Senior, Patient Access Representative
Elizabeth City, NC jobs
City/State Elizabeth City, NC Work Shift Third (Nights) Full-Time, Nights The Senior Patient Access Representative is a working resource to the patient registration teams. Responsibilities include registering patients for the Emergency Department, and/or various registration areas of the hospital. The Patient Access Team Leader also assists the Team Coordinator and department leadership by serving as registration system super-user, taking on-call rotation during the week and on the weekends, participating in the interviewing process, preparing and reviewing reports, performing QA audits, mentoring and training staff, managing department supply levels, and participating in meetings and workgroups. The Team Lead is required to meet the written requirements and competency to serve as a preceptor and to provide department orientation. If you desire, there are promotional opportunities in Patient Access such as a Team Coordinator.
Up to $1,500Sign-On Bonus for Qualified Candidates!
Education
HS - High School Grad or Equivalent
Certification/Licensure
No specific certification or licensure requirements
Experience
2 years of Customer Service and/or Data Entry
Associate or bachelor's degree in Lieu of two years of experience
Two years of previous experience in a healthcare environment in a related area
Proficiency in Keyboarding
K eywords: Customer Service, Patient Registration, Data Entry, Front Desk, First Point of Contact, Insurance, Insurance Verification, Talroo-Allied Health, Scheduling, Receptionist, Non-clinical, monster
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Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Registered Nurse (RN) Unit Coordinator - Intensive Care Unit
Elizabeth City, NC jobs
City/State Elizabeth City, NC Work Shift Third (Nights) Sentara Albemarle Medical Center is hiring a Registered Nurse (RN) Unit Coordinator for the Intensive Care Unit (ICU). Elevate your career! Hours/Shift: 36-hours, Nights Education
Degree or Diploma in Registered Nursing
Bachelor of Science Nursing- BSN
Certification/Licensure
Registered nursing License (Required)
BLS required within 90 days of hire
Experience
18-months of RN experience is required
RN Unit Coordinators demonstrate proficiency in nursing practice for assigned specialty area and provides clinical leadership for the delivery of nursing care in a department. Under the direction of the department manager leads safety and quality initiatives, focuses on and simplifies workflow, and contributes to the development of staff. Increase staff satisfaction and promotes excellent (Gold Standard) customer service.
Join Our ICU Family - Where Your Voice Matters and Your Growth Matters More!
Looking for more than just a job? Come be part of our 10-bed Medical-Surgical ICU, a close-knit, high-performing team that feels more like family than coworkers. Here, you're not just filling a shift - you're making a difference.
We believe in open communication, shared decision-making, and amplifying every voice on the team. Whether you're a seasoned nurse or just starting your critical care journey, your ideas, input, and experiences are valued every day.
You'll care for a diverse range of medical and surgical patients, sharpening your critical thinking skills in an environment that encourages learning, mentorship, and professional growth. From expanding your clinical skills to pursuing leadership roles, we're here to support your career goals every step of the way. We are proud to share that we recently received Magnet accreditation with distinction, reflecting our commitment to nursing excellence and quality patient outcomes.
Join us and thrive in a place where your voice is heard, your growth is supported, and your team feels like home!
Keywords: Registered Nurse, RN, ICU, Intensive Care, Critical Care, SAMC, Sentara Albemarle, Unit Coordinator, Charge Nurse, Leadership, Management, BSN, Talroo-Nursing
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Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Applications Systems Analyst Sr - Epic Beaker
Morrisville, NC jobs
Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The responsibilities of this role will focus primarily on supporting our Lab operational teams using Epic Beaker AP/CP and Non-Epic lab systems and workflows, providing innovative solutions to enhance functionality, and troubleshooting issues effectively. Crucial to the position is the ability to work collaboratively with their team to optimize workflows and tools, adhering to our guiding principles and governing structure.
You will be expected to become an expert in Epic Beaker AP/CP and Non-Epic Lab workflows.
You will be expected to take call on a rotation and respond to requests effectively, updating your team/manager on issues that require escalation. While this position is remote working, you will be expected to go onsite across the state for go-lives and required meetings.
A CLS/MT/MLT and Epic certification in Epic Beaker AP/CP will be minimum requirements. The ideal candidate will have CLS/MT/MLT certifications, an understanding of laboratory services workflows, basic Epic Beaker AP/CP knowledge, excellent communication and teamwork skills, and a willingness to learn in an ever-expanding field.
Assists other IT teams with selection and provides technical evaluation of products / tools to ensure that the proposed solution adheres to enterprise-wide requirements, adapts to new requirements and changing technologies in order to meet business standardization protocols and objectives. May provide guidance to Applications System Analysts to ensure best practices, standard methodologies and processes are executed.
Develops and maintains clear, understandable documentation to describe program development and modification, as well as troubleshooting. Updates system and support documentation as necessary to reflect changes to programs, solutions, reports and interfaces.
Evaluates requests and consults in design for new or modified computer programs, solutions, reports and interfaces to determine feasibility and compatibility with current system. Identifies and recommends solution development for larger and complex projects and ensures best practice development. Formulates and develops plans at a high level and documents required steps to achieve stated requirements. Functions as a technical consultant to the health system and maintains high service levels. Updates management, customers and others as appropriate on a timely basis regarding progress on assigned tasks, projects and issues, via written or oral reports
Bachelor's degree in Computer Science, Information Systems Management or related field (or equivalent combination of education, training and experience).
CLS/MT/MLT and Epic certification in Epic Beaker AP/CP
If a Bachelor's degree: Four (4) years of experience with IT systems and/or related operational experience.
● Six (6) years of IT systems and/or related operational experience.
● If a High School diploma or GED: Eight (8) years of IT systems and/or related operational experience.
Highly responsive to internal customers.
Legal Employer: NCHEALTH
Organization Unit: ISD Clinical Systems
Work Type: Full Time
00 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Exempt From Overtime: Exempt: Yes
d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
Leadership Development Partner
Orlando, FL jobs
Are you a natural leader who is passionate about personal and professional growth and development? Keep reading!
We are seeking talented individuals to work as independent contractors. Partnering with a reputable global company in the personal development industry, you will enjoy the flexibility of setting your own schedule and working from home or remotely.
Our company is dedicated to helping people unlock their full potential through our award-winning products and events. We believe that everyone has the power to transform their lives and create a better future for themselves and others.
As an independent contractor with our team, you will have the opportunity to build a successful business while being part of a supportive community.
We offer full training and support, a generous compensation plan, and no quotas or minimums to meet. We believe in empowering our team members and providing ongoing mentorship and coaching from experienced professionals.
We are looking for individuals who are positive, driven, and eager to make an impact. You don't need to have any prior experience, but a genuine interest in helping others and a willingness to learn and grow is essential.
By joining our team, you will have the the freedom to create your own path and an opportunity to make a meaningful difference in people's lives while building a rewarding career on your own terms.
So if you are seeking a fulfilling career that allows you to achieve your goals, make a difference in people's lives while growing both personally and professionally, then we want to hear from you!
Take the first step towards a fulfilling new career and Apply Now!
Assisted Living Advisor
Boynton Beach, FL jobs
Responsive recruiter Replies within 24 hours Benefits:
Bonus based on performance
Flexible schedule
Training & development
Senior Care Authority is currently searching for people in the Home Health, Senior Care or related Health fields in North Broward or Palm Beach County, FL who are looking for a CHANGE.
Approximately 10,000 people turn 65 every day. Many of them will need some type of elder care services. The increasing number of seniors, along with senior living housing environment changes, means there is a growing need for empathetic & compassionate people to help solve issues that families face during trying times. The successful candidate will be a part of a team committed to improving the lives of seniors and their families.
-You LOVE to network, you know a lot of interesting, upstanding citizens of North Broward and Palm Beach Counties.
-Increase awareness of Senior Care Authority through outreach, networking and public speaking opportunities.
-Develop relationships with key referral source, through cold calls, pre-arranged meetings and other direct sales activities.
-Have a desire to help families through stressful times associated with their search for the most appropriate living option for their loved one (Assisted Living, Independent Living, Memory Care, Residential Care Homes).
-Act as an advocate for your family through the entire process. Set up and attend tours. Work and travel to clients from home.
This is a commission-only position with a generous commission split. We will provide training and support.
Qualifications
Bachelor's Degree from a four-year college or university; or five years related experience and/or training; or equivalent combination of education and experience
Ability to deliver results while working in a highly independent environment - SALES and CONSULTING EXPERIENCE a plus
Demonstrated ability to access family situations and quickly develop solutions based on family needs
Document history of ability to develop and maintain good working relationships
History of the senior care industry, medical sales or home health sales preferred
Relationships with staff at doctors' offices, Skilled Nursing Facilities, home health agencies, and hospitals a plus
Ability to multitask; talk on the phone and take notes on the computer
Strong computer skills necessary in email and Google Docs or Microsoft Office
Flexible work from home options available.
Compensation: $2,000.00 - $20,000.00 per month
Senior Care Authority offers a great opportunity for you to lead a more purpose-driven life through our senior care advisor jobs. We're a fast-growing organization with over 80 independently-owned locations nationwide. When you join us in helping seniors live safely and happily, you become part of an exciting and growing business. At Senior Care Authority , we offer expertise, support, and resources to guide families as they navigate senior living and care options for their loved ones. We are committed to the highest level of integrity, compassion, and service in the industry. Search our senior care jobs using the filters above to find out more.
This franchise is independently owned and operated. Your application will go directly to the franchise, and all hiring decisions will be made by the management of this franchise. All inquiries about employment at this franchise should be made directly to the franchise location, and not to Senior Care Authority Corporate.
Auto-ApplyPrior Authorization Supervisor - Specialty Testing (REMOTE)
Burlington, NC jobs
Prior Authorization Supervisor, Speciality Testing
Schedule: Mon-Fri, 8am-5pm ET
Pay range: $52,200.00 - $92,600.00 a year
At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives!
Primary Responsibilities:
Oversee work assignments, ensuring efficient task distribution and timely completion.
Generate and analyze inventory reports to guide decision-making.
Proactively assess inventory throughout the day to optimize workflow and prioritize urgent cases.
Communicate effectively with various departments to resolve discrepancies, including missing work files and IT platform issues.
Audit employee work for accuracy, providing constructive feedback and coaching to enhance performance.
Conduct one-on-one meetings with employees, fostering professional growth and setting annual goals.
Offer timely support by answering employee and stakeholder inquiries.
Train new hires and develop comprehensive training resources.
Create and interpret complex SOPs, job aids, and special workflows for diverse processes.
Design and lead engaging team meetings.
Navigate multiple platforms and websites to facilitate prior authorization tasks.
Perform specimen history research to assist with escalations, training, and troubleshooting.
Deliver exceptional customer service with professionalism, patience, and empathy.
Escalate critical issues to leadership when necessary.
Identify and recommend process improvements to enhance efficiency.
Maintain a thorough understanding of policies, guidelines, and payer requirements related to specialty testing (such as oncology, women's health, and other advanced diagnostics).
Ensure compliance with specialty test regulations and proactively address any policy updates that impact workflow.
Meet deadlines consistently while maintaining high accuracy and minimal errors.
Complete required trainings punctually and thoroughly.
Qualifications:
High school diploma or equivalent required; associate degree or higher strongly preferred.
Minimum 3 years of relevant work experience required.
Minimum 1 year of experience in prior authorizations strongly preferred (concurrent experience acceptable).
3+ years of leadership experience strongly preferred.
Minimum 2+ years prior work experience in insurance claims, pre-authorization, and medical benefits strongly preferred.
Utilize MS Excel, Word and Outlook; PowerPoint proficiency preferred
Experience with specialty testing (such as oncology, women's health, and other advanced diagnostics) preferred.
Proven ability to identify improvement opportunities and implement recommendations preferred.
Additional Desired Skills:
Exceptional interpersonal communicator with the ability to build rapport and motivate teams.
Strong problem-solving and decision-making abilities.
Detail-oriented with a proven track record of delivering results.
Comfortable managing performance in a production-driven environment while enforcing company policies.
Demonstrates integrity, trustworthiness, accountability, and respect in all professional interactions.
Maintains confidentiality and upholds high ethical standards.
Strong verbal and written communication skills.
Self-motivated with the ability to thrive under pressure in a dynamic environment.
Reliable and punctual.
Application window closes: 10/24/2025
All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here.
Labcorp is proud to be an Equal Opportunity Employer:
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
Auto-ApplyProduct Documentation Specialist, (Remote)
Tallahassee, FL jobs
Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation.
NOTE: This position focuses on operational and process documentation, not technical or engineering documentation.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation.
- Perform strategic and ad-hoc data work in support of Product Managers and Product Owners
- Analyze and manage moderately complex business process flows and updates to system process flows and requirements.
- Create and maintain technical documentation / product development & customer education materials
- Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials.
- Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained.
- Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence.
- Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments.
- Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials.
- Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures.
- Review and improve existing documentation to enhance clarity, usability, and compliance with standards.
- Support process improvement initiatives by documenting changes, workflows, and system updates.
- Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively.
Minimum Requirements
- Bachelor's Degree or equivalent experience and 3+ Years.
- Preferred SAFe Agile Certification(s).
- Preferred Jira/Confluence experience.
- Preferred learning development / documentation experience.
- Preferred technical writing experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years' relevant experience with documentation and supporting process improvement initiatives.
- Strong attention to detail and organizational skills.
- Excellent written communication skills with the ability to create clear, concise, and accurate documentation.
- Experience working collaboratively with internal stakeholders to gather information and develop documentation.
- Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint).
- Ability to manage multiple documentation projects simultaneously and meet deadlines.
Preferred Requirements
- Previous experience in product documentation, writing, or business support role.
- Knowledge of process improvement methodologies
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
#ClinicalServices #LI-Remote
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
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplyDirector, Government and External Relations
Columbia, SC jobs
At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. This is a remote opportunity based in Columbia, SC, to work at the statehouse. This position supports both our Greenville, SC, market and Roper St. Francis Healthcare in Charleston, SC. Travel will be expected to both of those locations.
**Summary of Primary Function/General Purpose of Position**
The Director of Government and External Relations will manage successful statewide relations at all levels of government and among community leaders, state trade associations and other external constituents of importance to implement the state and federal public policy and advocacy agenda of Bon Secours Mercy Health (BSMH) within the State of South Carolina. The Director will report to the System Chief Advocacy & Government Relations Officer while supporting the priorities of internal CEOs in Greenville and in Charleston to effectively advocate and manage external relations with statewide influence. In addition, engaging internal subject matter experts across the spectrum of BSMH is essential. This will ensure an evidence-based approach to developing legislative, regulatory and community solutions on matters such as public program funding for patient care and workforce development affecting clinical operations and external relations priorities across the State of South Carolina.
**Essential Job Functions**
+ Support system-wide legislative, regulatory and advocacy priorities in the State of South Carolina through effective internal and external relations management, including, but not limited to community leaders, trade associations, and government officials. The Director will serve on the Advocacy & Government Relations Committee and Government Reimbursement Council at the system level while developing a strategic statewide vision to achieve goals and objectives that are reflective of the communities we serve and support the current and future needs of BSMH throughout the State of South Carolina.
+ Manage government relations/advocacy agenda on a statewide basis as directed and ensure implementation of system and local priorities in Greenville and in Charleston with internal key stakeholders.
+ Foster and influence relationships throughout the state and in concert with internal regional stakeholders that result in favorable legislative & regulatory outcomes and build strategic alliances to augment external reputational management and system growth.
+ Enhance Bon Secours Mercy Health's public reputation as a relied upon and trusted resource by identifying public and private sector community-based interfaces and partnerships throughout our service areas.
+ Provide legislative, regulatory and health industry intelligence to inform strategic impact analyses in concert with internal content experts that lead to politically viable solutions for the future success of our health system.
+ Identify opportunities to coordinate appropriate Advocacy interface with internal Mission, Foundation, Community Health and Marketing/Communication leader(s) in regional coalitions and partnerships, and to assure adequate representation of the ministry on related issues in the communities we serve.
+ Create effective grass-tops and grassroots support and mobilization, and strong trade association and business organization relations with an emphasis on those organizations where BSMH personnel serve in a board or committee capacity.
+ Identify opportunities to organize grass-tops network and mobilize internal grassroots support for legislative and advocacy issues when appropriate.
+ Champion internal process to develop action plan for executive and clinician engagement on government matters, as well as governmental, industry trade / business organization, and community boards of interest.
+ Partner with internal Foundation personnel to identify local, state and federal grant opportunities to address various community health needs.
+ Lead and manage local market / regional Advocacy outreach in Greenville and in Charleston through education and lobbying strategies with designated internal personnel to realize a positive impact and favorable outcome for legislative & regulatory policy issues and external relations more broadly.
+ Maintain registration as a state lobbyist on behalf of BSMH and ensure compliance of all related reporting requirements.
**Employment Qualifications**
+ **Required Minimum Education:** Bachelor's Degree in Political Science, Public Policy, Public Administration, Journalism or related degree
+ **Preferred Education:** Master's Degree
+ **Minimum Years and Type of Experience** : 5-7 years in an external relations capacity
+ **Other Knowledge, Skills and Abilities** **Required:** Effective communicator with excellent interpersonal relationship skills, understanding of government, and strategic agility to collaborate in a complex organization
+ **Other Knowledge, Skills and Abilities** **Preferred:** Analytical and business acumen (healthcare experience a plus), and adaptable to change
As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
**What we offer**
+ Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
+ Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
+ Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
+ Tuition assistance, professional development and continuing education support
_Benefits may vary based on the market and employment status._
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************
Software Engineering Intern (Spring 2026)
Kentucky jobs
ABOUT NAR Simulation Our mission is to develop and produce realistic training tools that provide the realism demanded by our military and emergency medical clients. In addition to the realism, true training tools need to be a complement to training exercises, not a piece that demand time and attention. Training sessions are effective, both in cost and in educational value, when they can be repeated with minimal interruption - they must serve the greatest number for the greatest amount of time.
This NAR Associate will participate as a TEAM member within the Simulations department and help facilitate smooth processes among other team members.
ESSENTIAL RESPONSIBILITIES
This is not an all-inclusive list of duties and responsibilities. Projects/duties may be change as dictated by the needs of the business.
* Experience developing software for the following languages/platforms
* C#
* WPF
* Visual Studio or similar
* .NET Framework
* Git
* Design, test and develop software components that work with existing software
* Familiarity working with medium-sized code bases (>10,000 LOC)
* Familiarity designing and developing user interfaces
* Familiarity working with a messaging API to request/respond to remote devices
* Familiarity gathering and analyzing requirements
* Punctual and dependable. As a student position, work scheduling is flexible relative to your class schedule, but once hours are set for the semester adherence to the agreed upon schedule is expected.
* Remote work eligibility will be considered on a case-by-case basis. Reliable transportation to and from our LaGrange, KY facility is required for on-site work.
AUTHORITY
* Works on a small multi-disciplinary engineering team
* Reports to lead Software Engineer.
ACCOUNTABILITY
* Provides design support to the engineering team
QUALIFICATIONS
Education
* Junior level status towards a BS in an ABET accredited software development program. Proof of enrollment is required
Competency and Skills
* Basic computer skills (Word, Excel, e-mail)
* Knowledge of fundamental software development principles
Experience
* Prior work experience a plus, but not required
Specific Characteristics
* Self-starter - ability to carry a task from start to finish with minimal direction.
* Task oriented - ability to define tasks from vague concepts, handles multiple tasks, prioritizes, periodically provides updates to supervisor.
* Builds effective working relationships.
* Consistently applies good communication skills: both oral and written.
* Possesses strong quality orientation, attention to detail, and personal desire to meet/exceed requirements.
* Works effectively and efficiently with limited direction and supervision.
* Demonstrates ability to change direction and focus as directed.
DEMANDS
Time and Availability
* Must be able to work a minimum of 15 hours, but not exceeding 40 hours, each week. Schedule to be determined dependent on class schedule within our normal operating hours of 8:00 AM and 5:00 PM, Monday - Friday.
Travel
* Travel is optional as schedule permits. Travel will generally be limited to the greater Louisville, KY area and not to exceed 10% of the time.
Physical
The physical demands described here are representative of those that must be met by a typical office 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.
* Occasional bending, stooping, squatting, kneeling, crawling, reaching, and lifting of up to 25 lbs.
Environment (on-site)
* Must be able to work in a moderate industrial noise level environment up to 80 dB (not needed on a consistent basis but will need occasionally)
* Must be able to work in a non-smoking facility.
* Due to the nature of our business, you will encounter simulated sounds and images of a medically graphic nature. Discretion is advised.
* You may be inadvertently exposed to smoke, dust, engine exhaust, coolant mists, organic vapors, sudden loud noises and/or bright flashing lights while working in our facility. Any disabilities relating to the aforementioned will be reasonably accommodated and PPE will be provided as needed.
DISCLAIMERS
* AAP/EEO Statement
NAR Training provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.
Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Charlotte, NC jobs
Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus.
This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area.
Key Areas of Responsibility
- Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials.
- Developing new programs for customer engagement including integrated marketing programs from concept to execution
- Drive Maximus Federal solutions and offerings.
- Manage digital and social media strategies across the federal market
- Build, manage, and coach a high-performing marketing team.
- Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports.
- Work closely with the growth leaders to align sales and marketing strategies
- Maintain brand standards and ensure compliance across all marketing and communications channels.
- Build long-term relationships with employees, clients, government officials, and stakeholders.
- Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company.
- Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement.
- Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation.
This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions.
Qualifications:
-15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team.
-Previous experience at a corporation focused on the Federal sector.
-Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered.
-MA degree in Marketing, Communication, or similar relevant field, preferred.
-Outstanding communication, presentation, and leadership skills.
-In-depth knowledge of the Federal sector.
-Critical thinker with problem-solving skills.
-Strong interpersonal and communication skills.
Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management
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
$
216,155.00
Maximum Salary
$
292,455.00
Easy ApplyPatient Collections Specialist
Nashville, TN jobs
Job Details Midtown - Elite - Nashville, TN DayDescription
Elite Sports Medicine + Orthopedics is looking for a Patient Collections Specialist with a strong sense of ownership, attention to detail and able to multi-task. The Patient Collections Specialist job is to perform in-house collection duties for overdue patient account balances. This is primarily remote position however you do have to live in the state of Tennessee. You can not work remote in another state for this position.
Elite Sports Medicine + Orthopedics offers a competitive compensation package for full-time members including: Three Medical Plans Options (your choice of a PPO or HDHP), Dental and Vision Coverage, Health Savings Account (with HDHP), Employee Assistance Program, Company Provided Basic Life, AD&D and Long-Term Disability, Voluntary Life and Short-Term Disability, PTO Accrual, Paid Holidays, and 401(k) + employer match.
MINIMUM ESSENTIAL JOB REQUIREMENTS
Contact patients with outstanding balances and send communications as appropriate
Post insurance and patient payments into the practice management system
Respond to billing inquiries from patients
Resubmit insurance claims on behalf of patients as necessary
Review and document all collection notes in patient accounts
Evaluate delinquent patient accounts for submittal to third-party collection agencies
Use the Collection Module to track activity and communication with patients and to establish payment plans within pre-approved guidelines
Help answer the billing phone line and assist patients with their account information
Promote the company website and patient resources located there by communicating to patients that they are able to pay their bill online
Work aging reports
Qualifications
KNOWLEDGE, SKILL AND COMPETENCY REQUIREMENTS
High school diploma required
College education or trade school preferred
Experience working in a physician office or hospital billing position preferred
Proven record of discussing financial responsibilities and establishing payment plans when necessary
Comfortable using email, Internet applications and MS Office Suite, especially Word and Excel
Basic knowledge of CPT and ICD-10-CM coding for orthopedic surgery
Orthopedic claims experience preferred
Knowledge of practice management and word processing software
Ability to demonstrate proficient use of billing and scheduling applications
Ability to work standard office equipment (fax, copier, telephone, PC)
Excellent written and verbal communication skills
Strong attention to detail
Neat, professional appearance
Working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement
General understanding of explanation of benefits forms, claim forms and the insurance billing process
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, sexual orientation, age, disability, gender identity, marital or veteran status, or any other protected class.
Prov Network Relations Supervisor-Physical Health (Remote-NC)
Gastonia, NC jobs
Competitive Compensation & Benefits Package!
eligible for -
Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
Public Service Loan Forgiveness Qualifying Employer
See attachment for additional details.
Location: Available for any Partners' NC locations; Remote option in NC or within 40 miles of NC border
Projected Hiring Range: Depending on Experience
Closing Date: Open Until Filled
Primary Purpose of Position:
The Provider Relations Physical Health Supervisor provides oversight and supervision to a team of Provider Account Specialists responsible for supporting relationships for providers in the Partners Health Management Network that primarily provide services to Physical Health Providers. This position is expected to build and sustain strong working relationships with cross functional departments, physical health plan partners, both physical and behavioral health providers, and essential providers. The Physical Health Provider Network Relations Supervisor supports successful operations of primarily physical health providers but also providers who deliver both physical and behavioral health services, and essential health providers within our healthcare delivery model. This position assists and promotes problem solving, communication, excellent customer service, process improvement and education/development. The position requires inter and intra departmental collaboration on projects, business development, network requirements, network expansion and fortification including knowledge of care management, contracting, value-based programs along with state and departmental reporting. Managed Care experience in the State of North Carolina is desired.
Role and Responsibilities:
Network Support and Development
Supervise and provide oversight to provider account specialists to support the needs of primarily Physical Health Providers but can include Behavioral Health and Essential Health Providers in the Partners Health Management Network.
Assist Physical Health Provider Network Relationship Manager in needed training and/or consultation related to provider issues.
Provide assistance with value-based and fee-for-service provider contracting.
Assist in development and enhancement of the provider network through engagement with Physical Health providers both in and out of the Partners Health Management network.
Work collaboratively with internal departments to increase knowledge and development opportunities for the network.
Provide technical assistance and guidance as necessary to Provider Account Specialists and Physical Health providers in the network.
Create reports as requested or needed for support of the provider network.
Provide support and assistance to the Physical Health Provider Network Relationship Manager.
Provide strong and comprehensive support in the area of Physical Health to ensure the best potential outcomes for the Physical Health providers and members.
Provider Relations
Ability to establish and maintain relationships with providers in and out of the network.
Facilitate and provide assistance as requested by both providers and other internal departments to mitigate provider issues or concerns.
Participate in provider meetings across the agency when appropriate or needed to foster and support the relationship between providers and Partners Health management.
Serving as a resource to other departments within the organization on provider-related issues.
Coordinate/attend meetings with providers and internal staff.
Participating in Provider Forums as requested and providing technical support and assistance to Provider Council as needed
Assist the Physical Health Provider Network Relationship Manager by participating in internal workgroups that involve Physical Health providers.
Collaborate with all levels of the organization including Executive Leadership Team, Departmental Directors, and Managers to assist with problem resolution.
Enhance relationships with providers by assisting in investigating, documenting, and resolving provider issues and concerns.
Knowledge, Skills and Abilities:
Considerable knowledge of the laws, regulations and policies that govern the program
General knowledge of Physical Health business practices, rules, and regulations
Exceptional interpersonal and communication skills
Strong problem solving, negotiation, arbitration, and conflict resolution skills
Excellent computer skills and proficiency in Microsoft Office products (such as Word, Excel, Outlook, and PowerPoint
Demonstrated ability to verify documents for accuracy and completeness; to understand and apply laws, rules and regulations to various situations; to apply regulations and policies for maintenance of consumer medical records, personnel records, and facility licensure requirements
Demonstrated ability to lead and manage workload distribution.
Ability to make prompt independent decisions based upon relevant facts
Ability to establish rapport and maintain effective working relationships
Ability to act with tact and diplomacy in all situations
Ability to maintain strict confidentiality in all areas of work
Education/Experience Required: Bachelor's Degree in mental health, public health, social work, psychology, education, sociology, business, or public administration and five (5) years of experience in a community, business, or governmental program in health-related fields, social work or education including experience in network operations, provider relations, and management experience. Three (3) three years of supervisory, consultative, or administrative experience. A combination of relevant experience may be considered in lieu of a bachelor's degree.
NC Residency is required.
Education/Experience Preferred: Master's Degree and two(2) years' experience directly interacting in clinical environment.
Licensure/Certification Requirements: None
Auto-ApplyDirector of Revenue Cycle
Naples, FL jobs
Moorings Park is looking for a Director of Revenue Cycle. The Director of Revenue Cycle is responsible for the overall strategy, analysis and implementation of the entire revenue cycle for Moorings Park's multi-campus Continuing Care Retirement Community that includes Independent Living, Assisted Living, Skilled Nursing, Outpatient Therapy, a Home Health Agency, and a Concierge Physicians Practice. This role manages all aspects of billing, cash posting, accounts receivable, payer setup, and contract approval. It ensures accurate and compliant revenue recognition, timely collections, and accountability for all billing processes-including those managed by a third-party billing company
The Director of Revenue Cycle is hands-on, directly posting private pay cash receipts, cross-training staff, and serving as a subject matter expert on the EMR billing system. They are responsible for the financial qualification of prospective residents, approval of resident contracts, and customer-facing billing inquiries, making them a key partner in maintaining trust with residents, families, and partners. The role is fully remote and supervises a geographically dispersed team of remote partners.
CANDIDATE MUST LIVE IN THE STATE OF FLORIDA
- We will not consider any out of state applicants for this position -
Contributions:
Revenue Cycle Leadership & Vendor Oversight
Lead and manage the revenue cycle across all business lines, including billing, collections, cash posting, and accounts receivable oversight.
Serve as the primary liaison to the outsourced billing company, holding them accountable to contractual service levels and organizational goals.
Supervise internal billing team members, providing leadership, training, and performance management in a fully remote work environment.
Continuously evaluate revenue cycle performance, ensuring accuracy, compliance, and process efficiency.
Cash Posting & Billing Oversight
Personally post private pay cash receipts; ensuring daily and monthly reconciliation of all accounts receivable related deposits.
Responsible for the oversight, reconciliation, and quarterly audits of the Patient Trust funds at the Skilled Nursing Facility and Assisted Living Facility, ensuring compliance with organizational standards and state regulations.
Responsible for the oversight and monthly reconciliation of the Advance Deposit account ensuring that funds are applied and transferred in a timely manner.
Train and cross-train team members on cash posting procedures to ensure adequate coverage.
Oversee accurate and timely billing processes for private pay accounts while coordinating with third-party billing partners for Medicare and insurance claims.
Monitor accounts receivable aging and work to resolve outstanding balances quickly.
Systems & Data Expertise
Serve as the subject matter expert and administrator for the EMR billing platform and clearinghouse, including payer setup, workflow configurations, and optimization.
Partner with IT to implement system updates and enhancements that improve efficiency and reduce errors.
Ensure data integrity across all billing and resident financial systems.
Resident Contract and Financial Qualification
Review and approve all resident contracts, ensuring compliance with organizational standards and state regulations.
Evaluate prospective residents' financial documentation, making recommendations on acceptance and financial qualification.
Enter resident contracts into the resident database, ensuring complete accuracy and appropriate recognition of amortization income and deferred revenue.
Regularly reconcile database entries to financial statements to ensure accuracy of reported revenue.
Customer Service & Stakeholder Communication
Respond promptly and professionally to inquiries from residents, families, and coworkers regarding billing or contracts.
Provide clear explanations of billing, contracts, and financial obligations to support resident trust and satisfaction.
Serves as the billing expert for the Organization, stays informed of all Medicare and Insurance regulations and changes that may impact the Organization; stays up to date on industry best practices
Works closely with community health care administrators and admissions teams; is the lead on trainings and status of receivables.
Compliance, Audits & Reporting
Ensure compliance with HIPAA and all relevant healthcare regulations.
Assist with all financial statement audits, cost reports, bond reporting, and other external reviews.
Implement and maintain strong internal controls to ensure compliance and safeguard financial integrity.
Responsible for the creation, implementation and monitoring of policies and procedures across the Organization to ensure accurate and timely billing and collections; serves as the lead on any task force or project groups related to billing.
Responsible for the development and monitoring of key performance indicators to ensure accountability and high performance.
Job Requirements:
Bachelor's degree in Healthcare Administration, Finance, Accounting, or related field (Master's preferred).
Minimum of 5 years' progressive revenue cycle management experience in a multi-service healthcare organization; CCRC or post-acute experience strongly preferred.
Expertise with EMR billing systems, clearinghouses, payer setup, and data integrity management.
Deep understanding of Medicare billing practices, payer contracts, and healthcare revenue recognition.
Strong leadership experience, including managing vendor relationships and supervising a team.
Excellent financial analysis and communication skills, with the ability to explain complex billing matters to non-financial stakeholders.
Demonstrated knowledge of HIPAA regulations, internal controls, and audit processes.
Advanced Microsoft Excel skills; ability to create dashboards and financial reports.
Key Competencies:
Strategic and hands-on management style, balancing leadership with day-to-day operational expertise.
Ability to navigate a complex, multi-site organization with multiple lines of business.
Strong problem-solving skills, attention to detail, and a focus on accuracy.
High emotional intelligence and a resident-centered mindset.
Ability to lead remote teams effectively and foster accountability.
Commitment to continuous improvement, compliance, and organizational mission.
Moorings Park Communities, a renowned Life Plan organization includes three unique campuses located in Naples, Florida. We offer Simply the Best workplaces through a culture of compassionate care for both our residents and our partners.
Simply the Best Benefits for our partners include:
FREE health and dental insurance
FREE Telemedicine for medical and behavioral health
Vision insurance, company paid life insurance and short-term disability.
Generous PTO program
HSA with employer contribution
Retirement plan with employer match
Tuition reimbursement program
Wellness program with free access to on-site gym
Corporate discounts
Employee assistance program
Caring executive leadership
Auto-ApplyCulinary Remote Call Center PRN
Raleigh, NC jobs
Provides telephonic nutrition services to patients utilizing standardized guidelines. This position interacts with clinical caregivers, patients, and patient's family members to explain the meal process and modify meal selections according to provider orders.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.
**Work Schedule**
+ **PRN, on call or as needed**
+ **Remote Position, must be a Utah Resident**
+ **Shift Assignments:** coverage for time off requests & leave requests in the morning, afternoon & evening
+ **Hours of Operation:** Sunday-Saturday 0630 - 1930
+ **Required:** Rotating holidays and weekends
+ **Benefits Eligible: No**
**Essential Functions**
+ Takes patient meal selections and modifies them using system standards to meet provider orders.
+ Checks trays for accuracy during meal assembly.
+ Communicates clearly to both clinical and culinary caregivers.
+ Collects and inputs nutrition screening information
+ May complete calorie count and nutrition analysis as dictated by facility
+ Utilizes a computer to run reports and take orders.
+ Follows standardized practices relating to Nutrition Services (e.g. dining experience, meal delivery and maintaining required stock levels)
+ Performs accurate credit transactions according to system standards and independently resolves basic customer service issues.
**Skills**
+ Nutrition
+ Diet Management
+ Computer Literacy
+ Interpersonal Communication
+ Active Listening
+ Coordinating tasks with others
+ Patient Interactions
+ Attention to detail
**Qualifications**
+ Virtual Screening through Microsoft Teams before application submitted to Hiring Manager
+ **Residential Home address and work from home address must be within the state of Utah**
+ **Immediate access to dedicated, hardwire internet:** 15MBPS per second for download speed, 3MBPS per second for upload speed (no sharing of services)
+ Experience in Food Service, Nutrition Services, or healthcare call center (preferred)
+ Demonstrated ability to work with modified diets (preferred)
+ Demonstrated ability to provide exceptional customer service (preferred)
**Physical Requirements:**
+ Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ Remain standing for long periods of time to perform work.
+ Tolerate extremes in temperature such as performing work at a grill or in a refrigerator and tolerate exposure to cleaning chemicals.
**Location:**
Vine Street Office Building
**Work City:**
Murray
**Work State:**
Utah
**Scheduled Weekly Hours:**
0
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$18.22 - $23.68
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Bilingual Scheduling Specialist
Miami, FL 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 is a BILINGUAL position, Spanish and English***
THE OPPORTUNITY
A Scheduling Specialist is a vital member of the healthcare team and responsible for providing world-class customer service to clients.
This position pays between $15.75-20.90/hr depending on experience
Essential Job Objectives:
Understanding admission, billing, payments, and denials.
Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
Knowledge of medical terminology or CPT or procedure codes.
Patient Access experience with managed care/insurance and Call Center experience is highly preferred.
Articulate, personable, dependable, and confident with excellent communication skills.
Customer service-oriented builds trust and respect by exceeding customer expectations.
Experience We Love:
Intermediate proficiency in MS applications (Word, Excel & PowerPoint), experience with multiple computer systems, and use of dual screens.
Able to multitask and work individually while applying critical thinking skills.
Customer Service experience is preferred.
Education/Certification(s):
High School Diploma Required - Associates Preferred
1-2 years of healthcare experience preferred
Must be bilingual (English & Spanish)
Certified Revenue Cycle Representative (CRCR) required within 9 months of hire
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
Auto-ApplyManager of Revenue Cycle
Louisville, KY jobs
JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
POSITION OVERVIEW
Job Summary
The Revenue Cycle Manager oversees all aspects of the billing, collections, and reimbursement processes for a Skilled Nursing Facility (SNF) and Senior Housing portfolio. This role ensures accurate and timely billing, maximizes reimbursement, and drives process improvements across payer types including Medicare, Medicaid, Managed Care, and Private Pay. The manager will work closely with facility leadership, admissions, and accounting teams to ensure complete and compliant revenue capture, census reconciliation, and cash flow optimization.
Roles and Responsibilities
* Manages end-to-end billing and collections for SNF and senior housing entities, including Medicare A/B, Medicaid, Managed Care, and Private Pay accounts.
* Oversees the accuracy of census, charge capture, and claim submission processes to minimize denials and delays.
* Conducts regular revenue cycle audits to ensure compliance with regulatory and payer requirements.
* Monitors key performance indicators (KPIs) such as days in A/R, DSO, bad debt percentage, and collection rates.
* Leads monthly census reconciliation processes in collaboration with Admissions, MDS, and Finance.
* Supervises and mentors billing, collections, and cash posting staff.
* Collaborates with facility business office managers and regional operations leaders to resolve reimbursement and payment issues.
* Partners with accounting and financial reporting teams to ensure accurate month-end close and revenue recognition.
* Manages the appeals process for denied or underpaid claims-ensuring appeals are supported with appropriate documentation, clinical records, and regulatory references.
* Maintains current knowledge of Medicare/Medicaid regulations, managed care contract terms, and evolving reimbursement models.
* Ensures compliance with HIPAA, payer, and state/federal billing regulations.
* Oversees denial management, appeals process, and root cause analysis to implement corrective action plans.
* Identifies opportunities for automation and workflow enhancement to improve billing efficiency.
* Develops and distributes monthly revenue cycle reports and dashboards for leadership.
* Supports implementation and optimization of EHR, billing, and collection systems.
* Partners with Accounting to ensure accurate and timely month-end close processes for all SNF and senior housing entities.
* Partners with accounting to reconcile accounts receivable subledgers to the general ledger and resolve discrepancies.
* Reviews and validates monthly revenue and adjustment entries to ensure accuracy of financial reporting.
* Prepares and submits month-end revenue cycle reports and variance analyses to management.
* Provides detailed A/R aging, cash posting summaries, and payer trend data to support financial statements.
* Supports audit requests and provide documentation for internal and external financial reviews.
* Other duties as assigned
Qualifications
Education: High School / GED
Experience: 5-8 years
Licenses and Certifications
Bachelors Degree preferred
Experience with multi-facility revenue cycle operations.
Prior experience leading census reconciliation and payer audits.
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies.
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
LOCATION
US-KY-Louisville
Trilogy Health Services
303 N. Hurstbourne Parkway
Louisville
KY
BENEFITS
* Competitive salaries and weekly pay
* 401(k) Company Match
* Mental Health Support Program
* Student Loan Repayment and Tuition Reimbursement
* Health, vision, dental & life insurance kick in on the first of the month after your start date
* First time homebuyers' program
* HSA/FSA
* And so much more!
LIFE AT TRILOGY
Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged.
Flexibility is what you want, and flexibility is what you'll get.
Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.
Six months of training, orientation, and fun!
We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.
ABOUT TRILOGY HEALTH SERVICES
As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.
FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.
Job Summary
The Revenue Cycle Manager oversees all aspects of the billing, collections, and reimbursement processes for a Skilled Nursing Facility (SNF) and Senior Housing portfolio. This role ensures accurate and timely billing, maximizes reimbursement, and drives process improvements across payer types including Medicare, Medicaid, Managed Care, and Private Pay. The manager will work closely with facility leadership, admissions, and accounting teams to ensure complete and compliant revenue capture, census reconciliation, and cash flow optimization.
Roles and Responsibilities
* Manages end-to-end billing and collections for SNF and senior housing entities, including Medicare A/B, Medicaid, Managed Care, and Private Pay accounts.
* Oversees the accuracy of census, charge capture, and claim submission processes to minimize denials and delays.
* Conducts regular revenue cycle audits to ensure compliance with regulatory and payer requirements.
* Monitors key performance indicators (KPIs) such as days in A/R, DSO, bad debt percentage, and collection rates.
* Leads monthly census reconciliation processes in collaboration with Admissions, MDS, and Finance.
* Supervises and mentors billing, collections, and cash posting staff.
* Collaborates with facility business office managers and regional operations leaders to resolve reimbursement and payment issues.
* Partners with accounting and financial reporting teams to ensure accurate month-end close and revenue recognition.
* Manages the appeals process for denied or underpaid claims-ensuring appeals are supported with appropriate documentation, clinical records, and regulatory references.
* Maintains current knowledge of Medicare/Medicaid regulations, managed care contract terms, and evolving reimbursement models.
* Ensures compliance with HIPAA, payer, and state/federal billing regulations.
* Oversees denial management, appeals process, and root cause analysis to implement corrective action plans.
* Identifies opportunities for automation and workflow enhancement to improve billing efficiency.
* Develops and distributes monthly revenue cycle reports and dashboards for leadership.
* Supports implementation and optimization of EHR, billing, and collection systems.
* Partners with Accounting to ensure accurate and timely month-end close processes for all SNF and senior housing entities.
* Partners with accounting to reconcile accounts receivable subledgers to the general ledger and resolve discrepancies.
* Reviews and validates monthly revenue and adjustment entries to ensure accuracy of financial reporting.
* Prepares and submits month-end revenue cycle reports and variance analyses to management.
* Provides detailed A/R aging, cash posting summaries, and payer trend data to support financial statements.
* Supports audit requests and provide documentation for internal and external financial reviews.
* Other duties as assigned
Qualifications
Education: High School / GED
Experience: 5-8 years
Licenses and Certifications
Bachelors Degree preferred
Experience with multi-facility revenue cycle operations.
Prior experience leading census reconciliation and payer audits.
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies.
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
Auto-ApplySenior Business Applications Specialist - Remote
Brentwood, TN jobs
SpecialtyCare continues to grow and we'd like you to grow with us! We are seeking a Senior Business Applications Analyst to join our Information Services team. This position does offer the opportunity to work fully remote! SpecialtyCare is the industry leader in intraoperative neuromonitoring (IONM) services in the US-monitoring over 100,000 cases annually, providing IONM services to over 450 hospitals nationwide, and supporting over 2,300 surgeons. With SpecialtyCare, you will be able to share your acquired expertise with your colleagues and customers, all while providing safer surgery and better outcomes for your patients. Our surgical neurophysiologists are the most experienced in the industry.
ESSENTIAL JOB FUNCTIONS
* Provide second and third-tier level support (after Help Desk) by analyzing, diagnosing and resolving issues for the following applications:
* PeopleSoft General Financial - General Ledger, Asset Management, Account Payables, Travel & Expenses
* PeopleSoft Order to Cash - Order Management, Billing, Account Receivables
* PeopleSoft Supply Chain Management - eProcurement, Purchasing, Inventory
* Create/Review process documents and user guides.
* Provide communication/training to end users.
* Ensure application security.
* Create and utilize advanced queries as needed.
* Act as a liaison between the IT development group and business units.
* Evaluate new applications/functions and identify system requirements.
* Recommend appropriate systems alternatives and/or enhancements to current systems.
* Develop test plans, and coordinate and perform software testing.
* Document system requirements, define scope and objectives, and assist in the creation of system specifications.
* Basic SQL knowledge
* Participate as a project team member or act as a lead on multi-disciplinary projects related to the assigned application as needed.
* Manage small to medium projects independently.
* NextGen PM Support
* Live the SpecialtyCare Values - Integrity, Teamwork, Care & Improvement.
* Perform other duties as assigned.
Salary Estimate: $115,000 / year (Several factors, such as specific skill set, education level, certifications and years of experience, are considered to determine actual compensation.)
BASIC QUALIFICATIONS
* Education:
* Bachelor's degree in Computer Science or Business Administration, or equivalent relevant work experience
* Experience:
* At least Five (5) years of related Financial Applications experience.
* Proficient in the following application groups: PeopleSoft Financials, Order to Cash, and/or Supply Chain.
* Experience with PeopleSoft HCM, NextGen PM, and/or Salesforce a plus.
* Equivalent combination of education and experience.
Knowledge and Skills:
* Ability to develop documentation and provide communication/training to end users.
* Ability to work as part of a collaborative team in order to be successful.
* Pro-active, have initiative and ability to reach out to ensure tasks and deliverables are met, risks and mitigation strategies uncovered.
* Must communicate with confidence, build relationships through inspiring trust and sharing information and be able to challenge assumptions.
* Likes to work in a fast paced, highly collaborative environment with the ability to meet deadlines.
* Strong attention to detail.
SpecialtyCare is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
I/DD Care Manager, QP (Gaston/Cleveland/Rutherford NC)-Mobile
Gastonia, NC jobs
which will work primarily out in the assigned communities.**
Competitive Compensation & Benefits Package!
eligible for -
Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
Public Service Loan Forgiveness Qualifying Employer
See attachment for additional details.
Location: Available for Gaston, Cleveland, Rutherford NC locations; Mobile/Remote position
Projected Hiring Range: Depending on Experience
Closing Date: Open Until Filled
Primary Purpose of Position: The Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for providing Tailored Care Management and/or care coordination to members/recipients with I/DD to help secure and coordinate a variety of physical health, developmental disability, behavioral health and long-term services and support (LTSS) services. The I/DD Care Manager actively engages with members/ recipients through comprehensive assessment, care planning, health promotion, and comprehensive transitional care. Tailored Care Management is comprehensive and longitudinal for members with Medicaid coverage. Recipients with no Medicaid receive Tailored Care Management based on specified triggers and for a duration not to exceed ninety (90) days. Travel is an essential function of this position.
Role and Responsibilities:
Duties of the I/DD Care Manager include, but are not limited to, the following:
Comprehensive Care Management
Provide assessment and care management services aimed at the integration of primary, behavioral and specialty health care and community support services, using a comprehensive person-centered care plan which addresses all clinical and non-clinical needs and promotes wellness and management of chronic conditions in pursuit of optimal health outcomes
Complete a care management comprehensive assessment within required timelines and update as needed
Develop a comprehensive Individual Support Plan and update as needed
Provide diversion activities to support community tenure
Care Coordination
Facilitate access to and the monitoring of services identified in the Individual Support Plan to manage chronic conditions for optimal health outcomes and to promote wellness.
Facilitate communication and regularly scheduled interdisciplinary team meetings to review care plans and assess progress.
Monitors services for compliance with state standards and Medicaid regulations, including home and community-based standards for 1915i services
Verify that services are delivered as outlined in ISP and addresses any deviations in services Individual and Family Supports
Provide education and guidance on self-management and self-advocacy
Provide information about rights, protections, and responsibilities, including the right to change providers, the grievance and complaint resolution process, and fair hearing processes
Educate members and recipients about the Registry of Unmet Needs, with referral as indicated
Utilize person centered planning methods/strategies to gather information and to get to know the members supported
Ensure that members/legally responsible persons are informed of services available, service options available, processes (e.g. requirements for specific service), etc.
Promote prevention and health through education on the member's chronic conditions and/or disabilities for the member, family members, and their caregivers/support members
Promote culturally competent services and supports.
Health Promotion
Educate and engage the member/recipient and caregivers in making decisions that promote his/her maximum independent living skills, good health, pro-active management of chronic conditions, early identification of risk factors, and appropriate screening for emerging health problems
Closely coordinate care with the member's I/DD, behavioral health, and physical health providers, including in person visits to Emergency Departments and Skilled Nursing Facilities
Support medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment
Transitional Care Management
Proactive and intentional care management when the member/recipient is experiencing care transitions (including, but not limited to transitions related to hospitalization, nursing facility, rehabilitation facility, community-based group home, etc.), significant life changes including, but not limited to loss of primary caregiver, transition from school services, etc.) or when a member/recipient is transitioning between health plans.
Create and implement a 90-day transition plan as an amendment to the ISP that outlines how services will be maintained or accessed and includes a process to transition to the new care setting and integrate into his or her community.
Referral to Community/Social Supports
Provide information and assistance in referring members/recipients to community-based resources and social support services, regardless of funding source, which can meet identified needs
Provide comprehensive assistance securing health-related services, including assistance with initial application and renewal with filling out and submitting applications and gathering and submitting required documentation, including in-person assistance when it is the most efficient and effective approach.
Time-Limited Care Coordination for Member Excluded from Receiving Tailored Care Management
Assist member who are receiving care management from other entities (e.g., CCNC, CAP/C, CAP/DA) with referral/linkage to I/DD services available through the Tailored Plan or Medicaid Direct contract
Provide transitional care management
Participate in weekly conference with CCNC, as needed, to share information on high-risk members, including members with a behavioral health transitional care need and members with special health care needs, who are receiving care coordination and care management from both entities or require referrals
Coordinate with each member's care manager to the extent the member is engaged in care management through another entity (e.g. PCCM Vendor, Skilled Nursing Facility, CAP/C or CAP/DA, etc.)
Share the results of the any assessments completed, the member's person-centered plan, and the member's Care Plan (to the extent one exists) with entity providing care management
Notify the member's care manager that the member is undergoing a transition and engage the member's assigned care manager to assist with transitioning the member into the community, including in the development of the ninety (90) day post-discharge transition plan to the extent there are items within the care manager's scope.
With the assistance of the care management entity, encouraging, supporting, and facilitating communication between primary care providers and the Partners network providers regarding medication management, shared roles in care transitions and ongoing care, the exchange of clinically relevant information, annual exams, coordination of services, case consultation, and problem-solving as well as identification of a medical home for persons determined to have need.
Other:
Assist state-funded recipients apply for Medicaid
Coordinate Medicaid deductibles, as applicable, with the member/legally responsible person and provider(s)
Proactively monitor documentation/billing to ensure that issues/errors are resolved as quickly as possible
Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency and Medicaid requirements
Maintain medical record compliance/quality, as demonstrated by ≥90% compliance on Qualitative Record Reviews
Recognizes and reports critical incidents
Promotes member satisfaction through ongoing communication and timely follow-up on any concerns/issues
Collaborates with providers to ensure accurate/timely submission of authorization requests for all Tailor Plan-funded services/supports
Document within the grievance system any expression of dissatisfaction/concern expressed by member/recipient supported or others on behalf of the member/recipient supported
Ensure strong leadership to care team for each member/recipient, including effectively communicating with and providing direction to Care Management extenders
Knowledge, Skills, and Abilities:
Demonstrated knowledge of the assessment and treatment of I/DD needs, with or without co-occurring physical health, mental health or substance use disorder needs
Ability to develop strong, person-centered plans
Exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts and established processes
Demonstrated ability to collaborate and communicate effectively in team environment
Ability to maintain effective and professional relationships with member/recipients, family members and other members of the care team
Problem solving, negotiation and conflict resolution skills
Excellent computer skills including proficiency in Microsoft Office products (such as Word, Excel, Outlook, etc.)
Detail oriented
Ability to learn and understand legal, waiver and program practices/requirements and apply this knowledge in problem-solving and responding to questions/inquiries
Ability to independently organize multiple tasks and priorities and to effectively complete duties within assigned timeframes
Ability to manage and uphold integrity and confidentiality of sensitive data
Sensitivity and knowledge of different cultures, ethnicities, spiritual beliefs and sexual orientation.
Education/Experience Required:
Bachelor's degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area and two (2) years of full-time experience with I/DD population OR
Bachelor's degree in a field other than human services and four (4) years of full-time experience with I/DD population OR
Master's degree in human services and one (1) year of full-time experience with I/DD population OR
Licensure as a registered nurse (RN) and four (4) years of full-time accumulated experience with I/DD
AND
Two (2) years of prior Long-Term Services and Supports (LTSS)and/or Home and Community Based Services (HCBS) coordination, care delivery monitoring and care management experience. This experience may be concurrent with the two years of experience working with I/DD population described above
AND
Must reside in North Carolina
Must have ability to travel regularly as needed to perform job duties
Education/Experience Preferred:
Experience working with member/recipients with co-occurring physical health and/or behavioral health needs preferred.
Licensure/Certification Requirements:
If a Registered Nurse (RN), must be licensed in North Carolina.
Auto-ApplyProduct Documentation Specialist, (Remote)
Charlotte, NC jobs
Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation.
NOTE: This position focuses on operational and process documentation, not technical or engineering documentation.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation.
- Perform strategic and ad-hoc data work in support of Product Managers and Product Owners
- Analyze and manage moderately complex business process flows and updates to system process flows and requirements.
- Create and maintain technical documentation / product development & customer education materials
- Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials.
- Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained.
- Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence.
- Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments.
- Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials.
- Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures.
- Review and improve existing documentation to enhance clarity, usability, and compliance with standards.
- Support process improvement initiatives by documenting changes, workflows, and system updates.
- Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively.
Minimum Requirements
- Bachelor's Degree or equivalent experience and 3+ Years.
- Preferred SAFe Agile Certification(s).
- Preferred Jira/Confluence experience.
- Preferred learning development / documentation experience.
- Preferred technical writing experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years' relevant experience with documentation and supporting process improvement initiatives.
- Strong attention to detail and organizational skills.
- Excellent written communication skills with the ability to create clear, concise, and accurate documentation.
- Experience working collaboratively with internal stakeholders to gather information and develop documentation.
- Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint).
- Ability to manage multiple documentation projects simultaneously and meet deadlines.
Preferred Requirements
- Previous experience in product documentation, writing, or business support role.
- Knowledge of process improvement methodologies
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
#ClinicalServices #LI-Remote
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
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplyBilingual Scheduling Specialist
Florida 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 is a BILINGUAL position, Spanish and English*
THE OPPORTUNITY
A Scheduling Specialist is a vital member of the healthcare team and responsible for providing world-class customer service to clients.
This position pays between $15.75-20.90/hr depending on experience
Essential Job Objectives:
* Understanding admission, billing, payments, and denials.
* Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
* Knowledge of medical terminology or CPT or procedure codes.
* Patient Access experience with managed care/insurance and Call Center experience is highly preferred.
* Articulate, personable, dependable, and confident with excellent communication skills.
* Customer service-oriented builds trust and respect by exceeding customer expectations.
Experience We Love:
* Intermediate proficiency in MS applications (Word, Excel & PowerPoint), experience with multiple computer systems, and use of dual screens.
* Able to multitask and work individually while applying critical thinking skills.
* Customer Service experience is preferred.
Education/Certification(s):
* High School Diploma Required - Associates Preferred
* 1-2 years of healthcare experience preferred
* Must be bilingual (English & Spanish)
* Certified Revenue Cycle Representative (CRCR) required within 9 months of hire
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.
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