vision/ 85% employer-paid & 45% dependent paid Medical Insurance 401k eligibility from day one & up to 3% matching after one year 529 Educational Savings Plan from Principle Flexible Spending Account (FSA) Short & Long Term Disability Accident & Hospital Indemnity Whole life insurance with cash benefits Identity Theft Protection and Legal Services Discount pet insurance through ASPCA Generous work/life balance JOB TYPE: Full-time SALARY RANGE: $75,000-$88,000 All candidates are subject to a criminal history check and meet CRCD's criteria regarding criminal history and must pass background check conducted by LA County. CRCD is an Equal Opportunity Employer is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the EEO/ADA Coordinator. EEO /ADA Coordinator contact: Stacey Cabling **************.
    $75k-88k yearly 20d ago
  • Collections Specialist

    Ernest 4.7company rating

    California jobs

    For over 78 years, Ernest has been committed to the success of our extended family, our customers, our employees, and the packaging industry itself. When you work with Ernest, you'll enjoy the advantages of learning proven methods of success, a proactive approach, and having fun while earning what you're worth with a lot of really awesome people. Collections Specialist Location: City of Commerce, CA (On-site) Department: Corporate Credit | Reports to: Corporate Credit Manager Pay: $30/hour At Ernest, we believe in creating meaningful partnerships-with our clients and with each other. Our culture is built on connection, care, and the belief that we're all better when we grow together. As part of our second-family philosophy, we empower every E-Teamer to show up as their best self in a refreshing, healthy, and fun work environment. We're looking for a Collections Specialist who thrives in a supportive team culture and takes pride in helping our clients and our company succeed. Your Role As a key player in our Credit Department, you'll work closely with current B2B clients to manage past due accounts and ensure timely payments, while maintaining strong relationships and upholding our commitment to exceptional service. You'll play a vital role in protecting profitability by making smart credit decisions and acting on aging reports before accounts reach critical stages. You'll report directly to the Corporate Credit Manager will work closely with the Corporate Director of Credit and collaborate across teams to create a seamless client experience that reflects the heart of the Ernest brand. Essential Functions At Ernest, we promise to be the first and last stop for our clients by understanding their immediate needs, long-term goals, and expectations-responding with urgency, accuracy, and care to build partnerships that stand the test of time. Make proactive, professional outbound collection calls to clients while strengthening and maintaining positive relationships (minimum one call per account) Monitor and release credit hold orders as needed; keep collections and credit line status up to date to avoid disruptions Obtain payment instructions for electronic funds transfers Enter invoice information into customer portals/websites as required Flag and escalate problem accounts to the Manager or Director of Corporate Credit Review and process new credit applications, including trade references and credit reports (D&B, Business Experian), within a 48-hour turnaround Partner with Client Relationship Managers and Director of Client Relations as needed to facilitate collections Reconcile short payments and customer disputes Send invoices and proof of deliveries upon customer request Digitize and store credit documents using Docuware for paperless record-keeping Balance sales needs and customer expectations with company policies to protect profitability and minimize risk Reassess credit limits and terms for existing clients as needed Deliver responsive, high-quality service to customers, sales teams, and internal branches Identify accounts for legal escalation or write-off; coordinate with collection agencies after internal efforts have been exhausted Negotiate payment plans for delinquent accounts with Director support as needed Provide weekly aging report updates to the Director and Supervisor of Corporate Credit Stay motivated and productive under tight deadlines, working independently with minimal oversight Other Responsibilities Support the Credit Department with additional tasks as needed Collaborate with Sales, Customer Service, and internal departments to drive revenue, accelerate cash flow, and mitigate credit risk Receive direction from the Director and Supervisor of Corporate Credit, while offering ideas and insights that contribute to department success Qualifications & Skills Minimum 2 years' experience in high-volume corporate collections (B2B) Knowledge of Accounts Receivable and credit processes preferred Familiarity with SAP or similar ERP system is a plus Detail-oriented and results-driven with strong organizational skills Excellent verbal and written communication skills Proficiency in Microsoft Excel and Word Ability to interpret and apply company policies and procedures with sound judgment Skilled at managing multiple priorities in a dynamic environment Why Join Ernest? Because at Ernest, your career isn't just a job-it's a journey. We're a connected, values-driven culture that celebrates growth, collaboration, and bringing your full self to work. From spontaneous team celebrations to supporting your professional development, we're committed to creating a place where people thrive. Wanna see what makes us Ernest? Hit play on our latest videos: Newest Company Video with Keanu Reeves! Watch us make a cardboard skateboard with Tony Hawk! Ernest is a nationwide company, but did you know that our humble roots started in a Los Angeles garage? Brothers Ernie and Charles Wilson founded the company in 1946 with a dedication to customized service. Even after decades of delivering great packaging to our customers, that commitment has never changed. We always find the best solution to fit our customers' needs, even if we have to invent it!
    $30 hourly Auto-Apply 60d+ ago

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