Account Specialist jobs at Universal Health Services - 5825 jobs

Full Time 36 hours/week 7pm-7am onsite The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander Responsibilities: 1.Understands the business, financials industry trends, patient needs, and organizational strategy. 2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards. 3. Assist in monitoring the department budget and helps maintain expenditure controls. 4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts. 5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers. 6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital. 7. Assist in decision-making processes and notifies the Administrator on call when necessary. 8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively. 9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures. 10. Other duties as assigned. Other information: Technical Expertise 1. Experience in clinical pediatrics is required. 2. Experience working with all levels within an organization is required. 3. Experience in healthcare is preferred. 4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience 1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required. 2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required. 3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred. 4. Years of relevant experience: Minimum 3 years of nursing experience required. 5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred. Full Time FTE: 0.900000 Status: Onsite

Shift: Monday-Friday 8:00 am - 5:00 pm EST Pay: $20/hour Aeroflow Healthcare is taking the home health products and equipment industry by storm. We've created a better way of doing business that prioritizes our customers, our community, and our coworkers. We believe in career building. We promote from within and reward individuals who have invested their time and talent in Aeroflow. If you're looking for a stable, ethical company in which to advance you won't find an organization better equipped to help you meet your professional goals than Aeroflow Healthcare. The Opportunity Within Aeroflow, the Urology team is comprised of many different roles, with all one purpose - to provide great customer service to our new and current patients. As a customer account representative, you will focus on providing exceptional customer service to patients, healthcare professionals, and insurance companies. This is a fully remote position; however, it is not a flexible or on-demand schedule. To be successful in this role, you must be able to work in a quiet, distraction-free environment where you can handle back-to-back phone calls and maintain focus throughout your shift. Please note: Working remotely is not a substitute for childcare. Candidates must have appropriate arrangements in place to ensure they are fully available and able to respond to calls and tasks as they come in throughout the workday. Your Primary Responsibilities We are currently seeking a Customer Account Representative. CAR is typically responsible for: Handling a high-volume number of both incoming and outgoing phone calls daily Updating account information, such as: product needs, insurance, contact information, etc. Placing resupply orders for current patients that receive incontinence supplies and catheters Researching insurance payer requirements and understanding reimbursement procedures Troubleshooting equipment problems and offering product changes Maintaining HIPAA/patient confidentiality Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and is considered an element of job performance Regular and reliable attendance as assigned by your schedule Other job duties as assigned Skills for Success Excellent Customer Service Skills Ability to Think Critically Exceptional Organization High Level of Compassion Outstanding Written and Verbal Communication Willingness to Make Decisions Independently Ability to Contribute to a Team Must Be Adaptable and Willing to Learn General Computer and Email Proficiency Required Qualifications High school diploma or GED equivalent 1 year of customer service experience preferred 1 year of call center experience preferred Excellent written and verbal communication skills Excellent critical thinking skills Excellent De-escalation skills Excellent active listening skills Ability to multitask - shifting between open applications as you speak with patients Ability to type 40+ words per minute with accuracy A reliable, high-speed internet connection is required, with a minimum download speed of 20 Mbps and minimum upload speed of 5 Mbps. Unstable or unreliable connectivity may impact performance expectations. Repeated internet or phone outages may result in the termination of remote work privileges at the discretion of Aeroflow Health management. You might also have, but not required: Knowledge with different types of insurance such as medicare, medicaid, and commercial plans DME supplies, specifically with incontinence and catheters What we look for We are looking for highly motivated, talented, individuals who can work well independently and as a team. Someone who has strong organizational, time management, and problem-solving skills. Willing to learn and adapt to organizational changes. What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements: Family Forward Certified Great Place to Work Certified 5000 Best Place to Work award winner HME Excellence Award Sky High Growth Award If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you! Aeroflow Health is an equal opportunity employer that is committed 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. If this opportunity appeals to you, and you are able to demonstrate that you meet the minimum required criteria for the position, please contact us as soon as possible. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast. is 100% remote. Highlights of this role include: Ability to verify benefits information for assigned facility. 1 weekend day shift Friday, Saturday, Sunday Experience monitoring and processing patient referrals (may include fax referrals). Respond to inquiries about facilities within policy timeframes. Support Acadia Healthcare admissions departments throughout the country. As one of the nation's leaders in treating individuals with acute co-occurring mood, addiction, and trauma, Acadia Healthcare places a strong emphasis on our admissions & intake functions to allow us to help every possible person in need. This person will be supporting Acadia Acute Admissions departments around the country in a remote capacity. ESSENTIAL FUNCTIONS: Manage Referral Management Portals Monitor all faxed referrals Monitor all webforms and call center handoffs/rollover referrals Utilize facility admissions/exclusionary criteria to process incoming types of referrals Respond to inquiries about the facility within facility policy timeframes. Document calls inside of Salesforce and follow-up as needed Complete Prior Authorization Pre-Admit the patients in billing system Coordinate with local admissions department regarding bed availability Facilitate intake, admissions, and utilization review process for incoming patients. Perform insurance benefit verifications, disseminating the information to appropriate internal staff. Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals. Coordinate admission and transfer between levels of care within the facility. Communicate projected admissions to designated internal representative in a timely manner. Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission. STANDARD EXPECTATIONS: * Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality. * Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Bachelor's or Master's degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN Knowledge of admission/referral processes, techniques, and tools Familiarity with behavioral health issues and services Solid understanding of financial principles and insurance reimbursement practices Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application. LICENSES/DESIGNATIONS/CERTIFICATIONS: * Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates. SUPERVISORY REQUIREMENTS: This position is an Individual Contributor We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws. AHCORP LA

Career Details: We are seeking a passionate Accounts Payable Coordinator to perform a variety of duties to maintain accounting records including calculations, deposits, answer inquiries, process payments and provide statements. The accountant will support more experienced professionals by completing tasks as assigned and may provide support to multiple staff members. Verifies billing data and prepares information for invoicing and providing routine accounting services. Requirements Qualifications: Education: Associate's degree in accounting preferred; finance or business, or the equivalency of a High School diploma and two to four years' experience in accounting, bookkeeping or related field. MUST HAVE A VALID DRIVER'S LICENSE Experience: 2-4 years' experience in bookkeeping, accounting or related field, which includes use of accounting software applications (e.g., QuickBooks, Excel). Skills and Abilities: Computer Skills: Proficient in all Microsoft office applications and skilled in operation of personal computer, peripheral equipment (e.g., copier, fax, printers).

Omada Health is on a mission to inspire and enable people everywhere to live free of chronic disease. The Client Services team, within the Customer Experience Organization, collaborates closely with Customer Success Managers (CSMs), Sales, Marketing Operations, Client Analytics, and Engineering teams to deliver exceptional post-sales onboarding experience and proactive customer service for our B2B customers. Tasked with configuring and troubleshooting Omada systems, they coordinate with internal and external partners to provide prompt and accurate responses to client inquiries. The ideal candidate thrives as an individual contributor within a collaborative setting, excelling as a critical thinker who considers solutions rather than limitations, and embraces a proactive stance towards problem-solving. Responsibilities Configure Omada systems and proactively monitor internal readiness to ensure seamless support for customer onboarding and offboarding deadlines Manage the comprehensive life cycle of reporting requests, providing timely updates to Customer Success Managers (CSMs), customers, and relevant third-party vendors Utilize existing data to generate insightful reporting for CSMs and serve as the primary point of contact for additional reporting requests, facilitating collaboration with internal teams Oversee the creation and management of reporting portal access for customers, ensuring secure and user-friendly access to vital data Investigate, triage, and efficiently resolve cases from both external customers and internal stakeholders, serving as a key escalation point for all customer-related issues Resolve complex client problems or disputes in a professional manner, with a focus on customer satisfaction and retention Identify and resolve documentation and workflow gaps and inefficiencies across internal teams, fostering streamlined operations and enhanced productivity Develop and oversee the implementation of Client Services protocols to enhance service delivery and optimize the customer experience Maintain accurate records of customer interactions for training purposes, ensuring knowledge transfer and continuous improvement within the team Track operational metrics at both individual and team levels to assess KPI achievement and initiate corrective measures to enhance performance where needed Support in the preparation and delivery of Quarterly Team Updates for CX Leadership, providing insights into operational performance and key achievements Manage special projects to enhance Client Services protocols and elevating the overall customer experience Competencies Possess strong analytical thinking skills and the ability to make sound judgment calls Demonstrate proactive initiative and self-direction in navigating ambiguous or challenging scenarios, ensuring progress even in the face of uncertainty Communicate effectively by emphasizing the "why" behind decisions, fostering understanding and alignment across teams rather than simply providing "yes" or "no" responses Navigate existing processes adeptly while proactively identifying opportunities for process improvement or innovation to enhance efficiency and effectiveness Exhibit meticulous attention to detail and adaptability in fast-paced, dynamic environments, maintaining precision amidst evolving circumstances Embrace a balanced approach to work, seamlessly transitioning between individual tasks and collaborative endeavors to meet team objectives Possess exceptional communication skills with the ability to identify client needs, anticipating and addressing concerns to deliver outstanding service Exhibit strong problem-solving skills and a track record of making well-informed decisions, even in high-pressure situations Have superior organizational and time management skills, efficiently prioritizing tasks and deadlines to optimize productivity and deliver results Have knowledge of customer service programs and databases, or the ability to learn new software quickly Demonstrate innovative and creative thinking to continuously improve the client experience, ensuring the organization remains at the forefront of industry standards and practices Qualifications Bachelor's degree with 1+ year of equivalent practical experience in a support of operations-related role preferred 4+ years of demonstrated proficiency or equivalent practical experience in a support or operations-related role Proficient in Excel operations, encompassing data sorting, filtering, reformatting, and validation techniques, demonstrating a keen eye for detail and accuracy Familiarity with a diverse range of applications and tools, such as Zendesk (or similar CRM platforms), Salesforce, and Google Suite, showcasing adaptability and technological fluency Proven experience in customer implementation and/or project management within a B2B environment, highlighting the ability to drive successful outcomes and customer satisfaction Prior exposure to the demands of a rapidly evolving organization, adept at navigating the complexities and seizing opportunities for growth and innovation Background in healthcare industry operations, coupled with experience in safeguarding Protected Health Information (PHI), ensuring compliance and confidentiality in all interactions Benefits Competitive salary with generous annual cash bonus Remote first work from home culture Flexible Time Off to help you rest, recharge, and connect with loved ones Generous parental leave Health, dental, and vision insurance (and above market employer contributions) 401k retirement savings plan Lifestyle Spending Account (LSA) Mental Health Support Solutions ...and more! It takes a village to change health care. As we build together toward our mission, we strive to embody the following values in our day-to-day work. We hope these hold meaning for you as well as you consider Omada! Cultivate Trust. We listen closely and we operate with kindness. We provide respectful and candid feedback to each other. Seek Context. We ask to understand and we build connections. We do our research up front to move faster down the road. Act Boldly. We innovate daily to solve problems, improve processes, and find new opportunities for our members and customers. Deliver Results. We reward impact above output. We set a high bar, we're not afraid to fail, and we take pride in our work. Succeed Together. We prioritize Omada's progress above team or individual. We have fun as we get stuff done, and we celebrate together. Remember Why We're Here. We push through the challenges of changing health care because we know the destination is worth it. About Omada Health: Omada Health is a between-visit healthcare provider that addresses lifestyle and behavior change elements for individuals managing chronic conditions. Omada's multi-condition platform treats diabetes, hypertension, prediabetes, musculoskeletal, and GLP-1 management. With insights from connected devices and AI-supported tools, Omada care teams deliver care that is rooted in evidence and unique to every member, unlocking results at scale. With more than a decade of experience and data, and 29 peer-reviewed publications showcasing clinical and economic proof points, Omada's approach is designed to improve health outcomes and contain costs. Our customers include health plans, pharmacy benefit managers, health systems, and employers ranging from small businesses to Fortune 500s. At Omada, we aim to inspire and empower people to make lasting health changes on their own terms. For more information, visit: Omada is thrilled to share that we've been certified as a Great Place to Work! Please click here for more information. We carefully hire the best talent we can find, which means actively seeking diversity of beliefs, backgrounds, education, and ways of thinking. We strive to build an inclusive culture where differences are celebrated and leveraged to inform better design and business decisions. Omada is proud to be an equal opportunity workplace and affirmative action employer. We are committed to equal opportunity regardless of race, color, religion, sex, gender identity, national origin, ancestry, citizenship, age, physical or mental disability, legally protected medical condition, family care status, military or veteran status, marital status, domestic partner status, sexual orientation, or any other basis protected by local, state, or federal laws. Below is a summary of salary ranges for this role in the following geographies: California, New York State and Washington State Base Compensation Ranges: $72,036 - $90,000*, Colorado Base Compensation Ranges: $68,904 - $86,100*. Other states may vary. This role is also eligible for participation in annual cash bonus and equity grants. *The actual offer, including the compensation package, is determined based on multiple factors, such as the candidate's skills and experience, and other business considerations. Pleaseclick here for more information on our Candidate Privacy Notice.

We are seeking a skilled and strategic Billing Manager to lead and oversee the daily operations of a healthcare billing department. This role is responsible for managing billing workflows, supervising staff, and ensuring accurate and timely claims processing across multiple insurance types. The ideal candidate will bring leadership experience, a deep understanding of revenue cycle operations, and a commitment to driving performance and compliance. Key Responsibilities: Supervise and mentor a team of billing professionals, promoting a culture of accountability, collaboration, and continuous improvement. Oversee departmental operations including claims submission, denial management, and revenue tracking. Ensure billing processes align with regulatory standards and payer requirements, including Medicare, Medicaid, and commercial insurance. Develop and maintain training programs and standard operating procedures (SOPs) for billing staff. Monitor team performance, conduct evaluations, and support professional development. Collaborate with finance and HR leadership to manage staffing, attendance, and disciplinary actions. Lead recruitment efforts for billing roles, including candidate screening and interview participation. Identify and resolve system issues in coordination with software vendors and payers. Analyze accounts receivable (A/R) aging reports, identify trends, and implement corrective actions to improve collections. Track key performance indicators (KPIs) and generate reports to support strategic decision-making. Ensure timely filing and clean claim submission to maximize revenue and minimize rejections. Respond to audit findings and implement process improvements to reduce billing and coding errors. Maintain compliance with HIPAA regulations and uphold patient confidentiality standards. Provide exceptional internal and external customer service and maintain a positive team environment. Qualifications: Associate's or Bachelor's degree in healthcare administration, business, finance, or a related field preferred. Equivalent experience will be strongly considered. Medical Billing Certification preferred. Minimum of 3-5 years of experience in healthcare billing or revenue cycle management, with at least 2 years in a supervisory or leadership role. Strong knowledge of insurance billing practices, denial management, and regulatory compliance. Proficiency in billing software and data analysis tools. Excellent communication, organizational, and problem-solving skills. Benefits: Competitive salary Health, dental, and vision insurance Paid time off and holidays Retirement plan options Professional development opportunities

Responsibilities The incumbent must demonstrate a thorough knowledge of anatomy and demonstrate a thorough knowledge, skill and understanding of image quality. Must be able to communicate to patients the nature of the tests and relieve their anxiety. The incumbent must demonstrate an understanding of Radiographic Positioning, Radiographic Technique, Radiation Safety, Imaging Equipment, Infection Control and Quality Control techniques. Presents a pleasant and helpful manner to patients, families, physicians, and other staff members. Qualifications Required: Diploma Radiologic Technology Radiologic Technologist (ARRT) State Radiology Technologist License - Must obtain RAD within 12 mos of hire if currently hold RADT. Desired: One year in radiology

Responsibilities The Pre Service representative sets the patient's expectation and ensures a positive patient experience for upcoming surgical procedures and diagnostic tests by completing pre-registration and accurately and efficiently handling the day-to-day operations relating to financial clearance for the hospital system including adult and pediatric acute facilities and diagnostic centers. The pre service representative also initiates authorizations for non-scheduled hospital admissions as well as scheduled procedures as assigned. The pre service representative utilizes multiple systems simultaneously and works in a fast paced, productivity driven call center environment accepting inbound calls promptly and making outbound calls in a professional and courteous manner and independently works to resolve patient and provider questions related to referrals, pre-authorizations, and insurance verification. The representative possesses strong telephone communication and computer skills, problem-solving abilities, and demonstrates the highest level of customer service for all patients, providers, and other team members. Qualifications Required: One year in Patient Registration, Insurance Verification, or Authorizations Desired: Three years Patient Access High School Diploma or GED

The Account Service Representative is responsible for delivering exceptional service to brokers, agencies, and employer groups. This role supports the full lifecycle of group accounts-renewals, enrollments, changes, claims support, quoting follow-ups, and carrier communication. The ASR works closely with the sales and operations team to ensure accuracy, timeliness, and high customer satisfaction What you'll be doing: Broker & Agency Support: Serve as the primary point of contact for agencies regarding group insurance questions, documentation, renewals, and service needs. Assist brokers with quoting requests, benefit summaries, enrollment materials, and onboarding documentation. Provide clear guidance on medical, dental, vision, GAP, and ancillary benefits. Group Account Management: Support new group onboarding, including application review, census validation, and carrier submissions. Assist with open enrollment meetings, renewal reviews, and plan comparison tools. Maintain accurate group records, policy details, and service notes. Track renewals, missing documents, billing issues, and enrollment updates. Carrier & Vendor Coordination: Communicate with carriers regarding applications, eligibility, billing discrepancies, and service issues. Facilitate resolution of escalated member and employer concerns. Ensure compliance with carrier guidelines and timelines. Administrative & Operational Tasks: Prepare service emails, renewal notices, spreadsheets, and standardized documents for agencies and employers. Maintain CRM activity logs, follow-up tasks, and documentation. Assist the Group Sales Director in tracking KPI metrics and service SLAs Requirements: Must know all carriers. Traditional group insurance Must have knowledge of working with a census Customer service experience 215 License required Reliable transportation Qualifications: Salesforce knowledge helpful Ichra knowledge helpful Business development experience 5-10 years of experience in health insurance, group benefits, or employee benefits administration (preferred). Knowledge of medical, dental, vision, GAP, and ancillary products. Strong communication skills-professional, clear, and customer focused. Ability to manage multiple priorities with attention to detail and deadlines. Proficient in Microsoft Office (Excel, Word, PowerPoint); CRM experience is a plus. Bilingual (English/Spanish) Salary range: $55-$75k + Commission Schedule: 9-5 with occasional weekend events. Hybrid/remote possible after 90 days. January start date

Inspire health. Serve with compassion. Be the difference. Provides accurate and timely submission of claims for Prisma Health to various payer sources based on timely filing guidelines. Ensures specialty accounts are followed up on in a timely manner with increased focus on aged and high dollar accounts. Follows up and pursues identified payer variances after comparing expected to actual reimbursement received. Responsible for working with other departments when issues arise such as missing payments, payer delays, and technical denials. Ensures payment amount(s) from insurance carriers are correct and posted to accounts. Reviews accounts after payment posting to determine if balance needs moved to secondary payer or patient liability. Knowledge of payers and provides support to other team members as needed. Demonstrates exceptional relationships with external payers and internal departments in accordance with Prisma Health Standards of Behavior and Compliance. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Works and processes the billing functions, including resolving the discharged not final billed/stop bill errors that prevented the account from billing, the resolution of claim edits in order to submit to claims clearinghouse for electronic submission. Processes the daily paper claims submissions for primary and secondary claims. Follows up on specialty accounts receivable (AR) accounts assigned to determine if the claim has been accepted and processed for payment or denied. Reviews claim rejections and re-bills accounts when appropriate. Effectively and timely identifies the root cause of non-payment denials and works with the insurance company, the patient and Prisma Health departments to find resolution to claim denials, making all necessary claim and account corrections to ensure the full reimbursement of services rendered. Escalates accounts both at the payer and/or internally when appropriate, as well as involving the patient appropriately in accordance with the Prisma Health escalation guidelines in order to keep AR aging at acceptable levels for payer issues. Identifies system issues through trending and repetitive actions that require workflow review or changes to resolve compliant billing. Utilizes proper tools to communicate with Prisma Health department teams on specific errors for corrections related to their area of responsibility. Contacts insurance payers, patients or guarantors at established intervals to follow-up on status of delinquent accounts, determines the reason of delay and expedites payment. Meets daily performance productivity and quality goals.Identifies areas for improvements. Monitors quality levels, finds root cause of quality problems and owns/acts on quality problems. Contributes to department goals. Effectively utilizes time and resources, assisting co-workers as time allows. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma/highest degree earned Experience - Three (3) years in hospital claims and billing follow-up In Lieu Of Bachelor's degree and 2 years of hospital billing, follow-up/denials. Required Certifications, Registrations, Licenses CRCA preferred CRCR preferred Knowledge, Skills and Abilities Understanding of the hospital and physician claim forms Knowledge of payer guidelines. Maintains professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations to keep abreast of latest trends in field of expertise. Understands, promotes and adheres to all matters of compliance with laws and regulations. Understands the Standards of Behaviors. Communication skills preferred Attention to details preferred. Work Shift Day (United States of America) Location Blount Memorial Hospital Facility 7001 Corporate Department 70019012 Patient Account Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Purpose: This position is responsible for all phases of client billing, which may include: performing edits, billing, write-offs, and time transfers. Essential Job Functions: 1. Print and distribute pre-bills monthly to billing attorneys. 2. Edit invoices monthly in a timely manner based on comments received from billing attorneys. 3. Invoice and bill clients in the accounting system each month in a timely manner. This includes clients that are billed electronically. 4. Perform client and matter changes within the accounting system. 5. Process write-offs within the accounting system in accordance with company policy. 6. Work with clients and attorneys in a timely manner to answer inquiries and provide analysis of billings. 7. Perform other tasks as assigned. Required Qualifications: Knowledge, Skills, Abilities and Personal Characteristics 1. High attention to detail; organized. 2. Developed knowledge of basic billing knowledge. 3. Effective interpersonal skills; strong oral and written communication skills. 4. High degree of initiative and independent judgment. 5. Computer skills: accounting system (3E experience preferred), word processing, and spreadsheet capabilities.

Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker. The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices. Essential Functions Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information. Perform fee bill audits according to established procedures and guidelines. Data enter fee fills accurately for electronic transmission. Adhere to established billing performance requirements. Review electronic response to transmitted bills and make modifications accordingly. Respond to telephone inquiries from customers regarding bill payment status. Participate in continuous improvement activities and other duties as assigned. Supervision Received Reports to the Billing Supervisor Experience and Education Required Medical billing certification or at least 2 years of experience working in the medical billing field Data entry experience Additional Skills Needed Effective written and verbal communication Detail oriented Strong organizational ability Basic computer literacy skills Working Environment The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.

The Billing Clerk I must be computer literate and have the ability to prioritize, organize, trouble shoot and problem solve. They must have the ability to perform basic mathematical computations. Maintain a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff. DUTIES AND RESPONSIBILITIES: Update pay codes. Interviews patients to determine their pay code. For patients without medical insurance, analyses income and family date to determine eligibility for sliding fee scale. Verifies insurance coverage of patient who claims to have private insurance coverage. Explains to patients or responsible relatives, the Health Center's billing policy and the patient's responsibility for paying their bills. Furnishes patients with appropriate "Patient Responsibility" forms, for signature. Informs billing clerk of any changes in patient's medical chart and the date of the next re-screening. Assists cashier with data entry of charges and payments of visit. Actively participates in the Quality Management Program. Responsible for following all Agency safety and health standards, regulations, procedures, policies, and practices. Performs other duties as assigned. REQUIREMENTS: Must be computer literate and have the ability to prioritize, organize, trouble shoot and problem solve. They must have the ability to perform basic mathematical computations. Maintain a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff. Must be bilingual in English and Spanish with effective verbal and written communication skills preferred. Knowledgeable with current ICD 9, ICD 10, CPT Codes & HCPCS Must have reliable transportation to commute from clinic locations at any given time during the day to cover the floor or attend meeting and in-service trainings. Must be willing to close the Cashier work station every other day until the last patient is seen by the provider. (Floor schedule will be provided 3 weeks in advance). Must work every other Saturday a full 8 hour shift and some Holidays

**Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Night (United States of America) **Address:** 1500 SW 1ST AVE **City:** OCALA **State:** Florida **Postal Code:** 34471 **Job Description:** + Manages ECMO circuits and equipment during patient care, including circuit interventions and change-outs. + Observes, monitors, assesses, and reports patient status and response to ECMO therapy. + Collaborates with multidisciplinary teams to provide comprehensive care for ECMO patients. + Participates in building and priming disposable ECMO circuits and other related equipment. + Leads ECMO patient transport, both within and between hospitals. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** Associate (Required), Bachelor's of Nursing, Master's of NursingAdvanced Cardiac Life Support Cert (ACLS) - RQI Resuscitation Quality Improvement, Basic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, NIH Stroke Scale (NIHSS) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body, State Registered Respiratory Therapist (RRT) - EV Accredited Issuing Body **Pay Range:** $34.71 - $64.55 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Medical Assistant & Technician Services **Organization:** AdventHealth Ocala **Schedule:** Full time **Shift:** Night **Req ID:** 150661872

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Night (United States of America) Address: 1500 SW 1ST AVE City: OCALA State: Florida Postal Code: 34471 Job Description: Manages ECMO circuits and equipment during patient care, including circuit interventions and change-outs. Observes, monitors, assesses, and reports patient status and response to ECMO therapy. Collaborates with multidisciplinary teams to provide comprehensive care for ECMO patients. Participates in building and priming disposable ECMO circuits and other related equipment. Leads ECMO patient transport, both within and between hospitals. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: Associate (Required), Bachelor's of Nursing, Master's of NursingAdvanced Cardiac Life Support Cert (ACLS) - RQI Resuscitation Quality Improvement, Basic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, NIH Stroke Scale (NIHSS) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body, State Registered Respiratory Therapist (RRT) - EV Accredited Issuing Body Pay Range: $34.71 - $64.55 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

The Outpatient Specialist's main mission is to maintain and grow the current customer base while creating new opportunities through selling the BIOFIRE product line. This includes the sales of instruments, reagents and other services to drive increased adoption and market share within a defined geographical region. The Outpatient Specialist is directly responsible for achieving the territory sales goal through outpatient clinics affiliated with IDNs and clinics not affiliated with IDNs within their assigned territory. Additionally, the Outpatient Specialist will manage both direct sales as well as sales through our distribution partners to achieve high performance in the areas of customer satisfaction, revenue, and profitability. Primary Responsibilities Deliver effective sales call management, opportunity management, pipeline management and forecast accuracy. Identify and establish relationships with key customers and opinion leaders within defined territory. Establish and maintain relationships with our distribution partners to support and advance opportunities and closes. Assess, clarify, validate, and quantify the customer's existing and unmet needs on an ongoing basis. As a part of the Regional Sales team, the Outpatient-Market specialist will identify high value targets within assigned territory and develop strategies to close new business those accounts. Maintain existing customer business to minimize lost business. Work cooperatively in a matrix team and other colleagues to advance and close opportunities. Serve as a liaison between the Outpatient market and Marketing. Channel competitive intel from the field to Marketing and participate as needed in marketing projects and new product launch request. Identify key opinion leaders (KOLs) within defined territory. Manage opportunity pipeline to ensure the timing of closes matches the monthly forecast as it is represented in our CRM tool and related dashboards. Ensure the compliance of business activities meet the most stringent requirements of legal and ethical standards and current company policies. Education and Experience Associates degree and a minimum of 4 years of professional sales experience ORBachelors degree and a minimum of 2 years of professional sales experience required Bachelors degree with 4 years of customer facing experience within the IVD market in lieu of professional sales experience will receive consideration. Strong Knowledge of molecular biology technologies, techniques, and disciplines preferred. In vitro diagnostic (IVD) capital equipment preferred. Point-of-care (POC) sales experience preferred. Distribution-sales experience preferred. Knowledge, Skills, and Abilities Business Skills Functional skills including critical thinking, adaptability, time management, communication, problem-solving and digital literacy. Leading without authority through influence and guidance of others towards a common goal by using expertise, persuasion, and personal qualities to inspire action. Business acumen to understand how a business operates and how to make it successful. Intellectual Horsepower Effective and efficient problem analysis that leads to high-quality decisions. Understand complex information and interpret it accurately, often requiring critical thinking and analysis to grasp the full picture. Manage and meet competing deadlines, requiring careful prioritization and time management to ensure all tasks are completed on time. Creating the New and Different Influence change using skills and relationships to persuade others to adopt new ideas, behaviors, or processes. Perspective to see the world from another person's viewpoint thus gaining new insights and finding creative solutions to challenges. Effectively deal with ambiguity requiring adaptability, critical thinking, and proactive communication to navigate situations with limited details Maintaining Focus Make timely decisions by quickly choosing effective solutions in high-pressure situations for optimal outcomes Priority setting that align with business objectives Thriving in a fast-paced environment by managing tasks, multitasking, and adapting quickly to maintain productivity. Getting Organized Organizing work and resources efficiently to ensure smooth operations Planning objectives and strategies to achieve them within a set timeline Practicing time management to allocate tasks, balance priorities, and meet deadlines efficiently Getting Work Done Through Others Informing others by sharing clear, timely information to ensure alignment. Managing and measuring work by tracking progress, performance, and goal achievement using metrics and KPIs. Managing Work Processes Collect and analyze data to drive informed decision-making to improve performance and identify issues Dealing with Complex Situations Communicates instructions clearly and effectively Demonstrates assertiveness and confidence in the face of a challenge Conflict Management Solution oriented in the face of conflict Comfortable giving clear, direct, and actionable feedback Ability to deal with difficult situations in a timely and bold manner Focusing on the Bottom Line Drive for Results: Drive for Results while successfully removing barriers Action Oriented: Takes action even when facing challenges Being Organizationally Savvy Ability to cooperate with others at all levels including leadership Ability to work cross-functionally allowing for better collaboration and communication when working across teams to achieve shared objectives Communicating Effectively Effective verbal communication skills Written Communications - including the ability to communicate technical data in written form Effective Presentation Skills - including the ability to present technical data Relating Skills Build and maintain positive, productive interactions with colleagues Easily accessible and open to communication Effectively navigate social interactions in the workplace Developing and Inspiring Others Reach mutually beneficial agreements through effective communication and compromise Managing Diverse Relationships Participate in a way that enhances team performance and cohesion. Fosters a culture of inclusiveness among all team members Acting with Honor and Being Open Consistently uphold and reflects the core ethical principles and values that bio Merieux promotes Actively and attentively listen to others, ensuring a clear understanding of their messages, needs, and concerns. Emotional intelligence by having the ability to recognize, understand, and manage one's own emotions, as well as the emotions of others. Maintain composure by having the skill of staying calm, focused, and professional in high-pressure or stressful situations. Working Conditions and Physical Requirements Ability to remain in stationary position, often standing, for prolonged periods. Ability to ascend/descend stairs, ladders, ramps, and the like. Ability to adjust or move objects up to 50 pounds in all directions. Domestic travel required 70% of time Location dependent the selected incumbent will be required to be masked while working in client locations for extended periods when on site in hospitals. Ability to conduct client visits which entails the safe operation of motor vehicles, physically accessing customer facilities and frequent air travel in performance of assigned duties. The estimated salary range for this role is between $87,700 - $140,000. This role is eligible to receive a variable annual bonus based on company, team, and individual performance per bio Merieux's bonus program. This range may differ from ranges offered for similar positions elsewhere in the country given differences in cost of living. Actual compensation within this range is determined based on the successful candidate's experience and will be presented in writing at the time of the offer.In addition, bio Merieux offers a competitive Total Rewards package that may include: A choice of medical (including prescription), dental, and vision plans providing nationwide coverage and telemedicine options Company-Provided Life and Accidental Death Insurance Short and Long-Term Disability Insurance Retirement Plan including a generous non-discretionary employer contribution and employer match. Adoption Assistance Wellness Programs Employee Assistance Program Commuter Benefits Various voluntary benefit offerings Discount programs Parental leaves #LI-US#biojobs Please be aware that recruitment related scams are on the rise. Fraudulent job postings are being placed on other websites, and individuals posing as bio Merieux Talent Acquisition team members are reaching out via email or text message in an attempt to collect your personal and confidential information. In some cases, these scammers are also conducting bogus interviews prior to extending fraudulent offers of employment. Beware of individuals reaching out using general phone numbers and non-bio Merieux email domains (i.e. Hotmail.com, Gmail.com, Yahoo.com, etc.). If you are concerned that an interview experience or offer of employment might be a scam, please make sure you are searching for the posting on our careers site or contact us at [emailprotected]. BioMerieux Inc. and its affiliates are Equal Opportunity/Affirmative Action Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Please be advised that the receipt of satisfactory responses to reference requests and the provision of satisfactory proof of an applicant's identity and legal authorization to work in the United States are required of all new hires. Any misrepresentation, falsification, or material omission may result in the failure to receive an offer, the retraction of an offer, or if already hired, dismissal. If you are a qualified individual with a disability, you may request a reasonable accommodation in BioMerieux's or its affiliates' application process by contacting us via telephone at , by email at [emailprotected], or by dialing 711 for access to Telecommunications Relay Services (TRS).

Who We Are: Quest Global delivers world-class end-to-end engineering solutions by leveraging our deep industry knowledge and digital expertise. By bringing together technologies and industries, alongside the contributions of diverse individuals and their areas of expertise, we are able to solve problems better, faster. This multi-dimensional approach enables us to solve the most critical and large-scale challenges across the aerospace & defense, automotive, energy, hi-tech, healthcare, medical devices, rail and semiconductor industries. We are looking for humble geniuses, who believe that engineering has the potential to make the impossible possible; innovators, who are not only inspired by technology and innovation, but also perpetually driven to design, develop, and test as a trusted partner for Fortune 500 customers. As a team of remarkably diverse engineers, we recognize that what we are really engineering is a brighter future for us all. If you want to contribute to meaningful work and be part of an organization that truly believes when you win, we all win, and when you fail, we all learn, then we're eager to hear from you. The achievers and courageous challenge-crushers we seek, have the following characteristics and skills: What You Will Do: Preparation and maintenance of program tracking metrics Utilize SAP to run reports and analyze large volumes of data Understand and appropriately allocate critical detail parts across repair facilities to facilitate on time delivery metrics and engine centers testing requirements Prepare status reports as required, present weekly data packages and complete monthly MRO overdue reports Lead status and operational meetings for internal and external stakeholders What You Will Bring: Bachelor's degree in engineering 10+ years of experience working within an MRO facility Strong emphasis on data management, analysis, forecasting, and SAP knowledge. Strong communication and presentation skills Ability to work within both a shop floor and office environment Ability to work independently Pay Range: $70,000 to $80,000 per year Compensation decisions are made based on factors including experience, skills, education, and other job-related factors, in accordance with our internal pay structure. We also offer a comprehensive benefits package, including health insurance, paid time off, and retirement plan. Work Requirements: This role is considered an on-site position located in Windsor Locks, CT You must be able to commute to and from the location with your own transportation arrangements to meet the required working hours. Shop floor environment, which may include but not limited to extensive walking, and ability to lift up to 40 lbs. Travel requirements: Due to the nature of the work, no travel is required. Citizenship requirement: Due to the nature of the work, U.S. citizenship is required. Benefits: 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Employer paid Life Insurance, Short- & Long-Term Disability

The Enterprise Accreditation Specialist III is responsible for supporting the organization to obtain and maintain appropriate accreditations, distinctions and recognitions through NCQA, URAC or other accrediting bodies. This person will serve as the subject matter expert for various accreditations, including but not limited to NCQA Health Plan Accreditation, LTSS Distinction, Health Equity, UM, and Population Health. This person will work cross-functionally with business owners to identify gaps and deficiencies between current processes and the accreditation requirements and assist in implementing any necessary mitigation activities as needed. They will also ensure all changes made by accrediting bodies are communicated and incorporated into business processes. Essential Functions: Serve as subject matter expert in accreditation standards, including NCQA Health Plan, LTSS Distinction, Health Equity, UM and Population Health. Clearly define deliverables associated with delegation agreements including appropriate responsible parties Maintain a strong understanding of the business processes within the assigned Market Collaborate with the business owners to obtain documents, reports, and materials for accreditation submission Provide oversight and monitoring of all surveys and deliverables within assigned Market Monitor, track, and document deliverables related to accreditation process by applying accreditation standards to CareSource processes and documents in conjunction with the business owners Act as advisor to business areas on appropriate documentation and data analysis needs for required improvement opportunities to meet the intent of the NCQA standards Maintain an in-depth knowledge of the standards within the scope of work and ensure that changes made by NCQA are communicated and incorporated into business processes Review and analyze documents, reports, and materials for submission. Ensures accuracy prior to submission Facilitate ongoing annual qualitative and quantitative analyses, assuring business owners are acting on their opportunities for improvement Responsible for preparing materials including but not limited to updating and reformatting for submission to accrediting entities in accordance with standards, coordinating efforts with internal business owners, and tracking readiness against work plans and timelines Manage survey submission process for assigned Market Maintain accreditation roadmaps/workplans Identify and communicate survey status, gaps, and escalations and ensure mitigation plans are implemented, gaps are closed and escalations are resolved Provide management recommendations for improvement related to accreditation processes and document processes Ensure all workplans and dashboards are updated for reporting Manage and execute on multiple module activities consistency Perform a variety of complex work in planning, coordinating, and managing accreditation activities Provide education to staff and business owners on accreditation standards and provide timely updates to affected departments including accreditation activities, survey dates and timelines for deliverables Act as a mentor to the Accreditation Specialist II Assist with the onboarding of new team members on module and Market specific requirements Participate in Market Quality Committees and other applicable committees as required Perform any other job duties as assigned Education and Experience: Bachelor's degree in science, arts, healthcare or other related field or equivalent years of relevant work experience is required. Minimum of three (3) years of experience in a Managed Care Organization or other healthcare related field is required Project Management Experience is preferred Accreditation experience is required Knowledge of IHI, DMAIC, or other process improvement methodologies preferred Competencies, Knowledge and Skills: Knowledge of accreditation bodies and various forms of accreditations, distinctions and recognitions. Expert knowledge of the NCQA Submission process Strong interpersonal skills and high level of professionalism Strong critical thinking/listening skills Excellent problem-solving skills with strong attention to detail Excellent written and verbal communication skills Ability to work independently and within a team environment Ability to develop, prioritize and accomplish goals Analytical and organizational skills Ability to coordinate complex projects and multiple meetings Proficient in Microsoft Office Suite to include Word, Excel, Adobe Pro and SharePoint Excellent written and verbal communication skills Proficient knowledge of the healthcare field and with Medicaid, Medicare, and Marketplace Training/teaching and technical writing skills Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-JM1

The Grievance & Appeals Specialist II reviews appeals submitted by Medicaid and Medicare providers and all future providers contracted with CareSource. Must live in Indiana. . Essential Functions: Prepare the appeals for clinical review and be responsible for recording and tracking on a regular basis Review submitted appeals daily for validation of the appeal Identify appropriate claim problem within the appeal Prepare all clinical edit appeals for review by computer research, print claim from Facets system, and print off all the code descriptions to assist the reviewer in decision making for committee meetings Attend and participate in Appeals Committee meetings as needed Maintain spreadsheet of all appeals reviewed with the outcomes resulting from the Appeals Committee Meetings Document within Facets the detailed information as to the outcome of the claim appeal Identify System changes, log the ticket and track the resolution Complete claim appeal through claim adjustments or letters of denials Review claim appeals for possible fraud and abuse and report to SIU Research and release claim appeals with other health insurance, notifying the COB unit when there is other insurance Process a variety of appeals, including but not limited to: dental appeals, low difficulty appeals, non-clinical appeals - (i.e. tobacco surcharge, etc.), medically frail appeals, RCP appeals, member and provider appeals Resolve assigned appeals within regulatory timeframes, achieve departmental quality expectations, and meet daily production requirements Identify and log any related issues Perform UAT testing when necessary Perform any other job related instructions, as requested Education and Experience: High school diploma or equivalent is required Associates Degree or equivalent years of relevant work experience preferred Minimum of two (2) years of healthcare customer service, claims, compliance or related experience is required Competencies, Knowledge and Skills: Technical writing skills Intermediate level skills in Microsoft Word & Excel with Access skills a plus Communication skills (written, oral and interpersonal) Multitasking ability Able to work independently and within a team environment Familiarity of the Healthcare field Knowledge of Medicaid Time Management Decision-making and/or problem solving skills Proper grammar skills Phone etiquette skills Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Hourly Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SD1