Leave Specialist
Customer support specialist job at Terumo Medical
Job Title: Leave Administration Specialist - U.S. & Colorado FAMLI Focus
Terumo Blood and Cell Technologies is seeking a Leave Administration Specialist to manage employee leave of absence programs across the U.S., with a specialized focus on Colorado's Family and Medical Leave Insurance (FAMLI) program. This role ensures compliance with federal and state leave laws, provides guidance to employees and managers, and supports our commitment to employee well-being and legal compliance.
Key Responsibilities
Leave Program Administration
Administer leave programs including FMLA, Colorado FAMLI, ADA, military leave, short/long-term disability, and company-sponsored leave policies.
Serve as the subject matter expert on Colorado FAMLI regulations, including eligibility, wage replacement, documentation, and benefit coordination.
Manage leave cases from intake through return-to-work, ensuring timely communication and legal compliance.
Coordinate with payroll, benefits vendors, and HRIS to ensure accurate leave tracking and benefit payments.
Compliance & Documentation
Apply federal and state leave laws, including FMLA, ADA, USERRA, and Colorado-specific regulations.
Collaborate with Legal, HR, and Benefits teams to update policies in response to regulatory changes.
Maintain accurate and confidential records in compliance with HIPAA and internal policies.
Ensure timely submission of required documentation and reporting to state agencies and internal stakeholders.
Employee & Manager Support
Provide guidance and support throughout the leave process.
Educate employees on their rights, responsibilities, and required documentation under various leave programs.
Support the ADA interactive process and coordinate reasonable accommodation requests.
Facilitate return-to-work planning, including light-duty assignments and workplace accommodations.
Process Improvement & Reporting
Identify opportunities to streamline leave administration processes and enhance employee experience.
Generate reports and metrics related to leave utilization, compliance, and trends.
Support audits and investigations to ensure program integrity.
Minimum Qualifications
Associate's or Bachelor's degree in Human Resources, Business Administration, or related field.
3+ years of experience in leave administration, with direct experience managing FMLA and Colorado FAMLI cases.
Strong understanding of federal and Colorado-specific leave laws and compliance requirements.
Experience coordinating benefits such as STD, LTD, and FMLA with FAMLI.
Proficiency with HRIS and leave management systems; Workday experience preferred.
Excellent communication, organizational, and problem-solving skills.
Ability to handle sensitive information with discretion and professionalism.
Preferred Qualifications
Experience coordinating with third-party administrators and state agencies.
Bilingual (Spanish/English) a plus.
Certification in leave management or HR (e.g., SHRM-CP, PHR) preferred.
Physical Requirements
Typical office environment including reading, speaking, hearing, close vision, bending, sitting, and occasional lifting up to 20 pounds.
ECMO Specialist I ($20,000 Sign On Bonus)
Boston, MA jobs
The ECMO Specialist is enrolled and actively participating in the department's ECMO Training Program. This role is responsible for developing and maintaining the skills necessary to proficiently and safely establish, manage, and control extracorporeal membrane oxygenation (ECMO) technology and assist with associated procedures in acutely ill patients of all ages in critical care settings. The specialist will learn to troubleshoot devices and associated equipment under the supervision of experienced ECMO personnel, provide ongoing care through surveillance of clinical and physiologic parameters, adjust ECLS devices as needed, administer and document blood products and medications in accordance with hospital standards, provide airway and ventilator management, and perform the full scope of practice of a Respiratory Therapist II.
Schedule: 36 hours per week, rotating day/night shifts, every third weekend.
**This position is eligible for full time benefits $20,000 sign-on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 2 years)
Key Responsibilities:
Assemble, prepare, and maintain extracorporeal circuits and associated equipment with assistance.
Assist in priming extracorporeal circuits and preparing systems for clinical application.
Assist with cannulation procedures.
Assist in establishing extracorporeal support; monitor patient response, provide routine assessments, circuit evaluations, patient monitoring, and anticoagulation management.
Assist with ECMO circuit interventions, weaning procedures, and transports.
Administer blood products per hospital standards.
Interact and communicate with caregivers, nursing, surgical and medical teams, patients, and family members.
Maintain relevant clinical documentation in the patient's electronic health record.
Participate in professional development, simulation, and continuing education.
Attend ECMO Team meetings and M&M conferences on a regular basis.
Minimum Qualifications
Education:
Required: Associate's Degree in Respiratory Therapy
Preferred: Bachelor's Degree
Experience:
Required: A minimum of one year of experience as a BCH Respiratory Therapist with eligibility for promotion to RT II,
or
one year of external ECMO experience
Preferred: None specified
Licensure / Certifications:
Required: Current Massachusetts license as a Respiratory Therapist
Required: Current credential by the National Board of Respiratory Care as a Registered Respiratory Therapist (RRT); Neonatal Pediatric Specialist (NPS) credential must be obtained within 6 months of entry into the role
Preferred: None specified
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Ambulatory Service Representative - Ambulatory Surgery Center
San Antonio, TX jobs
Skills, Experience, Qualifications, If you have the right match for this opportunity, then make sure to apply today.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment xevrcyc are obtained prior to patient visits
Reviews and audits billing discrepancy reports and researches errors for resolution
Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required
Requirements:
High School Diploma
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Critical Care APP Supervisor
Santa Clara, CA jobs
About the Company
The Critical Care Advanced Practice Provider (CC APP) team at UCSF provides expert care in the adult intensive care units at UCSF Health. The CC APPs are an element of the interdisciplinary critical care team that includes attending physicians, physicians in training, pharmacists, registered nurses, rehabilitation therapists, and UCSF students. The CC APPs provide care in all of the adult intensive care units including Cardiac, Neurologic, Medical, and Surgical intensive care units. These units provide care for patients undergoing cardiac surgery, organ transplantation, thoracic surgery, orthopedic surgery, neurosurgical surgery, general surgery, or patients requiring complex medical management. The CC APP team collaborates with the UCSF School of Nursing and supports the UCSF Surgical and Critical Care Advanced Practice Provider Fellowship. The CC APP group is active in various quality improvement, cost reduction, and professional development projects.
About the Role
The adult Critical Care Advanced Practice Provider Supervisor supervises, coordinates, and administers the practice of advanced practice professionals (APP), including nurse practitioners and physician assistants. Ensures quality of care and serves as a role model, expert clinician, and mentor. Assists with the administration and management of personnel, fiscal, and material resources. The adult Critical Care Advanced Practice Provider Supervisor provides leadership to advanced practice providers in adult critical care and supports the adult Critical Care Advanced Practice Provider Manager. The primary managerial responsibility of the supervisor is to provide professional support in the Critical Care APP department. The primary clinical responsibility is to provide expert level critical care clinical services to patients and families in the adult intensive care units at UCSF Health.
Responsibilities
Administrative
Staff Development
Education
Leadership
The primary responsibility of the adult Critical Care Advanced Practice Provider Supervisor is the direct application of expertise in the adult intensive care units at UCSF Health within the divisions of Critical Care Medicine. The individual will assume full responsibility for adult Critical Care APP clinical services in the absence of the manager. Receives predetermined work assignments that are subject to a moderate level of control and review.
Qualifications
Min 1 year experience in a supervisor, or leadership role.
4-6 years of recent experience as a nurse practitioner or physician assistant in adult critical care.
Responsible for understanding and communicating an advanced knowledge of national, state, and local educational and legislative issues affecting advanced practice providers.
Demonstrated knowledge of state and national regulatory requirements.
Ability to gather clinical information, develop differential diagnoses, and create problem lists independently.
Competent to direct patient management and lead care team.
Demonstrated ability to effectively supervise a team and to manage the complex workflow and competing priorities involved with providing quality care as an Advanced Practitioner.
Solid knowledge of the clinical and operational issues for nurse practitioners performing advanced-practice nursing within departments and specialty areas, including evaluation, testing, diagnosis, and treatment, as well as patient-care concepts, policies, outcomes measurement, quality standards, ethics issues, quality improvement, and continuing staff education and professional development.
Strong knowledge of human resources management policies, with the ability to train, monitor, evaluate, and document staff issues and performance, and to participate in decision-making on human resources matters.
Strong analytical and critical thinking skills, with the ability to quickly analyze problems, determine appropriate level of intervention, and develop and apply effective solutions.
Advanced interpersonal skills for effective collaborations with all levels of clinical staff and management, consultants, researchers, and outside agencies.
Strong written and verbal communication skills with the ability to train and mentor subordinates, convey complex clinical and technical information in a clear and concise manner, and to prepare and present a variety of reports, documentation, analyses, and project proposals.
Required Skills
Related healthcare management or Nurse Practitioner III or Senior Physician Assistant experience in a highly matrixed healthcare organization.
Knowledge of clinical and administrative software and specialized applications and data management systems used by advanced practice providers in providing advanced-practice care, research, documentation, and employee supervision.
Preferred Skills
For PA candidates: Completion of a recognized graduate master's degree program as a physician assistant.
Doctorate Degree.
Pay range and compensation package
The salary range for this position is $138,400 - $335,800 (Annual Rate). The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: *****************************************************************************
Equal Opportunity Statement
UCSF Health requires all Advanced Health Practitioners (APP) to be credentialed through OMAG to practice and be privileged through CIDP to function in their clinical role. This applies to both adult and pediatric APPs in the inpatient and outpatient clinical settings at all UCSF Health sites and affiliates. Credentialing, health plan enrollment, and approval of privileges must be completed prior to the first working day. Inability to comply with the requirements of OMAG/CIDP AT ALL TIMES will result in either, a LOA or suspension of privileges designation.
Account Service Representative -Field Sales
Doral, FL jobs
The Account Service Representative is responsible for delivering exceptional service to brokers, agencies, and employer groups. This role supports the full lifecycle of group accounts-renewals, enrollments, changes, claims support, quoting follow-ups, and carrier communication. The ASR works closely with the sales and operations team to ensure accuracy, timeliness, and high customer satisfaction
What you'll be doing:
Broker & Agency Support:
Serve as the primary point of contact for agencies regarding group insurance questions, documentation, renewals, and service needs.
Assist brokers with quoting requests, benefit summaries, enrollment materials, and onboarding documentation.
Provide clear guidance on medical, dental, vision, GAP, and ancillary benefits.
Group Account Management:
Support new group onboarding, including application review, census validation, and carrier submissions.
Assist with open enrollment meetings, renewal reviews, and plan comparison tools.
Maintain accurate group records, policy details, and service notes.
Track renewals, missing documents, billing issues, and enrollment updates.
Carrier & Vendor Coordination:
Communicate with carriers regarding applications, eligibility, billing discrepancies, and service issues.
Facilitate resolution of escalated member and employer concerns.
Ensure compliance with carrier guidelines and timelines.
Administrative & Operational Tasks:
Prepare service emails, renewal notices, spreadsheets, and standardized documents for agencies and employers.
Maintain CRM activity logs, follow-up tasks, and documentation.
Assist the Group Sales Director in tracking KPI metrics and service SLAs
Requirements:
Must know all carriers. Traditional group insurance
Must have knowledge of working with a census
Customer service experience
215 License required
Reliable transportation
Qualifications:
Salesforce knowledge helpful
Ichra knowledge helpful
Business development experience
5-10 years of experience in health insurance, group benefits, or employee benefits
administration (preferred).
Knowledge of medical, dental, vision, GAP, and ancillary products.
Strong communication skills-professional, clear, and customer focused.
Ability to manage multiple priorities with attention to detail and deadlines.
Proficient in Microsoft Office (Excel, Word, PowerPoint); CRM experience is a plus.
Bilingual (English/Spanish)
Salary range: $55-$75k + Commission
Schedule: 9-5 with occasional weekend events. Hybrid/remote possible after 90 days.
January start date
Provider Dispute Resolution Specialist
Burlingame, CA jobs
The MSO department seeks a PDR Specialist with strong verbal and written communication skills to handle provider disputes and appeals related to claims payments. This role involves researching, evaluating, and resolving claims disputes in line with regulations, policies, and industry standards. The specialist will also conduct root cause analyses, process claims readjustments, support system improvements, and manage the overpayment recoupment process.
The role requires an individual with strong analytic skills and critical thinking/problem solving skills. This individual must also have exceptional interpersonal skills to build and maintain positive working relationships.
Key Responsibilities:
Review and resolve provider payment disputes and appeals for Medi-Cal Managed Care, Medicare Advantage, and PACE programs.
Respond to complex provider inquiries regarding claims adjudication and payments.
Ensure timely and accurate resolutions to disputes per regulatory guidelines.
Maintain accurate records of dispute resolutions and update tracking systems.
Identify and correct claims payment errors, process adjustments, and handle provider overpayment refunds.
Analyze payment trends and escalate training or process improvement needs.
Assist with health plan audits and other projects related to provider dispute process as required.
Identify system configuration issues and report for resolution.
Performs other job duties as required by manager/supervisor and NEMS Management Team.
Qualifications:
Bachelor's degree preferred. Associate degree with relevant experience may be considered.
Minimum five years of experience in medical claims adjudication required.
Strong analytical, problem-solving, and communication (written & verbal) skills.
Knowledge of Medi-Cal & Medicare Advantage claims reimbursement and dispute resolution.
Familiarity with healthcare compliance (HIPAA, CMS, DHCS, AB1455).
Understanding of medical terminology, coding, and claim forms.
Detail-oriented with strong organizational and time management skills.
Proficiency in PC-based software and database management.
LANGUAGE:
Must be able to fluently speak, read and write English.
Fluent in other languages are an asset.
STATUS:
This is an FLSA NON-exempt position.
This is not an OSHA high-risk position.
This is a full-time position.
NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).
Wound Care Coordinator (RN), Benefits Starting Day One
Kermit, TX jobs
Wound Care Coordinator Career Opportunity
Recognized for your expertise in coordinating wound care
Are you a compassionate healthcare professional with a passion for wound care, eager to align your expertise with your personal values? Join us as a Wound Care Coordinator, where your role transcends treating wounds to become a pathway to healing and making a difference in patients' lives. This opportunity is more than a job; it's a chance to build a fulfilling career close to home and close to your heart. As a key player in our wound care program, you'll ensure the highest standards of patient care, collaborating with interdisciplinary teams to execute treatment plans, educate patients and families, and lead hospital-wide wound care education initiatives.
A Glimpse into Our World
At Encompass Health, you'll experience the difference the moment you become a part of our team. Being associated with us means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
Starting Perks and Benefits
At Encompass Health, we are committed to creating a supportive, inclusive, and caring environment where you can thrive. From day one, you will have access to:
· Affordable medical, dental, and vision plans for both full-time and part-time employees and their families.· Generous paid time off that accrues over time.· Opportunities for tuition reimbursement and continuous education.· Company-matching 401(k) and employee stock purchase plans.· Flexible spending and health savings accounts.· A vibrant community of individuals passionate about the work they do!
Become the Wound Care Coordinator you always wanted to be
· Oversee and develop wound care services in adherence to regulatory standards and physician orders.· Collaborate with clinical teams to provide guidance on wound care treatments.· Lead educational efforts for hospital staff on wound care topics, as well as educating patient and family members on wounds and wound care.· Maintain continuous education and stay updated on the latest wound care techniques and advancements.
Qualifications
License/Certification: RN, Physical Therapist, or Occupational Therapist required for acute rehab hospitals; RN required for long-term acute care hospitals.
CPR certification is mandatory.
Education & Experience:
Minimum one year of wound care experience is required.
Continuous education in wound care through seminars/professional organizations is required.
Skills: Effective communication, decision-making, and the ability to work autonomously.
The Encompass Health Way
We proudly set the standard in care by leading with empathy, doing what's right, focusing on the positive, and standing stronger together. Encompass Health is a trusted leader in post-acute care with over 150 nationwide locations and a team of 36,000 exceptional individuals and growing!
At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification.
We're eagerly looking forward to meeting you, and we genuinely mean that. Join us on this remarkable journey!
Ambulatory Service Representative - Neurosurgery
San Antonio, TX jobs
Ensure all your application information is up to date and in order before applying for this opportunity.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Summary:
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Ambulatory Service Representative - Pedi Neurology
San Antonio, TX jobs
Scroll down for a complete overview of what this job will require Are you the right candidate for this opportunity
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multitask and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Member Services Specialist
Irving, TX jobs
Job Title: Member Services Specialist
Shift: 9am to 5pm, Monday to Friday
Schedule: 5 days a week - 40 hours
Roles and Responsibilities:
2 years of customer service experience in healthcare, insurance, and call center environment.
Must have excellent understanding of benefits, products, & other health care and/or insurance issues as they pertain to our customers (internal/external).
Facilitates member & provider understand of the plan coverage and benefits by thoroughly researching inquiries in an efficient and professional manner
Records all contact with customers, both verbal & written in the current MIS system
Required to assist in training/re-training new and current employees
Maintains accurate documentation of all telephone contact, walk-in customers, any mail inquiries by documenting to ensure a clear audit trail for reporting purposes
Responsible for handling all incoming calls and the making of outgoing calls as needed in order to resolve any issues or questions
Triage phone request to other areas such as Utilization Management and Provider Relations
Handles incoming written correspondence in a timely and professional manner
Member Services Specialist
Irving, TX jobs
Member Service Specialist Onsite in Irving TX
The Member Services Specialist serves as a frontline ambassador for the health plan, delivering high-quality, resolution-focused support to members, providers, and brokers across multiple lines of business. As the initial point of contact, this role extends beyond basic call handling-Specialists are trained to navigate the foundational pillars of our healthcare offerings, including the Health Exchange, US Family Health Plan, and NCHD, with a strong emphasis on first-call resolution. Specialists develop working knowledge of benefit structures, assist callers with portal navigation and access, and begin interpreting claims activity to support both member and provider inquiries.
This position blends customer service excellence with technical skill-building, offering exposure to internal systems, regulatory protocols, and cross-functional workflows. Specialists are expected to gain proficiency in core platforms used for eligibility verification, claims review, and member account management (e.g., HSP, HPS, HealthTrio). All interactions must be documented with a clear and concise recap of the call's purpose
RCM OPEX Specialist
Miami, FL jobs
The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes.
Essential Job Functions
Manage internal and external customer communications to maximize collections and reimbursements.
Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes.
Maintain fee schedule uploads in financial and practice operating systems.
Review and resolve escalations on denied and unpaid claims.
Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted.
Monitor accounts receivable and expedite the recovery of outstanding payments.
Prepare regular reports on refunds, under/over payments.
Stay updated on changes in healthcare regulations and coding guidelines.
*NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position.
Other Essential Tasks/Responsibilities/Abilities
Must be consistent with Femwell's core values.
Excellent verbal and written communication skills.
Professional and tactful interpersonal skills with the ability to interact with a variety of personalities.
Excellent organizational skills and attention to detail.
Excellent time management skills with proven ability to meet deadlines and work under pressure.
Ability to manage and prioritize multiple projects and tasks efficiently.
Must demonstrate commitment to high professional ethical standards and a diverse workplace.
Must have excellent listening skills.
Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures.
Must maintain compliance with all personnel policies and procedures.
Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members.
Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position.
Education, Experience, Skills, and Requirements
Bachelor's degree preferred.
Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management.
Strong knowledge of healthcare regulations and insurance processes.
Knowledgeable in change control.
Proficiency with healthcare billing software and electronic health records (EHR).
Knowledge of HIPAA Security preferred.
Hybrid rotation schedule and/or onsite as needed.
Medical coding (ICD-10, CPT, HCPCS)
Claims management (X12)
Revenue cycle management
Denials management
Insurance verification
Data analysis
Compliance knowledge
Comprehensive understanding of provider reimbursement methodologies
Billing software proficiency
Ambulatory Service Representative - Cardiovascular Surgery
Lake Jackson, TX jobs
Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Ambulatory Service Representative - Specialty Neurosurgery
Helotes, TX jobs
Applying for this role is straight forward Scroll down and click on Apply to be considered for this position.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and research errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
Education/Skills
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
Experience
1+ year of customer service experience required
Experience with medical office terminology preferred
Licenses, Registrations, or Certifications
None
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Ambulatory Service Representative - Business Office
Lake Jackson, TX jobs
You can get further details about the nature of this opening, and what is expected from applicants, by reading the below.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for xevrcyc treatment are obtained prior to patient visits
Reviews and audits billing discrepancy reports and researches errors for resolution
Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required
Requirements:
High School Diploma
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Ambulatory Service Representative - Cardiovascular Surgery
New Braunfels, TX jobs
Below covers everything you need to know about what this opportunity entails, as well as what is expected from applicants.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Client Services Associate
Newton, MA jobs
BAYADA Home Health Care is seeking a full-time Client Services Associate to join our Auburndale, MA Pediatrics home care team. Through hands-on experience, Client Services Associates at BAYADA learn all aspects of managing and growing a caseload and recruiting staff in order to become a Client Services Manager.
Are you looking for an exciting opportunity in a fast-growing industry? Do you want to make a difference in people's lives while you grow your career and learn the business? We're BAYADA Home Health Care and we believe that our clients and their families deserve home health care delivered with compassion, excellence, and reliability. We want you to apply your energy and skills to this dynamic and entrepreneurial environment and become an integral part of a caring, professional team that is instrumental in providing the highest quality care to our clients.
Responsibilities:
Focused on assisting the manager in delivering and coordinating client services
Support the team with onboarding new hires and maintaining employee personal files and compliance.
You'll help lead field staff in providing quality home care while increasing your office's caseload through long-term relationship building with clients, referral sources, payors and community organizations.
Sharing responsibility for your team, you'll develop communicative relationships with them while managing scheduling and maintain effective fiscal management by monitoring metrics (gross margin, overtime, unfilled hours, etc.).
Qualifications:
Four year college degree (prior health care, home care and recruiting experience a plus)
A demonstrated record of strong interpersonal skills and goal achievement
Ambition to grow and advance beyond current position
Strong PC and communication skills (including solid phone marketing & data entry ability)
Competitive compensation package:
Salary range: $44,000- $46,000 based on experience.
Why you'll love BAYADA:
BAYADA Home Health Care offers the stability and structure of a national company with the values and culture of a family-owned business.
Award-winning workplace: proud to be recognized by
Newsweek's Best Place to Work for Diversity
Newsweek's Best Place to Work for Women
Newsweek's Best Place to Work (overall)
Newsweek's Best Place to Work for Women and Families
Glassdoor Best Places to Work
Forbes Best Places to Work for Women
Weekly pay
Work life balance: Monday-Friday 8:30-5pm hours
AMAZING culture: we are a mission driven nonprofit organization, focused around three core values of compassion, reliability, and excellence.
Strong employee values and recognition: we utilize a BAYADA Celebrates page for daily recognition, along with Hero spotlights, Key Action of the Week meetings to connect back to our mission and celebrate staff, discounts/perks and partnerships, an Awards Weekend trip, and more.
Diversity, equity, inclusion, and belonging: Join groups like our Women in Limitless Leadership Employee Resource Council, Lean In circles, Racial and Ethnic Diversity (RED) Council, Pride LGBTQIA+ Council, Military Community Network, Solutions and Accessibility for Equality (SAFE) Council, Fostering Acceptance Inspiring Trust and Harmony (F.A.I.T.H), and more.
Growth opportunities: advancement opportunities, continued education opportunities, Udemy courses, webinars, and more
Check out our blog:
Benefits: BAYADA Home Health Care offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
To learn more about BAYADA Home Health Care benefits,
As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here .
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
Ambulatory Service Representative - Business Office
New Braunfels, TX jobs
You can get further details about the nature of this opening, and what is expected from applicants, by reading the below.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for xevrcyc treatment are obtained prior to patient visits
Reviews and audits billing discrepancy reports and researches errors for resolution
Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required
Requirements:
High School Diploma
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
Ambulatory Service Representative - Specialty Neurosurgery
Randolph Air Force Base, TX jobs
Applying for this role is straight forward Scroll down and click on Apply to be considered for this position.
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. xevrcyc
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and research errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
Education/Skills
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
Experience
1+ year of customer service experience required
Experience with medical office terminology preferred
Licenses, Registrations, or Certifications
None
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
MRI Specialist
Houston, TX jobs
We are searching for an MRI Specialist-- someone who works well in a fast-paced setting. In this position, you will perform quality routine and specialized radiographic procedures at the request licensed independent practitioner for interpretation by radiologists. As members of the health care team, they must participate in quality improvement processes and continually assess their professional performance. Maintains a safe and hazard free environment. They are responsible for patient care, appropriate documentation, quality control, and quality improvement, and they provide training, education and mentoring to students, technologists, nursing, residents, fellows, staff and others.
Think you have what it takes?
Responsibilities:
• Broad knowledge of MRI physics and procedures; understanding of MRI principles that are developmentally appropriate for ages 0 - adulthood
• Operation of all required equipment including troubleshooting, when necessary, of the equipment, including automated processors, copying/digitizing film equipment, R.I.S., and PACS
• Basic Life support and medical terminology understanding is required.
• Successful demonstration of the professional fundamental competencies
• Must be articulate, courteous and supportive in dealing with patients, parents, nursing, faculty, administrative and departmental personnel so that excellent customer service and positive guest relations are achieved
• Must honor confidentiality
• Must independently scan patients by following the established protocols
• Must demonstrate excellent verbal and written skills
• Must utilize basic office equipment
• Preferable if able to demonstrate bilingual skills
• The MRI Specialist will be responsible for multiple duties including:
• integrates scientific knowledge; technical skills, patient interaction and compassionate care resulting in diagnostic information, and recognizes patient conditions essential for successful completion of the procedure.
• possess, utilize, maintain, and enhance knowledge of MRI safety and protection for self, patients, and others.
• demonstrate a detailed understanding of human anatomy, physiology, pathology and medical terminology.
• liaison between patients, radiologist and other members of the support team.
• maintain a high degree of accuracy in positioning and exposure technique.
• prepares, administers and documents activities related to mediations in accordance with state regulations and institution policy.
Skills and Requirements:
• 3yrs Radiology experience
• Graduate of a formal diagnostic Radiology program required
• MR-ARRT certification from the American Registry of Radiologic Technologists required
• R-AART preferred
• CMRT from the Texas Medical Board preferred
• BLS certification from the American Heart Association preferred
ABOUT US
Since 1954, Texas Children's has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children's hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city's Best Places to Work for ten consecutive years.
Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.