Tender Care Home Health & Hospice Remote jobs - 1,060 jobs
Homecare Homebase Support Representative
Ambercare 4.1
Frisco, TX jobs
The HCHB Support Representative is responsible for handling software support calls and tickets initiated by Addus Home Health, Hospice, and Private Duty, and Personal Care branches. The role will also assist in training during acquisition integration projects as well as testing hot fixes and system upgrades HCHB releases. Must have recent Homecare Homebase Software experience.
Schedule: Remote Role / Monday - Friday 8am to 5pm.
>> We offer our team the best
Medical, Dental and Vision Benefits
Continued Education
PTO Plan
Retirement Planning
Life Insurance
Employee discounts
Essential Duties:
Managing a service desk (ServiceNow) ticket queue which includes triaging incoming requests, managing escalations to Addus team members, building out new worker login profiles, device buildout, user errors, and assisting branches in clearing claims or preventing ineligible claims.
Consult with HCHB's Customer Experience team as needed to provide solutions to HCHB errors.
Submit and follow up on HCHB Support Tickets.
Assist in project tasks related to new agency acquisitions.
Communicate with branches via phone, email, and live chat in a timely fashion to identify and resolve reported issues.
Identifying trending issues and providing thorough research and documentation of findings.
Effectively provide consultation and education on the appropriate use of all products within the HCHB Suite.
Ability to take assigned projects to successful completion.
The role may also include training staff during HCHB rollouts, assisting in HCHB quarterly release testing, assist in audit reviews, and develop and conduct training programs to support team members on HCHB applications.
Position Requirements & Competencies:
High school diploma or GED equivalent, some college preferred.
No less than 2 years of recent HCHB software experience.
Excellent written and oral communication skills.
Excellent customer service skills.
Computer proficiency required: including intermediate level knowledge in Microsoft Suite.
Ability to analyze and interpret situations to complete tasks or duties assigned.
Detail oriented, strong organizational skills.
Team players who are passionate about their work and will actively contribute to a positive and collaborative environment.
Quick learners with strong problem solving and creative thinking abilities.
Driven individuals who remain engaged in their own professional growth.
Ability to Travel:
Heavy travel (varies and may exceed 50%) is required during acquisition phases.
Some travel may be required on weekends or evenings.
Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
To apply via text, text 9930 to ************
#ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR
We may text you during the hiring process. By proceeding, you give us permission to text you at the mobile number provided. Message and data rates may apply. Message frequency varies. Reply 'Opt Out' at any time if you no longer wish to receive text messages regarding our opportunities.
Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index.
$28k-33k yearly est. 2d ago
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Locum to Perm - Associate Medical Director - OB/GYN Dallas, TX
Viemed Healthcare Staffing 3.8
Dallas, TX jobs
Associate Medical Director (Locum to Perm) - OB/GYN We are seeking a highly qualified and dedicated Associate Medical Director with expertise in Obstetrics and Gynecology to join our team in a leadership capacity. This role offers the opportunity to transition from a locum position to a permanent leadership role within our organization, contributing to the delivery of comprehensive, patient-centered care.
Key Responsibilities:
Provide clinical oversight for OB/GYN services, including review and approval of prior authorizations, appeals, hospital stays, procedures, and medications to ensure medical necessity and appropriate care.
Conduct peer-to-peer consultations to support utilization management decisions.
Lead and support utilization management, disease management, and quality improvement initiatives, collaborating closely with senior leadership and participating in the development of evidence-based medical policies, guidelines, and clinical standards.
Analyze provider performance through data review, including provider credentialing, site reviews, and medical record audits, to ensure adherence to managed care standards.
Collaborate with Pharmacy and other clinical departments to oversee care coordination, especially in managing pharmacy benefits and medication adherence.
Support oversight of fraud, waste, and abuse programs from a clinical perspective.
Assist in the development, implementation, and monitoring of organizational goals aligned with our mission.
Contribute to educational initiatives for members and providers, evaluating and enhancing health promotion programs.
Represent the organization in clinical matters with regulatory and professional bodies, including the Texas Department of Insurance, Texas Health and Human Services Commission, and related associations.
Participate in process improvement activities, workflow optimizations, and clinical programs to enhance efficiency and quality.
Serve on or chair clinical and managed care committees, fostering collaborative efforts across the organization and the community.
Qualifications:
Board Certification in Obstetrics and Gynecology (certification must be current; re-certification required if lapsed).
Valid medical license with a clean malpractice history.
Extensive experience in OB/GYN clinical practice, ideally with prior leadership roles.
Demonstrated knowledge of managed care principles, Medicaid regulations, and healthcare compliance.
Strong leadership, organizational, and communication skills, capable of working effectively with diverse teams and stakeholders.
Proficiency in data analysis, quality improvement techniques, and clinical standards development.
Experience with pharmacy benefits, behavioral health integration, and population health management is preferred.
Ability to interpret and apply federal and state healthcare regulations accurately.
Computer literacy and familiarity with healthcare management software.
Commitment to patient-centered care and ethical practice.
Work Environment & Career Growth:
This role is initially fully remote during the locum period, with a transition to a hybrid model upon permanent appointment. Candidates will have ongoing opportunities for professional development, participation in strategic initiatives, and the potential for leadership advancement within our organization.
Additional Information:
This position is not open to 1099 or visa candidates.
Candidates must have active, unrestricted medical licenses and board certification.
Commitment to ethical standards and professional integrity is required.
To Apply:
If you meet the qualifications and are interested in a leadership role focused on quality patient care and organizational excellence, we invite you to submit your application.
Note:
This position involves significant leadership responsibilities and requires a commitment to advancing healthcare delivery standards within our organization and community.
$155k-232k yearly est. 49d ago
Hybrid Day Body Radiologist - Austin Radiological Association
Radiology Partners 4.3
Austin, TX jobs
Fellowship training in Body Imaging required Extensive Body MR reading responsibilities, including:Abdomen and pelvis MR (liver, kidney, pancreas, GI, GU) Prostate MRI with PI-RADS scoring Gynecologic MR including endometriosis mapping Participation in multidisciplinary conferences and tumor boards Work includes both inpatient and outpatient settings, including Central Texas's only Level I Pediatric Trauma CenterAbility to read general radiology and perform minor procedures Dedicated reading time for advanced MRI protocols with technical and radiologist collaboration Opportunities for research and academic involvement with Dell Medical School at UT Austin
Discover the Best of Both Worlds: Subspecialty Excellence & Work-Life Balance
Austin Radiological Association (ARA) is seeking a fellowship-trained Body Imaging Radiologist who is also comfortable with general radiology to join our highly respected practice in Austin, Texas. This is a partnership track position in a well-established, physician-led group offering a collaborative, efficient, and supportive environment.
LOCAL PRACTICE AND COMMUNITY OVERVIEW
ARA Diagnostic Imaging (Austin Radiological Association) is a nationally renowned radiology practice with a 70+ year history of providing exceptional service and clinical care to the patients of Austin and Central Texas. We are one of the largest radiology groups in the country, with 110+ radiologists across all subspecialties.
ARA serves 24 hospitals and operates 17 outpatient imaging centers in Central Texas. ARA partners with Dell Medical School at the University of Texas, helping to redefine how diagnostic testing is designed, delivered, and leveraged to improve health.
ARA physicians serve as the radiology faculty for University of Texas Dell Medical School. As such, the practice also runs the ACGME residency program and radiologists have opportunities to teach residents, fellows, and medical students.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
* Board-certified or board-eligible in Diagnostic Radiology (ABR)
* Fellowship in Body Imaging with strong emphasis on Body MRI
* Proficiency in general radiology and minor image-guided procedures
* A team-oriented mindset with a passion for quality and continuous learning
COMPENSATION:
The salary range for this position is $400,000-$450,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
FOR MORE INFORMATION OR TO APPLY:
For inquiries about this position, please contact Jen Cunningham at ************************** or ************.
RADIOLOGY PARTNERS OVERVIEW
Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service, and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
Radiology Partners participates in E-verify.
Beware of Fraudulent Messages:
Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
$118k-209k yearly est. 13d ago
Patient Access Quality Assurance Coordinator
Ensemble Health Partners 4.0
Tyler, TX jobs
Thank you for considering a career at Ensemble Health Partners!
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
***This position is an onsite role, and candidates must be able to work on-site at the hospital.****
The Opportunity:
With little supervision, the Patient Access Quality Assurance Specialist will work directly with all levels of Patient Access leadership and the individual Patient Access Specialists and Sr. Patient Access Specialists. They will be responsible for auditing Patient Access calls, accounts, and work queues to ensure compliance and consistency to policy and procedure. They will be responsible for identifying trends and provide reporting for training/coaching purposes to both leadership and associates. In addition to auditing accounts, the auditor will ensure monthly quality scorecards are completed accurately and adhere to department standards and established metrics for quality.
This position pays between $17.00 - $18.15/hr based on experience
Job Responsibilities:
The QA specialist will be responsible for auditing Patient Access calls, accounts, and work queues to ensure compliance and consistency to policy and procedure.
They will monitor the quality audit tool and process and ensures accurate record keeping and audit scoring and system documentation.
They will be responsible for identifying trends and recommend quality and training needs of the department.
The auditor will partner with the leadership team to monitor, record and provide individual performance reporting for training/coaching purposes.
They will ensure monthly quality scorecards are completed accurately and adhere to department standards and established metrics for quality.
They will be responsible to collaborate with Patient Access leadership to remain updated on any new policy and procedure changes to make necessary changes on all associate scorecards.
Continuous research, development and implementation of new quality procedures and programs to ensure cutting edge ideas and efficiencies.
They will be expected to provide routine calibrations with the associates to further explain the score.
They will be expected to provide ad hoc audits requested by Patient Access leadership, in addition to normal account edits.
Experience We Love:
• 1 - 3 years of customer service experience
Required Qualifications:
• High School Diploma/GED Required
• CRCR Required within 9 months of hire
Other Preferred Knowledge, Skills and Abilities
Other 4 year/ Bachelors Degree
Minimum Years and Type of Experience: 2 years of Patient Access operations experience
Other Knowledge, Skills and Abilities Required:
Knowledgeable in Patient Access Services and Patient Access technology, applications, systems, processes.
Knowledgeable in all Microsoft Office products, with an emphasis in Excel.
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
Innovation
Work-Life Flexibility
Leadership
Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
EEOC - Know Your Rights
FMLA Rights - English
La FMLA Español
E-Verify Participating Employer (English and Spanish)
Know your Rights
$17-18.2 hourly Auto-Apply 15d ago
Sales Development Representative, Remote
Sidecar Health 4.1
Austin, TX jobs
Job Description
Sidecar Health is redefining health insurance. Our mission is to make excellent healthcare affordable and accessible for everyone. We know that to accomplish this lofty mission, we need driven people who will make things happen.
The passionate people who make up Sidecar Health's team come from all over, with backgrounds as tech leaders, policy makers, healthcare professionals, and beyond. And they all have one thing in common-the desire to fix a broken system and make it more personalized, affordable, and transparent.
If you want to use your talents to transform healthcare in the United States, come join us!
About the Role
Sales Development Representatives (SDRs) are the fuel for Sidecar Health's top-of-funnel engine. You'll create first impressions, uncover needs, and open doors for the sales team. This role is fast-paced, high-ownership, and built for someone who wants to grow quickly in a performance-driven environment.
What You'll Do
Prospect into target accounts through outbound calls, emails, LinkedIn outreach, and multi-touch sequences
Hit daily and weekly activity expectations with consistency and urgency
Conduct light discovery to qualify interest, fit, and buying readiness
Book high-quality meetings that convert into real opportunities for our sales team
Maintain clean data in Salesforce and follow the SDR playbook for messaging and sequencing
Collaborate with Regional Sales Managers and the SDR Manager to refine outreach, improve conversion rates, and share learnings
Bring energy and ownership - participate in call coaching, team huddles, and skill-building sessions
Represent Sidecar Health with credibility, clarity, and a member-first mindset
Deliver results: consistent meeting attainment, strong conversion quality, clean operational execution, and week-over-week improvement
What You'll Bring
1+ year of experience in an outbound SDR/BDR role or similar high-volume prospecting environment
Strong communication skills and comfort reaching out to prospects through multiple channels
Ability to manage structured daily activity while staying organized and resilient
Familiarity with Salesforce, Outreach, and LinkedIn Navigator (or willingness to learn quickly)
A growth mindset - coachable, driven, and committed to improving each week
Track record (or clear potential) for hitting meeting goals, converting qualified leads, and contributing to pipeline
Professional presence, attention to detail, and a genuine desire to build a career in sales
What You'll Get
Competitive base salary with uncapped performance-based commission and equity
Comprehensive Medical, Dental, and Vision benefits
A 401k retirement plan
Paid vacation and company holidays
Opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare in the U.S.
Sidecar Health is an Equal Opportunity employer committed to building a diverse team. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.
$44k-71k yearly est. 1d ago
Senior Compliance Coding Auditor (REMOTE)
Communitycare Health Centers 4.0
Austin, TX jobs
This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD‐10 codes on an annual basis.
Responsibilities
Essential Duties:
* Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements.• Identify coding discrepancies and formulate suggestions for improvement.• Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas.• Work with the Office of the CMO and provider leadership to identify and assist providers with coding.• Report findings and recommendations to Compliance Officer or designee, management, and executive leadership.• Provide continuing education to providers and ancillary staff on CDT, CPT, HCPCS, and ICD-10 coding.• Support compliance policies with government (Medicare& Medicaid) and private payer regulations.• Perform research as needed to ensure organizational compliance with all applicable coding and diagnostic guidelines.• Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.• Work closely with all departments, including but not limited to, Clinical Services, Nursing, Practice Leadership, Finance, IT, Training, and Billing to assist in accuracy of reported services and with chart reviews, as requested.• Work with the Purchasing department to order and distribute annual coding materials for all clinical sites and departments.• Assist Director of Compliance with incidents and investigations involving coding and/or documentation.• Work closely with all other Compliance personnel to provide coding/compliance support.• Advise Compliance Officer or designee of government coding and billing guidelines and regulatory updates.• Provide training to billing coding staff on coding compliance.• Participate in special projects and performs other duties as assigned.Knowledge/Skills/Abilities:• Proficiency in correct application of CPT, CDT, HCPCS procedure, and ICD‐10‐CM diagnosis codes used for coding and billing for medical claims.• Knowledge in correct application of SNOMED, SNODENT, and LOINC.• Knowledge of medical terminology, disease processes, and pharmacology.• Strong attention to detail and accuracy.• Excellent verbal, written, and communication skills.• Excellent organizational skills.• Ability to multi‐task.• Proficient in Microsoft Office Suite.• Critical thinking/problem solving.• Ability to provide data and recommend process improvement practices.
Qualifications
MINIMUM EDUCATION:
High school diploma or equivalent.
MINIMUM EXPERIENCE: 5 years of healthcare experience4 years of procedural and diagnostic coding
REQUIRED CERTIFICATIONS/LICENSURE: UPON HIRE
AAPC Certified Professional Coder (CPC) certification ORCertified Coding Specialist (CCS) certification through American Health Information Management Association (AHIMA)
$41k-57k yearly est. Auto-Apply 60d+ ago
Technical Account Manager
Cardinal Health 4.4
Santa Fe, NM jobs
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.
**Job Description**
As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used.
**Position Summary**
Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients.
**Role contribution and responsibilities:**
+ Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs
+ Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes.
+ Monitors performance and recommends scope, schedule, cost or resource adjustments
+ Connects short-term demands to long-term implications, in alignment with the supporting business case.
+ Prioritizes multiple tasks while meeting deadlines
+ Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion.
+ Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success.
+ Connects project objectives to broader organizational goals.
+ Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility.
+ Negotiates with stakeholders to obtain the resources necessary for successful project execution.
+ Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making.
+ High level of client contact in an Account Management portfolio approach.
**What is expected of you and others at this level**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Participates in the development of policies and procedures to achieve specific goals
+ Recommends new practices, processes, metrics, or models
+ Works on or may lead complex projects of large scope
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
+ Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships
**Accountabilities in this role**
+ Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services
+ Acts as single technical liaison for the client
+ Daily interactions with client to assess and advise client needs and requests
+ Analyze client program, needs and propose solutions and options that provide value to client
+ Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements.
+ Manage client deliverables, timelines, and artifacts
+ Monitor team backlog and prioritize activities to deliver on time, on budget, on scope
+ Anticipate client needs and proactively make program recommendations to enhance service value
+ Perform necessary project administration, project status, and risk, issue management
_Qualifications_
+ Master's Degree preferred
+ 3-5 years' experience of client relationship management experience at the account management level preferred
+ Prior experience working in a Specialty Pharmaceutical HUB environment, preferred
+ 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred
+ Proficiency in Microsoft Office products preferred
+ Strong oral and written communication skills, with executive facing presentation experience
+ Strong project management skills
+ Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects
+ Travel requirement up to 10%
TRAINING AND WORK SCHEDULES:
+ Your new hire training will take place 8:00am-5:00pm CST, 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 CST.
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 salary range:** $105,100-$150,100
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 03/15/2026 *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 (***************************************************************************************************************************
$105.1k-150.1k yearly 6d ago
District Manager
Biote Corp 4.4
Houston, TX jobs
Biote Medical is the world leader in hormone optimization and we are adding to our team! We partner with providers to take a complete approach to healthier aging through patient-specific bioidentical hormone replacement therapy and the only nutraceutical line created specifically to support hormone health.
This position will help support our Houston territory. We're looking for someone with a passion for changing healthcare who wants to be in a hands-on and engaged position working within a dynamic and collaborative sales team.
You must be located in the Houston area to be considered.
Position and Scope:
We are looking for a driven candidate with the desire to recruit qualified physicians and practitioners into a partnership relationship with Biote; in order to provide cutting edge technology for bioidentical hormone replacement therapy (BHRT) and healthy aging options to their own patients and to the public at large. The ideal candidate is responsible for relationship development, practice development and sales of the Biote Method to practitioners. Sales activity includes prospecting, cold calling, practice development, tradeshows, sales events, and other methods for creating leads and closing sales for Biote within the approved price matrix. In addition, the Liaison provides technical, educational, and Provider Partner support. This is a field-based remote position.
As a District Manager, your daily responsibilities will include:
* Acquiring and retaining extensive knowledge of hormone replacement therapy through materials provided by Biote, as well as outside sources.
* Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
* Ability to read and understand medical and scientific studies.
* Researching and evaluating physicians in assigned areas based on Biote's criteria for appropriateness and suitability.
* Effectively presenting Biote's training and business program to physicians, Nurse Practitioners, Physician Assistants, office managers and office staff.
* Recruiting suitable physicians and other practitioners through professional and effective prospecting, appointment setting and presentation skills.
* Cultivating and maintaining mutually productive partnerships with practitioners to grow new and current practices and maintain patient retention levels of 60% or better.
* Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
* Securing all required contracts, paperwork and documentation as well as payments and fees as needed for attendees to participate in regular training and certification classes.
* Conducting and facilitating patient educational seminars as needed for trained practitioners on a monthly basis.
* Contributing to the development of the practice by assisting the Office Manager/Marketing position with email marketing, social media, referral cards and website information cards.
* Prospecting for new leads and identifying quality sales prospects from active leads.
* Attending marketing and sales events for prospects and current customers.
* Working with customers for sales referrals with new prospects.
* Updating all relevant sales activities in the Company's CRM system.
* Closing sales accurately and effectively each month to meet or exceed targets.
* Responding to all emails received from the customer and Biote employees and related vendors in a timely manner.
* Performing other related duties as required or requested.
As a District Manager, your background should include:
* Bachelor's degree
* Strong teamwork, communication (written and oral), client management, and interpersonal skills.
* Minimum of 3-5 years of sales experience in a business-to-business model, preferably medical device, diagnostics, and/or biotech.
* Strong work ethic and time management skills
* Ability to make effective and persuasive communications and technical presentations to physicians, management and/or large groups. Ability to thoroughly understand and communicate the attributes and qualities of Company products using professional selling and closing skills.
* Proficient in Microsoft Office suite and customer relationship management software.
* Ability to travel in order to do business, approximately 20% of the month.
* Scheduled hours are 40 to 50 hours per week Monday through Friday but may be extended as required to execute the tasks assigned.
* Valid driver's license issued by the state/province in which the individual resides and a good driving record is required.
* Home office capability is required with reliable high-speed internet access
Company Perks:
* Medical, Dental & Vision Insurance, Virtual Visits/Telemedicine
* Company Paid Life and AD&D Insurance
* 15 days of Paid Time Off and Company Holidays
* 401k with a 3% employer contribution
* Motus mileage program
* Other excellent health and wellness benefits in line with our business
If you're interested in this awesome opportunity, please apply today!
$75k-135k yearly est. Auto-Apply 60d+ ago
Lead Planner / Scheduler
Eq Talent Solutions 4.2
Houston, TX jobs
Benefits:
401(k)
401(k) matching
Competitive salary
Dental insurance
Health insurance
Paid time off
Job Title: Lead Planner / Scheduler Industry: Oil & Gas As a Lead Planner / Scheduler, you will be responsible for developing, managing, and optimizing project schedules in collaboration with contractors and internal project teams. Your role is critical in ensuring projects stay on track, resources are effectively allocated, and progress is clearly communicated to stakeholders. You'll play a key role in identifying scheduling risks, analyzing the critical path, and supporting decision-making through timely reporting and data analysis.
Key Responsibilities:
Schedule Development:
Work with project managers and engineers to create and maintain detailed, milestone-based schedules that align with client and contractor goals.
Resource Planning:
Coordinate labor, equipment, and materials across project phases to ensure efficient resource use and timely project execution.
Critical Path Management:
Identify and monitor the critical path; implement mitigation plans to prevent or resolve schedule delays.
Progress Tracking:
Update schedules regularly, analyze deviations, and communicate impacts to project stakeholders.
Schedule Optimization:
Evaluate and adjust project timelines to enhance efficiency while maintaining safety and quality standards.
Stakeholder Coordination:
Act as a liaison between the Client and Contractor, ensuring alignment on scheduling priorities and overall project goals.
Reporting:
Prepare schedule performance reports and presentations that highlight progress, issues, and recommended actions.
Risk Mitigation:
Collaborate on the identification of potential delays and implement strategies to minimize impact.
Documentation:
Maintain organized records of all schedules, updates, and resource plans in accordance with company policies and industry standards.
Qualifications:
Bachelor's degree in Engineering, Construction Management, or related field.
Proven experience in Oil & Gas project scheduling.
Skilled in Primavera, MS Project, and planning best practices.
Strong analytical, organizational, and communication skills.
Adaptable to dynamic environments and shifting priorities.
Flexible work from home options available.
Compensation: $180,000.00 - $240,000.00 per year
A recruitment company delivering bespoke talent acquisition solutions to our clients and candidates.
Our Mission EQ Talent Solutions is a staffing company that helps our clients attract the best possible talent through an effective industry disrupting model.
$51k-80k yearly est. Auto-Apply 60d+ ago
Pharmacist Opportunity OTP Clinic (Hybrid)
Medmark Treatment Centers 4.2
Roswell, NM jobs
Part Time - Pharmacist MedMark Treatment Center is looking for a knowledgeable and detail-oriented pharmacist to provide pharmacy services to patients, nurses, physicians, and other medical staff by interpreting and evaluating the validity and safety of orders and prescriptions. An ideal pharmacist candidate integrates core pharmacy knowledge dispensing and order review activities.
Responsibilities:
* Ensure that drugs are handled in the facility in a manner that protects the safety and welfare of the patient
* Sets the policies and procedures in the facility as related to all facets of drug handling and distribution, these policies and procedures to be reviewed and updated on an annual basis. The manual shall have policies and procedures for the receipt, storage, recordkeeping, maintenance of patient profiles, administration and accountability of all prescription drugs and procedures for the removal and destruction of unwanted, unused, outdated, recalled drugs and accountability and security of controlled substances.
* Make every effort to ensure the maximum level of safety and efficacy in the provision of pharmaceutical services.
* Not condone or participate in any transaction with any practitioner of another profession, or any other person whosoever under which fees are divided, or rebates or kickbacks paid or caused to be paid, or which may result in financial exploitation of patients or their families in connection with the provision of drugs, medication, supplies or pharmaceuticals.
* Document all his/ hers visits and activities including irregularities
* Give proper training for instruction to the persons at the facility, who have day to day responsibility, for receipt, administration of medication to patients, adverse reactions, special diets or any other information relative to drug therapy.
* Ability to handle stressful situations and interact with others.
* Maintain a patient profile on each individual
* Visit the facility as needed and be available for emergencies
* Dispense take home medication to eligible patients
* Maintain methadone inventories (place and receive methadone orders)
* Conduct biennial inventory
* Participate in any regulatory agency survey or audit.
* Conduct all business activities in a professional and ethical manner.
* Other duties, as assigned
Qualifications:
* Minimum age requirement of 18.
* Bachelor's Degree in Pharmacy
* Currently licensed as Pharmacist in New Mexico
* Must have or obtain certification in CPR and First Aid
* Understanding of HIPAA, Federal, State and CARF standards and regulations.
* Knowledge of medications that interfere with the effectiveness of methadone.
* Ability to recognize overdose of methadone and take appropriate action per program protocol.
* Proven excellent written and oral communication skills.
* Excellent documentation and computer skills required.
* Knowledge of local community drug trends, the effects on the body and cognitive functioning of drugs of abuse, signs and symptoms of narcotic overdose, psychosocial implications of addictive disease, the process of addiction and treatment, social service, economic, legal, and medical systems, HIV transmission-health, behavioral, and emotional implications of addiction.
* Ability to work effectively within medical hierarchy, assist in complex problem solving with clients, and work autonomously.
* Ability to work with a diverse population and exhibit excellent customer service skills.
* Knowledge of Code of Pharmacy Regulations in the State where assigned
* Ability to supervise personnel.
* Satisfactory drug screen and criminal background check
Here is what you can expect from us:
MedMark, a progressive substance abuse treatment organization, is committed to the highest quality of patient care in a comfortable outpatient clinic setting. Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.
MedMark is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran's status or any other classification protected by State/Federal laws.
$72k-131k yearly est. 1d ago
Senior EHR Clinical Apps Analyst (Epic Radiant/Cupid), Remote - ITS-ClinDoc-Rad
UTMB Health 4.4
Galveston, TX jobs
**Galveston, Texas, United States** Information Technology UTMB Health Requisition # 2506075 **Minimum Qualifications:** Bachelor's degree in a related field and three years of related experience. An equivalent combination of education and experience relevant to the role may be considered for this position. Must possess sufficient educational background and/or experience to conduct clinical applications analysis and/or programming of intermediate to complex systems, analysis of clinical workflows, and system adoption strategies.
**Preferred Qualifications:**
+ Possession of a valid Epic Radiant certification is highly preferred. Additionally, holding Epic Cupid certification would be considered advantageous.
+ Substantial experience working with Epic Radiant, with Epic Cupid experience considered.
+ Experience leading projects in a clinical IT environment.
+ Proven ability to analyze complex issues and implement effective solutions, with strong verbal and written communication skills for conveying technical information and collaborating with diverse teams.
**Job Summary:**
This position is responsible for the design, configuration, implementation, optimization, maintenance, and support of intermediate to highly complex clinical systems in compliance with all applicable regulations and organizational policies. Clinical applications include any software application used in support of the clinical enterprise, including patient registration, patient billing, clinical documentation utilized in the ambulatory and inpatient settings, as well as applications for specific medical specialties such as, but not limited to, Radiology, Pathology, Oncology, Transplant, and Cardiology. Other responsibilities include providing intermediate analysis and documentation, formulating logical statements of business and management problems to develop requirements for configuration of clinical applications, and providing solutions to intermediate to complex problems utilizing more efficient operational procedures, workflows, and information technology solutions. This role also requires an understanding of the assigned system applications, functions, and features that end-users would experience.
**Job Duties:**
In the role of an EHR Clinical Applications Analyst, Senior, specializing in Epic Radiant, your leadership responsibilities extend to ensuring the advanced functionality and continual enhancement of our Electronic Health Record system. As a seasoned Epic analyst, you are the go-to person for support, diagnosing and resolving complex issues, and executing strategic maintenance initiatives within the Epic environment. Leveraging your experience, collaboration with clinical stakeholders is pivotal to identifying intricate opportunities for system optimization, devising and implementing advanced solutions to streamline workflows, and aligning the Epic system with progressive healthcare practices. Your role encompasses the seamless implementation of cutting-edge Epic features, modules, and updates, with a focus on delivering in-depth training programs to end-users. At this senior level, your involvement in Epic-related projects is both hands-on and strategic, managing them to ensure successful delivery within specified timelines. Facilitating collaboration between clinical and technical teams within the Epic framework is a key aspect of your leadership, fostering an environment of effective communication and knowledge exchange. Additionally, you play a crucial role in meeting with and training junior members of the team, contributing to their professional development.
+ Provide expert support for Epic applications (Radiant), resolving complex issues with minimal disruption to workflows.
+ Execute strategic maintenance for Epic, overseeing updates and collaborating to identify optimization opportunities.
+ Devise and implement advanced solutions to align Epic EHR with progressive healthcare practices. Lead seamless implementation of cutting-edge Epic features, modules, and updates.
+ Manage or co-manage Radiant and Cupid projects, ensuring successful delivery within specified timelines.
+ Facilitate collaboration between clinical and technical teams within the Epic framework. Foster effective communication and knowledge exchange to enhance team synergy.
+ Maintain meticulous documentation of Epic configurations, workflows, and user manuals. Contribute to comprehensive knowledge management for institutional memory and continuous improvement.
+ Contribute to strategic planning for Epic applications, aligning with organizational goals and growth.
+ Ensure responsibilities align with the expectations of an EHR Clinical Solutions Analyst.
+ Must be able to work within both a team-oriented environment and independently.
+ Ability to comprehend complex technical and logical flows and project management skills is required.
+ Ability to communicate clearly and concisely through written and verbal communication is required.
+ Strong interpersonal skills are required.
**Knowledge/Skills/Abilities:**
+ Must possess strong technical, analytical, and problem-solving skills.
+ Excellent written and verbal communication skills and interpersonal skills.
+ Ability to cultivate positive working relationships with customers and coworkers.
+ Ability to manage multiple projects and to work individually or as a member of a team.
+ Ability to multitask and work on high-priority and highly visible tasks.
***It's important to understand the job titles in this career family. They are listed in order from least experienced to most experienced:
1. EHR Clinical Application Analyst
2. EHR Clinical Application Analyst, Senior **ß** This position
3. EHR Clinical Application Analyst, Lead
4. EHR Solution Analyst
5. EHR Solution Specialist
**Salary Range:**
$77,615.00 to $100,900.00 actual salary commensurate with experience.
**Work Schedule:**
Remote position. 8 am to 5 pm, and on call as needed on occasion.
**Equal Employment Opportunity**
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
Compensation
$77.6k-100.9k yearly 60d+ ago
Sr Business Consultant (Remote and Temporary)
Maximus 4.3
Albuquerque, NM jobs
Description & Requirements Maximus is looking to fill a Sr Business Analyst position. The Sr Business Consultant position supports CDC initiatives by conducting data-driven evaluations of management and organizational structures to improve operational efficiency, customer experience (CX), and overall service quality. Assists in mapping and optimizing the customer journey using quantitative and qualitative insights to identify pain points and opportunities for improvement. Collects, verifies, and analyzes performance and survey data to uncover trends, measure customer satisfaction, and recommend actionable improvements that enhance service delivery and streamline processes.
- Position is remote and temporary through August 31, 2026
- Must be available to work the occasional weekend or holiday depending on business needs
- Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST
-You will need to provide your own computer equipment during training. Maximus will provide computer equipment once training is completed.
Please Note: This position requires a personal computer or laptop during training period(Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3
Essential Duties and Responsibilities:
- Apply business process improvement practices to re-engineer methodologies/principles and business process modernization projects.
- Assist in the application of activity and data modeling, transaction flow analysis, internal control and risk analysis, modern business methods, and performance measurement techniques.
- Assist in establishing standards for information systems procedures.
- Develop solutions to a variety of complex problems.
- Develop and apply organization-wide information models for use in designing and building integrated shared software and database management systems and data warehouses.
- Follow Information Management guiding principles, cost savings, and open system architecture objectives.
Responsibilities:
- Data Analysis & Insights: Collects and validates operational, performance, and customer satisfaction survey data; performs trend analysis and develops metrics to measure efficiency and CX outcomes.
- Customer Journey & CX Optimization: Maps end-to-end customer interactions; identifies friction points and designs solutions to improve engagement and satisfaction.
- Survey Analysis: Analyzes customer feedback and survey results to identify drivers of satisfaction and areas for improvement; translates insights into actionable strategies.
- Process Improvement: Applies data-driven methodologies (e.g., Lean, Six Sigma principles) to redesign workflows, reduce bottlenecks, and improve turnaround times.
- Reporting & Visualization: Develops dashboards, models, and reports to communicate findings; prepares presentations for leadership and stakeholders.
- Facilitation & Collaboration: Leads working groups and stakeholder sessions to align on improvement strategies; ensures recommendations are actionable and measurable.
- Continuous Improvement: Monitors implemented changes for impact; iterates based on performance data, survey feedback, and evolving CDC objectives.
This position requires the use of your own personal computer or laptop during the training period (tablets, iPads, and Chromebooks are not permitted). Once training is complete, the program will provide the required equipment. Maximus will provide computer equipment once training is completed.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to ******************
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3)
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
Minimum Requirements
- Bachelor's degree in related field.
- 5-7 years of relevant professional experience required.
- Equivalent combination of education and experience considered in lieu of degree.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
120,000.00
Maximum Salary
$
130,000.00
$77k-102k yearly est. Easy Apply 6d ago
Revenue Integrity Director- Remote
Conifer Health Solutions 4.7
Frisco, TX jobs
The Director of Revenue Integrity serves in a senior leadership capacity and demonstrates client and unit-specific leadership to Revenue Integrity personnel by designing, directing, and executing key Conifer Revenue Integrity processes. This includes Charge Description Master (“CDM”) and charge practice initiatives and processes; facilitating revenue management and revenue protection for large, national integrated health systems; regulatory review, reporting and implementation; and projects requiring expertise across multiple hospitals and business units. The Director provides clarity for short/long term objectives, initiative prioritization, and feedback to Managers for individual and professional development of Revenue Integrity resources. The Director leverages project management skills, analytical skills, and time management skills to ensure all requirements are accomplished within established timeframes. Interfaces with highest levels of Client Executive personnel.
Direct Revenue Integrity personnel in evaluating, reviewing, planning, implementing, and reporting various revenue management strategies to ensure CDM integrity. Maintain subject-matter expertise and capability on all clinical and diagnostic service lines related to Conifer revenue cycle operations, claims generation and compliance.
Influence client resources implementing CDM and/or charge practice corrective measures and monitoring tools to safeguard Conifer revenue cycle operations; provide oversight for Revenue Integrity personnel monitoring statistics/key performance indicators to achieve sustainability of changes and compliance with regulatory/non-regulatory directives.
Assume lead role and/or provide direction/oversight for special projects and special studies as required for new client integration, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, hospital mergers, etc.
Serve as primary advisor to and collaboratively with Client/Conifer Senior Executives to ensure requirements are met in the most efficient and cost-effective manner; provides direction to clients for implementation of multiple regulatory requirements.
Serve as mentor and coach for Revenue Integrity personnel and as a resource for manager-level associates.
Maintain a high-level understanding of accounting and general ledger practices as it relates to Revenue Cycle metrics; guide client personnel on establishing charges in appropriate revenue centers to positively affect revenue reporting
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Adherence to established/approved annual budget
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Direct Reports (incl. titles) : Revenue Integrity Manager/Supervisor
Indirect Reports (incl. titles) : Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to set direction for large analyst team consistent with Conifer senior leadership vision and approach for executing strategic revenue management solutions
Demonstrated critical-thinking skills with proven ability to make sound decisions
Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals
Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely
Ability to manage multiple projects/initiatives simultaneously, including resourcing
Ability to solve complex issues/inquiries from all levels of personnel independently and in a timely manner
Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement
Advanced ability to work well with people of vastly differing levels, styles, and preferences, respectful of all positions and all levels
Ability to effectively and professionally motivate team members and peers to meet goals
Advanced knowledge of external and internal drivers affecting the entire revenue cycle
Intermediate level skills in MS Office Applications (Excel, Word, Access, Power Point)
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
Bachelor's degree or higher; seven (7) or more years of related experience may be considered in lieu of degree
Minimum of five years healthcare-related experience required
Extensive experience as Revenue Integrity manager
Extensive knowledge of laws and regulations pertaining to healthcare industry required
Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required
Consulting experience a plus CERTIFICATES, LICENSES, REGISTRATIONS
Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable
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.
While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear.
Must frequently lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision
Some travel required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Normal corporate office environment
TRAVEL
Approximately 10 - 25%
Compensation and Benefit Information
Compensation
Pay: $104,624- $156,957 annually. Compensation depends on location, qualifications, and experience.
Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
Medical, dental, vision, disability, life, and business travel insurance
Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
$104.6k-157k yearly Auto-Apply 60d+ ago
Inpatient HIM Coder Analyst III-Remote within the state of Texas
Cook Children's Medical Center 4.4
Fort Worth, TX jobs
Department:
HIM-Coding
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
The HIM Coder Analyst III requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records. Validates the coded data to one or more Diagnosis Related Groupers (DRG) validates the Present on Admission (POA) indicators for accuracy. Primarily codes more complex and difficult inpatient medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Performs extended length of stay coding for interim cycle billing. During inhouse interim coding, reviews for documentation opportunities and queries with CDIS to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Assists with coding outpatient surgery, observation outpatient ancillary clinic, specialty clinic and emergency room record visits as necessary. Minimum expected accuracy rate for all coding & DRG assignments is 95% or above. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists or Quality Auditors on patient cases regarding documentation needs and requirements, and coding and DRG assignment accuracy. Maintains current knowledge of coding, DRG and documentation changes, rules and guidelines.
Education & Experience:
RHIA, RHIT required, with CCS highly desired, or CCS with two (2) year minimum full-time current and continuous ICD-10-CM/PCS hospital inpatient medical record coding and prospective payment system, experience with DRG assignment.
Outpatient observation and ambulatory surgery with CPT-4 coding and abstracting experience preferred.
Pediatric coding experience highly desired.
Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required.
Experience using Microsoft Office Excel and Word highly desired.
Ability to work well independently and productively with minimal guidance and without direct supervision.
Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills.
Ability to maintain confidentiality.
Goal oriented, flexible and energetic.
Demonstrates superior coding skills, and critical thinking skills.
Ability to solve problems appropriately using job knowledge and current policies and procedures.
Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% accuracy prior to hire.
Certification/Licensure:
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.
About Us:
Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
$50k-61k yearly est. Auto-Apply 60d+ ago
Medical Invoicing Specialist
Principle Health Systems 3.7
Houston, TX jobs
Job Title: Invoicing Specialist Job Type: Full-Time, Hybrid Schedule Reports To: A/R Manager
Pay: $19.00 - $20.00 per hour. Benefits: Full-time employees are eligible for competitive benefits, including health/vision/dental, 3 weeks PTO, 9 paid holidays, and a matching 401k plan.
Schedule: Monday - Friday, 8:00 AM to 5:00 PM. Ability to WFH Mondays and Fridays after 90-day probationary period.
Job Summary:
Principle Health Systems is on the hunt for a detail-savvy, invoice-wrangling guru to join our team as an invoicing specialist.
Your mission (should you choose to accept it):
Tame the data monster: Navigate through mountains of data like a pro, organizing, analyzing, and mastering data sets.
Invoice with Flair: Ensure every invoice is accurate, timed to perfection, and compliant, because precision + speed = 💰 efficiency!
Champion the AR Cycle: You'll play a vital role in making sure payments flow smoothly, keeping cash flow fabulous for everyone.
Detail Detective: You catch tiny inconsistencies before anyone else sees them (your eagle eye keeps us on point).
A “BIG picture” visionary: You're someone who steps back to see how invoicing fits into the greater business narrative: anticipating trends, suggesting smarter workflows, and always thinking about the “why” beyond line items.
Why you will love it here:
We are a mission-driven company where we put people over profits. Patients are 100% our purpose!
Love spreadsheets? You'll get a front row seat to organized chaos (your everyday playground).
Your work fuels our business! Each clean invoice helps the company thrive, so your impact will be felt everywhere.
Every day is a new challenge, every entry a new clue. You're the Sherlock Holmes of Skilled Nursing Facility (AKA: SNF) invoicing.
You will work alongside a small team that appreciates your expertise and celebrates your victories.
Who you basically are:
A detail-obsessed spreadsheet nerd (in the best way).
A finance-savvy individual with SNF or healthcare invoicing experience.
A cross-checking marvel who knows how to catch, reflect, and correct.
A master of efficiency (your organizational skills are next level).
Feeling called to transform SNF billing into a smooth, well-oiled machine? If organizing data and crafting precision perfect invoices lights you up, we can't wait to meet you!
Key Responsibilities:
Census retrieval and some interpretation.
Ad hoc reporting from LIMS (Laboratory Information Management System) to retrieve raw data and build reports.
Prepare and upload CSV and Standard Driver sheets into LIMS and RCM software.
Prepare and submit invoices for diagnostic services to skilled nursing facilities (SNF) and other contracted clients according to contract terms.
Collaborate with internal team members and SNF administrators, admissions teams, and finance staff to resolve billing discrepancies.
Assist in month-end closing activities, including invoice reconciliation and AR reporting.
Identify and implement process improvements for invoicing efficiency and accuracy.
Manage shared email inbox.
Other duties as assigned by management.
Qualifications:
Proficiency in Microsoft Excel (intermediate to advanced) and Outlook.
Excellent attention to detail and problem-solving skills.
Ability to meet deadlines, demonstrate urgency, prioritize tasks, and work both independently and collaboratively.
Strong verbal and written communication skills.
Preferred Qualifications:
Knowledge of HIPAA and healthcare compliance standards.
Experience working with multi-facility organizations or third-party billing companies.
2+ years billing/invoicing experience, preferably in a Skilled Nursing Facility, long-term care, or healthcare setting.
1+ years working in a LIS or LIMS. (Laboratory Information System)
Familiarity with applicable Skilled nursing facility (SNF) billing systems (e.g., PointClickCare, MatrixCare, Netsmart, or similar).
Bachelor's degree.
We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact ***********************.
Monday-Friday 8:00am-5:00pm; 1 Sunday a month for month-end support
Ability to work from home after 90 days on Monday & Friday
Works within the company's corporate office
$19-20 hourly Auto-Apply 8d ago
Manager, Document Control (Hybrid Opportunity)
Quest Diagnostics Incorporated 4.4
Lewisville, TX jobs
The Manager, Document Control will report to the quality management organization, and lead the development, management, and execution of document control programs in support of the QA/RA function. This position is responsible for managing and maintaining Quest's documents and document control system, including document creation, revision control, approval, publication, retrieval, distribution, and archive of all documents within Quest's quality management system.
This is a hybrid position and requires 3 days on site at a major Quest Diagnostics sites. Sites include Lewisville, TX, Marlborough, MA, Clifton, NJ, Lenexa, KS, Houston, TX, Pittsburgh, PA, Tampa, FL, and Wood Dale, IL.
Responsibilities:
Document Management
* Maintain and oversee all quality documents and records to ensure accuracy, completeness, and compliance with applicable regulatory/standard requirements and established company procedures/policies/systems.
* Receive policy/process changes from multiple sources (e.g. Regulatory, Quality, Product, R&D, etc.) and apply appropriate update actions
* Manage and maintain the full lifecycle of all controlled documents in the quality management system (QMS) and electronic quality management system (eQMS).
* Oversee the creation of new documents, ensure proper formatting, version control, and approval processes are followed.
* Create, maintain, and revise document templates.
Document Distribution, Retrieval, and Compliance
* Distribute documents to relevant stakeholders and manage requests for document retrieval.
* Ensure all documents are compliant with company policy, regulation requirements, and standards.
* Maintain hard copy records in accordance with Quest's retention policy.
Training and Support
* Provide training to employees on document control procedures and best practices.
* Partner with cross-functional areas to support timely periodic review, gather document requirements, facilitate document updates, assignment of training documents, and resolve document-related issues.
* Maintain and implement improvements to the document control and record retention program.
* Drive execution change control activities related to document and training.
* Drive generation of documents, quality records in support of internal and external audits activities.
* Drive generation and preparation of documentation, records, and other artifacts in support of regulatory submissions.
Qualifications:
Required Work Experience:
* 5+ years of experience in document control in the medical device and/or IVD industry.
* Previous experience with implementing, maintaining, and/or managing electronic quality management systems (e.g., SmartSolve, MediaLab, Veeva, etc.) in a regulated environment.
* Experience applying Medical device regulations (e.g. FDA 21 CFR Part 803, 21 CFR Part 806, 21 CFR Part 820, ISO 13485, ISO 14971, ISO 15189, IVDR, CAP, and CLIA).
Preferred Work Experience:
* Technical writing
* ASQ or medical device related certification
Physical and Mental Requirements:
* Strong attention to detail for thorough documentation to ensure consistency in documentation.
* Excellent problem-solving skills to identify and address quality issues effectively.
* Ability to work under pressure and meet deadlines, while maintaining accuracy.
Knowledge:
* Broad-based technical knowledge and skills in diverse areas of business such as quality engineering, quality assurance, quality systems, regulatory affairs, laboratory operations, GCP, and GMP operations.
* Strong working knowledge of applicable regulations, such as but not limited to, the medical device regulations: FDA 21 CFR Part 820 Quality Systems Regulations/new Quality Management System Regulation and ISO 13485 standards. Preferred: ISO 14971, ISO 15189, IVDR, CAP, CLIA, and NYSDOH requirements.
Skills:
* Ability to manage large volumes of documents systematically and efficiently.
* Demonstrated strong analytical thinking skills and attention-to-detail.
* Strong communication and effective interpersonal skills to collaborate with various departments and stakeholders.
* Ability to clearly communicate, both verbal and written, with all levels of organization.
* Must be able to work/support multiple projects simultaneously and demonstrate organizational, prioritization, and time management proficiencies.
* Proficient technical writing and document management tools (e.g., Microsoft Word, Microsoft Visio, Microsoft Excel, and Adobe) and with quality systems.
* Ability to work independently and collaboratively with cross-functional departments in a fast-paced environment with minimal supervision.
* Proficient in document management systems.
42078
Quest Diagnostics honors our service members and encourages veterans to apply.
While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.
$74k-103k yearly est. 14d ago
IACUC Compliance Specialist - Research, Regulatory, and Compliance - Galveston
UTMB Health 4.4
Galveston, TX jobs
**Galveston, Texas, United States** Research Academic & Clinical UTMB Health Requisition # 2507040 **Minimum Qualifications:** . + Three years of related experience in animal research and/or regulatory compliance.
**LICENSES, REGISTRATIONS OR CERTIFICATIONS**
Preferred:
Certified Professional in IACUC Administration (CPIA) certification.
**Preferred Qualifications:**
+ Master's degree in a field relevant to the position.
+ Three years of direct experience working in an IACUC office.
+ Proficiency in computer applications and experience with web-based compliance systems, including familiarity with software (e.g., InfoEd, Microsoft Office Suite).
**Job Summary:**
Under the general supervision of the Animal Welfare Office (AWO) Director, the IACUC Compliance Specialist works independently with limited supervision to provide comprehensive support to the Institutional Animal Care and Use Committee (IACUC) by coordinating and supporting the review, approval, and ongoing oversight of animal research protocols and related activities. This position ensures that all animal care and use activities related to research and/or teaching conform to UTMB and regulatory requirements. The incumbent serves as a key liaison among investigators, the AWO, the IACUC, and other institutional compliance units to promote humane animal research practices, regulatory compliance, and continuous program improvement.
**Job Duties:**
+ Manages administrative operations of the IACUC and provides direct support to committee members and the Animal Welfare Office (AWO).
+ Coordinates and prepares IACUC meeting agendas, materials, and correspondence; records discussions, decisions, and prepares detailed minutes and decision letters.
+ Reviews protocol submissions for completeness and compliance, verifying required training and occupational health and safety enrollment for all research personnel.
+ Provides guidance and technical assistance to investigators and staff in preparing, submitting, and amending animal use protocols.
+ Tracks and follows up on pending action items, ensuring timely resolution of IACUC and AWO compliance requirements.
+ Coordinates semiannual facility inspections, including scheduling, inspection team assignments, report compilation, and follow-up on corrective actions.
+ Assists with the Post-Approval Monitoring (PAM) program and participates in follow-up reviews to verify completion of corrective actions.
+ Develops and delivers IACUC-related training and educational materials for faculty, staff, and research personnel.
+ Collaborates with other institutional compliance units (e.g., Biosafety, EHS, Radiation Safety, Employee Health, Sponsored Programs) to ensure consistent regulatory oversight.
+ Supports the AWO Director in operational and administrative activities and performs other related duties as assigned.
+ Marginal or Periodic Functions: (Note: The two items listed below are the most common functions/duties seen in this section.)
+ Adheres to internal controls and reporting structure.
+ Performs related duties as required.
+ Provides backup support for other Animal Welfare Office staff during peak workload periods or absences.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Knowledge of federal regulations and guidelines governing the care and use of animals in research, teaching, and testing (e.g., Animal Welfare Act Regulations, PHS Policy, The Guide).
+ Ability to work effectively both independently and as part of a team.
+ Ability to collaborate with individuals at all levels of the organization in a respectful and professional manner.
+ Strong organizational and time-management skills, with the ability to set priorities and manage multiple tasks effectively.
+ Excellent verbal and written communication skills.
+ Exceptional interpersonal skills and attention to details.
**WORKING ENVIRONMENT/EQUIPMENT**
+ Standard office, hospital, clinical, and laboratory environments.
+ Occasional entry into animal housing and high-containment research facilities.
+ Use of appropriate personal protective equipment (PPE), as needed.
+ Must not be allergic to animal dander and must not have immunodeficiency conditions.
+ Pregnancy may present personnel safety considerations in certain animal research environments.
+ Potential exposure to radiation, chemicals, and biological agents.
+ Occasional out-of-town travel to animal welfare-related conferences or other university sites.
+ This position operates in a hybrid work environment, combining on-site and remote work as appropriate to operational needs.
*Official regulatory statement for health care job descriptions: May be exposed to such occupational hazards as communicable diseases, bloodborne pathogens, ionizing and non-ionizing radiation, hazardous medications and disoriented or combative patients or others.
**Salary Range:** Actual salary commensurate with experience or range if discussed and approved by hiring authority.
**EQUAL EMPLOYMENT OPPORTUNITY:**
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.
Compensation
$56k-82k yearly est. 36d ago
AP/CP Pathologist
Sonic Healthcare USA 4.4
Fort Worth, TX jobs
We're not just a workplace - we're a Great Place to Work certified employer!
Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!
ProPath, a leading pathology practice based in Dallas, Texas, is seeking a passionate and dedicated AP/CP board-certified or eligible Pathologist to become a part of our dynamic team. With more than 50 experienced physicians and over 550 dedicated employees, ProPath is recognized as a premier provider of full-service diagnostic services nationwide. As a proud member of the Sonic Healthcare USA family, we are at the forefront of practicing unparalleled medical care, fostering a culture of medical leadership across our network of 350 physicians and over 30 practices around the country.
Exciting Development:
We are thrilled to announce the construction of a new state-of-the-art laboratory located within the John Peter Smith Health Network $1.5B expansion, further extending our capabilities and reinforcing our commitment to excellence in pathology services. This development opens up exciting opportunities for innovation and professional growth for our team members.
Opportunity Highlights:
Hybrid/Remote Work Models: Embrace the flexibility of splitting your work between our esteemed facilities and the comfort of your home, facilitated by our advanced digital pathology infrastructure.
Serve an Underserved Community: Play a pivotal role in delivering exceptional medical care to the underserved communities within the John Peter Smith Health Network (JPS) in Fort Worth, Texas. With over 40 clinics and a 537-bed teaching hospital, JPS serves as Tarrant County's only Level 1 Trauma center, offering a challenging yet rewarding practice environment.
Complex and High Complexity Cases: As part of our multi-person practice at JPS, engage in high complexity cases that challenge your skills and foster your growth as a pathologist.
Subspecialty Fellowship Training: Candidates with fellowship training in surgical pathology subspecialties such as general surgpath, cytopath, breast, GI, and/or gyn are highly desirable. Additional experience with complex surgical pathology cases is a bonus.
Collaborative Environment: Benefit from subspecialty backup, in-house esoteric testing capabilities, frequent courier runs, and daily virtual case conferences, enabling real-time case sharing and discussion.
Ideal Candidate Profile:
Medical degree, AP/CP board certified or eligible.
Licensed or eligible for licensure to practice medicine in the State of Texas.
Excellent diagnostic skills, communication abilities, and a commitment to serving underserved communities.
Enthusiastic about learning and/or contributing to digital pathology.
Why ProPath?
Competitive Salary: Commensurate with background and experience.
Comprehensive Benefits Package: Includes medical, dental, a matched 401(K) plan, and more.
Professional Growth: Be part of a team that's leading the digital pathology revolution, offering both in-person and remote work opportunities.
ProPath is dedicated to fostering a diverse and inclusive work environment. We are an equal opportunity employer (EOE M/F/Disabled/Veteran) and provide accessibility accommodations to ensure all our team members can thrive.
Take The Next Step:
If you're driven by a passion for pathology and a desire to make a difference in an underserved community, while enjoying the flexibility of a hybrid work model, we would love to hear from you.
Company:
Sonic Anatomic Pathology
Scheduled Weekly Hours:
40
Work Shift:
Job Category:
Pathology
Company:
ProPath Associates
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
$61k-109k yearly est. Auto-Apply 31d ago
Collector 2 - Remote
Baylor Scott & White Health 4.5
Dallas, TX jobs
The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts.
Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry.
Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up.
Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable.
Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments.
Receives, reviews, and responds to correspondence related to accounts. Takes action as required.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - 2 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$29k-33k yearly est. 60d+ ago
(Non-Remote) Revenue Cycle Manager
Asian American Health Coalition 4.0
Houston, TX jobs
Full-time Description
Revenue Cycle Manager
REPORTS TO: Chief Financial Officer
EDUCATION: Bachelor's degree from four-year college or university, and/ or 5-7 years of experience in lieu of
WORK EXPERIENCE: One to two years supervisor experience and/or training; and FQHC experience a plus!
SALARY RANGE: DOE
FLSA STATUS: Exempt
POSITION TYPE: Full-Time
LANGUAGE: Fluent in English; Bilingual in English and Spanish, Arabic, Burmese, Chinese or other languages is preferred
HOPE Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
**This is not a fully remote position**
JOB SUMMARY:
As the Revenue Cycle Manager for HOPE Clinic, you focus on partnering with our patients to clearly understand their institutional goals, challenges, organizational structure, and key business drivers. The role of the Revenue Cycle Manager oversees the Billing and Insurance Verification team's daily activities and follows up with teams to drive the overall performance and daily management of multiple assigned providers' schedules. The Revenue Cycle Manager serves as a liaison between the Billing and Insurance Verification team and other HOPE Clinic departments and the patients.
MAJOR DUTIES & RESPONSIBILITIES:
Manage overall medical billing operations such as ensuring effective flow of demographic changes and payment information, claims accuracy and timely submission, and account reconciliations;
Oversee aggressive follow-ups with accounts receivables (A/R), including preparation of denial appeals and distribution of patient statements;
Track fee schedules and insurance denials to ensure fully allowed reimbursements;
Identify and implement strategies to improve internal and patient billing processes;
Incorporate and execute quality assurance processes related to ensuring accurate patient billing activities;
Review and analyze patient accounts, identify trends and issues, and recommend solutions;
Collaborate with other team members to improve/maintain an overall positive work environment for the team;
Provide a high level of customer service to both practices and patients by identifying and efficiently resolving insurance and other billing-related issues;
Collaborate with the front desk, call center, and other departments as needed to resolve any billing/payor issues;
Research, compile the necessary documentation, and complete appeal process for denied claims, via phone/email with payers, facilitating correct claims if necessary;
Prepare, review, and transmit claims using billing software to include electronic and paper claim processing both primary claims and secondary claims;
Follow up on unpaid claims within the standard billing cycle timeframe;
Collaborate with the billing team when necessary to make coding changes to submit corrected claims or appeals;
Stay current with payer trends as to how to submit corrected claims and the payer-specific appeal processes;
Analyze root causes of denials; trends and issues: propose solutions and work with the management team to determine the appropriate action to resolve;
Identify areas of concern regarding the various areas of the revenue cycle;
Share trending and feedback to reduce denials to the CFO and/or Credentialing Coordinator;
Hospital billing - identify charges that are billed for hospital visits, update spreadsheets and reports for documentation, and create claims to be billed;
Apply insurance and patient payments to the Practice Management system, utilizing ERAs and manual application;
Reconcile payments applied to the system to cash received;
Answer patient's estimate of benefits or statements, telephone inquiries verifying insurance and benefits within the practice management system;
Attend on-site/off-site community engagement activities, clinic events, and/or training as needed;
Perform other duties as assigned to support HOPE Clinic's Mission, Vision, and Values.
Requirements
QUALIFICATION REQUIREMENTS:
5-7 years of experience with revenue cycles, medical billing, collections, and payment posting;
Understand regulatory and compliance requirements associated with submitting claims to payers;
Experience with Electronic Medical Records (EMR);
Strong communication and interpersonal skills;
Expertise with medical and billing terminology;
Excellent organization and time management skills;
Proficiency in computers, particularly Word and Excel.
EDUCATION and/or EXPERIENCE:
Bachelor's degree from four-year college or university (desired);
Or 5-7 years related experience and/or training; or equivalent combination of education and experience;
1-2 years of supervisory experience;
Knowledge of medical billing, front-office, physician practice management, and healthcare business processes;
Strong understanding of medical billing/coding, with an understanding of various insurance carriers, including Medicare, private HMOs, and PPOs;
Previous FQHC (Federally Qualified Health Center) RCM experience.
OTHER SKILLS and ABILITIES:
Bilingual (Vietnamese, Chinese, Arabic, and/or Spanish with English) is preferred.
Above average skills in language ability as well as public speaking and writing.
Must have good transportation and a valid Texas Driver's license.
Salary Description DOE
$72k-101k yearly est. 60d+ ago
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